40795_MOORE, JOHN_20050126

i
f =11 CAMA / `. I DREDGE &FILL ,' '
G_ EN ERAL PERMIT f� Previous permit #
LDNew FlModification `,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
Applicant Name
\
- hnt k ` tt F- 0 r C.
Address /�05
1,C.Ide-y t-td©j� �►
Cityt ia,'a
jr,krk
State 1 L ZIP jeLg(v11
Phone # ( "At) 7' G -C4,6 D Fax ( )
Authorized Agent
t#
�1
Affected `J CW
E:1 EW
DPTA O ES ❑ PTS
AEC(s): i--I OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab, yes / no
Type of Project/ Activity
Pier (dock) length
Platforms)
Finger piers)___. —
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
SAV: 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
Project Location: County -
Street Address/ State Road/ Lot #(s)
Subdivision
City_ =`' -,r -( --- ZIP-----—---
Phone # (`GN) _ 7y 7�a River Basin
Adj. Wtr. Body -= ! __-__ _(natLman_lunkn)
Closest Maj. Wtr. Body
(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
J
E t tamj
Application Fee(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:
_i Tar - Pamlico River Basin Buffer Rules _ 1 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 / 1-888-4RCOAST
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

JOHN FREDERICK MOORE, D.D.S. 07-86 7�0121 8967
LAURIE ELLEN MOORE 2279017459
11675 VALLEY BROOK DR. PH. 708-479-4225
ORLAND PARK, IL 60462
PAY TO THE / � $
ORDER OF '>
'•' � DOLLARS '
LaSalle Bank
ABN AMRO
LaSalle Bank n.n..�y
ChiIan, Illinois 60 03 Im
MEMO
i:071000505I: 227900L S91I' 7

Hardee
Property
25
INTRACOASTAL WATERWAY
& UNCOOVER BOAT GAZEBO
45'
GAZEBO
JAN 12 2005
-- H NORTH
6-
-1 Aprox .mean high water fin
Moore
Property
26
Unger
Property
27
Sight Plan Moamc.
met Property
Lot # 26 Gatsey Lane
Stanton Landing
Beaufort Township
Notes: Scale: 1 "=50'
2. Channel location taken from map prepared by
the Core of Engineers
Proposed 6 x45' max. access to a 45'x8' "L"
running with gazebo and two uncovered boat lifts
on either side of the proposed plat form

FROM AMENITIES.INTERNATIONAL PHONE N0. : 954 389 4004 Jan. 04 2005 11:4GAM P3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOO1MV0 Ali1NaVB6A'rLIF71B0ATHO(NE)
P own Y that property �r►t to�_�mIs
I hereby cry pe� adjacent
(Name � �o�zry Owner)
Property located at x*
(Lot, 516ek, Voa 4 etc..)
�a4v c min r le .�- �e ,N.C.
(Waterbody) f� ('I'owrl attd/or T1ty}
He has described to me, as shown below. the dovo%pmeat he is propoain$ at that location, and. I
have to objections tom his proposal. I underatsnd that a pier/mooring pilin$slboatlit�lbosthouse
must be act back a minimum distance of fifteen fleet (t$) from ray area of Tiparian access unless
wallod by me.
I do not wish to waive the setback requimnent.
I dog to ware the seftok requirement.
--.,..---...-------------------_-------- •------ ---------- - - - - - -
DESCRIPTION A.NDIOR DRAWING OF PROPOSED DEV CLOPMENT
(70 BE FILLED INBYINDIYTDVAL PROPOSING DEVELOPME )
JAN 1 2 2005
yf-�A(�J Morehead City ®CM
--------------------- -.........................................
L2.uf"-G UV�tCAL
13 5a C,-, A,5tr �,, i rc t tr
� eb) o^ � r-1 Z3$2,0
s) 9--r1 GGd' 700
ignawre
v rt*1 2.Iw
tint or pe Name
aG�
'� �r � -Tne N=
ber
Dett:I - C- o-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby Certify that I own property adjacent toTlol n moarS ' is
(Name of Property Owner)
property located at Uo- k '` 26 s J-Mn-l�n L a V'J'','?
(Lot, Block, Road, etc..)
on ���ru5.0r�a.i ,in CM.r4ere4-- N.C.
(Waterbody) (Town an ounty)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections tom his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
% I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(TO BE FILLED IN BYINDIVIDUAL PROPOSING DEVELOPMENT)
�k JAN 1 2 2005
SSG
Morehead City ®CM
Signature
-/) • /)/�&r/ -S
Print or Type Name
2- -z_7 2-— S 1,/ c/
"Telephone N b r
llate / f�S'

STANTON
LANDING
101 Dolphin Way
Beaufort. NC 28,516
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