26163_WERNEMAN, EARL_20000816

CAMA and DREDGE AND FILL AUG
G E N E R A L l 2ooa 3
P E K M I I COASTAL MANAGEMENT i
MOREHEAD
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 15 NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
7 IT
Type of Project Activity - T `�' �'1
Phone Number
zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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(SCALE:
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Groin Length
number
Bulkhead Length O ``"'
max. distance offshore
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Basin, channel dimensions
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cubic yards
Boat ramp dimensions
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Other
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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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
Z.T nr .5,63
application fee

NCDENR
August 16, 2000
JAMES B. HUNT JR.
GOVERNOR
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
David Simpson Construction
BILL HOLMAN
c/o David Simpson
D^ [�
SECRETARY P.O. BOX 590
Oriental, NC 28571
DONNA D. MOFFITT
DIRECTOR
Dear Mr. Simpson:
Attached is General Permit #C-26163 for Earl Wernsman to install a boat house with a
walkaround, catwalk, and relocate mooring pilings in Pamlico County of Dawson Creek Drive
at Lot # 1 adjacent to Dawson Creek .
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the yellow and pink signed copies to us in the enclosed, self-
addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Brad Shaver
Coastal Management Representative
BS/src
Enclosures
F I
JN A149914A J
MOREHEAD CITY OFFICE
HESTRON PLAZA II, 151-B HIGHWAY 24, MOREHEAD CITY NC 28557
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10 % POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

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DAVID SIMPSON CONSTRUCTION CO. INC.
800 BROAD ST.
P.O. BOX 590
ORIENTAL, NC 28571
PAY
TO THE /\
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DATE � 47471
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PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 - 3861
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAI' I OWN PROPERTY ADJACENT TO MR. EARL WERNSMAN
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON DAWSON CREEK
NEAR ARAPAHOE t_OT # 1 DAWSON HILLS
COMMUNITY SUBDMSION, IF APPLICABLE
TAX PARCEL #
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 1 DAWSON CREEK DRIVE,
DAWSON HILLS
THIS PROPOSED PROJECT. INSTALL A BOAT LIFT WITH ROOF, 3' " L" SHAPED WALKWAY, AN
8' WALKWAY, AND MOVE 2 EXISTING MOORING PILINGS TO THE DOWN STREAM SIDE OF
THE DOCK. SEE ATTACHED DRAWING.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
X I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
oeeeeeeeeeaeoeeeeeeoeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeteeeeeee■
After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their
consent and signature. The forms are then returned, along with a building plan and other applicable required information,
to the building inspection office for building permit application/processing.
C �
SIGNATURE Lu�
F-"ces
PRINTED NAME
DATE 711 C l -' C

r-
PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 - 3861
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. EARL WERNSMAN
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON DAWSON CREEK
NEAR ARAPAHOE LOT # 1 DAWSON HILLS
COMMUNITY SUBDMSION, IF APPLICABLE
AUG 0 4 2000
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 1 DAWSON CREEK DRIVE,
DAWSON HILLS
THIS PROPOSED PROJECT: INSTALL A BOAT LIFT WITH ROOF, 3' a L" SHAPED WALKWAY, AN
8' WALKWAY, AND MOVE 2 EXISTING MOORING PILINGS TO THE DOWN STREAM SIDE OF
THE DOCK. SEE ATTACHED DRAWING.
FOR AIPIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
X 1 DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
a a o a a a a a a o a a a o o a a a a a t■ a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a■
After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their
consent an6 signature. E e `u`Mcr: `"lith a F"'ildl-i0 plan and other anplicable required information,
to the building inspection office for building permit application/processing.
SIGNATURE ?J�//�' � L/Et c
PRINTED NAME C�
DATE 7 r , C
7-- - e�D

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