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CAMA / ❑ DREDGE & FILL
`GENERAL PERMIT
y ®New ❑Modification []Complete Reissue ❑Partial Reissue
1M,t'
Previous per it #
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 t ! !1 r C,
F7 Rules attached.
Applicant Name NI &1 4,1 Ap II M Project Location: County e'e �r
Address tr ;- ri a o 4 • Street Address/ State Road/ Lot #(s)
City r.
State fJ( ZIP Z - SI 3
Phone # (-! ) 5f `�- Wb Fax # ( )
Authorized Agent /Je,r tl(-f
Affected ❑ CW 0 EW CA PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / io Crit. Hab. yes / no
1.1 , .-
Subdivision -f "
CityZIP < C% S/6
Phone # ( ) River Basin IJ� /' -(�c+k
Adj. Wtr. Body 1"r: r (1, r• f' Knai /man /unkn)
Closest Maj. Wtr. Body fir't 7, n vr'
Type of Project/ Activity _ I► recr,
ci itfl X s1 c a
' `!S
4y i 3 3ymr,,✓P,rl�J
``�
(Scale:/4 )
ierdock len h 3latf
PP
Fing
Groi
Bulk
RIM
MEN
ME
Basin
ME
IN
Boat
Boat
ME
Beac
Oth
EMS
ME
M
ION
Shor
SAV:
MEN
Sand
No
I
MO
No
ME
Phot
WIN
ME
Waiv
A building permit may be required by: (u r 4 • 4 rC .
L❑ note on back regarding River Basin rules.
Notes/Speciajjl Conditions i%
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
!0
Application Fee(s) Check #
Permit Officer's SignatureV
li -G 3 jP rp .. C 3
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name
c
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 comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(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: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
r " WACHOVIA BANK, N.A. 66-152/531 1435
U. F. S., LLC MOREHEAD CITY, NC 28557
DATE
101 DOLPHIN WAY
BEAUFORT, NC 28516 Jul 2, 2003
252-728-7576
AMOUNT
$ *****$100.00
4
Memo:
PAY
SPAY One Hundred and 00/100 Dollars
TO THE
ORDER
OF:
CAMA NP
��'OOL435�i' i:053101529j: 546L 00544L'll
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMO0RING PILINGSIBOATLIFT/BOATHOUSE)
hereby Certify that I own property adjacent to Mav j TAJvt, 'S
(Name of Property Owner)
property located at L o t" IS S -Voy\1-9 r L avld(n
(Lot, Block, Road, etc..)
Jk+ ,N(-
on tJaVCW (k in OaY-�C- KZ_�-- 0-ov 4 �X 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 tom his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
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 requirement.
-- I do wish to waive the setback requirement.
-------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(TO BE FILLED IN BYINDIVIDUAL PROPOSING DEVELOPMENT)
-------------------------------------- ------------------------
igna re
-Alt—/�
• GL
PrJ t or Typ Name
Telephone Number
Date: 8-091- 03
FROM,: FRX NO. :9199519533 Jun. 23 2003 06:31PM P1
TUN-21-2e0Z 01738 PP, U.F.S. LLC
1 252 722 7576 P.Pfl
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIMMOORING PILING,VB0ATLIFTIH0ATH0"SE)
Mari U"VK
I hereby Certify that I own property adjacent to ��
15' (Name of Property 01WIner)
d �
property located aL L o } 60450. � ��„��+��
(lot, Block, Road, etc.,)
ot1 �`.o fig C QZt.k. _Jeri �' a r:K�e�.�- C. nyInLg
(Waterbody) (Town and/or County)
Ha has described to me, as shown below, the development he is proposing at that location, and, d
have no objections tom his proposal- i understand that a pier/mooring pilings(boatlift/boathouse
must be Bet back a minimum distance of fifteen feet (15) frown my area of riparian acccss unless
Waived by me,
l do not wish to waive the setback requirement.
r 40 wish to waive the setback requirement.
- - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(TO RF. F11.I.FD IN BY INDIVID(1.41. PROPOSING DE, VF10PMENT)
St IL ot el
F ^K list 961 'i S 33 }r
Si re
71C&6c FAX 'go_c k *0 Print or Ty a Name
�,SZ• 9�G � Zti3�i lkl 719 - 8S1 ' �93�1
Telephone Number
'T'hw l�3 Date: S` 11- o Z
------------------------------------------------------------------------------------------------- ----------------
INTRACOASTAL WATERWAY
CA)
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co
PROPos NORTH
& tlNCO ER BOAT LIFT
----------------------
----- -
--------------------- - - -
54, 80' CORPS SETBACK
I 6' in i
I I
20 ~ 1 Aprox . mean high water line
I
I
Knain Property
14
W
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co
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GAZEBO
-Zo
Baum Property
15
U.F.S Property
Sight Plan
16
Baum Property
Lot # 15 Gatsey Lane
Stanton Landing
Beaufort Township
Notes: Scale: 1 "=50;
1. Soundings taken from map prepared by Atlantic
Coast Professional Surveyors of Harkers Island
2. Channel location taken from map prepared by
the Core of Engineers
Proposed 6'x40' access to a 50'x8' "L" running
with gazebo and two uncovered boat lifts on
either side of the proposed plat form
mofl, S7,o Y.
9/9 G 3S
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