34582_CURTIS, LOUIS AND CATHY_20030728

K-1 CAMA / El DREDGE & FILL
GENERAL PERMIT Previous permit?
EINew DModification ElComplete Reissue ElPartial 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
[]Rules attached.
Applicant Name
Address J/� fV&'oc'Dr
City "lex^D r, State iJc_ Zip
Phone # Fax #(—)
Authorized Agent C, .7
Affected El CW [ftw HPTA E-1 ES El PTS
AEC(s): El OEA El HHF El IH E UBA [I N/A
El PWS: El FC:
ORW: yes /(no, PNA yes no. Crit. Hab. yes no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone# (—) River Basin
Adj. Wtr. Body '/c' ona /man "unkn
Closest Maj. Wtr. Body i�1110r
Type of Project/ Activity /0 xlk'
r),__f 4)[) (, or),- f-»,c)r-, n� (Scale:
Pier (dock) length �W'
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
distance
max offshore
4
J
Basin, channel
cubic yards
Boat ramp
.
... ... .....
Boathouse/ Boatlift
Beach Bulldozing
Other 6 n t I(IJ.),
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes
Moratorium: n/ayes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: r ave') Co.
E:1 See note on back
regarding River Basin rules.
Notes/ Special Conditions Or (nve-,
c, _Ln c,12. r bk.-4A I KID
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flngt 115 4cakoa"
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J
statement on back of permit **
Ile- �14qq!�
Application Fee(s) Check #
(:!—;0irmit Officer's Sig ykt"fe f
Issuing Date / Expiration Date
0— V, a V,-" �r (6 -� 2�-1 3 A
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 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:
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)
www.nccoastaimanagement.net
Revised 10/05/01

OCCUPATIONAL & INDUSTRIAL SAFETY 1499
CONSULTING, INC.
716 LILLIPUT DR. PH. 252-638-3179
NEW BERN, NC 28562
66-112/531
PAY DA
TO THE
ORDER OF
oieof BTnT DOLLARS
�a,
�,THR�ET) /1 n/1
(.,/�j'it{+�FOR3q—
II'00001499n' i:053101121i:51150009c.
-------------

ADJACENT REPARIL ,N PROPERTY OW-N-ER STATE-NMYI'
(FOR A PIERIMOORING PILINGSIBOATLIFTlBOATHOUSEi
I hereby certify that I own property adjacent to Loins -v' C',�,�
AV Cu- r
(Name of Proper-6 Owner)
prupe. � located at T / Q-- %) /�— ,
(Lot, Block, Road, etc.)
on "'57 VF�� , in - / ern,, r' �' e , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is propos+-- a_ that iocation,
and, I have no objections to his proposal. I understand that a jie„ 'mooing
pil.inas,boadiftlboathouse must be se; back a minimum distance o' fifte--n feet rrx my area
of riparian access unless waived by me.
0
7A
I a nt wish to wa %e the setback reeuire �.e-'.
I da wish to waive tr.at setback re�sireme t. ��
- - - - - - -------------
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVEI.OF%fEtiT:
(To be filled in by individual proposing de-�elopment)
i
J("F.':
- -+
Signature -----
?If
law rZ'
A610 W /JF-
�",int- or Tv ce Name
5a-n
Te!ephone Number
Date: ?A3-?-

• ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOCSE)
I hereby certify that I own property adjacent to Z., L:_4`5 _Owl �-I a'4115 's
(Name of Property caner)
property located at 91 --D— - /�%ri's _ D 2 - ,
(Lot, Block, Road, etc.)
on _ /IiL-c,' sc , in A' i '9�_A (72'wcni - , N.C.
(Waterbody) (Town and/or County)
He has d=nibed to me, as shown below, te development he is proposir, at that locador,
and, I have no objections to his proposal. I understand that a pier; mooring
pilings, caiIift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
N
Iran not wish to wa %-e the setback recuiremezt.
I d_Q wish to wave t:at setback recuireme
DESCRIPTION AND/OR DRA Wr G OF PROPOSED DEVELOP`ME 7:
(To be filled in by individual proposing development)
Sisnature
Print or e Name
Teieohonz Numbe:
Date: