47133_POWERS, CARL_20061219

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CJ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #_
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit
As authorized by the State of North Carolina, Department of Environment and Natural Resources r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name Q-CAA 1 t'o v-i P- 5 Project Location: County ?ck m t % C Y w`
Address �y 6 o X 91 Street Address/ State Road/ Lot #(s) 3 y ( C-t r(-
City PP e t P T. State f-- ZIP
Phone # (' 5 2 )1 tj .S " 3t1 Fax # ( ) Subdivision -
Authorized Agent YCe � co 5. Ci ef f 't ZIP 6
CW 6a EW J.PTA [I ES ❑ PTS Phone # (-251) 7 Y. - t� River Basin
Affected OEA ❑ HHF ❑ IH ❑ UBA N/A
AEC(s): ❑ [IAdj. Wtr. Body -Tt 0, ,;:A , ��-�' il- 6aman /unkn)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body � )Ck u
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
(Scale: )
Pier (dock) length /• n
Platform(s)—AL
Finger pier(s) --
Groin length
number
Bulkhead/ Riprap le
avg distance c
max distance
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length _
SAM not sur
Sandbags: not sur
Moratorium: n/
Photos:
Waiver Attached:
A building permit may be required by: �, e' See note on back regarding River Basin rules.
Notes/ Special Conditions (of-4 lia ►4 s h —
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
/Z_ /q_ & , 3 19_f, .
Issuing Date Expiration Date
tkar41i,(, CU.
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F_� Tar - Pamlico River Basin Buffer Rules ❑ Other:
L] Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, INC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

VIENT
ADJACENT RIPARIAN PROPERTY O� 2 R T ` T EI 133'y �
I hereby certify that I own property adjacent to
Ae-L s
Game of Property Owner)
),
profxrL} locat
ed at o�vAwe� ��
(Lot, Block, Road, etc,) �
/ /c �/Vfi in �
on N.C.
(Waterbody) (Toi�n and/ County)
He has described to me 2s shown belox, the development heis proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION A?\rD/OR DRAWfNG OF PROPOSED DEVELOPMENT
(To beflled in by indii,idual proposing dei'elopmenl)
�— ID( �- >
5� wide-
L'Ju 47f6t4aA—
Sicn�'ure
a
Print o; T }pe Name
Telepho-,e Numbt:
00
Date:/�
-29-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to C 'slz? /l �- L '� + x" ` 's
(Name of Property Owner)
property located at 0 (_j Z- G � � cA ✓J'� � et � ,� s S
(Lot, Block, Road, etc.)
on _ f %'C �'� � in �/ i/�'/r' ��Tr� �i�-i�J �C � N.C. �
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---------------------------------------------------------- ---------------------- ------ -----
Sign Print or Type Name
--S�4:GIc 33G3
Telephone Number
Date: ,o r C - t�;: - O G

CARL R. POWERS, JR.
Barbara Powers NCDL 4472287
NCDL 4845686 Ph 252-745-3342
P O Box 91 Weaver Camp Rd
Merritt, NC 28$56 , /
Pay to the
Order of
v
Dc�
7232
66-21/530
/ Z BRANCH 77512
/) Date
I $
Dtillazs
MEWACHOVIA
Wachovia Bank, N.A.
,�wachovia.com
For �:
':0S30002191:L007832SO2L92110 7232