41947_TURNER, ALLEN_20050620

_1CAMA DREDGE & FILL
GENE L PERMIT
permit#
Previous
1744ew I _:Modification ❑Complete Reissue
LIPartial Reissue Date previous permit issue
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 A l f �`' { �' f F' i
❑ Rules attached.
Project Location: County
//
Address X i Y `�f ' J
_ Street Address/ State Road/ Lot #(s)
City I - / ` i State � ZIP
Phone # Fax # (_)
Subdivision
Authorized Agent ! M� -
Ag i �f i '
l
City ZIP 1
Affected ❑ CW -I EW ElPTA )0fS ElPTS
Phone # (_ ) River Basin
CI OEA ElHHF ❑ IH ❑ UBA El N/A AEC(s):
Adj. Wtr. Body r U'(nat /man /unkn)
C. PWS: ❑FC:
ORW: ye PNA yes / no Crit. Hab.
{
yes / no Closest Maj. Wtr. Body ��
Type of Project/ Activity v r
Pier (dock) length_
Platform(s)
Finger pier(s)
Groin length -
number
' Bulkhead/ Riprap length
avg distance offshord d,
max distance offshore
Basin, channel -
cubic yards -
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length _
(Scale: ,v ' { )
Imo,. ,.,.. ... .�... �.. .«. „�., •ram
f
t
SAV: notsure 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:
Notes/ Special Conditions
--o
ent o Applicant Printed Name
� rrt C . S L r�.�� 19 U
SignatPlease read compliance statement on back of permit
lur rU U
Application Fee(s) Check #
i
1— See note on back regarding River Basin rules.
—f
Permit Officer's Signature
lss�ing Date{r ExpirationDate
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency It
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_ Tar -Pamlico River Basin Buffer Rules j Other:
L_I 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 / 1-888-4RCOAST
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
151-13 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
- �1
I hereby certify that I own property adjacent to t��! � .ol- � � 's
(Name of Property Owner)
property located at (% 6a4il ( r /J
(Lot, Block, Road, etc.)
on e4 , i'Z�Y, in (:�� '1, , N. C.
(Waterbody) (Town an /or C unty)
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/boatlift/boathouse 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 do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C-�
Rtp>¢y/
CA1,, 4 �i
4 fft10 V ovr.4 x> E 4 4-
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(1-1Iqil
---------------------------------------------------------------------------------
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Signature
11 �
a� icy —I L/,
Print or Type Name
Telephones Number 6 Date: 17 0,5

` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to e'Y 's
(Name of Property Owner)
0property located at
(Lot, Block, Road, etc.)
on i,z C 7h),6� z , In C >el �l �, �-�i` , 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. I understand that a pier/mooring
pilings/boatlift/boathouse 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 d-u wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-o (-o "cL
Signature
�i \ , U--)QCa
Print or Type Name
Telephone Number
r Date: 7
� l!'3

JAMES E. DAVIS NCDL 5446287
DBA DAVIS MARINE CONSTRUCTION
PO BOX 1264
SWANSBORO, NC 28594
Pay to the
Order of_
Date0 D y
m
2237
66-30/531
341
v`r' 4�Dollars
FiRsT CITIZENS ]4,
CFCitimu Bank
6 TrwSWroboro, N.C. 28584
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GUARDIANS SAFETY YELLOW WUYE
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