33674_NC DIVISION OF MARINE FISHERIES_20030731

L_ICAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New -]Modification C_'Complete Reissue L 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 1 6 - rt 0 •./�r� r > _
Address '
City t <rr PMr� �'/ _. State I7 ZIP 2n SS
Phone # () 7724 • -(t ZI Fax # (,)
Authorized Agent
Affected ❑ CW ❑ EW C1 PTA ❑ ES ElPTS
AEC(s): ❑ OEA - HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / li j PNA yes / C ` Crit. Hab. yes / no
Previous permit -
Date previous permit issued_
('• 7cz,,
L] Rules attached.
Project Location: County p , .f,­ , 7
Street Address/ State Road/ Lot #(s) T
Subdivision
City__ Vaq P, 11 f� ZIP
Phone # O n River Basin
Adj. Wtr. Body f /�r
(nat man unkn
Closest Maj. Wtr. Body / �
Type of Project/ Activity
/rrk r,
(Scale: A),;N r )
Pier (dock) length
Platforms)
1 ,
I --....._ _ I_..-
-� --
�'
Finger piers)
I
T)
Groin length
number
i
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
K—F
cubic yardsBoat
rampBoathouse/
Boatlift
Beach Bulldozing
Other1114
. _.
rA
- — -
l
-
Shoreline Length..
SAV: not sure yes
C� -- _— —
Sandbags: not sure yes
Moratorium: n/a yes
Photos:
Rio
(na
—
4
yes
Waiver Attached: yes
no
A building permit may be required by:
See note on back
regarding River Basin rules.
Notes/ Special Conditions
-1,�lr p1,t�� Imo,*
�� t* ��;�r
�,.�� �-„•).
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature 10 - 31- Q 3
Issuing Date Expiration Date
re. ,4f•r� (r. J fr 2 -7-/f'4
Local Planning Jurisdiction Rover File Name
a

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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_j 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 10/05/01

r-
ADJACENT RIPARLA.N PROPERTY OW_1NTR STATE_-N ENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSF
I hereby certify that I own property adjacent to _%% L, T1 OFF rl �✓'�L���1-`�
(Name of Property Owner)
property located at 1
(Lot; Block, Road, etc_)
on �� 0 () l tf l ✓Cg , in 0U ff R1 N.C.
(Waterbodv) (Town and/or Co
u tv)
He has described to me, as s<<own below, the deve?opme:,t he is propos:-_ a_ that location,
and, I have no objections to his proposal. I unde.s;.a1d tha_ a pie:; mooring
pilingsrboadifr/boathouse must be se: back a minimum distance of F. l-eea fer: (115') from my aria
of riparian access unless waived by me.
I do not wish to wa re the setback requirement_
A, I �. wish to waive t`at setback requiremelt.
DESCRIPTION AN-D/OR DRAWLNG OF PROPOSED DEtiELOP`IE\T:
(To be flled_�q b*irzdtvid&d1 propogrr-dpmerzt)
rls
SiQriatur� � `�
Print or Tvoe Name
= k - % - 1/ 361 0
Telephone Numbe-
n :��

ADJACENT RiPARL-kN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to �l (/ �� /�%'k'llybl rl
(Name of Property Owner)
prope. �y located at ;12 G l oe2—ro gd i
(Lot, Block, Road, etc_)
on j i H �� ✓tr=% , in C)OUTtf �1 �"�� %' C'��k�'t'f , N.C.
0()
(Waterbodv) (Town and/or Co u "ty)
He has de-scn-med to me, as sown below, the deve?opmeni he is proposi-_ that location,
and, I lave no object?nnc to his proposal. I unde.sm- d &,a. a pie;/mooring
piiings;aoadifrfboathouse must be se- back a minimum distance off. f-Leta fee: From my area
of ripa-"an access unless waived by me.
I do nnt wish to waiv-- the setback requireme2l.
_4,e _ I Lo wish to waive t`.at setback recuirement.
DESCRIPTION AN-D/OR DRAWENG OF PROPOSED DEVELOP`tE\7:
(To be filled is b*-iruftride-dI pmpoirnr ,dIqelopmerzt)
VIP
pqh) &:S
Signature
�'91 1116qR D Y D,4 R i 1'7`199P U
Print or Type Name
1a0 old (/,ov(Foo zo RCI
IUD r� 669/v, N,C. a5`,9, - 633 -36 30
R bS Q Telephone humbe: