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❑CANNA ❑ DREDGE & FILL
GENERAL PERMIT
Prev'o permit #
❑New [:]Modification [:]Complete Reissue El Partial Reissue
Da 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 I SA NCAC
❑ Rules attached.
Applicant Name n!it%t ,� _I %O1 C—
Project Location: County u/�-2 Te •J'
Address 73 /1/ p t
Street Address/ State Road/ Lot #(s)
City T�mQ �! �� 2/�U�� State ZIP did
-7. S /k' �r�, l ��
Phone # ('1711P ) �' / 3��/ Fax # O
Subdivision
or
Authorized Agent �� 11A TCn/ /"�^,t a f ?'�[
r ��
City ( ..?1, % ! .' ,� /� ZIP z
CW u'EW PrkA OE ❑ PTs
Phone # i River Basin �f !I/ r �'�
Affected
AEC(s): ElOEA ❑ HHF ElIH ElUBA [IN/A
Adj. Wtr. Body �^ v !A f nat man unkn
❑ PWS: ❑ FC:
ORW: /'yes / no PNA yes / no Crit. Hab, yes / no
Closest Maj. Wtr. Body il�� �� �' "✓
Type of Project/ Activity a'2d -_Q /.* 0 L Q "TFOQ <l / .i •�_ �, ' l; - — _
y, 1k, Y*L (�
Tr>
��
(Scale: A) 1-5 )
Pier (dock) length-
Platform(s) !t k' 4/'
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore--
Basin, channel
- -
.___..
—�.
�_
_ �r
_ -
- - -•-- '
b
-
----
—I
w
_
---
J
I __
cubic yards
Boat ramp-r-
f
Boathouse/ Boatlift
I h..
Beach Bulldozing - -- f- - - -�
r
Other
AAly .
Shoreline Length
SAM not sure yes n 90
Sandbags: not sure yes no
� �- -
Moratorium: n/a yes
Photos: yes no � I I ( � C � cc I _
Waiver Attached: yes) no -- - -
A building permit may be required ��by: a7 P See note on back regarding River Basin rules.
Notes/ Special Conditions 1`t - ?/1,7C <-'
AUG 0a 006
Agent or Applicant Printed Name
hAnrohegtl City
Signature Please read compliance statement on c of permit
Application Fee(s) Check #
Issuing Date l Expiration Date
G.-1 A> A
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules El 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:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(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: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
04/10/2006 14:12 252-393-6404 CS CEDAR PT PAGE 01/04
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A ,PI,ER/MOORING P rLiNGs1B oA Tur, T/)3OAT110usL)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 73 Sp It - '��
(Street Address, Lot, Block, Road, etc.)
on S in _. �cu e a��, s1 -. N.C.
( nterbody) (Town and/or County)
He/she has described to Yoe, 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.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bulled in by individual proposing development)
--------_--- ------
Sip-nafu4 —"
Te, /1-r� -;7, ccil AA-V"
Print or Type Name
1lfJ4S'-`3�'�
Telephone Number
Date: / 9-6 C
04/10/2006 14:12 252-353-6404 CS CEDAR PT PAGE 02/04
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FO,R A PIE,"I00,RING PILINGSIB OA TLIFTIB OA THO USE) ll
I hereby certify that I own property adjacent to'�N�e1
property located at
(Name of Property Owner)
(Street Address, Lot, Block, Road, etc.)
on QOCI 0 e S�'�: .:J in
( aterbody)
-ECAet.Ak ! \ S \e ,N.C.
('}!,'own 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/boat.liffboathouse must be set back a minimum distance offiftccn 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.
41
(initials)
1 do agree to waive the 15' setback requirement.
(initials)
---------------------------------- --------------------------------------------------------------------------------
DESCRIPTION AND/OR. DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
c
�b
V
ignature p
/1
Print or Type N c
Telephone N
Date: f2—
"�
04/10/2006 14:12 252-393-6404 CS CEDAR PT PAGE 03/04
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONM/AIV`ER FORM
Name of Individual applying for Permit:
Address of Property:
`13k5 SnO
(Lot or Street #6, Street or Road, 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.
1 have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or can (252)
808-2808 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, boat house, 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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Print Name
_*9 a49 /3St"�
Telephone Number With Area Code
04/10/2006 14:12 252-393-6404 CS CEDAR PT PAGE 03/04
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: �rJQ
Address of Property.
EMer A-- �s`It
(Lot or Street #, Street or Road, City & County)
1 hereby certify that 1 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.
V 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 Avenue, Morehead City, NC, 28557 or call (252)
808-2808 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, boat house, 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.
Telephone Number With Area Code
BOONDOCKS 66-85/531 1625
P.O. BOX 28
129 WETHERINGTON LANDING RD.
STELLA, NC 28582 DATE LSt
a PAY TO THE
F
ORDER OF $ ,'D C)
jI +j o l//
ORBIC
Centura
RBC CenWra Bank
Cape Carteret, NC 28584 �7 n
1:0531008501:0282029943no L625