Lampe, John

•i/
CAIWA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
&14ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j / / � 60
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / l� ! v
I ) IQ�ules attached.
Applicant Name ) Project Location: County'c"�' K"l'
Affected ❑ CW SEW p PTA ❑ ES ❑ PTS
AEC(s): 1-1OEA ❑ HHF ElIH ❑ UBA El N/A
❑ PWS: ❑ FQ
ORW: yes / no; PNA yes Irnol Crit.Hab. yes / no
Type of Project/ Activity 6761, t` c t
13 'xi 3` !!;16r-4 .- (4j
Pier (dock) lenzth"+
Street Address/ State toad/ Lot #(s)
Subdivision
City S= 0c.+c'P3�t t ZIP //�
Phone # ( ) River Basin `tom" � tlt-
Adj. Wtr. Body ) ` /� i' Ma /man /unkn)
Closest Maj. Wtr. Body - o L4
(Scale: it.) T5 )
4
MIN
i le qgth
.number
mulmLig
OEM
mcm
IN
■�iiii
MEMNAMENSWEAMEMEME
avg distance offshore
max distance offshore
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■ramp
MMcubic
�
yardsMONENOomMENNEILIZ
A building permit may be required by:
Notes/ Special Conditions
j'� / /❑ See note on b%a k regarding River Basin rules.
c 1 r9 ca 'i" G e^ ; i t . (['! ,r- i
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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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar - Pamlico River Basin Buffer Rules 0 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

•
-0
DCM-MMMY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to 73c) A" t ItIcyn c � L o/►n e 's
(Name of Property Ow er)
property located at l93 -P- er qn e % G
I (Address, Lot, l5lock, Road, etc.)
on /'d i fS , in 6/udC--X76- , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
Owner Information)
l� #
t'nnr or t ype ►vame jr
-S / 4 dpo-c c wc,) J J�l.
Mailing Address
-S)nHAPicicl. N c• 27S77
City/State/Zip
919, 6'3/• 710Y
Telephone Number
3/a f / goJ V-
Date
(Adj
n)
Sigtdf lure
Print or T pe Name
Mailing Adss�a V's
City/State/
Zip
ll
Telephone Number
Date
RECEIVED
t: AH 0 3 to
mC1�M�UC'�TX'
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to —ia!t '' Arn cy ta 2 's
Property property located at /93 �i�e/` ,Gom c / (IName ofroperrycaner)' Name
(Address, Lot, Block, Road, etc.)
on Sf , in G/y,''e-rfey, � 'n , N.C.
(Waterbody) (City/Town and/or County)
The app 'cant has described to me, as shown below, the development proposed at the above
locati
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
(P
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
ation)
Print or Type Name v
2716 2vS Wwd ,l�nu
Mailing Address
City/State/Zi
5/ 5, 4673/•
Telephone Number
3/,;?-,�/ _Je/y
Date
( dja nt Property Owner Information)
&W T
g "� I_
1 " 3WA I •
Pri� � Typ� Name t 2�
�1Cy—
MailirigAddress
s�&� r � �BS�$
City/Stat� tp
Tele o Numbe
d'
Date
RECEIVE (Revised 611812012)
APR 03 2014

Davenport, Ryan
From: John Lampe [e-mail]]
Sent: Monday, April 07, 2014 5:39 PM
To: Davenport, Ryan
Subject: John Lampe confirms Larry Arnold as agent for pier
Ryan Davenport,
As per our earlier conversation today by phone. I am appointing Larry Arnold , my marine contractor, as my
agent with full authority to pick up permits and represent me on any and all items concerning the building and
permitting of my pier for 193 Piper Lane, Gloucester, NC 28528.
Many Thanks for all your help ............ John Lampe