32052_VINCENT, THOMAS_20020703

CAMA / ❑ DREDGE & FILL 5 �-
GENERAL PERMIT20 2
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 pursuant to 15A NCAC
❑ Rules attached. j
Applicant Name I (1, rou r VrWf n'? Project Location: County
Address -11�, CN(tC
r"N
City �i= t.ij'r{rr
State Nf ZIP 7
Phone # (�SZ) ,pp1� 1'1 5 Fax # ( )
Authorized Agent
N f t c>
Affected ❑ Cw
b EW E PTA to ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / ,rio
PNA yes / no;,, Crit. Hab. yes / no
Type of Project/ Activity
-i\ G 'p 1Iif,
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
X t
Street Address/ State Road/ Lot #(s)
R
Subdivision V( I'
City WCcv I ZIP
Phone # ( ) River Basin ;N'%/ r1fk
Adj. Wtr. Body Nr Zvi F, t' i €' / 1 (pat Zman /unkn�
Closest Maj. Wtr. Body
iL��• r Ly�r I'Jr"JI, �,.I' �Mr i� CY!f A
6r Jr 1
® 00f." IV10 t L t- t ri n "C".1"
1
el (Scale:
� f
16a'.
Beach Bulldozing �� +
Other ` - --- - +— I All —
Shoreline Length
SAM not sure yes (Do - - ---- -- �— ----- - —r-- -
Sandbags: not sure yes PTO i f
Moratorium: n/a yes -no F
Photos: yes R no ( _
Waiver Attached: yes no
A building permit may be required by: '; ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions `f<. '1� �t u - j ' (�, ( �, V 0 v
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
i'
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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, certifythat this 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 (910-395-3900) 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 / 1-888ARCOAST
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

UNITEDSTATES
�r`POST/JLSERVICE® POST",
ATn1' ORDER
90522529187
SERIAL NUMBER
YEAR MONTH DAY
PAY TO
/ 1.-• POST OFFICE"""'•---
CHECKWRITER _ U S. DOLLARS AND CENTS
ADDRESS IMPRINT AREA - r�r•ll IIIII 1111 1�
C.O.D. NO. OR
USED FOR
NEGOTIABLE ONLY IN THE .S. AND POSSESSI NS
1:00000800 21: 90 S 2 2 S 29 18 7n�
Y.:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I
I hereby certify that I own property adjacent to _ is
(Name of Property Owncr)
r
property located at J�` _4_� It
(Lot, Block, Road, etc.)
on , _ _---�d6 —
lud
in NC.
(V aterbody) �— own and/or County)
lie 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/uncovered boat lift must be set
back at a minimum of fifteen (1 S') front my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPZMENT:
Sig atLIre hl'f11t or 1 vpe Name
Telephone Number Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �Z4���, 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on NC.
(N aterbody) (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/uncovered boat lift must be set
back at a rninimum of fifteen (I5') from my area of riparian access unless waived by me.
C�/ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
Oganature Print or Type Name
?�7
Telephone'Number
Date
12