38570D - Mossman

4.7
2CAMA / J DREDGE & FILL /O (/
3ENERAL��{� PERMIT Previous permit#
Jew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized 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 17 N • 2-00 0
Rules attached.
It Name•+ St V A r 4- A. ill SS nvt A r} Project Location: County 'Pe nG(c
Lf- ' I n v!f)e I Street Address/State RSad/Lot#(s)
IA r•., ip 1 eae! 6J°"tr''StateAiC zip28LI43 - F �/1 f-1,1krs K€i
(110)Z'70-313 3 Fax#( ) Subdivision (--iJ A 911"'‘j l a", A(>-e 5
ted Agent City 1-1 c,)7+1 p S4eACl ZIP Z..c3 I'
,6CW )EW $PTA .'.ES ❑PTS Phone# ( ) River Basin C.,4te
I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body C i eQ 4- nat /
❑ PWS: ❑FC: ,
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body .1,I 1" C ree L./ 3-/"
f Project/Activity A)e w iN I n. A 4 lurk, dock a`i/ f i i i(n. (,"'t W,-- �1•h )e-C i S-4;,.q
p ' C ✓ (-co -1,,."( 4 1. 1 (Scale:/'1, ,
)ck)length
i r / ,
n(s) Z O �C g r10 ICE'--0-`x-ta plo? reo r 1 ( i
Li T
>ier(s) i , 1 C ld e k f tarp/DX g•f tri A1'k i.
:ngth I i . i
amber
id/Riprap length ,--..1 4- .4 1. I. e S __I-..._-
g distance offshore r_-t-___ i 7 'p i. " " ....^
hannel i I , �,r/ i,ii:ee ZP `� rei'iill
ax distance offshore �__ �__
f
- Y _
ibic yardslir
mp - -i -.-. I 1_ - ?roes 304 i& k /D1
use/Boatlift I �'
/'
Y 1 i
{f 1 j
3ulldozing
t ! -
9
�t ,,A 4 t
H
, i 1 t i 4
_. ..-. .fr
ie Length i,, —_
not sure yes no j ,
, / ' Fil r
gs: not sure yes no
rium: n/a yes no r
� t e
I-
y I 1 . I I ! j y=7
Attached: no
ling permit may be required by: Pe r c(Q is ('o cn n 4 y . 7 See note on back regarding River Basin 1

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: S-1 ve r ' 1l oS$hr.otVl
ADDITIONAL NAMES:
SEC DESIG:G W f ON 11''T) E, DEVELOP -:~=_- (�,O J PROJ DESC: P -
(Wiil only ta:c 6) (Will onLy tat 1)
WORK: EL— 6) 18 • F 2_ 0P
(Will only tazx 4)
Mai:
, (Will only tx::r.4)
-D: 1%1 14$ D Ai 1 r)
(-A-di only of
•
AL 1ION DPIRATION
DREDGE&1 7 R QLTIRr`�?: ri i 9 1 0 1- t O /e/P
C.LmL4 aJOR DE vEL REQUZR : l h;3/CI Li. /6/ /C)

.�- d4 .L' 1
3� IA At. 19b - r --' s 4
5 s-vv 9 -411- •9lxa 11/4 \ s
'r1 X� 55 b0 9 49(05
•7a►o2tf i Maiik
1 • OLdfd)( 7j A\ lA
- 11 I /N INLV I* 6 QL i 1 i'4') `7p. }�
' ›C MN ,
�Lvo� 1�g W ilm ) '''a
15 )(4cre i M C
0c It
,d // SRUc) ''' if
sz 2 Jo to i'q A 1'1
M 41 N ri )
I Li ; 1 AI PI\ KA (1‘
"s;-ln 111A ; t•lit d
ti All _ram
if ,
.grv>Z a vers 55310J
e �..Ir'v.I n-tom 1 s1w L 4C t'/AA •CT Y e 7 i.4.=%,%Li i I J... /'3 /

, i .06'T - --Y-i C.. k
lz
, urn
1
i. , .
-N
(18:
I i I. i .A _'- CTtab
t.
,1444
v 1
. --,-4.,
,.. ,
— —4 1 . -1-i---1 ua ciek - I -
\ I _It-.10 _ 1 ct P. =
''. ll i 1.4
3.
- _ 06
1,_ i '--4 I
T .6 i i.• -
M 0
f I Ir
4 `% O \
• i
N ,
r
7
'2. ,
s .
l'
, i• r , � I I a � c .
x o L , I AA
" 1--- i _
-4 t ' - -(T. '1,. , .
1 I
\ ; ; 1 '4 I 1
-'- C ---r--}-
TR ,
�_ - ,
1

DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to your
CAMA Permit Officer:
1. Signatures of no objection to the pier, from both adjacent riparian propert)
owners.
°ir Fill out the attached forms, complete with drawing of the
proposed pier, and have your neighbors sign and date in the
appropriate place.
car If your neighbor will not sign the form, or lives out of town,
you may send the form to him, certified mail/return receipt,
and 10 days after their date of receipt(which is listed on the
green cards returned to you by the Post Office) the permit can
be issued, even if no response has been received.
•
If any part of the proposed pier is located within 15 feet of
the Riparian Access Corridor line, the applicable neighbor
must check the box to waive the 15 feet setback requirement.
A signed form, without this box checked, does not constitute
a waiver.
The Riparian Access Corridor is'not the extension of property
lines out into the water. It is established by two imaginary
lines that extend at a 90° angle from the channel of the
waterbody to the highground property corners. Your Local
Permit Officer can help you in determining your Riparian
Access Corridor. In some cases, a survey may be required.
2. Scale drawing of the proposed pier. Your drawing must include the
following information (see attached example drawing):
la' Your name and project address

•
SECTION.1200-GENERAL PERMIT FOR CONSTRUCTION OF PIERS: DOCKS: AND BOAT HOUSE
ESTUARINE AND PUBLIC TRUST WATERS AND OCEAN HAZARD AREAS
15A NCAC 07H.1201 PURPOSE
A permit under this Section shall allow the construction of new piers,docks,and boat houses in the estuarine and public
waters AECs and construction of new piers and docks within coastal wetlands AECs according to the authority provid
Subchapter 07J.1100 and according to the Rules in this Section. This permit shall not apply to oceanfront shorelines
waters and shorelines adjacent to the Ocean Hazard AEC with the exception of those shorelines that feature characterist
the Estuarine Shoreline AEC. Such features include the presence of wetland vegetation, lower wave energy, and 1
erosion rates than the adjacent Ocean Erodible Area.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff March I, 1984;
Amended Eff.April 1,2003.
15A NCAC 07H.1202 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting approv,
development. The applicant shall provide information on site location, dimensions of the project area,and his name
address.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property ow
indicating that they have no objections to the proposed work;or•
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the propi
work. Such notice shall instruct adjacent property owners to provide any comments on the prop(
development in writing for consideration by permitting officials to the Division of Coastal Manager
within 10 days of receipt of the notice,and,indicate that no response will be interpreted as no object
DCM staff shall review all comments and determine,based on their relevance to the potential impact
the proposed project,if the proposed project can be approved by a General Permit. If DCM staff finds
the comments are worthy of more in-depth review,the applicant shall be notified that he must submi
application for a major development permit.
(c) Approval of individual projects shall be acknowledged in writing by the Division of Coastal Management and
applicant shall be provided a copy of this Section.
(d) Construction must be completed within 90 days of the approval of the permit or the permit expires.
(e) Any modification or addition to the approved project shall require prior approval from the Division of Coa
Management.
History Note: Authority G.S. 113A-107(a); I13A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff.March 1, 1984;
Amended Eff August 1, 1998;January 1, 1990.
15A NCAC 07H.1203 PERMIT FEE
The applicant must pay a permit fee of one hundred dollars($100.00)by check or money order payable to the Departme
History Note: Authority G.S. 113A-107;; 113A-113(b); 113A-118.1; 113A-119; 113-119.1; 113A-124;
Eff March 1, 1984,-
Amended Eff.August 1, 2000;March 1, 1991.

(m) Pier alignments along federally maintained channels must also meet Corps of Engineers regulations for pier cc
pursuant to Section 10 of the Rivers and Harbors Act.
(n) Piers,docks,and boat houses shall in no case extend more than 1/4 the width of a natural water body,human-r
or basin. Measurements to determine widths of the water body, human-made canals or basins shall be mad'
waterward edge of any coastal wetland vegetation which borders the water body.The 1/4 length limitation shall
when the proposed pier is located between longer piers within 200 feet of the applicant's property. However,the
pier shall not be longer tha
7 .;-cz,!-?: --- ' head.�-a-'f�'' '•".+;,`rr�,?.'c=�:�� •w�,r• •��, .'��-=�' � ...�_ line established
;��:: ,1..-: 4.. ,�,,,...,, � - 1.-7-x,, , bythe
T • :,• .._.. . r... _ ...""' - .. ,->_ longer than 1/3 th
piers,nor,
lf,..•.-: v. •j fit;;'_ `it;;r„^ • .a, 9p ?*
-'• r`'I. Y ems.'- `Y'i1Yr' - `i``.. ••
the wa er body.
• ,: L�, ;r:;;_ s „,,•�ti tr,"r <.� (o) Piers, docks and
44 ; -, 7t•:.;-r. +'E. .`c,cr*,- 1- - boat he
---,, 1 `:1-;C-w:�T :i, y ••'.1 ,��y: M „4:'1x,..4
not
t sY,4-x: .4 "•`: 1 . - v �', 111 i �_Yt-,... `- 4 ;. interfere with the acce,A ;, -'=+ ,;- f `,'`'tea�i " .�`.t _ riparian property, and shal
,ems.:, ± ,,��. =zYr �. r minimum setback of 15 fee
';? ' any part of the pier and the
property lines extended into
at the points that they int(
shoreline. The minimum
07.. -'' f • '- , �r. -4. :. r:;�4J provided in the rule maybe
r- _r- ... 1 r.` - •L• ,. Y ,.ns f -- the written agreement or the
�_-,..• ,° ,� ,•r."-{.. 7 '=. riparian owners) wl
:�;" x - •.' .�•,:,fZ; adjoiningriparianwn'
;� • r.., • ;y ,:• r co-applicants. Should the
_' yr: -
�� Y % ,-,..1. � � .`t �-�?4, ; -.'. property be sold before consti
.,,.,. j" ,Y��•x... the pier commences,the appli
obtain a written agreement wit
owner waiving the minimum
d submit it to the Division o
Management prior to initia
~"`M, ��-� ; ='" • development of thepier,dock
_ �, .�,, -��- EXAMPLES
'T �, j- e .ram „• RIPARIAN ACCESS AREAS house. The line of division of
`�- - ,;,13 - f'..n-"- riparian access shall be establ
"''rn . �'=- t•-. _ PROJECT AREA, drawing a line along the ch
;M A�41 1 ,�, �, deep water in front of the prop(
\ __— _ EDGE. CHANNEL OR a line perpendicular
DEEP WATER • drawing P rp ndicular tc
\ _ PROPERTY LINE of the channel so that it inters(
„V .
\ — — RIPARIAN:LIMIT. the shore at the point the
__ r
\�` MEAN HIGH WATER property lute meets the water
`'tea 'WATER. Application of this Rule may 1
by reference to the approved di,
Paragraph (r) of this Rule illt
the rule as applied to various si
may be obtained from the Division of Coastal Management. When shoreline configurationconfigurations.
his such that a perpec
aligrunent cannot be achieved,the pier shall be aligned to meet the intent of this Rule to the maximum extent pract
(p) Piers,and mooring facilities shall be designed to provide docking space for no more than two boats.
(q) Applicants for authorization to construct a dock or pier shall provide notice of the permit application to tie owne
part of a shellfish franchise or lease over which the proposed dock or pier would extend. The applicant shall allow ti
holder the onnortunity to mark 2.,a,.;rr..:,..._,....-a___ _,

