51235_JOHNSTON, SCOTT_20080903

El CAMA / ❑DREDGE &FILL "" 5121,- 5
GENERAL PERMIT Previous permit #
11New (]Modification ❑Complete Reissue a i eissue Date previous permit issued
As authorized by the State of North Carolina, Department of Envir ent and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
El Rules attached.
Applicant Name Project Location: County 1
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no
ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (� } River Basin K
Adj. Wtr. Body V y -k u- (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: . • - )
Pier (dock) length —
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length u
avg distance offshore 0
max distance offshore 0
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach BulldozingLl
Other
Shoreline Length / j
SAV: not sure yes l
Sandbags: not sure yes n
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required
Notes/ Special Conditions
—
--
I
1
I
I
"
4
I
—
J
i
by:
I
❑
i
See
note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit"
Application Fee(s)
Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
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:
❑ 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/ 1-888-4RCOAST
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 STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to C:7 s
(Name of Property Owner)
I
property located at /0 7 7o � -/ L /7/k
(Lot, Block, Road, etc.)
// j/
on G W , in-SO�fI' l% S/ , N.C.
(Waterbody) (Town and or County)
Applicant's phone #: 7l0 5 Y% %' ,Mailing Address: 22 3 c/
1, C-,-
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.)
A 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)
s:;��' os� C l
P
t g / N'LI.v 13 Ik4Le`'�' i
s Sc
'Aoreheed City DCM
0 c /�r
(Information for Property Owner Applying (Riparian
for Permit)
Mailing Address
City/State/Zip
Telephone Number
3
! Priror Type Name
Teleaone Number
—6)("(
Signature Date Date

?008-Aura-18 03:41 PM Johnston Pain Manarg 9103532972
2/2
06/14/2008 16:21 FAX
k k !P^tT k
e3
- P 2 �2n IN
ADJACENT RIPARIAN I-PROPER'1 V VW1N.EK STA'Jt r iVMt-41L U0
(FOR A PIL7RWOORING PILINGSIBOATLfFT/BOArH0UA%
she d City
, DCMoST hereby certify that own property adjacent t-
(Name of Property Owner)
propel located at
(Lot, Block, Road, etc.) % �a
onin l/t.a2S D fc� L , N.C.
(Waterbody) (Town and/ rCounty)
.A.pplica at's pkone #:,571n N7_,S Mailing Address: �%� �/ •✓'-� �/
He has described to me, as shown below, the development he Is proposing at that location, and, I
' have no objections to his prvpmi- [ understand that a pier/mooring pilings / boatlift / boathouse ;
y must be set bask a minimum distance of fifteen feet (l 5') from my area of riparian access unless
waived by me. (If your wish to waive the setback, you must initial the appropriate blank
below.) � i wish to waive
_ l wish to waive that setback requirement.
-------------------- --_---------------------_--.-----_.
DES ON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be f7ued its by individual proposing dev4opment)
`D
for Property Owxter Applyixig
for Perentit)
Mailing Address
City/State/zip
(Riparian property Owner luforma
Print or Type Nat�neZJ:V-/
T lephone Number
Date

15
' a MEMO
vogue hanks Marine Construction, Inc. 12106
111•D Turner's Dair Rd
More 252-247 557
-4429
WACHOVIA BANK, NA
66-021/530
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