37521_SEARCY, GREGORY_20040227

-CAMA / DREDGE & FILL
CEI*ERAL PERMIT
Previous permit #
❑New '-'Modification 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 15A NCAC
_- Rules attached.
Applicant Name ` f� <
Address 4
city :. NAef statij G ZIP
Phone # (' ) _ Fax
Authorized Agent;
Affected ❑ CW ❑ ES El
AEC(s): El IJ HHF LJ IH Y ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no i Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot # s
Subdivision
City`— 1. zip
Phone # ( ) River Basin
Adj. Wtr. Body_ i _ "(naf J an /unkn)
Closest Maj. Wtr. Body —�,
Type of Project/ Activity
Scale:
Pier (dock) length ( )
I
' — _.. G- _. i._�......
Platform(s)—
Finger pier(s) j I
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: 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
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on back regarding River Basin rules.
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❑ See note
or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Permit Officer's Signature'
IssuingD to Expiration Date
Application Fee(s) Check # Local Planning jurisdiction Rover File Name

K 4V i
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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.nccoastaimanagement.net
Revised 10/05/01

ADJACENT RIPARIAN PROPERTY OWNM STATEMENT
I hereby certify that I own property adjacent to /7'���-ram,/ =s
(Name of Property Owner)
property located at o2 oZ '�
(Lot, Block, Road, etc.)
on C r.C�CJu in N.C.
aterbody)(Awn and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPZTON AND/OR DRAWD G OF PROPOSED DEVELOPMEENT
(To be fzZled in by individual proposing development)
��[v, ,/••''mil Q•
0 w
Si-nature
osezr-
n
Print or Type Name
3S� -7 �- v
Telephone Number
Date: t 0-
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-Jun 15 04 12:19p Wake Chapel 919-552-1000
JUN 14 e4 22:30 PAGE.002
AWAt_:k;Nl' R1kAK AMN PROPER11 OWNER S'TATLXE27
I hereby ceA
erty adjacent to �yI17ct s--,! 's
/ (Name of Property Owner)
property located atZp
, Block, Road, etc.)
on inCN.C.
aterwn andlor Couuiy)
He has descbelow, the development he is proposing at that location,
and; I have no objections to his p40sal.
DESCRIPTION ANDIOR RAVV NG OF PROPOSED DEV'EIATM:E—_N"f
(To be filled in y individual proposing development) j
J.
I
Si -Mature J
Print or Type Name
Teleonone Numbe:
Date: to — /S� z ,
p.3

?L;n 15 04 12:19p Wake Chapel
919-552-1000 p.2
PAGE .001
JUN 14 -o4 22:29
i c ADJACENT R1 AN PROPERTY OWNER STATEMEN,F
(FOR A PIE ORING PHLINfiS H0,4 rL07BOATHOUSE)
l hereby certify that 10 property adjacent to
/ (''Xm of Property Owner)
property located at C/Lf•�! ���f
`((Lot, Block, Road, etc.)
oil � I ae (l C 10 �-�• CrCi 'Yj� \fC.
( sterbody) own And/or Cauaty)
He has described to me, hown below, the development he is proposing at that
location, and I have no objee ns to his proposal I understand that a pierfmooring
piungs/boatiift/boathouse m t be set back a minimum distance of fifteen feet (15")
from my area of riparian ace s unless waived by me_
I du not wish t waive the setback requirement.
I do wish to w e that setback requirement-
T DESCRIPTION A� OR DRAWING OF PROPOSED DEVELOPMENT-
(` _ _ _
1'o be in by individual ProPosireg devdoPmeN)
r
Fdsr _ s<
_( f
cy 0 1` (// 1
print or Type Name
Teleptsone Number
Date: