43192_LIEBERMAN, EDWARD_20051013

L., CAMA / DREDGE & FILL
GEI4ERAL PERMIT it
Previous permit #
_',New. _]Modification ❑Complete Reissue ❑Partial Reissue Date, 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
D Rules attached.
A 1' N P ct Location Coun _-�
pp scant ame
Address /--
71 r
City
State/V ZIP_ _
Phone # (05) �' f f
'Fax # ()
Authorized AgentI' Y
❑ CW �Lj-EW
S?"A EKES ❑ PTS
Affected
AEC(s): ❑ OEA HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no: PNA
yes / no Crit. Hab. yes / no
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 L -- -- -----
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be regw ed by:
Notes/ Special Conditions
Agent or Applicant Printed Name
�- Yl.�- _
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
role ty_ _
Street Address/ State Road/ Lot #(s)
Subdivision
City �!+°? --- ZIP_
Phone # ( ) River Basin
r /
Adj. Wtr. Body i >'�`'� '' 1, i ' `' (nat /man /unkn�-
Closest Maj. Wtr. Body
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature �
YJ4
Issuing Date _ Expiration Date
Local PlanningJurisdiction
!UI?l3 I
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:
❑ Tar - Pamlico River Basin Buffer Rules r Other:
U 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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OM,�TTR STATEMENT
I hereby certify that I own property adjacent to �GrJ/�lZl7 / , l /Ci3CRK4
(Name of Property Owner)
proper,}' 10c2tCd at U�(Lo
�,Bloc�,
)
Road, etc.)
on W�i EG �f�G� i� —, In Nniz
Ni J //�
(Waterbody) (Town end/or County)
He has described to me Ps shown belo'x, the development he. is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION ANrD/OR DRAWfNG OF PROPOSED DE TLOPMENT
(To be filled in by individual proposing development)
t" (
� I
-29-
lop
Print o. Type, Nam
Telepho-e Number
Date: G C--� Z 20C)�

ADJACENT RIPARIAN PROPERTYOI�rj\TER STATEi11ENT
I hereby certify that I own property adjacent to
(Name of Propert}- Owner)
proper")' Io:2ted at
(Lo , Block,'Road, etc.)
on _ W�E �G [ZEE i� , in .��2PJ 1 1 / / ML CL: Ll,�1>tT � I .C.
(Waterbody) (Town end/or County)
He has described to me as shown belo,4, the development he- is proposing at that Iocation,
and, I have no objections to his proposal.
DESCRIPTION ANTD/OR DRAWf NG OF P1'.OPOSED DEVELOPMENT
(To be filled in by inditi,idual proposing development)
�L19 o7 1 s
S1�nature
I-e"" Gy-
Print o. Type Name
Telepho-e Number
i
Date: 0 t3 5
-Z9-

EDWARD M. LIEBERMAN
HARRIET H. LIEBERMAN
-- 311 KING GEORGE RD. PH ss-ss�ss�
252 355-352q 025512990 2104
GREENVILLE, NC 27858 wT�
PAYTOTIIG !/
OP.DER OF / (� Nm
RBC
Centu LLARs 8
• ; RBC Centu 8, , -R-BC Financial Resource
Greenville, NC 27634 9
M[ i For Prof¢seiona%s(�Exo<uhies
'°053 100B501;0 2551 2990611. - - ---------