46022_CAVENAUGH, MICHAEL_20060626

1
�CCAMA / ❑ DREDGE & FILL
GENERAL PERMIT revious permit #
[]New ❑Modification ❑Com Complete Reissue ❑Partial Reissue
P ate 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
❑ Rules attached.
Applicant Name
Address
City
State ZIP
Phone # O
Fax # { )
Authorized Agent
Affected El CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): OEA
❑ HHF ❑ IH ❑ UBA C 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/'Bii !
Beach Bulldozing
Other
Shoreline Length
1
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
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
f
Phone # (�) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
M
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name ` it OpEer's Signature
10
Signature "Please read compliance statement on back o it * k167 Issuing Date �T / Expiration Date
Application Fee(s) morensmWityOW Planningiurisdiction 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 __) Other:
L 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/ 1-888ARCOAST
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 OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 741 k p e14 v e: i A L� s
(Name of Property Owner)
property located at_ 3 3 7 Ai�AASQQ &e 4 c l-e ____,
(Street Address, Lot, Block, Road, etc.)
on Q QuAA Gam,& K , in N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as- shown below, the development he/she is proposing at that
location and 'I have no objections. to this proposal. I. understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not'agree to waive the 15' setback requirement.
I do agree to waive the 15' setback requirement.
(initials)
---------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0, C e
JINN Y S 2006
Morehead City pC
M
Signature
Print or Type Name
2sz :31�-
Telephone Number
Date: (�—( 2

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 2!11Q_ ee,eJi4L-k 5
property located at
(Name of Property Owner)
7 PlF,4
(Street Address, Lot, Block, Road, etc.)
on QQ_UX �(���__.�L _,in PC,W-+ -'G'A�2.�'`;eA-d- y• IN.
(Waterbody) (Town and/or County)
Helshe has described to me, as -shown below, the development he/she is proposing at that
location and .1 have no objections to this proposal. ' ' I understand that a pier/mporing
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
.1 do not agree to waive the 15' setback requirement.
(init' ls)
I do agree to waive the 15' setback requirement.
snit a s)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
"4 A A � 0 4, t X I f -f / (1) DC) c- k
Morehead City DCM
Signature
Print or Type Name t
-)—�--Z 7-06c/a
Telephone Number
Date:

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MICHAEL L. CAVENAUHG
5048
PH. 393-2120
337' PEARSON CIRCLE r 11` r .` Date /S 66-3o15�t
NEWPORT, NC 28570
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