43507_FOWLER, ROBERT_20051109 (2)

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��W L PERMIT Previous permit #
ew �GT1odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_
As authorized a the State of North Carolina, Department of Environment and Natural Resources�r `
and the Coastal Resources Co mission in an area of environmental concern pursuant to 15A NCAC l •'
❑ Rules attached.
Applicant Name �r 1� iV -0r Project Location: County_ (r �/ f t'�'
Address 65--y Z- 41) 0 ot<Ui 1►e' JV Street Address/ State Road/ Lot #(s)
City 'A �^ r�- _ Statei c ZIPvgO / 6 -----�( 6 S O Ze5�4 t'!
Phone # ( ) -�p2� Fax # ( ) Subdivision
Authorized Agent
❑ CW
'A
KA
Affected
'
AEC(s): ❑ OEA
LJ HHF
] IH
❑ PWS:
[IFC:
ORW: yes / no)
PNA
yes /1K.
Type of Project/ Activity n- 1
Pier (dock) len
Platform(s) 6 3
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 o
Photos: yes
Waiver Attached: yes n
A building permit may be required by: C Ar4e(d- (V
Notes/ Special Conditions l yj CiCr )21 C'/ n 0- -k
❑ ES ❑ PTS
❑ USA ❑ N/A
Crit. Hab. yes / no
City-- fS C7,q `^o� - ------ ZIP l
Phone # ( ) River Basin
Adj. Wtr. Body C✓ te L( na unkn
Closest Maj. Wtr. Body—_ U� �J L-- C L f PLO/
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
C?U oil
(Scale: �S )
❑ See note on back regarding River
Basin rules.
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Is uing Dat � �pi tign�Date�
Loc ILoc l nni�urisdiction Rover File Name RoverFi�illeNar//me

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North Carolina Department of Environment and Natural Resources j
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
November 9, 2005
Robert Fowler
2650 Lennoxville Rd
Beaufort, NC 28516
Dear Mr. Fowler:
Attached is General Permit #43507C - to construct a 15' x 9' floating platform and a 26' x 3'
floating finger pier at 2650 Lennoxville Rd Beaufort, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ryan Davenport
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

JUL-13-2005 WED 03:41 PM NC DIV OF COASTAL MGMNT FAX NO. 4
P. 01
Ai)JAC ENT 1UPARTAN PROPERTY OWNED STATEMENT
(1,OR A P'IRI MOORING PILINGSIBOA7T1FT/BOATHOUSE)
1 hereby certify that I own property adjacent to T2a'e4 ��.��2�C � \�~
Skj
�� �
(i anie of Property Owner)
propcily kxatcd at _...?�'so LX-A,Ivw�,n_ll,e-- Qom(_
,�,(Lot, Block, Road, etc.)
oil
C.
� (Watcri)ody) (Town and/o County)
Re has derribed 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/bcQtiift/bolthouse muet W set back a minimum distance of Fifteen feet (15') from my area
of Tiparia a access unless waived by air.
1 .tl.o• not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DL:SCRII''l'tON ANTPOR DRAWING OF PROPOSED 111-NELOPNIT NT:
(TO be filled in by individual proposin.. de►vtopnretrt)
cJ atl uv_tll 6o
Dy .4.4175�' h I � � uv; i11 66
--------------- -------------------------------- -----------------------------------------------------------------
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Print or Type Name -
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q ►S - S$o— 6�16i - � � ti sSo 4�t 68
l*e1ephona NUmber
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JUL-13-2005 WED 03:41 PM NO DIV OF COASTAL MGMNT FAX NO. 4
P. 01
AI)JACrENT 1UPARTAN YROPEWFY OWNER STATEMEM
(f'OR A P1EkAVf00R1iVG PILINGSIBOATI:IFTIBOATIIOUSE)
i C64(11
I hereby certify that i own property adjacent to kQ rzk R )[P/V-'�,
(Name of Property Owner) -
pt•c peay lcxatt,d at _ S _ h�k J. Rey
I I1 I, . ,, r`(L-ot, Block, Roa(, ctc.)
On (Dl C S l/V_�iKL , in ___
N-C.
{ '.�t M)Ody) (Town an/or CotentyT )
Flo has do scribed to nee, 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/bc+atlif,ll)olthotise muet be set back a minimum distance of fifteen feet (15') from my area
Of ripa .'afl access unless walved by nit.
V
I si.o, iipt wish to wzivc. tha S2thaCh r2qUlr2ill2nt.
I do wish to waive that setback requirement.
l)ES<::RIM'lON AND/OR DRAWLNG OF PROPOSED Dl�A'F.L0PN1T;N'I';
(To be,%illed in by individual proposing de►•elopnzent)
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EO 'J�- -fl, IL
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Sibnatute
Print or Type Name
Telephone Number
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