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[ICAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit#
❑New ❑Modification El 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 I SA NCAC
C7 Rules attached.
Applicant Name 1. , t '` s ti:
Project Location: County
Address ;Tr 1 : , r
Street Address/ State Road/ Lot #(s)
City State ZIP__
Phone # ( ) " Fax # O
Subdivision
Authorized Agent - -a-
City i y 4 ZIP
❑ CW DEW :PTA ❑ ES ❑ PTS
Phone # ( ) -- -' ' River Basin
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body gnat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platf
Finge
Groin
Bulkl
Basir
Boat
Boat
Beac
Oth(
Shor
$AM
Sand
Mor
Phot
Wai)
(Scale:
)
orm s
r pier(s) 'Ell
length
number
lead/ Riprap length ' _ iti l 4 K .t `•
avg distance offshore _ r i _ i
max distance offshore
,channel —'
cubic yards
ramp
iouse/ Boatlift
i
i Bulldozing
r
I irl
,line Length 1f t �
notsure yes no
)ags: not sure yes na j
torium: n/a yes no
:)s: yes '.no _
er Attachad- vac nn
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
� l
Agent or Applicant Printed;Name Permit Officer's Signature
• � , �'.� 1. �.: � �' APR 0 6 2006
Signature **Please read compliance statement on back of permit Issuing Date Expiration Date
More J!Y L)�i
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
� l
Agent or Applicant Printed;Name Permit Officer's Signature
• � , �'.� 1. �.: � �' APR 0 6 2006
Signature **Please read compliance statement on back of permit Issuing Date Expiration Date
More J!Y L)�i
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
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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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑Other:
D 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(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: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
j 1. Article Addressed to:
A. Signature
X I. �Ci'uGc ❑ Agent
�1❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1160 0003 1591 5626
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
'] 5 Ffl�) 0-- ��
F-rJ .� 1 i!IIIiiI:i!!i!i!!I!I!i!!!ii!ii!i!I!!i!!!Iii!ilii!III!ilii!iIII
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
b76
A. ture /]
X Sid ❑ Agent
j' L^'l �j ❑ Addressee
B.p'q eived by (Printed Nm ae) / C. Date of Delivery
zic
D. Is delivery address different from item 1? U Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 1820 0004 8865 0091
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
• Sender: Please print your name, address, and ZIP+4 in this box •
!!I!II!tlii l!�t1�41!I!!!I�!l�S�!�!fl�tl{�Si�311!4i�S�!S�i�tl
COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A.
X
❑ Agent
❑ Addressee
B. Received by (fZjared Name) C. Date of Delivery
//x� /of.
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1160 0003 1591 5633
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Lc �A
��55�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) Tc -r
I hereby certify that I own property adjacent to _.i o /-/IV fs
(Name of Property Owner)
property located at S 7710'Adm/ (r ,� l /� k Id
(Street Address, Lot, Block, Road, etc.)
on C& Ui !�&` AA d ,in �4 LCamy 6L N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location .and I have no objections to this 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 have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) 'jam
6'7 COPE cSOUN > Y
mD
r"u L c it C-R I J-4:nik I nl.S-
Fui,cHER
-----------------------------------------------------------------------------------------------------`-----------------
Signnature
-47-ILICtIz C' /c/
Print or Type Name
304 '�73 �
Telephone Number 'Q
Date: I —e)-;-1 Q
D r C�
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DItiZSION OF COASTAL MANAGEN ENT
ADJACENT RIPARIA-N PROPERTY Otiy--,N-ER t OTIFICATIOINAVAI�ER
FORM
Name of individual applying for perniit:__�/�% �����
Address of property:
(lot or street 3, street or road)
(city & county)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1 _ `
Signature Date
Print Name
Telephone Number With Area Code
�a3 �n�
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T��C
Page 1 of 1
Detailed view for record 1 (Print)
Field I Value
AREA 126031.51545
PERIMETER 828.11485
PARCEL83 12853
PARCEL83 I 2855
WHAT 0
PIN 174810232
MAPNUM 17481
BLOCK 189
PDOT 16792
CONDO
MOTHER 1
MAPNAM 748102
PRID 103006GO109
PIN15 748102896792000
OWNER IFULCHERJOHN W ETUX PATSY
DBOOK 19999
DPAGE 02672
DDATE 120020312
SALE PRICE 710
TAX VALUE 79560
LAND VALUE 79060
STRUC VAL 0
OTHER VAL 1500
BLT CONDO 0
HOUSE NUM 10000212
DIRECTION
ST NAME STYRON CREEK
Field Value
ST TYPE IRD
CITY SEA LEVEL
ZIP 28577
MAIL HOUSE 809
MAIL DIR
MAIL ST LORD GRANVILLE DR
MAIL STTYP
MAIL CITY MOREHEAD CITY
MAIL STATE =INC
MAIL ZIP 128557
MAIL POBOX
TOWNSHIP ISEA LEVEL
CITY LIMIT
NBHD 30001
FIRE DIST ISEA LEVEL FIRE
RESCUE DST SEA LEVEL RESCUE
LEGAL DSC HOMEPLACE SR 1377 SEA LEVEL
TOTAL ACR 9.15
Y BLT HOUS 1910
TOT SQ FT 1664
BATHROOMS 1
BEDROOMS 13
RISK LEVEL
NOISE LVL 71
LACUIZ
http://maps.co.carteret.ne-us//details_popup.htm 4/5/2006
GLOVERS CREEK DEVELOPME4T, LLC
809 LORD GRANVILLE DRIVE
;
MOREHEAD CITY, NC 28557
PH. 252=723-8778
5
Pay to the+ >
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1:0T3 L L 246D: 000584790 L0 2 2
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1022
66-1246/531
Date