43507_FOWLER, ROBERT_20051109

� _
❑ CAMA / , DREDGE & PILL
�w
GEN RAL PERMIT Pr�e�io
o� �"
�j us permit #
Ilf
El New // odification L'Complete Reissue ❑Partial Reissue Date permit ermit issue
P
As authorized l;;• the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
+ r� ElRules attached.
Applicant Name_ r Z` `. ° ¢"r Project Location: County +'
Address i <• x -' /'" j Street Address/ State Road/ Lot #(s)
i � l
Cityj ; �t , StateA/)C ZIP,�'1 T% (,: c� i , �� ; . Xv i' A
Phone # Fax # () Subdivision
Authorized Agent
Affected CW EW >P7A ❑ 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
Finger pier(s) Ay /1
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing_
Other
7.
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes o
A building permit may be required by:
Notes/ Special Conditions
Nfl
Agent or Applicant Printed Name l/ 1 4 M5
City�� rrn ZIP 1 J�)1C
Phone # ( ) River Basin
Adj. Wtr. Body ` +` el� nap unkn
Closest Maj. Wtr. Body
S _ X_7 3
(Scale:
❑ See note on back regarding River Basin rules.
r
Permit Officer's Signature j
f/f W( :
Signature "Please read compliance statememHuyupakkA.01TY
Application Fee(s)
Check #
IVf...o --- - r•
71
LocaSP� gjurisdiction 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, certifythat 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 F__1 Other:
11 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 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
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

12/05/2005 16:31 9197785762 ANNEX PAGE 01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI,I "100RXJVG PLUNGS/BO'A` TT U TIBOATNOUV )
I hereby certify that T own property t+tljacattt to f�v�je — VACI—_
(Name of Property ()Wner�
prorty located at (p5 Cb t- a ►�_ �
_.
(Street Address, Let, Block, Rord, etc.)
on ' I(3t% Q � —,in C
( • terbody)
(i own endJor .ounty) ,�
He/she has described to me, w; shown below, the development he/she is prupusing A that
location and I have no objections to this prt►lwszd. 1 understand that a pier/mooring
n1lin0boat Vboathouse must be set back it minimum distlnee of f tteen ,feet (15) from my area of
riparian access unless waived by me. ,i have indialted my intentions by initialing below:
1 o not agree to waive the .15' setback rcquirumcnt.
0nititifi)
t�-j I do agree; to waivF; the 15' setback re:yuiremcnt.
(Initials)
IMSCII IMON AND/OR 014AWrNG OF Moposvl) DEVELOPMENT, ~�
(To be filled in by ►nd,iduu1 proposing devrlopdren[)
DEL Q 9 2005
Morehead City DCM
-,---------...--------------- . 9�---- —,-------- ------ - ------ — ------------------
- C'
Print or TYlx; Name--
qIQ,-So6.16i
�O�
2,4 ez t I L4i'25z N3MOti Ills ee 1: I I So SO oaa