30513_VANN, LELAND_20011228

r-,]CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New ❑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 oursuant to 15A NCAC
Applicant Name L.i0 r:j 41 hF-
Address H 3 l p! sr, 1',
City R State N` ZIP <' 7 .': C 3
Phone # ('� I ) 1. SE Fax # ( )
Authorized Agent `,,vi
Affected ❑ CW O EW KI PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes /, no Crit. Hab. yes / nc
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp -
Boathouse/ Boatlift v; • t b ai 7
Beach Bulldozing —
Other -
Project Location: County %, 4r, ( f
Street Address/ State Road/ Lot #(s)
!t le /r !! 1
Subdivision
City ✓ u, L ZIP
Phone # ( ) River Basin (n41-
Adj. Wtr. Body At t" (n r /man /unkn)
Closest Maj. Wtr. Body rat f f l )-/p
( ; : r/'c, .e (Scale:
,
Y
Shoreline Length - `✓
not sure yes no
SAV:
sure Sandbags: not es no
Y
Moratorium: n/a yes no ri 1 f �E
Photos: es no
t
Y 4'
Waiver Attached: yes no
A building permit may be required by: A4io 0+ CI See note on back regarding River Basin rules.
Notes Special Conditions " . )� j
l r..V`� W � f�/v�lr� fill l�v' "s.�f �,r,.t,�,l�tel ^d,id!�.'M"
Inr
or Applicant Printed
Signature Please read compliance statement on back of permit
I 1 s.a4 c�k
r
Application Fee(s) Check #
I
Permit Officer's Signature '
Issuing Date Expiration Date
7
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, certifythatthis 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 (910-395-3900) for more information on how to complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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, NC 28405-3845
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/05/01

OUTER BANKS MARINE CONSTRUCTION PW
P.O. BOX 1988 BB&T 516 3
ATLANTIC BEACH, NC 28512 BRANCH BANKING AND TRUST COMPANY
[phone] MOREHEAD CITY, NC 28557
66-112/531
PAY TO THE
ORDER OF D.E.H.N.R.
One Hundred and
D.E.H.N.R.
MEMO Vanna>i3
11100516311, i:053 LOLL 211: 1 2310 L5 295n'
12/27/2001
** 100.00
- DOLLARS
Security features
t included.
Delails on back.
NP

1501 First Avenue, Morehead City, NC 28557
[phone]
V%tD a�� ti o41
b
1
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0
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Tide Tamer Boat ifts
1.
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'12-27-2001 12:41PM FROM-LL VANN 9197793178 T-557 P.001/001 F-318
ADJACENT RJ2ARLA_N PR0PERTV O`V='r"rM STATE--:LIENT
(FOR A Pff.fA'c;SIB0A T LIFT/BOA T90C'F£)
l hereby cerLt j tmt I awn prop?:, y adialcait to Ze. a,,v VA
prQF,.V Ie=.zEd RY 10
Block, Road, etz.)
/l
T(Waterbody) (Town andior Luuuty)
Fs h2s de —coed to me, as s„owr: beiow, the deve?opment re iy propos,'a: rat=- Joczycr:,
a.rd. I have no objections tin his prepcs2l- I undarsmxd th= a
}� i ;2s,ucz-.:fTIxlaihOuse Trus, be ,. ba_k a rnin.imun dis=ec Cf ffInt-1 f=: (I5'} -0n r, , ZTM'
of rpanim F-ccess ur,Jess waived by me,
I n nat wish to the se:bac'.::S�Ui:cme �t.
I �Ln wish to v.,a:v: a:si se:bae':
I E$CRIFYION A. D'i0R. DRAWIN- G OF Df2t)PGSED DF_V T_0PN .`_r.
(Tv bef-Zled L: by iudiyiduml pro.posny devi*on e:u)
Ca_z: 1A -.27— -0

ADJACENT RIEPARLkLN PROPERTY OWNER NER STATEME.N'T
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
ot, Block, Road, etc.)
on z � , in C� N.C.
( aterbodv) (Town and/or County
He has described to me, as sL.own below, the development he is proposir,= at tha. location,
and, I have no objections to his proposal. I understand that a pier; mooring
pilinas/boatiift/boathouse must be se_ back a minimum distance of fifteen feet (15 `) from my area
of riparian access unless waived by me.
V�
I do not wish to the setback requirement.
I do wish to waive t ..__ setback recuire;nent.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPNfF`-i:
(To be filled ir. by individual proposinI. development)
Signature
Print or Type Name
7. d
Telephone Number
Date: — d /