34562_LOWRENCE, ROBERT M_20030819

17 CAMA / F1 DREDGE & FILL
GENERAL_ PERMIT Previobs permit #
-New -]Modification Complete Reissue C'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
F1 Rules attached.
Applicant Name
�z c Pi-, 1 /)
I Utr, - r r C
Address lls
rv1"I i ) I
' ' ve
City - rrNl'n-f
State /`*
ZIP 2f'57 o
Phone #
,I-? . -r r7 7
Authorized Agent
"tr Mc
CW
Affected
p EW
�I PTA El ES
❑ PTS
AEC(s)'OEA
ElHHF
❑ IH ElUBA
ElN/A
C PWS:
❑FC:
ORW: yes / no
PNA
rye / no Crit. Hab. yes / no
Project Location: County (,"I )"1, -t
Street Address/ State Road/ Lot #(s)
�7?c flwy 1 �1
Subdivision Al W
City !v''l p0 t ZIP r?J
Phone # ( ) River Basin'
Adj. Wtr. Body 61co i �� r� a #iat /man /unkn)
Closest Maj. Wtr. Body C�; u t Ur." 0'd
Type of Project/ Activity ' rrr,r ' ,r �i -1v Ill, a f
t+/•t'eRT1SAC <i. �c oIl
Pier d k l h I
Platt
F i nge
Groi
Bulk
Basir
Boat
Boat
Beac
Othc
Shor
SAV:
Sand
Mor;
Phot
Wain
(Scale:
n
( oc ) engt -
r pier(s) !
length
I �
number tL _
read/ Riprap length
avg distance offshore
max distance offshore
,channel
cubic yards
ramp
r
rill-ijUALP"!
iouse4; a ift tr—
I i r ) 2
Bulldozing4.
I
I
aline Length - - -- I
not sure yes no
- —
gags: not sure yes no _ , � _I_T�
.torium: n/a es no `r f �, r f f
x: yes no-
er Attnrhed• vac An .. -
A building permit may be required by:
Notes/ Special Conditions 1,)c
11 ,, 15
�J r
Agen c; •• Applicant Printed Name
t ' IA'
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(❑ See note on back regarding River Basin rules.
4-, -gp. trite -4 Z i f i r () d or .
r'ne,lril:. ram,.
Permit Officer's Signature
Issuing Date t , Expiration Date
G(,Z`/1�,
Local PlanningJurisdiction Rover File Name
A building permit may be required by:
Notes/ Special Conditions 1,)c
11 ,, 15
�J r
Agen c; •• Applicant Printed Name
t ' IA'
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(❑ See note on back regarding River Basin rules.
4-, -gp. trite -4 Z i f i r () d or .
r'ne,lril:. ram,.
Permit Officer's Signature
Issuing Date t , Expiration Date
G(,Z`/1�,
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, certifythatthis 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 / 1-888ARCOAST
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 10/05/01

MIKE LAWRENCE ELECTRIC
115 MERRILL DR. [phone]
NEWPORT, NC 28570
PAY TO THE
ORDER OF
A /1
WACHOVIA 13AWAOCHOVIAAROLINA, N.A.
MOREHEAD CITY, NC 28557
FOR
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II■01S34L, II' 1:0S31015291: S467
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DOLLARS IS
015OF. 9fill

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Date —Time
While You Were Out
M Mle Lori°nce s(job v
of
Phone
Area Code
Number Extension
t r� c�.t
1 � ad ��s� � ►�ex�s
SIGNED
Reorder No.01325
URGENTI
TELEPHONED
CAME TO SEE YOU
RETURNED YOUR CALL
WANTS TO SEE YOU
PLEASE CALL
RUSH
WILL CALL AGAIN

I
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. ❑ Agent
X
■ Print your name and address on the reverse ❑ Addressee
so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
94"'ta- W�/Y-"�-
3r�6�,
D. Is delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3. Service Type
Gi c5ertified Mail ❑ Express Mail
❑ Registered im Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from son 7003 0500 0005 4017 6433
PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081
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Postage
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PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT
OF THE RETURN ADDRESS FOLD AT DOTTED LIME

ADJACENT REPARLAN PROPERTY OWNER STATE-N EN-T
(FOR A PIER/MOORING PILINGSIBOA TUFTIBOA THOUSE)
10
I he-eby ce:dy that I own property adiac_nt to �,(�,1����vCC1
(Name of Property Omer)
prom.., j locttd a: 40'�.�' S�
(Lot; Block, Road, etc.)
on Bid4.0 CIF � , in ��'2-ir��'" , N.C.
(Waterbody) (Town and/or County)
I-;e ha5 de -sr ---bed to me, as sown below, the devc!opm-nntc hC, is propos:'&,at location,
and, I have ri"' objeCdons to his proposal. I und-ers=d C': a pien mooring
pi[ii,r5;in�a''iuugc= Ql!5: Must be L'" back a minimum di5tancL of f,-,'.: (_5') Fo„i my are,
or ripa:,e.ri access l::ii!SS waived by me.
/ I dn not wish to wa vd trre setbackrzouirir,�e:�_.
I Ln w s to wi=•;ve ['.,t se:bac r-cuireme:it.
DESCRTP-1ION A.N-D/OR DRAWING OF PROPOSED DEVELOP!t-\`T:
(To be fill° it by iri4CAdii•url Procosir.; de�elorrlerr)
� r,<'
R�ArtSly �
T
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Paint or Type Nance
Te'.ephond N'L!mbe:

ADJACENT RIPARLAN PROPERTY OWNER STATE-N ENT
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOLSF)
IUN 19 2003
I hereby cerdfy that I own property adjacent to "'s
'ame of Property Owner)
prom.. y located at S2 3 GG /h�trr -
-- ,
(Lot; Block, Road, etc.)
on &&. Q : /'fs , in G RZIeE17— , N.C.
('Waterbody) (Town and/or County)
He has desc-Libed to me, as sihown below, the development hL is propos:47Z z: &iat locatton,
and, I have no objections to his proposal. I unce:szand ti:_; a pier/moor-ing
piii.ngs;'boa:Ii'u'boathous: must be se_ back a minim„um distance of l iLeez f:e: (5) �'-om my are:
of r;oa-ian access unless waived by me.
I do unt wish to waive the setback requirement.
I Ln wish to wive t :::t setback recUiramteit.
DESCRIPTION ANDIOR DRAWD;G OF PROPOSED DEVELOPO%ENT:
(To be filled in by individual proposir.ce.elopmenr)
6•Y1STnry 4--
SI�n2
�%
Print or Type Nizme
L/ z/2
Tz'.epRone i�umbzr _.......

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✓i�
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'JUN 19 2003
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY O NER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: °�� S e ` " ` 6AZ 0
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described 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.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza 11, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
i trt re
/ Date
Print Name
Telephone Number With Area Code