41774_MOREHEAD SPORTS MARINA_20050614

�
- CANIIA DREDGE & FILL
GkNERAL PERMIT
-!New i-Modification C'Complete Reissue I -Partial Reissue
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
Previous permit #_
Date previous Prmit
17
Applicant Name - / ° Project Location: County------(
Address- INr-X , >fr� f' Street Address/ State Road/ Lot #(s)
City Ci ! c ��{,n :./� �� State y< ZIP --
Phone # ( } `f ,'Fax # ( ) Subdivision_
Authorized Agent i~ i'" s City----- — -
Affected CW OfW �jPTA DES ❑PTS Phone #
OEA ❑ HHF El IN ❑ UBA ❑ N/A
AEC(s): - Adj. Wtr. Body—_
— PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
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
Boatramp
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
„v e
Agent or Applicant to jWarne /
r'
Signatur, le a comp it ance s a ement on back of permit"
Application Fee(s) Check #
attached.
ZIP-_
River Basin'
—(Rat,/man unkn
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Ll
lssulnJ Dat4 Expiration Date
Local Planningf urisdiction 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 _ 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 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 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza Il
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.nccoastaimanagement.net
Revised 10/05/01

h64-��' 4"-1-'

e6
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERAVOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toP 1
(Name of Property O ner)
property located at,20,-2 �PdI D :: AAA \)C 1 e-c(l
(Lot, Block, Road, etc.)
on L , in 6tx-U Jf'- \ e 4e'l alt C- -
( terbody) (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 (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
VI dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWI`G OF PROPOSED DE`'ELOP�IENT:
(To be filled in by individual proposing development)
------------------------------------------------------------------- - - ---- - --- - --- -- -----------
Signature v `'
Bwowlfa
Print or Type Name
Telephone Number
.y.
Date: 1-3k �-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to floae- f
(Name of Property O ner)
property located a��Q;'
(Lot, Block, Road, etc.)
on , in h, 6tjoa k Ont C. .
( terbody) (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/boadift/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 d_Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWV;G OF PROPOSED DEVELOPMENT:
(To be filled in by itzdi�-idual proposing developrneizt)
SJi—a r
Print or Type Name
Telephone Number
Date:

Office: 252-672--0555
DMIr Toll Free: 800-613-0661
on e-a" Docking Cell: 252-723-7172
Fax: [phone]
NC Floating Docks & Lifts, LLC
John Nelson
Sales Associate
1822 South Glenburnie Road, Suite 5
New Bern, NC 28562
Email: [e-mail]
Web Site: wwwjetdock.com
TF r'0'4C ToOffice. 252-672-0555
ll Free. 800-613-0661
Dfive-On Docking Cell: 252-723-7172
Faz 252-633-0150
NC Floating Docks & Lifts, LLC
John Nelson
Sales Associate
182E South Glenburnie Road, Suite 5
New Bern, NC 28562
Email: johnanelson@?earthlink.net
Web Site: wwwjetdock.com

JOHN ALLEN NELSON !V NCDL L3848870 5692
ANGELA K. NE,LSON NCDL 2012302
335 COUNTRY CLUB LANE 66-152 S31
NEWPORT, NC 28570 08
252-504-2894
/� (/�_� DATE
PAY TO THE � �/ - hj( �
ORDER OF !/_�/�\ R �l (� !`�Y J1
MAMOMM, c
FOR !!F�"T7 �/�•
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313 1 569 2