Wasley, Crystel

'A T
all" -P
GE & FILL N 0 6279A
GENERAL PERMI Previous permit #
New ❑Modification ElComplete Rei &artial 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 environ tal concern pursuant to 15A NCAC 90
-7-77, El Rules attached.
Applicant,�am-e- Project Location: County C
Name.`
'Address Street Address/ State Road/ Lot #(s) P
I e
city—(,- C State/Vzip)?) i J! t
�Fhone # (0, Fax # Subdivision
1Y
A
�dth*orized Agent City zip
Affected El CW ZEW IaIPTA OES 0 PTS Phone # River Basin U A
AEC(s): 0 OEA 0 HHF 01H El UBA D N/A Adj. Wtr. Body �rna—t, /man /unkn)
11 PWS: Crit.Hab. yes no Closest Maj. Wtr. Body
0 RW: (7y), / no PNA yei�)
Typeof Project/ Activity Yl
Pier
Platf
Fingi
Groi
Bulk
Basis
Boat
Boat
Beac
Othi
Shor
4SAV-1
Sand
mopl.
Phot
Wai
(Scale:
length
i
number
iead/ Riprap length
avg distance offshore
NONNI
max distance offshore_
NOON
NNNOWNE
,channel
cubic yards�vA
ramp
3W
atlifl
iouse oat i
i BuIldozin
9
OEM===
111"NIMMINEENNNENE
line Length
J�s J Cn'o),
N
mom
mom
111MINE
0
NNNNE
�ags: not sure yes
MENEM
torl-m- n/a
Y:
S*1 y n
er Attached: yes -,n�o
ENNOMENEENEENNE
MONNON
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions 0 r, 171
Agent or Applicant Printed Name Pem
Signature --**Please read compliance statement dback of permit" FSS u71 1
C)
)ate I
rition Date
Application Fee(s) Check # Local PlanningJurisdiction Rover File Name

f
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 thatthis 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 (910-796-7215) for more information on howto complywith 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/ 1-888-41RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: (2 1a Lt, - [
Address of Property:
113 --1-) ccks Cr�,- Ql— --Iz!;-.L- .1
(Lot or Street #, Street or Road, Cii & County)
-,er N — aK 5c%`
Agent's Name#: X-'�n ��� Mailing Address: CScmmp-rc-�e-Ave-,
Agent's phone #:(ti40 ✓e- \
�� �`1 � c�w1�� he�c�
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
ow— I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM1 in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.nettcontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin muf,�"�
back a minimum distance of 15' from my area of riparian access unless waived bj fine. (If you
wish to waive the setback, you must initial the appropriate blank below.) i
AUG 0 5 2013
1 do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
'� AGM MHA CITY l
(Property Owner Information)
Signature
G9-LI S 1 H wA b L-6V
Print or Type Name
Mailing Address
L-aoVkC-jz;�
City/State/Zip
252- 7"L9 1'EZn
Telephone Number
�1111 t3
Date
(Adjacent Property Owner Information)
Signature V
AAXqV-. 701l
Print or Type Name J -
Mailing Address l
A)Cjzop
City/StatelZip
g/,?- 93-� -67g z
Telephone Number
? 272013
Da
Revised 6/18/2012

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0-e-r-5-1 A is
(Name of Property Owner)
property located at
1' (Address, Lot, Block, Road, etc.)
on e`s , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I 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 sitedrawing)
L,,,J
c�F sr,�a11 1 ��-1-
AUG 0 5 2013
WAIVER SECTION fY
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or grovem- gs)v((Ivyytu
t
back a minimum distance of 15' from my area of riparian access. unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 16 setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Over information)
Signature
�i2H
Print or Type Name
113 17ic�C's Cve.�� �ci
M 'ling Address
-10%&(-Q<-.k-r hX. 01�SASS
City/stateMp
7 ac) -1 c& I S 571-gzto(p
Telephone Number
315113
Date
th(12u/1r
;Pnn
y5 -�L-
ailin �ddreC�Q�(� %Z%C
City/State/Zip
1-2-9 I.M 2-6z 7zf9�Jy
Teephone Nu ber
5 / 1;?
Date
(Revised 6(18)2012)

proposed lift position on front
of dock, facing Harker's Is.
existing platform
shore line
JAUG 0
52013
t
DcMMND CrrY

Page 1 of 1
JMCEftD
AUG 05 2013
http://www.boatliftwarehouse.com/boat lifts/tidetamer/images/swinger-150... 7/13/2013

GO' � sIe earth feet 2000
meters 900

CobgectGIS Feature Report Page 1 of 1
Carteret2
V,P'_ONNECTGIS WE8 HOSTING Printed August08, 2013
Parcels (Updated 07/03/201363
858• - �
Centerlines
3G.39 t.r
46o
County Boundary
4605 r-=
i3ther
4587 •
PIN
1'f - Acreage
51 '
Parcel Dimensions
y Lot Number
Ila
«.�Ak
K
1
N Total Length: 68.57 Feet
351.37 Sq. Feet
_ or.01 Acres
WE or Sq. Miles
S 1 : 68 Feet
http://carteret2.connectgis.com/DownloadFile.ashx?i=_ags_mapO5e372e6471 f4fbe8897d7e... 8/8/2013