41195_GOOSE CK RESORT_20050403

CAMA / LANDREDGE & FILL
GENE"L PERMIT Previous permit #
❑New-IModification f iComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resourc
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A N AC
Cl Rules attached.
Applicant Name
Address
City & � >� (� a-+ State PC21P_ S�L
Phone # ( ) Fax # ( )
Authorized Agent 1 (d61
I
Affected CW CI EW ❑ PTA ❑ ES ❑ PTS
AEC(s): P OEA ❑ HHF Cl IH Cl UBA C N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City (c zip d
P one*_ )' ' " er Basin
Adj. Wtr. Bodyt man Lunkn
Closest Maj. Wtr. Body
Pier (dock) length
Platform(s)
Finger pier(s)__`
Groin length _
number ------- _ n — --
Bulkhead/ Riprap length 6
avg distance offshore
max distance offshore
Basin, channel��C o1V�F v l� oil
cubic yards_
Boat ramp ___
Boathouse/ Boatlift_
Beach Bulldozing
Other
Shoreline Length ,—
SAM not sure
Sandbags: not sure
Moratorium: n/a
Photos:
Waiver Attached:
yes
yes
yes
yes
yes
no
no
no
no
no
A building permit may be required by:
Notes/ Special
ral
_ �(Scale: )
VS
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name 0Permit fficer's Signature
Signature *V Please read compliance statement on back of permit" Issuing Date Expiration Date
Application Fee(s) Check # 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 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 / 1-888ARCOAST
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

P LEA
Ij�'
APR 0 5 2005
Morehead City DCM
c, A tNp 5 Z 32.-- -3 `t-5 — �L

ri F-1 F,
P . l_T 1
ADJAMNT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIERIMOORING PILINGSIBOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent tol�se
Y'11 T _ _
nrnner?v lncatp,i ar K l/-) K 0 OJ
(Lot, Block, Road, etc.)
on (WAC('�f4ff(2—�
N.C.
t:erboCiS'1 ('�'��wn nnrilnr >f'�f!ntyl
He has described to me, as shown below, the development he is DroDosing at that lncxinn
and, I have no objections to his proposal, I understand that va pier/mooring
pilings/boatlift/boathouse must be set back a minimum di-,t2n.re of fifteen fP&r f1 4'1 from n,. art+a
of riparian access unless waived by me.
- I doAul 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 individual proposing development)
3 x a Q " --� �7
APR 0 5 2005
Morehead City DCM
Signature
Print or Type Name
_�J9_�
Telephone Number
Date:

P1HF'— 1.0
F. 01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT .
(FORA PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) �y"-tJ ( r1
I hereby certify that I own property adjacent to
�.... ■.c V■ Lati�cf l� vv. uCiJ
nrflr�rty lr�atp,�i ar �5t� ��i �aa✓i� ���
(Lot, Block, Road, etc.)
on � �? ��� G'.iL , in CA)r`fiel
N.C.
(Wat:erboti_y) (Town "nnrl/nr rr,!)raryl
He has described to me, as shown below, the development he is proposing at that ioc;tri.nn
and, I have no objections to his proposal, I understand that va pier/mooring
pilings/boatlift/boathouse must be set back a minimum dicran.re of fifteen fc�&r (15'1 from my arnn
of riparian access unless waived by me.
I do n I wish to waive the setback requirement, i
I do wish to waive that setback requirement.
----------------------------------------------------- --------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(;To be filled in by individual proposing development)
.3 CJ
APR 0 5 2005
Morehead City pCM
Telephone Number
Date:'

BROOKS DREDGING & MARINE CONSTRUCTION INC 1848
507 BAYVIEW DR PH. 252-728-6886
HARKERS ISLAND, NC 28531
¢6.1246/531
x PAY NYC' DATE � '� � ^ D5
w TO THE
N ORDER OF $ .ZDD c O
_gorehead ity,
FOR �,
II'00184811' i:053112466i: 00013792110