33658_GOODEN, MICHAEL_20030313

L,fCAMA / D DREDGE & FILL
GENERAL PERMIT PZvious permit #
D New [`1 Modification -'Complete Reissue '--]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources V it
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7
❑ Rules attached,
Applicant Name 0,400 Project Location: County it- i
Address —'-'.Z Street Address/ State Road/ Lot #(s)
City —State zip
Phone # Fax # O SLv 31 Subdivision
Authorized Agent Doti, 11 City I rn zip
Affected [I CW E EW A PTA DES [:1 PTS Phone# River Basin
AEC(s): 0 OEA Ei HHIF 0 lH 0 USA [I N/A Adj. Wtr. Body LV i I' I Pe "e (nat /man /unkn
D PWS: DFC: Closest Maj. Wtr. Body
ORW: yes / no PNA yes/ no Crit. Halb. yes I no
Type of Project/ Activity
vvlw+,
�A
4M
f4,
(Scale:
ekhAjE
Pier (dock) length ------
Platform(s)
Finger pier(s) I
Groin length
number
Bulkhead/ Riprap length
avg distance offshore[
MA4
max distance offshore—!
Basin, channel
cubic yards
Boat ramp
Boathouse/ $oatlft k I(, I,- 1 • 41
1-3
Beach Bulldozing
Other
7, i
Shoreline Length --_ �_ , - '
SAV not sure yes no
Sandbags: not sure yes
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes 6t)
A building permit may be required by: (,J, 4f I
Notes/ Special Conditions *MCC
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6
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77
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6
—71
back
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El See note
on
regarding
River
Basin
rules.
f, #
1l,0J
Agent or Applicant Printed Name
Signature Please read c plia ce statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
le,, 4f,, 4 70
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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-41RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B 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.nccoastalmanagement.net
Revised (0/05/01

cl
CLARENCE E DANIELS
DBA DANIELS MARINE CONSTRUCTION
PH 252-726-7480
PO BOX 236 NEWPORT, NC 28570
2572
66-152/531
BRANCH 88128
i DATE
PAY TO THE ;1 r
ORDER OF 1 O
LLARS
IACHOVIA `
Wachovia Baak1 N.A.
Nf—hwd City, NC 2a557
Foie
':05310IS291: 546? 101656u' 2572

ADJACENT RIPARIAN PROPERTY OWNER STATEMEENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to - `(yl Bch e AL 6�0 oa e'i 's
(Name of Property Owner)
Property located at Z L Pe L, c n , ) e i q
(Lot, Block, Road, etc.)
on Bewa8 C eg ek , in CA KTt Q'y , 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 area
of riparian access unless waived by me.
_ I do not wish to waive the setback requirement
I jL wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) ` z, 4T
c B��
Signature
, ,,
Print or Type Name !
726,11419
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
Property located at �1 A! 1- , C ,"/ «�
(Lot, Block, Road, etc.)
I
on /,/i1-x-n � , in C' 2 %0> ��, v,� , 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/boadift/boathouse 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.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development) f,,,y'A
n.. A. <, ii_e% « , _ f
Signature
Print or Type Name
�12 z17-so3Sf
Telephone Number
Date: % A-