41758_MARLOWE, ELLIOTT_20050531

�CAMA / -j DREDGE & FILL
GENERAL PERMIT ''
Previous permit #
ONew C1Modification ! —Complete Reissue LJPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resoyu 4es Cpmmissiorn anrarea o environmental concern pursuant to 15A NCAC
Res es
jam{— _{(Of--1 Rules attached.
Applicant Name
Address ,_)��'
City efe TS State ~ZIP
Phone # ( )
Fax
Authorized Agent
Affected El CW
C� EW ❑ PTA El ES ❑ PTS
AEC(s): O OEA
E HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
F--1 FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock)
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
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 #
Project Location: —
Street Address/ State Road/ Lot # s
Subdivision
City_ —
Phone # ( 1
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP_
River Basin
(Scale:
/man /unkn)
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Local Planning Jurisdiction
Expiration Date
Rover File Name

►7
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
landowners).
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:
1 Tar - Pamlico River Basin Buffer Rules I 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 11
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 RIPARIAN PROPERTY OWNER STA F
(FOR A PIERIMOORLV3 PILINGSIBOATLIFTIBOATHO(
I hereby certify that I own property adjacent to
(Name of Property
property located at L01 #�.�,�Gk � 7�/ �v�—
(Lot, Block, Road, etc.)
on
in 4/ ,ezwi✓o
—; (Waterbody) (Town 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 proposa'. I understan r tl 19 _pter/mooring
p'lings/boatlift/boathouse must be set back a minimai.i distance of fiftee feet J5') from my area
of riparian access unless waived by me. �4
I do not wish to waive the setback r :quirement. MAY .2 i�2005
I da wish to waive that setback req.iii;:.meet. Morehead City DCM
-------------------------------------------------------------------------------------------- ---- -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin,; development)
%S n A IT
Signature
� 4 {"
Print or TyF Name
Telephone Nt.mber
Date: 5

l
ADJACENT RIPARIAN PROPERTY OWNER STATEN
(FOR A PIER/M00RING PILINGS/BOATLIFT/BOATHOUSE)
I L / .,p : T T J''/ *?
I hereby certify that I own property adjacent to
property located a
(Name of Property Owner)
IJ7Ic-,k 3
(Lot, Block, Road, etc.)
on
in
(Waterbody) (Town 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet 5' from my area
of riparian access unless waived by me. T7"
I do not wish to waive the setback requirement. MAY 2S2005
v I d_Q wish to waive that setback requirement.
Morehead City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ep
a
-------------------------------------------------------------
i ature
Print or Type Name
113- � - t'� '7z5
Telephone Number
Date: Jr 23 D S

Pay to the
Order of_
CARL HEVERLY
7306 CANAL DR., PH. 252-354-7154
EMERALD ISLE, NC 28594
1836
e- 66-30/531
Date > 342
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