33924_ELDER, DANNY & KELLER, RONALD_20030415

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
E� New ❑Modification ]Complete Reissue [-Partial Reissue
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
Applicant Name
Address /,: Oo !s )alc ,
City ' , V e /% State_ ZIP
Phone # () ,- - 391 S Fax # ( )
i
Authorized Agent
Affected ❑ CW ❑ EW ❑ffTA ] ES ElPTS
❑ OEA ❑ HHF ❑ IH L11 UBA ❑ N/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / nc
Previous permit #
Date previous permit issued_
O Rules attached.
Project Location: County
Street Address/ State Road/ Lot
Subdivision
City i ZIP- -
Phone # O - River Basin
Adj. Wtr. Body gnat /man /unkn)
Closest Maj. Wtr. Body -
Type of Project/ Activity
(Scale: h )
Pier (dock) length
I i _.._� !- --
Platform(s) _ � —1— .. �..__r- - ( ..._..... --�--- — —� -- --—r---... --
_ _ i
Finger pier(s) [
i
Groin length I
number
I
Bulkhead/ Riprap length
avg distance offshore
II
max distance offshore
IF
Basin, channel _ I
cubic yards�-
Boat ram _
Boathouse/ Boatlift_ I 1 I
Beach BulldozingI I
Other -- - l
- - _
Shoreline Length
SAV: not sure yes no
,
Sandbags: not sure yes no
i {!
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
-L , ! ( I �/ i� rt / �/ 1 ( ram_ I, r (� �'��f'{!/ 1� •�!� /r
A14/G,��
Agent or Applicant Printed Name
i...4`,
Signature "Please read compliance statement on back of permit
or
Application Fee(s) �- Check #
Issuing Date Expiration Date
t�"t'. k (r:
Local Planning Jurisdiction 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
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)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

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10/ 10/ 2002 16: ,14 2527263016 LAPRv G ARNOLD PAGE 01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEWUNC:OVERED BOAT LI*")
1 hereby rertify that f own prop" adjacent to
(Name of Property Owner)
prop" located at
f
- - (x,it, Bl�, l�eoeasi, elrj
as in L� R rM, .. � =�' ,SIC.
aterbotly) a (Town and/or 06unt ')
13ee has detseerfla to time, so shown below, the dtvelopotent he is propoting at that location,
and i isve no objections to his proposal, Y understand that a pier/uncovered boat lilt must be set
back at a minimum of fifteen (15>) from my sires of riparian access unless waived by me,
I A2.W wish to waive the setback requirement
149 wish to waive that setback requirement.
DESCRIMON AND/()R DRAWING OF PROPOSEDDEVELOPMENT:
(Tee be fileed in by irdividual ptaposing decvc1opmcnt)
A
�ra ?
veto
Signature
�ele;phane N+3rxtber - .�'
-Lk
Print or Type Name
&/ -i/'
Usti-----`.r.—.-- --

04/15/200 06:25 3369960326 RAL PAGE 01/01
1u/1J/.MVx 10:1444 2d2 16 i_ARRY G ARNMD PAGE 02
ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT')
& d
f htreby certify thwt I Own property sidjACemi to
(Name of Property Owner)
pri
on
NC
NO has deseOked t9 rate, as shown below, the development he iA proposing at ibut location.
and f have no obje ctiows to his p rop®9ai. I u"dtrstatead that a pierfuncovered boat lift must be eet
ba -ru ait a minimum or firteen (Is') reom ray &tX% et rlpatHAR at:eess Qnteus waived by +see.
-- -- - - _ i dq wish ,to waive the sethAc& re.quirerne>nt,
wish to willivt t60 detba ck requitement.
DE-SCRIPTION ANDOR DRAWING OF PRP� CBS D'DE ELOPIMENTc
(To be fEled In by individual proposing development)
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M1 � Sigteature
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Print or Type Name

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iNOTES:
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THS SUIdVEY fY OF *4 EX9Fr*jG PARCEL
AND OOf3 NOT CREATE A MW STREET
OR Cwow ve EXi5tM ONE.
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IRS "VEY %& !lA'klECT TO ANY FACTS
° TMT MAY ge 7'SCL3 U�. D 'BY R ruLL AND
ACC LORA7F TM E
Kp p SQ'Vol
I SCAM:
-umsuffillrym DANIEL E. ELDER &
FARAPW8o*i2.a RONALD Ea KELLER
TE,
I. tAac LOT 21, OSPREY POW SUBOIVtStON
FLORI MCE
p©p TOWI-MIP 03PAMLICO CO. HOR''H CAROLI A _