42798_LAND, LARRY_20050919

to-
L7 CAMA / f I DhEDGE & FILL
GENERAL PERMIT ��
Previous permit #
C INew ❑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_ f' r J Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # (-)
Fax # (^ )
Authorized Agent
Affected ❑ CW
iJ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
HHF ❑ IH ❑ USA ❑ N/A
❑ PWs:
❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length _
Platform(s)
Finger pier(s)
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
Subdivision
City IP
Phone # ( ) River Basin
Adj. Wtr. Body_ gnat /man /unkn)
Closest Maj. Wtr. Body
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
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date Expiration Date
ApplicationFee(s) Check# Local Planning Jurisdiction 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 Fl 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 (910-796-7215) for more information on how to comply with these buffer 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
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888-4RCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Larry M. Land
700 Lands Pointe Ph: [phone]
Morehead City, NC 28557 Cell: [phone]
Email: [e-mail]

LY D
Larry M. Land
700 Lands Pointe Ph: [phone]
Morehead City, NC 28557 Cell: [phone]
Email: ([e-mail]

I. /v >°
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at , 2/f?zn /Z_ S 0S IC/
(Lot, Block, Road, etc.)
on ! o , in SN.C.
(W terbody) '(Town P`nd/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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
I%R a�9c I*N�iert f
c'eha/ I J�/ad
60 /
fs�
_______________________________________________________'V%_________________________________________
0-6 zzl'e�4 e S'�nel�
/� Signature
Print or Type Name
Telephone Number
Date:

FEB-17-2000 14:12 FROM:LE04ARD JONES CPA 2522474625 T0:19193032070
.4--tf,7 X
ADJACENT RIPARIAN PROPERTY OWNER S'i AMMNT
/,7l�taicl '44C
T hereby certify that i own property adjacent to '"og_ff.*: �� ^w�S
f (Name of property Owner)
property located at
(Lot, Block, Road, etc.)
aterb ( ody) ('Tow AndJ r 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
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMEWT
(To be filled in by individual proposing development)
1 bn`
------------------------------------- -------------------d--------- ---------------a------------------
or .Type Name
Tttephone N My
Date: J r
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Tax Parcels
Streets
i Road Name Annotation
PIN Number Annotation
Acreage Annotation
1 in. = 165.6 feet

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DAVID A. HORTON
KAREN D. HORTON
BUSINESS ACCOUNT PH 252-726-0948
1904 CLUBHOUSE DR
MOREHEAD CITY, NC 28557
PaY to the
Order of c--
3396
Date S-- 66-30/531
/��/� 137
Dollars 6 °r
BANK CITIZE1
NS
Fist Citiza Ban
M ahead Cst N k & Trust Company
Y. 28557
StLJZS ¢pm ._
For. Cy/ , I
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13 1 7 4 2 8 6 ?Silo 0 3 3 9 6 -----
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