53602_HARPER, RON_20090218

CAMA ! ❑ DREDGE & FILL r
GENERAL PERMIT Previous permit#
❑iNew " ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued a
ti
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
j El Rules attached.
Applicant Namer1 i ?� 1 Project Location: County
Address Street Address/ State Road/ Lot #(s)_
�1
Phone # ( )' 'Fax # ( ) Subdivision
Authorized Agent i City - _ _ ZIP
Affected ElCW L7 EW OLP,TA ❑ ES ❑ PTS Phone # ( ) River Basin f"
AEC(s): ❑ OEA ❑ HHF ElIH ❑ UBA El N/A Adj. Wtr. Body (-
ElPWS: ❑FC: i nat /man /unkn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers) y j
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
: I
Shoreline Length
OR
SAv: not sure yes no
Sandbags: not sure yes no -'
y — = -�__ - —
� ---
Moratorium: n/ a es no I �j
Photos: yes no j_ I
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent orr Applic t P nted Name
i�ure Please read compliance statement on back of permit r
1
Application Fee(s)' Check #
❑ See note on back regarding River Basin rules.
PermitOfficer's Signature
Z
Issuing Date ? Expiratiop`Date
{
Local Planr gJurisdiction J 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 [)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, certifythatthis project is consistentwith 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 (252-946-648 I) or the Wilmington
Regional Office (9 I 0-796-72 15) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

A& AUN IN-FERNATIONAL MONEY ORDER --
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PAY TO THE APR 07 2009 0 TWO HUNDRED DOLLARS AND L CENTS
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PUp!:HASER,R TO RE f OUnID BV THE T[R44S AND COPIDITIDNS AND SERVICE CHARGE AS SET FORTH ON THE PURCHASER'S 5r
RECEIPT
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PAYEE READ TEWS ON REVERSE PAy'\RLE TAROUGH: NORTH AMERICAN BANKING CO, MINNESOTA 55113
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10

MAR-26-2009 10:34 FrOm:DCM MHDCTY
`--� To:93936146 Pa9e:1/2
AMA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date b — U
Applicant Name ► r l t Y e t-i -�'�
Mailing Address 6 1,/ G., 1' � v o• K /� � � ��.5
1 certify that I. have authorized (agent) ___��''`�` � � to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to II
install or construct (activity) A.k o n6 D -o tr LC
at (location) t A-, 0�'p N:� Lz e- e- k
This certification is valid thru (date)
Signature 2R UM M
-9PH 7 2009
Morehead City p�44
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX- 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal opportunity \ Affirmative Action Employor - 50% Recycled \ 10% Post Consumer Paper

MAR-26-2009 10:34 From:DCM
ADJACENT RCPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE-"OORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to A4 ( -s
(Name of Property er)
property located at C 4
' (Lot, Bloch, Road, etc.)
on ��� R ` _f �C k , in S�c�
(Waterbody) (Town and/or County)
Applicant's phone #: 925?A - 05 y'5M& Jing Address:
,LSI 34rt S-56?
He has described to me, as shown below, the development fie is propusing 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.
---------------------------------------------------------------------------------------------------------
DN:SCRW'I'ION ANTI/OR DRAWING OF PROPOSED DEVELOPMENT. -
(To he filled in by individual proposing development)
f
APR 7 2009
Morehead Cify__E)CM
(information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
AaP
City/State/7ip Print br type Name
Telephone Number Telephone Number
-3r 0
Signature Date Tate

Apr 03 09 07:50a Derek Rukenbrod 704-329-5741 P.1
mpr uj uu uu:.jIa cony MCrIeI L I Coe-aziJbI d4t3 P. L
NOATHOUSEj
)BO,4nffTf
(TC GS
'S
r Ft
adjxacerll W
own rxaperly
(Name of properq, Owneei
Property- located at
{Street Address. Lot, P-locli, Read, etc.)
I � I .SPI1—1 N. C
11,
(DID lo a au&(W County)
fie:sue is proposing a� that
He has desczibed to me- as ShovM -Dent
understand -that a Pler,"DOOM19
location and I have no objecdons W di:S PMPO-_a- Offif., fe (, 5� my are a of
em pilinesIboalla,b, 'a, 't be __I b3ckz unnmllm .'ems
belo';,
i,, ed by me. I hate ind-icated my inWutiIDn_';- tl�V initialing npasian access tavess
a�,,,ve to w2d-,-e Ctle 15' --atback
seba, ;.cquh=mcn
1 do mgme to WgVe 'be 1
Cinidais_#
- DESCRJPTION IAM/OR DR-4WLNG OF PRE OK"'F Lo" 'T"
be filled inbr jHdiwi*gff[FrgpvsIxg develepr4mg)
1.
APR 7 M9
Morehead city ocm