41194_GOOSE CK LANDING_20050408

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JCAMA / `-_! DREDGE & FILL Jt'' 1 1 94G
GENERAL PERMIT Previous permit #
-1New ' lModificetion LLComplete Reissue ]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natura Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
u Rules attached.
Applicant Name - r �' !` %�% '�' �� Project Location: County__________
Address - f' Street Address/ State Road/ Lot #(s)
City
Phone # (� )
Authorized Agent
Affected CW
AEC(s): OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
I]'EW ❑ PTA ❑ ES ❑ PTS
* HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Subdivision
City _ - ZIP
Phone # ( _ _ River Basin
-- ---
-Adj Wtr Body _ -nat /man /unknj
Closest Maj. Wtr. Body —
(Scale. )
Pier (dock) length________
Platform(s)
Finger pier(s)__---- - -- -- 1
Groin length
number �c'C,(
Bulkhead/ Riprap length c �
avg distance offshore -�1?�
max distance offshore
Basin, channel / / , _4���
J 4tcc-6 I G11 @
cubic yards S N n no�
Boat ramp - ------ — ? Q� (�,V `a/'i'c% t `
Boathouse/ Boatlift
Beach Bulldozing
Other J .
i
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no J
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: — See note on back regarding River Basin rules.
Notes/ Special Co ditions
0
Agen>pr Appli t Pri Name
ermit Officer's Signature
-- —
Signature Please read compliance statement on back of permit" Issw Date' Exp ration Date
ApplicationFee(s) Check# Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency b
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:
Ll Tar - Pamlico River Basin Buffer Rules _ .i Other:
11 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: 9 l 9-733-1495
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

M"R- 1 0- 005 08 : 40 "M BROOKSDREll G I t4G 2525044 7 44 F' . 0 1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to C�n(1_S�� l' l .rD �( ?Lf�?(I(2
c�
nrorierty irncateli at J
(Lot, Block, Road, etc.) __-'
on Gvn- o rr')K , in > C-a ) N.C.
(WaterbodV) (Tnwn nnrl/nw 4'nt%nfyl
__ .; ,
He has described to me, as shown below, the development he is proposing at th»t lncarinn
and, I have no objections to his proposal. I understand that va pierlmooring
pilinp-s/boatlift/boathouse must be set back a minimum dietanre of fifte &n fPr-t (1 5') frnm ni-V aroma
of riparian access unless waived by me. f
I do not wish to waive the setback requirement.
I d-a wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
APR 0 5 2005
Morehead City ®CM
--------------------- -------------------------------------------------- ----------------------------- 7-------------
Qnvl-�-a 1Lr�
Signature
Print or Type Name
Telephone Number
Date: 3

MHR— 1 0— =•005 08 :40 HM PF:i iUk:SDRELG I NG 2525044 1 44 P - ►a_
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFI'IBOATHOUSE)
I hereby certify that I own property adjacent to 6DOSE C44�
nromrty located at 4S� G oa s F CP&E& C n Pi t,G
(Lot, Block, Road, etc.)
on Goo5E C.eEE,C . in ee94 %E e<c- T N.C.
(Waterhndv) (Tnwn nnA/nr inantvl
He has described to me, as shown below, the development he is pror>osine_ at that location
and, I have no objections to his proposal. I understand that a pier/mooring
t)ilines/boatlift/boathouse mist be set hack a minimum dierance of fifteen fePr (IS') from my area
of riparian access unless waived by me.
1 do teat wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indiridual propositeg developtnet:t)
3
' -Z rT 1 P
Zi IAPR
J
0 5 2005
Morehead City DLiA
Signature
Print or Type Name
Telephone Number
Date: � ✓ )1 ) -N.`T

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BROOKS DREDGING & MARINE CONSTRUCTION INC 1848
507 BAYVIEW DR PH. 252-728-6M
HARKERS ISLAND, NC 28531
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