40020_MORGAN, TOM_20041005

_=1 D EDGE & FILL
CAMA / R
^' GENERAL PERMIT
Previous permit #
FINew '_ IModification-iComplete Reissue -LJPartial 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
�- "I I
Y✓` 19 n
[ Rules attached.
Project Location: County-_
Applicant Name !
Address �' U ° 1,/, � r, r� �`" ° /J
Street Address/ State Road/ Lot #(s)_
lV �
City State ZIP
Phone # (� �) 4 �ax # ( ) "~
Subdivision --
Authorized Agent
City-- '�'° ` ` l' ` Ls / ZIP a
—1 CW 5AW C3-PTA ❑ ES ❑ PTS
Affected -
Phone # ( ) River Basin ev p
AEC(s): — OEA ❑ HHF [IIH -1 UBA ❑ N/A
l'
Adj. Wtr. Body_ �`" " �" • r "` Katlman /unkn)
i7 PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / E10) Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) C /
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
r..�.
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 `
Signature Olea9e read compliance statement on back of permit
�—•1}�`�,� �`� is
Application Fee(s) Check #
(Scale: IV `' E
'fir 1
F7 '
i ,ee note on back regarding River Basin rules.
Permit Officer's Signat
Issuing Date Expiration Date
Local Planningjurisdiction Rover File Name

r
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:
L_; Tar - Pamlico River Basin Buffer Rules
�i euse River Basin Buffer Rules
Other:
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 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

�POST/-LSERVICE. FUIN AI, MOTNEY 011DE14 000
SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE.' U.S, DOLLARS AND CENTS
d735832801,1, 2004_10_01
285570 9 1M200
AMOUNT ONE HUNDRED DOLLARS & 00t**********
/l`
NEGOTIABLE ONLY IN THE US. AND POSSESSIONS
PAY TO ZJ
SEE REVERSE WARNING
CLERK
ADDRESS
FROM jr �, A,
N
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ADORES
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f�/���^
OR
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USED FOR em
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i:00000800 21: 0 7 3 s8 3 260 L LII'
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ADJACENT RIPARIAN PROPERTY OWNER ATN T 0"NT
(FOR APIER/�LfOORING D'ILINGSIB 'V',Y'y "PaO '�--
"; —
S
1 hereby certify that I own property adjacent to ante of Prop�t;wner)
property located at ��-;I
(Loi, Btoek, Road, etc.)
.C.
on , in
(Wa er•body) (Towel andr'or County)
He has described to rne, 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
pilirigslboathftfboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1 wish to waive the setback requrement.
I dQ wish to waive that setback requirement.
----- - -•-------------------------------------------------- - -------- -
DESCRIPTION AND/OR DRAWING F PROPOSED DEVELOPMEN3:
6 {To be�lleel in by individ MoPasing development)
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.T
sY
-------------------------------------------------------
Signature
Print or Type Name
J Telephone Number
Date: V -2�

(FOR A PIERIMOORIN 11�f:Sf�t7AA"Li �� o!� ��Q��
i hereby certify that I own property adlacer;; to(Sminit of PropeKy owrfrt)
property located at - z�Aa4 --44; J, -------
("t* Block, Rand, etc.)
in
on ._ ('Town andlocCounty)
aterbody)
He has dtscnbed try r 1c, as shown beieaw, the developnthat a pieromoorin�
1ent �,e is proposing at that location.
and, I have no objections to his pccp<asal i understand
piiingsiboetlift/boathawx must be set back a mimmurr distance of fifteen feet (,is.) fforn� my area
of riparian access unless waived by rye.
wish to waive the setback requiremcrt.
I dg wish to waive that stthack retiu;rement
----- ............-----
DESCRIPTiON AND/OR
�, C �ti • (To be f ite. in
a l" r
........_ -
j)RAIWING f PR();K)SC D DEY LOPN1EtiT:
by individ p posing dt e p
v
1�
e
r
S►gr2 »rC
Print or TyPe Name
r z� 7- '0�
-( Telephone Number
Date 21 i -�--