47403D - Lanier

❑CAMA/ ❑DREDGE & FILL 47.103
GENERAL PERMIT Previous permit#
'❑New ❑Modification ❑Complete Reissue ❑Partial 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
El Rules attached.
Applicant Name } i_ L i .. ' L Project Location: County
Address >�� J
��: �• i t \,v \ D
N/
City
State <-"' C
ZIP
Phone # O
Fax # O
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no.
PNA yes / no ' Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s),
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic ya
Boat ramp
Boathouse/ B,
Beach Bulldog
Other
Shoreline Len
SAM n4
Sandbags: n(
Moratorium:
Photos:
Waiver Attacl
A building permit may be required by: }<, ` L. 14:j t'
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Zs' 3S
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision
1
City is r: I ZIP
Phone # (J) River Basin
Adj. Wtr. Body (nat /mari /unkn)
Closest Maj. Wtr. Body '>> "" ��
(Scale: 1 4' .--) )
❑ See note on back regarding River Basin rules.
Pelf it Officer's Signature
1 i
�a
Issuing Date Expiration Date
Nli
Local Planningf urisdiction 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:
El 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
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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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 26405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Ljr,)- ---,.
f1CAMA/ 1:DREDGE & FILL iJ
GENERAL PERMIT Previous permit#
New Modification JComplete Reissue EPartial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 '
Rules attached.
nt Name 1,4,4 C L LL E. L.A►)Z C; cz-- Project Location: County Pr.01-3 IL
s 3-S-7 j tx)C 1-1 w 1 S'3 VS/ Street Address/State Road/Lot#(s)
>.n 0.C, aw'' State IJ L ZIP Z31f Z.S� 9 6 A V A v e"
#( ) Fax#( ) Subdivision
zed Agent t Avt (SAR.i) .)at\— City 0PSA I[_ aEtet Pt ZIP 2-S4I
C CW x-EW -PTA ❑ES ❑PTS Phone# ( ) River Basin e,Apt
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 1;PSA1 t_ �3.4 13 (nat
❑ PWS: ❑FC:
yes n"• PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body SA0 V-S rttl 0 rJ f: /
)f Project/Activity III AZ N1 E+-) e 1v L 1` E>[ `av f- TL ..�
(Scale:
ock)length
m(s) i i : -,+ ,
pier(s)
,
ength
umber
ad/Riprap length
ig distance offshore I
tax distance offshore I
:hannel g X SJ v - 3 t-•nl-ir--iV--etaAx. e PTA i i
ibic yards to 1
mp
use/l3oatlift I A 0 -�
i- —r . �� 1-
3u11dozing T
i
f ,„,,/ ,/,
le Length �`� . , / � � , ,
IIIt ,
not sure yes Q
gs: not sure yes ro� -.._.... . I _ J. ..........
rium: n/a yes —�
+.....
Yes p
Attached: yes - I t 1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ' La,z„,,, lam'
Address of Property: 9'j'ô 6Ay' b // G��JU&--
(Lot or Street #, Street or Road)
C1/7,Zael Pe.==x4)69(__
ray
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ_::
applying for this permit has described to me as shown on the attached drawing the dove!;;: m'n: ::-
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast.
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79( -721
within 10 days of receipt of this notice. No response is considered the same as no objection I
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock,.mooring pilings, breakwater, boat house or boat lift must h
bck a minimum distance of 15' from my area of riparian access - unless waived by one. , If
NN ish to waive the setback, you must initial the appropriate blank below.)
reme
C/ I do wish to waive the 15' setback requirement.
ui t.
I do not wish to waive the 15' setback requirement.
ta.
-d /r/ field.Diu
*:sn . ;Zme
Date
•
eAro,i1/ -' '
Print Name 7‘..,,/i77 Ar

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to L V6 C/ /le `"--G�v(,'P r 's
(Name of Property Owner)
property located at ! 6 C—t 1 i':
(Address, Lot, Block, Road, etc.)
on , in TdS4� �J�GCA , NC.
(Water body) (Tdwn and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
4re
1, /I 141 /`• J a r d40 f, J(
Print or Type Name
U() - aZp -oJ '
Telephone Number
/— Z- 07
Date

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