53357_GLASGOW, DAVID & LAURA_20090316

❑ CAMA / DREDGE & FILL _
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑P ial Reissue (�, Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural R sources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[DRules attached.
Applicant Name �/� s (C=4 j�'_>�c' I / , ; Project Location: County
r
Address I- . ` ,
_ Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O "` t U Fax # O Subdivision_
Authorized Agent City - ZIP
Affected [!�Cw [S� EW [�,PTA ES PTS Phone # () River Basin —
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body------- (nat n /unk )
❑ PWWS: C FC:
ORW: yes / ho PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
'1
rules.
Pier (dock) length^-
Platform(s)
Finger
Groin
Boat
Boat
Othe
Shor
SAV:
Mora
Waiver Attached- yes no
A building permit may be required by:
Notes/ Special Conditions
❑ See note
on back regarding
River Basin
��
i
length
� I
I v
Agent or Applicant Ported NampJ
Signature Pleas, ead c mpliance statement on back of permit
Application Fee(s) Check #

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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-28L)8/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER STATE
(FOR A PIERIMOORIIVG PILIIVGS✓BOATLIFTIBOATHOUSE) MAR 6 2009
I hereby certify that I own property adjacent to Day, G -« ,; i - s w is
(Name of Proper r r? ... GitV DCM
property located at
Block, Road, etc.)
on Newp o r I R iyP-P-r , in &W a o rt _ C&Ct f'+z't 6a0 -NJV , N.C.
(Waterbody) (ToWn and/or County)
Applicant's phone #: 72-5', ! Nllf Mailing Address: 202 WdIUs F�!J � D L
A� 0f t AID: 28570
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 pilings / boadift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
�do wish to waive that setback requirement.
r
C4®,-k
P i.e- r
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filed in by individual proposing development)
r - e
8wijo- iclp 6'n
pier/<Jor.lc
6mt( t 1 o t-rct�l�
f}-
8x8
r P;e<
(Information for Property Owner Applying
for Permit)
Mailing Address
4-40or, . NS 70
City/ to/Zip
Telephone Number
Signature Date
(Riparian Property Owner Information)
ignature
Print or Type Name
Z L-( ( (
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORIIVG PH"GSBOATLIFTBOATIIOUSE)
I hereby certify that I own property adjacent to Dcxv J 4 Lct v rc, G ias a e w is,
(Name of Property er) J
property located at
62
(L.o( Block, Road, etc.)
reh
on iQw�-o� R i V.Q.r , in r �� r �:j �%4 CitY ��
(Waterbody) (To and/or County)
Applicant's phone #: 7zS * i 0l"i Mailing Address:202- UVc OWS FJ<
MA_R
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 pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you most initial the appropriate blank
below.)
P;:-r
'4e- k
Pair
I do not wish to waive
'I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
i r (To be filled in by individual proposing development)
Lj Y. 06 1 i i
` .� i6`iony
�Wi � X
pier/doc-k
6c,at (;ffi 80
S'''v
X1
(Information for Property Owner Applying
for Permit)
202 Wakrs Q, fl rtv'�.
Mailing Address
k. oort AIS 289`]C
City/to/Zip
7Z6'-- 101 N
Telephone Number
Signature Date
40L
'Ac"Y f-C-CLn4
P,Lc;
17e;
Print or Type Name
9,60
Telephone Number
2-0o f
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT a
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
MAP 6 2009
I hereby certify that I own property adjacent to Qov,J 4 Laura 6 ictsaow is
(Name of Property MheeCJ Lilt/ L)C;M
property located at L UZ K/a (a_ r
Block, Road, etc.)
on I kw ort R iy' .P-r , in 2 i�1/ A c+r � C.c � rzC�o-1 v , N.C.
(Waterbody) (To n and/or County) �—
Applicant's phone #: Z2 -6-• ! Oi'Y Mailing Address: 262yUAUS 64q z �.
`-,yAo^ , Ak:. 2�3570
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 pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
P( e"r Li X i I V
i t•
dock 8wiJo- Y. 16 long
P;zr 3 rabmyc? tko 14rovri
j sl,c s pier%o<:k
8fo , <-rAe-
QX1
,v-r.
176
' pZl
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
2 d L Wqk s D r y ve.
Mailing Address
N< 2&570
City/to/Zip/
Telephone Number
Signature
Date
e--i Signature
Sagely t1an s en
Print or Type Name
2-2-3 2,768
Telephone Number
-4-3--09
Date

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2-5-2 72-s-�oyy
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yr
CAMA

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date
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fEDERAL CREDIT UN ON
Morehead City; �C 28557
www.firstflig.htf6u.org
for
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