40369_SHORT, JAMES_20041130

j
❑CAMA / i J DREDGE & FILL.69
fit,
GENERAL PERMIT
Previous permit #
New ❑Modification Complete Reissue 'JPartial Reissue Date previous permit issued
As aut orized by the State of North Carolina, Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Li;�Rules attached.
Applicant Name Project Location: County e
Address v R t4 - �r ,.i
ttF'r� Street Address/ State Road/ Lot #(s)
City %;, t t i z,e£�r cr c )i State ZIP 4
;I
Phone # Fax # O Subdivision
Authorized Agent % 1 i • ?� r' AJe F City _,%,.z .' /'; ';> %< .icy' ZIP
;i
❑ CW C91EW [RPTA ❑ ES ❑ PITS Phone # River Basin t
Affected ( ) ;,+ '~'' �3
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body -'A �� �:I �'1 r (nat /man. /unkn)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no
-
Type of Project/ Activity
' (Scale: )
Pier (dock) length_
Platform(s) _
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
A. iL. LO
�.
Boathouse/ Boatlift
-- -
Beach Bulldozing—
i
Other
1
Shoreline Length
{
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
— See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant. Printed Name
J,
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
L i��/y•�
Local Plan ningJurisdiction 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:
j 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 / 1-8884RCOAST
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

INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190
ORIENTAL, NC 28571
252-249-1429
PAY
1761
.` � 66-301531
U r� ® 472
DATE 7
10. oU
TO THE fJU
ORDER OF \ 1 —/'�' —DOLLARStoo
f/ FIRST CITIZENS <,2 /`
r r 7�T7<I orleAulizam Bank 6 Tr s1 Com7anY .
�y1r1� Or1aMaI,NA. 28571 NP
www.firstcitizens.com - I
FOR _
u'00 L 7 6 Lil' i:0 S 3 L00 3001:004 7 L 20 L 28 2 u--

11/22/2004 12:30 7151582 FAC CONST PAGE 02
NOV-22-2004 MON 11:13 AM CNSWG-2 OPERATIONS FAX NO. P. 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIFRIMO0)ING PIL NGS/$0ArLIFTJBOATHOUSE)
I hereby rertifY that I own propertyadjacent to D�,—zer- `J / rn 4's,
property located at �l� (,!1 �Rr4' u g (� � r Property Owner)
jj (Lot, Block, Road, etc.) ( - - -
on
g'-J 9"�' 4��a V- leA- �6� ticf- k' Nc
(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/boatllftlboathouse 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 2 wish to waive that setback requirement.
----------------------------------------------- DESCitIMON AN-A/OR DRAWING Of PROPOSED DEVELOPMENT; ----
(To be felled in by individual proposing development)
S-'C-e-e
------------------------ - • ^ --- --..
S��naturt
Print or Type Name
Telephone Number
Datt i/ Z � Z7¢

M '\Gl,LLJ
L:1' s
Canal
F.
Ramp
A
$ Distance across the canal:
Finger ---_-__ _ ....._. ._.___._�._�.. _ _�. _ ._ � - ---Canal
15' Pier
2' Over water
3'
6' 06' Deck along sea wall
10311 200 sg ft Deck
44
201
1. Sea Wall Deck: 6' X 96 minus
2. (X2) Docks: S'X20' & 3'X12'
3, Piling and Tie RAcks: @ 96' ft entire length of sea wall)
4. Deck: 10' X 20' aC Ill
5. Permits:
6. Old deck removal/ di .
3m
•
I.

I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to \J a ;1A e K �/LD ►^ l 's
j ) / � (Name of Property Owner)
property located at
(Lot, Block, Road, etc.) /
r
on �Svt�, , in ,NC.
(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/bo atlift/boatho use must be set back a minimum distance of fifteen feet (15")
from my area of riparian access unless waived by me. 11
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -
(To be filled in by individual proposing development)
s,-e k4C4 i
---------------------
-------------------- /
Si ature t�
�F
Print or Type Name
a5,51- 7,--�k - 7cc
Telephone Number
Date:

r
Canal
Ramp
20'
8'
Finger
15' Pier
Distance across the canal:
12' Over water
T 3'
6' 96' Deck along sea wall
10' 1 1 200 sq ft Deck
20'
1. Sea Wall Deck: 6' X 96 minus 25% self decking
2. (X2) Docks: 8'X20' & 3'X12'
3. Piling and Tie Backs: @ 96' ft (entire length of sea wall)
4. Deck: 10' X 20' @ g
5. Permits:
6. Old deck removal/ dirt:
Canal
jr}