38081_RHINE, DONALD AND REBECCA_20040414

❑CAMA / DREDGE & FILL
GENERAL PERMIT _
❑New --]Modification El Complete Reissue Tartial Reissue
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
Previous permit #
Date previous permit issued
I. ' Rules attached.
Applicant Namej. �R r',: ��:' Project Location: County_
Address s w_ _ _._ Street Address/ State Road/ Lot #(s)
City_ 4 : Ri"t State_ ZIP
Phone # r f t �ax # � j —( Subdivision
Authorized Agent , C City
Affected ❑ CW CLEW EFTA I)ES ❑ PTS Phone #
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body_ _
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
ZIP _
River Basin
(nat /man /unkn)
Type of Project/ Activity
«-
(Scale:
t t
Pier (dock) length
Platfo
rm(s)
length
ead/ Riprap length
channel
amp
ouse/ Boatlift ''7
Bulldozing
ine Length
not sure yes no
ags: not sure yes no V
orium: n/a yes no
T
i
number
avg distance offshore_
max distance offshore
I � I
cubic yards
I --_-- — ^--
•_' ? I I I i � I — , � . _
i
; �_ 1.•� �`'1
s: yes (no
r
lvd
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
t•
Application Fee(s) Check #
Permit Officer's Signature r
Issuing Date ` Expiration Date
Local Plan ningjurisdiction Rover File Name
lvd
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
t•
Application Fee(s) Check #
Permit Officer's Signature r
Issuing Date ` Expiration Date
Local Plan ningjurisdiction 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 [)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:[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

ALTON D. JOYNER NCDL 5741679 1844
ANN W. JOYNER NCDL 5927142
270 Seashore Dr Ph 252 BRANCH 776-225-8621 66-21/53047
Atlantic, NC 28511 QUAIL L
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ADJACENT RJ PARL-�N PROPERTY OWNER STAM EIN'T
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOA MOUSE)
I hereby certify that I own property adjacent to I�C;a ��,o �(�,Ncr �cz' f1� ►` s
(Name of Property 0' ner)
property located at Sect -5hiv�, - A it,, ,
(Lot. Block, Road, etc_)
on r'_ �:j �'L ^ Suu v1 in Ja T L /9 LV R e-
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposir.` a: that location,
and, I have no, objections to his proposal. I understand that a pier/mooring
pilings/hoatiift/boathouse must be se: back a minimum distance of fifteen feet (i5') from my area
of riparian access unless waived by me.
I Sao not wish to waive the setback requirement.
I d-Q wish to waive trat setback requirement.
DESCRIPTION AND/OR DRAWr% G OF PROPOSED DEVELMMN-T:
(To be filled in by individual propo a development)
Q1:t11aLu1c
L)�A a u/ ( L ( ---,
Print or Type Name v �—
(—,7
Telephone Number
Date: Z

ADJACENT RIPARL-�N PROPERTY OWNER STATEM EIN'I'
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
2
I hereby certify that I own property adjacent to lk�cl< 's
(Name of Property Owner)
property located at �.
(Lot, Block, Road, etc.)
on , in i 4 , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing a_ that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pdin gs�`boadift/boathouse must be se: back a minimum distance of fifte--n feet (115') from my area
of riparian access unless waived by me.
I do not wish to wai\,'e the setback requirement.
I d wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWLtiG OF PROPOSED DEVELMIENT:
(To be filled in by individual propo,szng development)
w f�
Print or Ty e Name
2'?
Telephone Number r
Date:

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