43168_JOHNS, LEO_20051005

L_iCAMA / DREDGE & FILL Previous permit #
Ax
GENERAL PERMIT #
,.New-'iModification JComplete Reissue --]Partial Reissue Date previous permed
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
/ ies attached. l
Applicant Name ��� L✓i1 Project Location: County C �y �'i
Address J� Uh i'P GA�� Street Address/ State Road/ Lot #(s)
City--— `�'{ 1 State,yC ZIP
Phone # (i } 3 5 "'� &74ax # (`) Subdivision /
Authorized Agent City__ ( ZIP
Affected "CW IEW A ❑ES ❑PTS Phone # ( ) River Basin
=i OEA HHF [I❑ IH ❑ UBA N/A
AEC(s): ,-_ Adj. Wtr. Body_ � l�v rt � I C ✓ �M' �atr /man /unkn)
PWS: ❑FC:
ORW: yes / no PNA rye's ./ no Crit. Hab. yes / no Closest Maj. Wtr. Body >c,1. 4' J G 1--✓f' �
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length____
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp yy _
Boathouse/Boatlift P 13
Beach Bulldozing
Other
Shoreline LengthJyes
SAV: not su
Sandbags: not suMoratorium:
Photos: yes noo,
Waiver Attached: yes 7fio, --- -
A building permit may be required by: _
Notes/ Special Conditions
Y
aa6t oA
i
(Scale: N ' f ,r )
,4 f P/ rr ` ❑ See note on back regarding River Basin rules.
DPI/', ; t U f � , . e" '
Agent or Applicant Printed Name Perm' oic's S i g n at trre
to S � U
Signature ** Please read compliance statement on back of permit Issuing Dak expi4tion Date
Application Fee(s) Check # Local Planning)urisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
j Tar - Pamlico River Basin Buffer Rules ;J Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmen-al 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/ 1-888-4RCOAST
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

OCT-03-2005 06:59 PM JOHNS 2523932895 P.01
r
To: LAMA
From: Leo & Susan Johns
Fan: Pages: 4, including cover
Phaw: 252-393-2898 Dane: 10?3/05
Re:
CC:
❑ Urgent 0 For Review ❑ Please Comment ❑ Pleaso Reply ❑ Please Recycle
s CommeMi:
We are enclosing the adjacent property owners' statement that Includes the drawings of the proposed
boat lift we wish to build. Please mail the appropriate documents that we need to sign and we will
return them along with the required fee. If you need to contact ma during the day, my cell phone is
252-723-2058.
Thank you for your assistanq#.

OCT-03-2005 06:59 PM JOHNS 2523932999 P.02
1W
ADJACENT RiPAPi.ks PROPER'I-Y ()r N-ER STATEMENT
(FOR A PIER/1400RINO PILINGS.-B0a7ZI 710ATHOUSE)
I hereby certify that I own property adjacent to � e o A - To hKs -'S
('came of Property Owner)
property located at 2-7-6 W � ; -T 4d c) gc, ('C
(Lot, Block, Road, etc.)
on I� �Kc r .. Cr ,.i. _.._....., in 6rN.C.
('Waterbody) (Town and/or County)
He has described to me, as shown below, the eaveiopment he is proposing at that location,
v.d, I have no objections ;o his proposal. l under stand that a pier/mooring
pU,'ngs/boatliiUboathousc must be se; 'oac% a m?nimum disance of fines. fee: (15') from my am
of riparian access unless waived by me.
I dam wish to W: eve the setback r:quiremant.
' I dLi wish to waive G-.at Setback reauirerne:;;.
DESCRMION AN "D/OR DRA WAG OF PROPOSED DEVELOP` v.,T;
(To b9 JIII#d ir, bY fndiYfdctal proposing development)
D.cC(' '• ��Srst fot-r
.C1,� • , : �- �.-r wi Igoe40,
Signat;:rr
—biZvc—g5F—_T-
Pint or Type Name
Te!�Phone N:tuber
Date.-; e� �� ��

OCT-03-2005 07:00 PM JOHNS
2523932999 P.03
• #Y, ADJACENT RIPARL.%-N PROPERTYOWNER STATEMENT
(FOR A PIER/M00RING PI1-INGS180ATLIFT;'BOATHOG'SE)
I hereby certify that I own prcperty adjacent to 1. e,c A - J-o Av%4 's
(Name of Property Owner)
Property located at Z- Z 6 -T c (t '(31u±- A4� ,
(Lot, Block, Road, etc.)
an A AA" t- &r ems_ tc ,,. _ in �G ✓-e -T" e. -) _ 5 �, N. C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. 1 understa»r,cl that a pierlm.aoring
pain pboatl Moaftusee must be set back a minimum distance of fifte-n feet (13,) from my area
of riparian .access unless waived by me.
i'FA) __ I do not wish to waive the setback requirement.
I .dQ wish to waive teat setback requireme^t.
DESCRIPTION RIND/OR DRAWNG OF PROPOSED DEVELOP`IENT:
(To be filled in by indlvidual proposing development)
�-`/� 5 �" •� : c r� ems171
i�
Sig; pure
L�Zgz:z5
Print or Type Name
Te'4?hone umber
Date:

OCT-03-2005 07:00 PM JOHNS 2523932999 P.04
DIVISION OF COASTAL MANAGEMENT�C/WAIVER FORM
AD,TAC]ENT RIPARIAN PROPERTY QWN=
Name of Individual applying for Permit. L v r 6 6
zz b
U✓k -�
Address of ProPwY= 7- 5"
ct. r Te•r P `T" l °
(Lot or strea M, strea or Rmd, City& County)
r ad'acent to the above refefeneed P��- The �,dividtutl
I hereby certify that I own property 3the the development
applying for this permit has described e$ shown
h ds �� g°� d be provided with thus
cry are proposing. A description odrawing,
letter.
/ I have no objections to this pfopoaal-
lease write the plvision qi Coastal
if you have objections to what to being proposed, P 1VC, 28557 or call (252) 808-
Managetna 1 HitAwn II, 15X-B► 1I►�'J'- 24► Morehead City. action
ice o this notice. No M Ponse is consUered the some as no obJ
2808 within 10 days 4f d y r
Cetea Mail.
;_f you have been notice
WAIVER SlEM011
a ier, dock, mooring pilings. breakv+rate�, boat hat.tss, !ift or uMndbagb must be
I understand thatP area m ripacian access unless waived by nee• (If You
set back a minimum distance of 15' from my blank below.)
wish to waive the setback. You must initial the appropriate
I do wish to waive the 15' setback requirernent.
f,aL_ I do not wish to waive the IS' setback requirement.
L pat
5
print Name
r-
Telephone Number Mth Area,
Code

4
i..EO A. JOHNS_��.�,.,.r.:..�._.___-v...y..,.m�.,�...._............._...�.«......,._�x..._.._.__.
SUSAN K. JOHNS NCDL 4554565 66-7704/2531 1821
PH. 252-393-2898 08629180551
226 WHITE OAK BLUFF RD.
STELLA, NC 288558}2 DATE / 'o b-b0,57
PAY TO
$ /Vol 00
State Em 10 ees' Credit Union®
Morehead City, Jy hohn3
62 ;[(7/ C JX
1:2S3177044ie0a6 24l80SS Li+e l$ 2 L
M,