-- Azww ,,./M,....r->
4-00 FEET WIDE
GRASS TO GRASS 1.
-3'8 MLW
I 20'
I
to' ILI
H
JI ji
h
Wl -Z'@ I �
V Y MLW Y U
Ql Q 80 (i I <
z � ✓I w -1 e m141
H cn M L-W LI(el H
eel
QI - Ix
IARSHtc11 V' - l H
cx
.-1N---TE 4-- it \if 1 \j- — jz NV
-4- `I' \ - ie I * \i/ ic I * 4, ,v 4, *
`7S' SNoRELTNE
ROPERTY OF PIER FOR PROPERTY
R. i. e. HERE MR. C. GOER
MS. 6EA Si
a+ I23 SOUND ST.

•
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONA\TAIVER FOR
Name of Individual Applying For Permit: S / J4 -7 - ' MO
Address of Property: 4 l 1 #i' t?S ��,
(Lot or Street#, Street or Road) LO 7
•
P
(City and County) "
I hereby certify that I own property adjacent to the above-referenced._ ro e
P P rty• The in
applying for this permit has described to me as shown on the attached drawing the developm
are proposing. A description or drawing,with dimensions, should be provided with this ]
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3!
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift r
set bck a minimum distance of 15' from my area of riparian access-unless waived by
you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
q .
I do not wish to waive the 15' setback requirement.
Sign e Date
CCGS.c�!/�

:
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FOR
Name of Individual Applying For Permit: ST(/ -1 , ,W.5; 7
T 75 , 4i( w F
Address of Property: ������'' �,j Al
(Lot or Street#, Street or Road)
G1-71-M STt fP�lk,16-r< Co .
(City and County)
I hereby certify that I own property adjacent to the above-referenceiproperty. The in
applying for this permit has described to me as shown on the attached drawing the developn
are proposing. A descri tion or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3.
within 10 days of receipt of this notice. No response is considered the same as no obj1
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift i
set bck a minimum distance of 15' from my area of riparian access-unless waived by
you wish to waive the setback,you must initial the appropriate blank below.)
•
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name ate •

STUART A. MOSSMAN
411, Hughes Road,
Hampstead NC 28443
910-270-3133
[e-mail]
December 8,2003
Dr. & Mrs. Wayne Ulisnik,
417 Hughes Rd.,
Hampstead NC 28443
Dear Wayne and Shirley,
We are contemplating replacing our dock leaving
the existing access walkway in place.
Subject to your non-objection,we would like to locate the end of
the replacement dock alongside a line extrapolated from the edge of our
adjacent properties. In other words, as is the present case, there would be
no set-back from the edge of your property.
If you have no objection to our doing so,would you please both
sign the copy of this letter and return it to me. CAMA requires such non-
objection to be in writing.
Your kind consideration of this matter will be much appreciated.
Sincerely,
Signed for non-objection: i7 "'c /7 ���!��;;r,�date o?cl OLi 03
Wayne Ulisnik
4, . .

7E42 ."b4f29d 49g7
:1EE417000E50:i
owdpv
^, p y SL.L�N
1____aB'i9 $ ?l V -'(T N ,irc 0s,ud