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JCAMA / ❑ DREDc;E & PILL - C
GENERAL PERMITW Previous permit #
GENERAL
❑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 I SA NCAC N,
iq Rules attached.
Applicant Name
n
Address (` 1 Q.
City { -1c State_ Zip SSrj
Phone # ( ) Fax # ( )
Authorized Agent r-, j
Affected ❑ CW ❑ EW ❑ PTA b ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier dock len h
Platf
Fing
Groff
Bulk
Basin
Boat
oat
Beac
Oth
Shor
SAV
Sand
Mor
Phot
Wain
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City v.''`r_ : -f ZIP
Phone # River Basin
Adj. Wtr. Body , l (nat /man /unkn)
Closest Mal. Wtr. Body
(Scale:
r pier(s)
length
■■■�■■■■■gin
■:I''':M
::■■■■■■■■■■■■
.■■■■■..■.■■■
MMMMMMMMMMMI
number
distanceME
offshore
max . offshore
W
WIS.
MMEIM
MMMMMMMMM
■■
■
■■■■■■■■■■■■■■■■'
■■■i�
AM
■■EEIMMMMMMMMM
■■■■■■■■■■
,channel■■■■R.
■■■■■
•
�■■■
■:■:■I
cubic .
ramp
.■■EM■■sM
t_
■
.■■.
NEEMMM■■■■■
...t•.■■..
■■.■■
■■■■
■i■i■■■■
-
■■■■■■■■■■■NO
■■■■■
®■■■■■■■
•.
' •.
■■■■■■■■■■■
■■■■
Bulldozing
■■■■■■■■■■■■
�■■■■■
■■■■■
EMENUMMMM
���■■■■■■
■■■
■■■■
■■■■■■■■
ll
■■moo■
■■■■■■
rD ,
•
lMMMMMMME
1
MORE
■■WaIVEMMU
■■■
-line Length�i■I;t
not sure yesQ---
■1Il�t�l�ilr
I■
[$
t�'f■i�
■■■■■
-
■L���I��������®��i�l�I�iG�1■■■■■■
Pags: not sure yes
Ln
yes
CL
A building permit may be required by: �• 't f
Notes/ Special Conditions
%I bi1crY"
❑ See note on back regarding River Basin rules.
V-
n
Agent`ck Applicant Printed Nam Permit Officer's S.ignature
"7/))o io C�
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name
4V
67
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, certifythatthis 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
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
Location:
(Serves: Carteret, Craven, Onslow -above
2728 Capital Blvd.
New River Inlet- and Pamlico Counties)
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)
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 08/09/06
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
j ■ Print your name and .address on the reverse
so that we.Can. return the card to you.
■ Attach this card,to the back of the mailpiece,
or on the front if space permits.
1. Article ddressed to:
A. fkjnature
X (� ❑ Agent
❑Addressee
B. Received by.(Pripted Name)
l -0, J� 1ic
D. Is delivery address different fro% item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
�4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7pp8 323� 00�2 9026 7�54
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL' �FCGIJE -' " "
• Sender: Please print your name, address, and ZIP+4 in this box •
PC
?-�s7
j�SaVl�lU�
INN 1 9 2009
= a-ii
Mare CItY DUM
Nofth Carolina Depaftment of Environmentandand TI al Resources
Division oaf Coastal Managsmrsnt
Michael F. Easley, Governor Clhades S. Jones, Diractor William G. Ross Jr., Secrett jry
Date -5 P a - t
Mailing Address 6 3b6 M4\5�-� L-A P E:
L- k3 � ffi r� � � P-51
O'e- 6b to act Or
I certify that I have auth orized (agent) Ptak
behalf, for the purpose n a' appiyi-n gr f.,Dr and obtahnincr all CANILkI"erm-its n cessay-f
to
install or construct (activity)
at (location)
Hd thru (date) / C)--� (-C)9
This cert"Afication is vali-A-
Signature
7n
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR A PIER1.90ORING PILINGS/BOATTLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Y-615 44-,6St s
(Name of Property Owner or Applicant)
Mailing address if different from location address 6 3b6 MR15r-y LIU ,
(town, state and zip) L U Cf4(n -A i J C-
phone numbers you can be reached at 7�
property located at _�2 CftLES c-( f ALE
(Lot, Block, Road, etc.)
on �5 C� , in �S� , N.C.
(Waterbody) (Town and/or County)
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 are ar es's ens to
waived b me.
I do not wish to waive the setback requirement.
