44245_LEONARD, ROBERT_20060206

CAMA / -i DREDGE & FILL
QVNERAL PERMIT
7-New ! Modification ❑Complete Reissue ❑Partial Reissue
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 15A NCAC
,-7>
Previous permit #
Date previous permit issued_
❑ Rules attached.
Applicant Name b1t /mot teppg�� Project Location: County___—
ounty_ -
Address ; yj:r 444 � ��� t ►�y e Street Address/ State Road/ Lot #(s)
City 1 D ui �e r-►..? State A�C ZIP
Phone # Fax # () Subdivision
Authorized Agent lt..a-2.L� C_(„ v� City /L�iKtV RAJ ZIPG
CW ElEW ❑ PTA S' ElPTS Phone # (-�) River Basin
Affected -I OEA HHF ElIH El USA ❑ N/A
AEC(s): Adj. Wtr. Body_ s 1 _,_(nat /man /unkn
F7 PWs: ❑FC:
ORW: yes / no PNA yes / no-) Crit. Hab. yes / no Closest Maj. Wtr. Body A 14,t-*-.'
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
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM 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:
Notes/ Special Conditions
Aj-
Agent or Applicant Printed Name
,
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale: A.; - ..,� )
See note on back regarding River Basin rules.
Permit Officer's Sig/nature
Issuing Date Expiration Date
6
Local Planning Jurisdiction 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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ 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 (252-946-648 I) 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:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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

Dec 20 05 01:35P
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER /MOORING PILINGS I BOA TUFT /BOATHOUSE)
I hereby certify that I owlproperty adjacent to���LeON—
er
property located at ,�-(� > �-�.i �� > 4
(Lot, Block, d, ect-)
on Ai J Se k) J , in /N CJ &,r-to cD , N.G
(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 I understand that a pier / mooring
FMW / boater / boathouse must be set back a minimum distance of fifteen feet (IN)
from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
IA&wish to waive that setback requirement.
DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT. -
(To be fZW in by wdivrdkal proposwg deydopmmf)
( See the attached drawing )
pe,- Sfccfp, fe-deroJ( �oCQ �P cc�a fiats.
5
p.3
Signature
r'
Print or Type Name
?; ,z (- � 3
Telephone Number
Date: S "�, to

Dec 20 05 01:35p p'3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / MOORING PILINGS I BOA TLIFT / BOATHOUSE)
I hereby certify that I ow q property adjacent to
(Name of Property Ownwr)
A i
property located at z-
(I,ot, Bloc Road, ect.)
on /U�J Se �� J in N e cJ /&,�nJ Cfc ",v SO , 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 I understand that a pier / mooring
~ / boatfiR / boadumme must be set back a minimum distance of fifteen feet (IN)
from my area of riparian access unless waived by me.
I da.wal wish to waive the setback requirement.
IAm wish to waive that setback requirement.
DESCREMON AND / OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fMed in by indivuktal proposing development)
`� f�� t i� ✓' c� Al h�K 4 DFO
( See the attached drawing )
Per
S
rint or Type Name
Telephone Number
Date:

,:�2 -3 -3 - / �9 ��