41349_STEEEPY, THOMAS_20050504

' {CAMA / 1 DREDGE & FILL
GENERAL PERMIT
if 4revipermit #
DNew ❑Modification JComplete Reissue JPartial 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
❑ Rules attached.
Applicant Name % Li O r r u 5 �� e ,%11� Project Location: County y
Address 2 / -7 !C U a C Street Address/ State Road/ Lot #(s)
City �3?6 Caul'- State vC ZIP �S �� �/ '/ �dG/f !J✓
Phone # (j 5?) ',iz' `T `7'%/' Fax # ( ) Subdivision/r
h_ ��Pu v - ZIP Authorized Agent City CW .Lkm 'PTA DES ❑PTS Phone # (=S2 )7 �"`7`'74� River Basin 1.UA U4-
Affected OEA HHF ❑ IH ❑ UBA N/A 4, v -C 7
AEC(s): J El[IAdj. Wtr. Body�,�''I� tlnat:✓man /unkn)
J PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. BodI 55`
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) U .l
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel _
cubic yards__ _
Boat ramp _
Boathouse/ Boatlift, F
Beach Bulldozing
Other __
4-
'� j � Z Ai�6li
1
Shoreline Length
SAM not sure yes no-
i.
Sandbags: not sure yes 'no r
�i / Moratorium: n/a yes no J y % �'t L G ;
Photos: yes no' P-
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name j
Signature * Please read compliance statement on back of permit
-] � Lj ,=)
(Scale: /f- 5
_- See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
I
Application Fee(s)
Check# 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:
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 / 1-888ARCOAST
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.nccoastalmanagement.net
Revised 10/05/01

9vi7�,oi Clia4, -"/ `�to
ADJACENT RIPARIAN (PROPERTY OWNER ST TF'N'ENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BUATH Z $
I hereby certify that I own property adjacent to T\Now
i Pro--t'l—wne�r) ��ins
(Name o Pe Y
Murehedc
property located at ? �' ——�
(Lot, Block, Road, etc.)
on 1JQ�J �� ��v eJ'' , in
jec&%&�Ok , N.C.
( aterbody) (Town and/or County)
He has described to nee, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a
boatlift/ must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I d._DAt wish to waive the setback requirement.
/ I �-' �.,f1'��' I tag wish to waive that setback requirement.
---------DESCRIPTION AND/OR R
(To be filled inr , in
+
�j ---------------------------
I1SG OF I�EtUP- O- •SED DEVELOPMENT:
(vidual proposing developmer:t)
O
�octic 1�-,-�-
40r
►3�
-----------
-------------------------------------1----------------------------------------------------------
Signatur
LJ
Print or Typ Name
,�5Z ? Z8-6 2-00
Telephone Number
Date:

ADJACENT RIIPA.RMAN PROPERTY OrWNE pA1 ATFNU IN-r
(FOR A PIR1�il�1tVt3� "'G'P,,..f, T'-"""'AT'A....
r
1 hereby certify that i own property adjacent to ���v!MAS ----�
(Name of Properly caner)
property located at Z-
(l.,ot, Block, Road, etc.)
2c,c%A- +Ovl N.C.
on ��J o�'� ��V�J' �__ -_, to _ _ _____------
( aterbody) (Town and/or County)
He has descrtbeii to me, as shown below, the development he is proposing at that location,
and, I have no objections to -,is P �opmum distance of fifteen feet (15 }from my�ar�ea
.:boattift,� must be set back a m.n
of riparian access unless waived by me.
j dQjQY wish to waive the setback requirement.
t do wish to waive that setback requirement .(o�i�Y ci3 df-{c�r6eoP �jelow (� —
0ESC'RlVTT0N AND/OR DWt
(To be awed in 6- irali,
s
Q )(- 0S A r
"D a \
-t- Apc k,
0 &O1'OSED DEVELOPMENT.
idu : roposing de�,eloprnenl�
1
_----------------------------------- ---------.-------- r __-.'_'` -. -..-
Signature
;:Tint or -i-ype Name
T:Iephone ;�iu�„`c7c. �51 ) `I 3�- 9113 �x+ 2.2-?2- !JE
Date: �4— /; - O.S

DR. T L STEEPY
MARGARET IB STEEPY NCDL 3549780
217 Rudolph Drive Ph 252-728-4754
Beaufort, NC 28516
7343
66-21/530
BRANCH 77674
Date
Pay to the NI $
Order of C/
u
naWACHOVIA
Wachovia Bank, N.A. �—
wachovia�,
For
i:0 5 3000 2 19l: 10 3 3 5 15 500 68 9"'
stars ! ��C°• ��
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