37227_MOORE, ROBERT_20040112

R('�1//�J
0 CAMA / L' DREDGE & FILL
GENERAL PERMIT
Previous permit #
New ❑Modification L,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 I SA NCAC Tl j 1 . -
j
Applicant Namey(, —f�' j
0 Rules attached.
! „ ._
Project Location: County
Address y (t �, ice- f� �1'1
Street Address/ State Road/ Lot #(s)
;,i
{JD(�(,J_t
City) /y� .� state * --I, ZIP
Phone # '/ L9)_.i �/ Fax # .( )
Subdivision
Authorized Agent
City 1_,-1-1,I :(ZS �r S ZIP
ElCW ❑ EW OTA ❑ ES ❑ PTS
Phone # (�) River Basin
L
. r f o11
Affected
-1 OEA El IH ] UBA ❑ N/A..
AEC(s):
r
Adj. Wtr. Body
y3
nat Itrian unkn
ORW: , yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body-
Type of Project/ Activity
Pier (dock) length
Platform(s)a r'
(Scale: I" i i ' j )
Finger pier(s) -�
'�'� �•(
Groin length +��,� �_ ��_���:...----------�,�\✓
number • -- _ _,.
B Ikh d) R. I h
u ea iprap engt '
avg distance offshore
max distance offshore-,
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
Shoreline Length
�
SAM 7not 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
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
t 4 p
See note on back regarding River Basin rules.
Permit Officer's Signature
Issui g ate
Local fa nningjurisdiction
Date

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
Iandowner(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 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 howto complywith 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: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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.nccoastalmanagement.net
Revised 10/05/01

ISLAND OAKS MOBILE HOME PARK
R. L. MOORE, III
PO BOX 602 728-4688
HARKERS ISLAND, NO 28531
PAY -J i2
TO THE / / '�
ORDER OF
—WAMOM
Wachovia Bank, N.A.
Ihvkcro Ixkma. NC'2K)m
G 77�Z
FOR a■0000►,6 L6u■ I053 LO IS 2` 1:
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4616
66-1521531
DATE 6 3I V �-
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5468 0 00 26i�' —..—

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FROM FAX NO. Jan. 12 2004 10:08AM P1
5504 HUNTINGWOOQ DR
RALEIGH, NC 27606
PHONE: [phone]
FAx FAX: 919-854,4815
SEND TO:
A
70 9
FROM,4�f
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ATTENTION:
OFFICE LOCATION:
OFFICE LOC ON:
DATE:
/ rl / % J v //
FAX NUMBED:
PHONE NUMBER:
-z .S Z -2 417Y 3 330
-- e S/- e-/l
URGENT REPLY
ASAP
TOTAL PAGES, INCLUDING COVER:
Pi.EASE PLEASE FOR YOUR 90
COMMENT Ll REVIEW INFORMATION ME

16
FROM FAX NO. Jan. 12 2004 10:09AM P2
ADJACEW I2IPARIAi�N PROPEit7'I' ONN'NER STATEMENT
(FOR A PIERAb10ORING PIL1VGS1 OATLIFT/BOAI-HOUSE)
I hereby certify that I own property adjacent to
(Name of Property- Owner)
property located at S�U�tic// [ / K•5 /� ��/— cS�%3,3
(Lot, /BIock, Road, etc.)
on G� / in r , N.C..
OVaterbody) (Town and/or Count,)
He has described to me, as shown below, the development he is proposingat that location,
and, I have no objections to his proposal. I understand that apier/mooringpilings/boatlifVboathouse
must be set back a miniMLIm 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 that setback requirement.
DESCRIPTIONAND/OR DRAWING OF PROPOSED DENTLOPIIE\'T:
_ (To be filled in by ind,Lv!4[ual pvoposiug
7g7
ant)
1A
/Uxid
>
SigrAure
/mil C V
Print ortype Name
Telephone Number
Date: ��%�

FROM FAX NO. Jan. 12 2004 10:09AM P3
ADI-%C:ENT RUPARLIAN PROPERTY OWNER STATEMENT
(1'01? A FIEPYA10 ORIA-'G PIL LN-( S'/R OA TL�IFTIB OA 7 FIO USE))
hereby certify that 1 own property adjacent to
(\rime of Property Orr-ner)
property located at ���a..d Dad /►�ef7:(c F�i�eN ?.jc _ 51L 133S ,
(Lot, Block, Road, etc.)
on iT, in y4'l, N.C.
(Waterbody-) (Town and/or Caun y)
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/mooringpilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') frorn 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 DRANVING OF PROPOSED DEVELOPMENT:
(To be filled in by individupl proposing dei,elopment)
%/lCA tc ✓
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kl)
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Sigttattrre
Print or Type Frame
22 Er- % 2 G
Telephone Number
Date:
/l%— 2-^03