47233_HASLAM, ANTHONAY_20060818

AMA / ❑ DREDGE & FILL N? 472 3 3 C
GENERAL PERMITPrevious permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue �\ ) Date previous permit issued
As aut orized by the State of North Carolina, Department of Environment and Natural Resour `s o J 7�C� U
and the Coastal Resources Commission in a area f environmental concern pursuant to 15A N C 4J f
ules attached.
Applicant Name n,h� �� A. -I Project Location. ounty
PP
Address ,,--[[/ 07 Sd�.0 L' °tlrra � Street Address/ State Road/ Lot #(s)_
City �T C State ZIP��'T� 7 /07 .YGoAv- ��^-----_—_---
Phone # MQQ-� Fax # (`) Subdivision —
�
Authorized Agent City�ZIP
— Affected CW etW ;--t1frA ❑ ES ❑ PTS Phone # (�) _ River Basin r
AEC(s): OEA ElHHF ElIH ElUBA ElN/A Adj. Wtr. Body C Jr^,e,J -Cre<k man unkn
❑ PWS: ❑FC: OuW
ORW: yes no PNA yes no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity 13,x f' 3
(Scale:
Pier(dock)length _ _-_ __ ___.- _-----r---
1
I _I
Platform(s) I --- -�I--
Finger pier(s)�' f
Groin length --. .�._ i, ;. - -- - , i `--�-- - - -
I
number -
Bulkhead/ Riprap length-
avg distance offshore -
max distance offshore
Basin, channel
cubic yards
Boat ramp 0 `+ �(, f h -
Boathouse/ oatli-
A
Beach Bulldozing
I
Other _ -
'
Shoreline Length
SAV: not sure yes - - - - --- - I
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes V - - - -- - - - O- - -------- - I
A building permit may be required by:See n
� ote on back regarding River Basin rules.
Notes/ Special Conditions e C e t� f fAr' ` O C'74(`� 1 -
Agent or Applicant Printed
Signature ** Please read compliance statement on back of permit **
Perm ice 'sSign ure
g U l(r 1� 6G
Issuing Date E iration Date
Dom, ► / i^

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
August 18, 2006
Anthony Haslam
107 South Spooners St
Morehead City, NC 28557
Attached is General hermit 47233C
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 usin 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.
Si rely,
IZ� an Davenport
Field Rep
lsb
Enclosures
400 Commerce Avenue, Forehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ lntemet: www.nccoastaimanagement.net
An Equal Opportunity i AffirmaEive Action Employer— 5011,6 Recyded � 10% Post Consumer Paper

lu
COL. ANTHONY
/ U�. zszs
LYNN P HASLAM LR57
[)ate
107 S SPOONERS ST (28557-892
MOREHEAD CITY, NC $ ! v o -�
pay to the - ••
Order of /��/I �s /v �J Dollars
S10111ff ItICC
Bankof America�L
�l� ` zou3
Itcdhamvk OW41 r'.
31934 I1MCA
T�mccala 95 n T-
For ��� L88 34�� 0 L6061la
�: L 2 200066 LII.06 59

A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ^is
(Name of Property Owner)
property located at / 0 % Sc,"3 f SaoO/V,c eJ 'S
(Street Address, Lot, Block, Road, etc.)
on Seov"ellr C2ech ,inC,.?,r 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 fiftee
riparian access unless waived by me. I have indicated my intentions by
I do not agree to waive the 15' setback requirement. AUG 1 4 2006
(initials)
I do agree to waive the 15' setback requirement. Morehead Ci �CM
(initials) `7
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Wr4 7 7 Li
lot
wo
Frint or hype Name
Telephone Number
Date: C� l�

A.
08'14/2006 04:22 2522232105 a 92473852 NC.45E 902
F f'c�(" XONY NASLAIh PHONE NO, : 9094910ZE59? Pug, 14 2905 12: 13ph1 P?
` ADJAI FNI IRIPARTA N
Z hereby eertl t)ias.:: owxa l)*opez'ty �9tlj ccr=t to .(^ of o�v t.dm 's\
(Name of Property (}vvner}
property located at C7 .„tf �S S o
(Street Address, loot, Block, Road, etc.)
On �eo O&v *.--o 4 e4aW N.I.
(Wat rbodo) (Town n€td/or County)
He/she has described 14 ni , as shown below, a-x developnicat
location and, -I have no objections wto this
riparian access unless `waived by me.. hawk hldicated my intentions b at f bclo.�r:
I ,d2jW a6ree to waive flit I P n`vbaok requi.reniml,
AUG 1 4 2006
t4ais)
I do agree to waive the 15' setback requirez: M. Morehead City DCM
{iniriAis)
���..__.....------ ---------- -- --------------- ------- --- -;-............. ......... ...---------- ---- .......
DESCRIPTION AND/OR DRAWM OF PROPOSED DEVELO PMRNT:
(Try 6e,jitled in bylndlvldaaiproposing.�BVBic+JSn¢tnt)
o 0%/
Print or T 'Name
s 7 f
Telcphe Number
Date;