60185_NATALELLO, CHARLES_20120501

_I CAMA / DREDGE & FILL NO. 60185
GENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue El 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
Phone # ( )_
Authorized Agent
Affected - Cw
AEC(s): I OEA
_i PWS:
ORW: yes / no
State ZIP
Fax # ( )_
i EW PTA -_I ES PTS
HHF IH =1 UBA N/A
- FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City_ - -- ZIP —
Phone # (_ ) - River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
— —� - - - II -'-
(Scale:
- 7 I ; I
Groin len h
gt
number
Bulkhead/ Ri ra length X (
Riprap gt
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
-
i
-
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—
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t t
---
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- - - -
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-
— -
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—
Shoreline Length
i
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
I
r
ii-_',A —
_ 1
-
_ See note on back regarding
rules.
River Basin
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date
Expiration Date
ApplicationFee(s) Check# Local PlanningJurisdiction 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 ]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 complywith 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.
(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)

Serial Number Year, Month, Day -Post Dffice U.S. Dollars and Cents
192�i71,2892 54M'02
Amount oft *0
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Address
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Appendix A
djacnt Riparian Property Owxs ;statement
(for a bulkhead, dock/moonmg-pi gs)
I hereby certify that I own property adjacent to &4aJfe, ,&&MfAa is
(Name of property owner)
property located at
(Lot, B1oEk, Road, etc.)
on S ('1� , in .UFO FFff Cg4ur, �. , NC
(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.hisproposal: I understand that a dock/mooring
pilings 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 rem ireznent.
t� I do wish to waive that setback requirement.
Description and drawing of proposed development:
(To be filled in by individual proposing development)
Rio �
,r
ignature
Print name . .
Address
A-2
10L
y - a- i•Z
Date
Telephone number

P
I hereby certify that I o prey a jaeent to y �°�.� r�1S1vT ,t�610 is
of Property owner)
property located,at l O t
{Lot, Blocdk; A -pd,; e#+c.)
on � ,,Q�r� T �C frF/� Cces�n , NC
{aerlsoy) (TQ and/or County)
He has cl scri + `to rn ; o blow the- At �t�he.is proposing at that
t s' r o alY; d that.a. dock/mooring
Yocatton, azd, ho:
pilings. Est he �?���� = dbtance of Wit j 51) from my area of riparian
'� k a.
access tml-ss -W 'i'V01,y
wi9k,W a s t Tack. t.
re; thackxec r
�:f�elo. went:
] tee c v g. p
(To :' .mod i vndiu�draI prtar,iarnent)
r (o1Ol
Date
Print nan3e
Telephone number
Address