30596_BATTS, RAY_20030422

❑CAMA / ❑ DREDGE & FILL ffFi T'y: 3096"(.
• GENERAL PERMIT reviouspermit#
—]New ❑Modification CComplete 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 I SA NCAC
O Rules attached.
Applicant Name A-;, Project Location: County
Address F ~` ' > ` a ( Street Address/ State Road/ Lot #(s)
f
State-;__ ZIP
Phone # ( —) Fax # ( )
Authorized Agent
Affected D CW F i EW CI PTA F- ES _] PTS
AEC(s): -i OEA J HHF ❑ IH �: JJ UBA N/A
J PWS: L I FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Subdivision
City_. , . _ ZIP_.
Phone # (` ) `7`i. River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Pier (dock) length * 'Im _ -
Platform(s)
Finger pier(s)
Groin length _ _ r - — —
number — -
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
i
Basin, channel
cubic yards
Boat ramp
i
Boathouse/ Boatlift I7
Beach Bulldozing
Other '' :� `�✓"
j
Shoreline Length
SAM 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
(Scale: &`,.__
❑ See note on back regarding River Basin rules.
u ►� / I"J.
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date 1 Expilion Date
1
�i
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 ❑ 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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/C

MR. ALBERT RAY BATTS 66-85/531 7588
MRS. ALBERT RAY BATTS 0020042646 y
311 LONGWOOD DR. PH. 8274341
P.O. DRAWER 340 D[(4Y
PINETOPS, NC 27864
P.
RBC Pss asx
�= Centura CMCIMVO
RBC Centura Bank
metop , NC 864
M o Co NP
':0 5 3 L008 50i:00 200 L, 264l 0 7 588

ADJACENT RIPARLAN PROPERTY WvVNIR STATENfENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby cer-dfy that I own property adjacent to �� M 's
(Name of Property Owner)
prope,7 located at tl `t 0 t G
(Lot. Block, Road, etc.)
on , in 1y1 -IZ p1,i7 3=� l_t = , N.C.
(Waterbody) (Town and/or County)
HE has described to me, as shlown below, the deve'.opmen: he is proposing ac that location,
nd
and, I have no objections to his proposal. I understatha: a pier/mooring
pdin asiboa:Lft/boathouse must be se: back a minimum distance of fifteen fee: (5*) from my area
of mja.Han access unless waived by me.
_ I dn nnt wish to waivC the setback requirement.
I do. wish to waive t :at setback re ;uiremient.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOP%rE.NT:
(To be filled ir. by individual proQo n ode ;e!oPmerzr)
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Sig mature —�
Print or Type Name
Telephq6e Number

ADJACENT RIPARL-�N PROPERTY OWN TR STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjacent to F—Py T5 -s
(Name of Property Owner)
property located at Iy (o SC) a t - r -r�`.2- , ,
(Lot, Block, Road, etc.)
on , in
(Waterbody) (Town and/or County)
He has desc-libe-.1, to me, as s1nown below, the deve!opmen: he is proposi-` a_ that location,
and, I have no objections to his proposal. I unders;�,d tha. a pie /moonnz
pEngs; Goatllr�boathollSe irlllSt be S:: back 3 minimum dlstarlCe Oi fii�ee ] f� ; (f) Fom my arcs
of roa-ian access unless waived by me.
I dn nn-t wish to wane the setbac requireme:,:.
�! I �.n_ wish to waive teat setbacl%- recuirement.
DESCRIPTION A.N"D/OR DRAW'D G OF PROPOSED DEVELOP`fE\NT:
(To be filled i by individual proposing development)
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Signature '
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Prin�OrT voe tiane
Telephone Number
' `Date: "