JUN 1 9 2009
ttials
I do wish to waive that setback requirement.
itials
---------------------------------------------------------------------------
Morehead City CCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------------------
��a `Signature
tj I L- 0 S
Print or Type Nacre
Telephone 'Number
2� ( �
R & J GROUP —
P. O. sox 1885 1367
Morehead City, NC 28557 66-112/531
252-726-1253
F, el... I
` Feras
D.lalis on
Back.
BRANCH BANKING AND TRUST COMPANY
1-,800-BAANK �BBT BBT.com 1 l
FOR—v �_ RQ 'G `g ( _--�11�- 5/ ._._.L � ------ UP
"a0000L367Ila 1:0531011211:0005297687923Ila
u
XCAMA / ❑ DREDGE & FILL (� NY 54196C,
GENERAL PERMIT Previous permit #
�New ❑Modification ❑Complete Reissue El 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
L&Rules attached.
Applicant Name M Q Project Location: County co-f�'M
Address ' r 1 j t--. Q. Street Address/ State Road/ Lot #(s)
City L , State ZIP Z—) �95 2-11 Gc.�Ps S�1na'r Cift�Q
Phone # () Fax # (_ Subdivision
Authorized Agenty�biC'2 Iv;T o, iY�CZ,�rr„CiZIP
ElCW ❑ EW El PTA ES ❑ PTS Phone # on1
Affected (.i�) 7 `.2u I S~ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body at man unkn
ElPWS: ❑FC:
ORW: yes no PNA yes / io Crit.Hab. yes / no Closest Maj. Wtr. Body
�j�� � j I
Type of Project/ Activity Sy U K Aer A a m� nod Ivl f~ I
v
(Scale: �� }
Pier (dock) length ---- -- --- — --- - - -- --- - -- -
Platform(s)
Finger pier(s) ( S
Groin length --
number
Qglkh...Ripraplength
istance offshore' —
max distance offshore Q S F P 9? n rI q
Basin, channel
cubic yards - - -' Morehead_ _ty QV&f
Boat ram
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length —
SAV: not sure
Sandbags: not sure
Moratorium: n/a
Photos:
Waiver Attached:
A building permit may be required by: �VtQ (P'l �J �` ❑See note on back re rding River Basin rules. )
Notes/ Special Conditions V��I G`P .iJC� 1��� or
� I - , Q � ` 31 Z�c,II nrt; zn�rrnrl� iA1,5 A�lcr�rK
1119 ent Applicant me N
Signature Please read compliance statement on back of permmiit/*-
Application Fee(s) �e 3 3� 03,/ a , 0 �� Check#
Permit Officer's $ighature
-?11C 109 11►obi
Issuingbate Expirat of n Date
Local PlanningJurisdiction Rover File Name
1 ■ Complete items 1, 2, and 3. Also complete
l item 4 if Restricted Delivery is desired.
f ■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
S
6LW C20
l
L1145 ,6 t4
2. Article Number
(Transfer from service label)
A. Signature (i�'
❑ Agent
X ❑ Addresse
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D. ;
4. Restricted Delivery? (Extra Fee) ❑ yes
7009 0820 0002 3712 2144
PS Form 3811, February 2004
Domestic Return Receipt 102595 -M t540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
111111 Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
R & J GROUP 1442
P. O. BOX 1885 65-112/531
Morehead City, NC 28557
252-726-1253 ( t)
$ c .
Y It the
order o
Q Beck.
BRAND' 800-BANKA K BBT BBT.cG AND TRUSTomMPANY
` -
jj'0000L442tj' I:053LOLL2L1:00052976879231"
RUM
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property:
SIE'
Ay
L-E '; Fe �(G
(Lot or Street #, Street or Road, City &
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, Hestron Plaza H, 151-B, Hwy. 2A, 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.)
::�Zl
_ wish to waive the 15' setback requirement.
not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code
I
J
M o- 0 lull�
510S )"
� ��tc
• ' ADJACENT RIPARIAN PROPERTY OWNER STATEIIEI`rT
(FOR A PIERI.VOORING PILINGS/BOATLIFT/BOATHOusE)
I hereby certify that I own property adjacent to 7`ae p0 0S:c s
(Name of Property Owner or Applicant)
Mailing address if different from location address (c3 rn H6f=y I J9 �
(town, state and zip) L U C}9f}2j4 P C
phone numbers you can be reached a
property located at ,0? 2 7 s i"U C / OGLE -
(Lot, Block, Road, etc.)
on } j , in C�� C / �' , N.C.
(Waterbody) (Town and/or County)
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/boatliftfboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. {
��
_ I do not wish to waive the setback requirement.
initials SE `)
I do wish to waive that setback requirement.
initials
----------------------------------------------------------------------------------forehead --------------------C;ty CCM
----
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�E,9
-10 1
0-1
N6i
714�l P t L"S.
Print or Type Name
Telephone Number