48499_PROPST, CARL JR._20070521

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue ❑PartiM Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/n� ❑Rules ttachedy
Applicant Name �1 Project Location: County
Address L r Street Address/ State Road/ Lot #(s)
City j ,' State ZIP
Phone # Fax # O
Authorized Agent
\ ❑.Cw El El
,N PTA © ES S
Affected ElOEA ElHHF ❑ IH ❑ USA `❑ N/A
AEC():
❑ PWS: ❑FC:
ORW: yes / no PNA " yes' / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
j
Shoreline Length i
SAV: not sure
yes
nq
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
no
F
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name;
Signature Please read compliance statement on back of permit
41
Application Fee(s) Check #
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
V
d
❑ See note on back regarding River Basin rules.
I -I ;
xl -/ .3'I'MILI 11
Permit Officer's Signature
Issuing 13 :expiration Date
i' m 0
rA
1 f,
Local Planning J urisdiction 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ 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
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

r ft
ADJACENT,FAPARIAN PROPERTY OWNER STATEMENT
(FOR ILE OORING PILINGSBOATLIF,T�pBOAATHOUSE)
I hereby certify that I own property adjacent to H - f'_'�T is
(Name of Property Owner)
property located at wnlTr�1eAAe &J
(Lot, Block, Road, etc.)
on l t M -rrA l�U CIe�E ' , in 0IQ E G� , N.C.
(Waterbody) (Town and/ r 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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
V�11 do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) 60"I
T-E
lot
aka
4a
A
4151
T
zb a S90PE Y izr_
Print or Type Name
`? y-J Telephone Number
Reserved
a -,

05/15/2007 15:29 2522492700 MARINER REALTY INC PAGE 02/02
ADJACENT' ' NRIAN PROPERTY OWNER STATEMENT
(FOR , l O(7iJNG P11- NrA B�OrA�7 lkT1BOATHOUSE,•)
1, hereby certify that l own property adjacent to 4 L - 's
(Name of Prop
property iocaied at ,7"j;Z
(Lot, Bloch, Road, etc.)
on 1Okfig' g&" , in _ t N,C
(Waterbody) (Town and/or County)
T-1e has described to me, as shown below, the devolopm the is proposing at that location, and, i
have no objections to his proposal. I Understand that le mooring pilings / boatlii't / boathouse
must ire set back a minimum distance of fifteen feet (I from my area of riparian access unless
waived by me, (if you wish to waive the setback, you must Initial the appropriate iilatlk
below.)
� 1 42.0ot wish to waive
i S,o wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVIZLOPMENT°
(To be,}illed in by individual proposing development)
20'
�� Telephone Number