60259_MIDGETTE, NOLAN_20120525

'❑
NO. 60259
❑CAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit #
�]Nevv ❑Modification ❑Complete Reissue ::]Partial 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
�
❑Rules attached.
Applicant Name !N © i r
Project Location: County
_
Address �p �c �- C Pp fj
Street Address/ State Road/ Lot #(s)
City > . I. c. ! State_ ZIP `�� `>>�'
I I + —.'r. •�
Phone # (_)__;' (, {�` ' Fax # O
Subdivision
Authorized Agent
City_ I j,-; h F;: j ZIP
Affected I ❑ CW EW PTA El ES C] PTS
1
Phone # ti 17:i River Basin
AEC S : ElOEA i HHF D IH ] UBA J N/A
_
Adj. Wtr. Body T ? i ��C'
I y ( (nat /man /unkn)
❑ PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Body Wtr.
Closest Maj. —�
Type of Project/ Activity
Pier (dock) length _
Platform(s) —`
Finger pier(s) y�
Groin length
number
Bulkhead/ Riprap length �7
i
avg distance offshore 16
max distance offshore —
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no --
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
fF�
i�
I
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: i . i U )
- A-
See note on back regarding River Basin rules.
PermitOfficer's $ig ature I
Issuing Date" Expiration Date
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:
❑ Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
❑ Other:
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 (252-946-648 I) 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/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)

e
Nolan A Midgefte
1''4-9-10-326-5249 11170
533 Bear Creek Rd -
huberl, NC 28539
66-301531
076
OL 01 0
First Citizens
Bank
1--OR S'E'
,:0531003001000 766 26
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5568

C"ERTiFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION OF COASTAL TiANA. GEM.EN T
ADJACENT RIPARI.AAN PROPEPTY OWNER NOTIFICATION/YiAIVER FORlY
Name of Individual applying for Permit: ! UL �C rn,'CJ IO
Pro,perty: j I t a LT \-y f}TC—R\
o
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
cZ r urnk I have no objections to this propose i.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
90 clays of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
MAY�32012
D�U Aflfn
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags must
be set back a minimum distance of 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.)
S• I do wish to waive the 15' setback requirement.
401- 1 do not wish to waive the 15' setback requirement.
LA
c p EC,( K), ,
Mailing Address
N cter,'AJ c, 2-gs3 9
City/State/Zip
9)0 —3 ,a,6 - S a.,4�
Telephone Number
3-- 1 7-",� o 1 -)--
Date
(Riparian grope y Owner Information)
(jz-.
Signature
Print or Type Name
Telephone Number
�17112
Date

CERTIFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT1OtWYiA.IVER FORkl
Name of Individual applying for Permit: f 7
,a.ddras_ of Prrnerty: (\.J (4%��
----------------
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
90 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
48oEIo
/WAY 2 3101?
C 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift orMM�sar�ags must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if
you wish to waive the setback, you mast initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(applican._.Information)
.533
Mailing Address
City/State/Zip
910-3a�-5��1�
Telephone Number
'G- I 7 - '10
Date
(Riparian Property OwnerAformation)
Signature
Print or Type Name
9/C-)-3z(e coCn`��o
Telephone Number
Date
s - t 7-2-D t�

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