33981_HAMRICK, MARSHALL_20030508

C�CAMA / ❑ DREDGE & FILL�f'" ✓/
GENERAL PERMIT
Previous permit #
ONew ❑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 15A NCAC
El Rules attached.
Applicant Name # tn' l F-J
City
State ZIP
Phone # O
Fax # (^ )
Authorized Agent ;,.,
t° a.
Affected CW
4
E,,PTA ❑ ES ❑ PTs
AEC(s): OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
DFC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
tile.,
Subdivisionfla�� #
City ZIP
Phone # O River Basin '
Adj. Wtr. Body (nnt /man /unkn)
Closest Maj. Wtr. Body
M.
Pat
NMI
now
i�
61�
Signature 'Please read compliance statement on back of permit`
i
Application Fee(s) Check #
Permit Officer's Signature a
Issuing Date U tion Date
r
Local PlanningJurisdiction 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 / I-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-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.nccoastaimanagement.net
Revised 10/05/01

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ADJACENT RIPARL�N PROPERTY OWNER STATE-N ENT
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOUSE")
I heresy cerdry that I own property adjacent to mcit^- 1 rn. 1�d ynrj(ks
(Name of Property Owner)
prone..'y located at -,I- Qj i
(Lot, Block, Road, etc_)
on � r a , in 8e4 Cat ktr rr- , N.C.
aterbodv) (Town and/o County)
He has descr'Ibed to me, as shlown below, the de,�elopme:« he is proposir_ ar that location,
and, I have no objections to his proposal. I undersza.-!d tha: a pierlmoo6ng
pilings; boadift/boathouse must be set back a minimum distance off i Leen fee: (i �) Fom my area
of nDLIan access unless waived by me.
I do not wish to wa %-e the setback requirement.
I �n wish to wave L.at setback recuirement.
DESCRIPTI& A.N-D/OR DRA WENG OF PROPOSED DEVELOP',FE`-T:
(To be filled in by indiv&ual proposing development)
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V v fit lftlfh
--------- —--------- ------------------
Print or Ty e game
Telephone Numbe:
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Date: - c 5— ——

f' •
DIVISION OF COASTAL MANACEMEN'1'
ADJACENTRIPARIAN PROPI:R'1'Y ONVNE'R NO'I'IFI('A'I'ION/�VAIVI,',R I'M01
Name of Individual applying for Permit:— r� n �__�__1i:_I►2r�. L �� - ____._
Address of Property:--�'`� -�—�----�1 ► �-�1_"�l_�,� ��YL /fir.._ ---- - ---
(Lot or Strut N, Strut or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. 'f he individual
applying for this permit has described to me as shown an the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
c L [ have no objections to this proposal.
if you have objections to ►vlrat is being proposed, please write the Division of Coastal
Alanagernenl, 11esimn Plaza 11, 151-B, lhvy. 24, Alorehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this police. No response is considered the same as no objection
if you have been notified by Certified Alail.
NVAIVER Sr:CrION
I understand that a pier, clock, mooring pilings, breakwater, boat house, lift car 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.)
clo wish to waive the 15' setback requirement.
dtr not wish to waive the 15' setback requirement.
Sir Date
Print Nand
5- 2 - :1 O c , --
Telephune Number With Area Code

ADJACEvFF RIPARL�N PROPERTY 0"NER STATE MN'T
(FOR A PIER/MOORING PILINGSIBOATIIFT/BDATHOC'SF)
I heresy ce�,ify that I own property adjacent to ���; C' ` GllYl�'I[KS
(Name of Property Owner)
prope.-y locate at k 0 ,a 0 ,(-.Tr./i i S jJ a �! r� ►� � i�', ,
(Lot; Block, Road, etc.)
on _ L. , iny'o'i l�tJt (-,A �'� err- �" , N.C.
(Waterbody) . (Town and/or County)
He has described to me, as shown below, rr,e development he is proposL.- a. that location,
and, I have no objections to his proposal. I unde:staDd tha, a pie:; mooring
pMn,gsrpoadifr/boathouse must be sz, back a minimum distance of FftLetn fee: (i5') from my area
of rnpa-rian access unless waived by me.
1�II I do nnt wish to waiv-- the setback requirement.
I do_ wish to waive t-.at setback reculremen[.
DESCRIPTION Ati-D/OR DRAWE G OF PROPOSED DEVELOP�CE�T:
(To be filled in by individual proposin., development)
4) t9UA (t NtJ,W 0 1'► VI 11 L
1 N 15 I p
►,
pfope
I'Nar,I'l Ala'In'loi,
Signature
J. Q►�I�� >L(�YYI L��
Print or Type Name
Te'.eohone number

-CERTIFIED-MAILe I3,I11'MUIECEIVI'13 M IlE -E
DIVISION OF COASTAL MANAGEMI NT
ADJACENT RIPARIAN PROPERTY OWNFIZ NOTIFICA;TIONAVAIVER FORM
Individual applying for I'ertniL h .-,,, �_Ik
Name of In
o 1 l �S iJc n
Address of Property: -
(I.ot or Street N, Street or Read, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has desct ibed 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.
l I have no objections to this proposal.
If you have objections to what is being proposed, please tviite the Division of Coastal
Afanagement, Ilestmit Plaza 11, 151-R, Hwy. 24, Aloreltead City, NC, 28.557 or call (252) 808-
2808 ivi[hin 10 days of receipt o this notice. No response is considered the same as no objection
if you have been noti/ied by C'e►li/ied Mail.
WAIVER SECTION
I understand that a pier, clock, mooring pilings, breakwater, boat house, lilt or sandbars 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.)
_ I do wish to waive the 15' setback requirement.
I clo not wish to waive the 15' setback requirement.
Sig awre Cate
r� - --
Print Name
"Telephone Number With Area Code