43187_MATTHEWS, JOSEPH_20051011

CAi�11A / ♦ DREDGE & FILL ��T C�j+a
/�-a g e.S
GENERAL PERMIT Previous permit #
L !New Modification !Complete Reissue ❑Partial Reissue Date previous 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 15A NCAC
E'� Rules attached.
Applicant Name -JProject Location: County_ _ _
Address / �� r�J�"'°'' Street Address/ State Road/ Lot #(s)
City.J / yz'�1" State ZIP s�
Phone # (-j�) y 1 q-rFax # (`)
Authorized Agent
Affected CW ❑ EW ❑ PTA S+E5 ❑ PTS
AEC(s):
OEA HHF ❑ IH El ❑ N/A
_I PWS: ❑ FC:
ORW: yes / no PNA yes Crit. Hab. yes / no
Subdivision
City_ i ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat J-an /unkn}
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: /" )
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
i
Boathouse/ Boatlift
Beach Bulldozing -
1
Other J f i jr� �- i
Shoreline Length
SAM not sure yes not
Sandbags: not sure yes no
Moratorium: n/a yes n
Photos: yes no
Waiver Attached: yes,, no
A building permit may be required by: C See note on back regarding River Basin rules.
Notes/ Special Conditions
C
Agent orApplitant Pri ted Name Permit Officer--sSignature
Sig lease read compliance statement on back of permit
�JJ VJ
Application Fee(s) Check #
Issuing Date Expirati n Date
Local Planning Jurisdiction Rove Fie ffame

4L
It
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 ❑ 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 (252-946-6481) 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
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

. , CERTIFIED MAIL - RETL RN RECEIPT RE G IJTSTED . � y
DBUSION OF COASTAL M_ - AGEI/1F,
ADJACENT RIPARIAN PROPERTY OW-N- ER NOTIFICATIONAUI s t005
FORM
Morehead City DCM
Name of individual applying for permit:�i/h_4oD
Address of property: l otn
(lot or street, street or road)
�2 C0 o,
(City & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
URne.usions, should be provided with this letter.
I have no objections to this ro osal.
J proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
O<do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Z l�� k 9/ 7
Telephone Number With Area Code
't."'Oztillt i nlz: '5 ri: nri?

CERTIFIED MAIL — RETURN RECEIPT REOM
DIVISION OF COAST.0 NNIANAGEb1Ei`;T
ADJACENT RIPARIAN PROPERTY OPV-'NiER NOTIFICATION
FORM
,Q)
"1711EB
ER
O C T 0 5 2005
Morehead City DCM
Name of individual applying for permit: J 0� �'
Address of property: 3.� A ,
(lot or street #, street or road)
D ro _ /�/, C. �aIn/,&
(City & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this. letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
P/1) '-V C, 19., A-�
Print Name
�C7-aIq-1036
Telephone Number With Area Code
Cidni4 ed n 'i;i 'n:4 .ra reev; pte • `y''" F: $`a �� ad.Pp.ir-,-it