34037_LUPTON, CHARLES HUNTER_20030521

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
-]New ❑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 I SA NCAC
❑ Rules attached.
Applicant Name , k a
Address is I::�. Ic'�, .
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Phone # Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW p PTA ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
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Agent or Applicant Printed Name el'�` Permit Officer'sSigrla T
SignaVre ` Pleese read compliance statement on back of permit Issuing Date Expiration Date
ApplicationFee(s) Check# 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 / 1-888-4RCOAST
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: 9 l 0-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

19 May 2003
Ms. Wheeler,
These are the waiver forms you requested before getting the CAMA Permit for the Finger Dock on
Loblolly Road, Pine Knoll Shores. You have previously visited the site. Builder will be Jeff Nelson of
Nelson Commercial Contractors.
Thank you for your prompts assistance.
Hunter Lupton

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ; n � L-1 p Lpa -IS
(Name of Property Owner)
property located at
r S3 Lcbloll,
(Lot, B
k, Road, etc.)
on �_ anl)) Wn e ��_, in f 1 ���,�,Ie,l I CShC � L-', , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�:) put - ' S
Signature
i� rtL-D c5 S 4c a kc� ( q , J
Print or Type Name
(Sig) 4- 3 t0 y- S u +
Telephone Number
Date: M A", 14 , 2C u 3
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[phone] � [phone]

FEE-26 ,2002 TUE 10' 33 AM NC D I V OF COASTAL MGMNT FAX NO. 2522473330 P. 03
ADJACENT IUTARL4,N PROPERTY OWNER STATEM E'Nfi
(FOR R PIERlMOORMG PILINGSIR0ATUFT,1ROATHOC-SE)
I hereby ce:rify that I own property adjacent to (� s , ���_ [ N O's
(Name of Property O�rer) �'—
property Icxut--d at 4o'�-
%(Lot, Block, Road, etc.)
N.C.
(Waterbod) (Town and/or County)
He has descroed to :nP, as shown below, the deveiopme,j: he is propo?{r.� a ti,at locaticn,
and, I have no objecdons to his proposal. I undersrr_d th ' pie:,'moor;;,
pi'iin4al�atiizt/boathovse must be sx� ha It a minimum distance a nireen feet (I�`) frr�.n my arm
of riparian access unless waived by rye.
— i -do DO wish to waives the setback requirement,
c wish to L• 2"'ve Isar 5ecback rt,uir, , —,i.
DLSCRIPTION AtiDIOR DRAWER ; OF PROPOSED DEVELOPNITYr,
(To be,filled in by individual Prvposin,� deyejopm r )
4anaTratUrp.
Print or Typ- Nark
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