42958_LANIER, HUGH_20050921

�AfiViA / f_1 CaHE®GE &
!w"FRAL PE 1TEp 2 s 2005
[-]Modification ❑Complete Reissue ❑Partial
As authorized by the State of North Carolina�� i '���t
and the Coastal Resources Commission in an area of envir t bfldterJ
Applicant Name 1' ��j� `A" iek
Address —7 i 1 _ . $0(A tC.1 404
State ZIP Ssg y
Phone # 1 3SC%"'/'''Fax #
Authorized Agent
Affected ?o'tW Nd* -*"TA ❑ ES ❑ PTS
AEC(s): 0 0EA ❑ HHF ❑ IH Cl UBA Q N/A
❑ PWS: ❑ FC:
ORW: es / no PNA yes 4n Crit. Hab,,�es / no
Type of Project/ Activity /Z e 4'`.;1 C�
1 9 1 6 ITT° 42958o
C� Previous permit #
Date previous permit issued
it Resources —7 / /
to 15A NCAC_ H O(
❑ Rules attached,
)ject Location: County CAr�Cer -
eet Address/ State Road/ Lot #(sr)
f/1
Subdivision
City--- _ ZIP..;/5'I / '
Phone # ( _) River Basin V ^i N 4
Adj. Wtr. Body UO �,J�4N✓1 a man unkn
Closest Maj. Wtr. Body—&�nue
Pier (dock) length (Scale: )
Platform(s)
Finger pier(s) - -- _--
i
Groin length _. (, lerr" 14 G (AA V;r
P --
number !— _:.. -
Bulkhead/ Riprap length
avg distance offshore re c d' �/ T ru / an -A 0/0Ck
�'
max distance offshore 1
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift -
1
Beach Bulldozing
Other - -
Shoreline Length
SAV: not sure yes no __ -
Sandbags: not sure yes no -------
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding Riverr s.
Notes/ Special Conditions
Agent or Applicant Printed Name oe. c:____..__
Signature) ** Please read compliance statement on back of permit **
V
Aoolication Feel)
as-
at/2, /o4
Issuing Date ' Expiration Date
�w►�,ra1�! C� Tog ;td ! y L5

AY'i;U�
4
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
September 26, 2005
Hugh Lanier
7214 Sound Dr.
Emerald Isle, NC 28594
Attached is General Permit 942958C
In order to validate this permit, please sign all three (3) copies 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 Davenportllsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

APPENDIX K: Telephone Referral Form
E
C�
r
DCM Telephone Referral Form
Date 09/5/0S
DCM Staff (initials)_
Name of Caller (if
Area Called From �►Vi�fGl► ._1—�/P
J-0 6? -;1o�y/�
Address(if needed for followup) �2 Z/Lf SLc.t;�ol
Phone NO. �14 - 3 0 -1SS O C-
910- 311(- P37 P' W
y'i a - V,55- Z �S
Nature of Question or equest
"LvC, 3 TIr 3c,0
Referral Made to Caller
Referral Made to:
Small Business Admin
Other (Please note)
Yes
No
DEM/FEMA DCM Field Office:
Local Utility Red Cross
Other General Information Provided to Caller
Followup Needed? ✓Yes No
Followup Assigned to:�
Appendix K
1