32065_VARNER, RON_20020607

C; CAMA / i❑ DREDGE &FILL 407-e
GENERAL PERMIT
Previous permit #
DNew ❑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
O Rules attached.
Applicant Name''\l✓'# �% N-1 { ; C f { e Project Location: County
Address Street Address/ State Road/ Lot #(s)
CityState ; ZIP
_.—
Phone # O Fax # O Subdivision ,� F
Authorized Agent City _ ZIP /
Affected El ❑ eW ❑PTA ❑ es El Phone # ( }) r'"� t r River Basin
AEC(s): EloEA ElHHF ElIH ❑ UBA ['. N/A Adj. Wtr. Body } R _,; Inat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
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 r
Boat ramp
Boathous /FBoatlift, 1 �'� t
41-4,444,
Beach Bulldozing ---
Other I�r• .�
■16�!
(Scale:
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no - - _ _!. — _ _ — _ - _ -_ t- •.--
Moratorium: n/a yes no y •�
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ' —` ❑ See note qn back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
L
Local Planning Jurisdiction Rover File Name
)I

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 (910-395-3900) for more information on how to comply with 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 / 1-888ARCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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

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RONALD VARNER NCDL 1675576
SANDY VARNER NCDL 2643337 5274
5916 FORDLAND DR. 919-859-6232 ��,0�
RALEIGH, NC 27606 Date 66-19/530 NC
400
Pay to the j� r h
order of C DIE $ �QO�
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BankofAmerica,
ank of America Advantage's
ACH RIT053000196 j7
For
1:053000L960 043620244119 5274

STATE EMPLOYEES' CREDIT UNION 07756
MOREHEAD CITY BRANCH MONEY ORDER
REMITTER RON VARNER
PAY TO THE NCDENR
ORDER OF
06-07-02
DATE
66-7704/2531
$ 100.00
DOLLARS B s -�.��
State Employees' Credit Union VOID AFTER 180 DAYS
062 Morehead City, North Carolina
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PROPERTY . OF
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SJ4, IVISION C7ne?, T COUNTY, NORTH CAROLINA
7 FMfcAAzD /5z-,CITY/ TOWNSHIP dJIJII D,r
S'OAL E / "_ Sao' DATE 4 Aaw,;5r /1?9,? � PA,Fclq
JOHN P MCLEAN EN@lll�6`ERNO ASSOCIATES CAPE CARTMT, N. C.

Ir ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
_.
I hereby certify that I own property adjacent to Is ED
(Name of Property w e 002
property located at 2S J ( S(j �/ ✓ yr COASTAL MANAGEMENT
(Lot. Block, Road, etc.)
on in
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
piiinas/'boatiift/boathouse must be se: 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 reeuirement.
I da wish to waive that setback recuire.,,ent.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPtifENT:
(To be filled in by individual propos tz development)
6'-� tVCA-W b-'eSi'O(O PI'V?LI Af
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Print or Type Name
�5—P `� �� 7
Telephone Number
Date:
iJEICI�

ADJACENT RIPARL—k PROPERTY OWNER STATEN EN-T
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to VAI2-)Vew,, I
(Name of Property Owner)
property located at wv� &ZJ-U ,
(Lot, Block, Road, etc.) I
on /3d��a ��, , in 6+'��(GI s�� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the deve'opment he is proposing at that location,
and, I have no objections to his proposal. I understand that a pie-/moor,nz
pdinp/boatlift/boathouse must be se: back a minimum distance of fifteen feet (1- from area_.
of riparian access unless waived by me. Ifr11 P-r..;_T_. V
V✓ I do not wish to waive the setback requirement- MAY 2 8 2002
I d.Q wish to waive t; at setback recuirement.
DESCRIPTION AND/OR DRAWDiG OF PROPOSED DEVELOP`IENT:
(To be filled in by individual proposin; development)
en (A ACt'�v� -to Ill X 20 .Sep ia�J�
Lee- lle-eAj�
S i!znature
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Print or Type Name
-z5
Te',ephone Number
Date: — O