41701_GRIMES, LYNWOOD_20050606

F. CAMA / '_! DREDGE & FILL
GENERAL PERMIT
Previous permit #
New 'O`.--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 Project Location: County _ _
Address_ L Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) 17 6( # ( ) Subdivision
Authorized Agent City_ ZIP
- CW 7 EW -PTA E7 ES - PTS Phone # ( ) 9r Basin
Affected D OEA HHF - IH - UB3r� A ❑ N/A -
AEC(s): Adj. Wtr. Body (nat/man /unkn)
PWS: ❑FC: Body ZJ)Wtr.
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. �M� -
Type of Project/ Activity
(Scale: )
Pier (dock) length_
Platform(s)
Finger pier(s)
Groin length
number
Bulkheadf,Riprap length___
avg distance offshore
max distance offshore
Basin, channel
cubic yards_ 2 i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length
SAM 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
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
_- See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
J c
Local Planning Jurisdiction
Rover File Name

0
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:
r-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 / 1-888-4RCOAST
Fax: [phone]
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

ADJACENT RIP.�� PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
(Ivaane of Property Owner)
property located at 2- C(i-C /��<%✓� �'/J�,� --
(Lot, Block, Road, etc.)
on �. � �e 0a r� v , in o c - on
(Waterbody) �na�d�/or.ounty)
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/mooring
pilings/boadift/boatliouse must be set back a minimu,n distance of fifteen feet 05') from my area
of riparian access unless waived by me.
I do ncat wish to waive the setback requirement.
I do wish to waive that setback requirement.
------------------ --------------------------
-- ------DESCRIPTION Ali'D/OR DRAWING OF PROPOSED DF:VELOPii�Eti'�':
(To be filled in by individual proposing development)
Signature
0 s-/ /V (; aTR JE-
Print or "type Name
Telephone Number
Date:_CZ�
D

ADJA(:El"N't RITARL�ti PROPERTY O"NER STATE1ti E'N-1
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I
I hereby certify that I own property adjacent to
(N me of Property Owner)
property located at 573 S-- Z— 136 ✓
(Lot. Block, Road, etc.)
on zj-'�/r Qc if �i°!� , in /'DoL� ,�%y� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pie -!mooring
pilings/boatlift/boathouse must be se: back a minimum disance of fifte--n feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa :e the setback recuire:nent.
I jc wish to waive t.at setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPME."T:
(To be filled in by individual proposin; development)
ZA�
ignature
1- R 1 S
Print or Type Name
Teleohone Number
Date:

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Computed Pt. in Canal{/
per D.B. 471 Pg. 496 \
Boat House
Ex. Iron Pipe
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B. 47 f Pg. 496
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25. 00'
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Elbert Austin Guthrie
D.B. 17 t Pg. 561
D.B. 187 Pg. 459

LYNWOOD E. GRIMES
DIANE'GRIMES
'l ",' ` `
`,'�` ' t� r�� ',`'`
1016 Y
t (252)
535-2 CEDAR POINT BLVD.
SWANSBORO, NC 28584
��,'i i S1i Date
66-30/531
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