37988D - Shaver

CAMA / DREDGE & FILL
T 38
6 GENERAL PERMIT Previous permit#
>'r ! New Li 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 I5A NCAC 7,e. 477<(50
GiKules attached.
Applicant Name W. EGu07T 5 14-4 Vet, Project Location: County FetptiSWft:L.
f
Address 1 f 7 TUA44 IQ- Street Address/State Road/Lot#(s) /17 7-04)4 .Or2
City i D( eitif`6E4c f State A/C ZIP j[��p7 I'
Phone# (q(0 ) a f{?'f&Qf) Fax#( ) Subdivisions /-1/Qttat 4�$,Q 5
Authorized Agent City f-I(J(A 1 &}{H- ZIP Zey6o2
Affected E=CW "PTA ES —PTS Phone # (' /f7)/t2 f•/6,0 River Basin
C OEA HHF IH UBA N/A
AEC(s): Adj.Wtr. Body ,g A( p �uG (nat i n)nkn)
❑ PWS ❑FC:
ifi
ORW: yes / no PNA yes /6 Crit. Hab. yes / no Closest Maj. Wtr. Body /a/a/
Type of Project/Activity V&A) /XX /G 8044 r` L—/PT f-FJ,A as Ek f STr kiG
,-4?c-iC //'C < {'DrU"t (Scale: A 7.5 )
Pier(dock)length
I ' I i
Platform(s) . t - _ -,......_.' w__.�.
• mill
Finger pier(s) - i
Groin length �< 'W —!4/ n JC /_/A
number
`
Bulkhead/Riprap length I I _� I
avg distance offshore `
max distance offshore — i i -r—_a- _ __, - illlE --....
I- i rt 1
Basin,channel 1 ) -'j I
r
[ tave j
cubic yards I- _ . D�oms- b NM
Boat ramp .I , +►
�•
Boathouse/Boatlift f p� _ II
-_ _
i,2 ')c /2( I IV �9-!Q'' II II
Beach Bulldozing I "•K � '
I ,t ■� � ■ _
Other •��_��
1,, , , ._if P.,:.. — ..7"7-'- ' t•I' — . : _
Shoreline Length - } S Its
SAV: not sure yes r,
Sandbags: not sure yes i"WiN f/� / e>,`Moratorium: n/a yes n _
Photos: yes- no g� of .1_Waiver Attached: yes) no eiV40 ,
- - I
A building permit may be required by: YC/] ('_N //1/ �j�'• L See note on back regarding River Basin rules.
Notes/Special Conditions 0-YErater LIFT- A O-r 7V gaX7-0;1/6 j la-li4 Tµ4A, ;if i i -roi Ol f f b4Te-G40.1)
0 NO-r TD £k I - /Yleo✓� /Yla�e Thy Two 62) `r5
( T'ST4 it AS /R•t 7 . /Ze'C s 4f re' ed ' ,tl/-4 v
► D 4Up)...:‘,..e.,..,...t.i."
Agent or Applicant Printed Nam - Permit Oiffic is Si ature
U1, �t ,� 1�- 24 Dly 7 /OV
Signature "'"'Please read compliance statement on back of rmit"'"' Issuing Da E piration Date
/Q(? t 1 532 Rco 7.0144-
Application Fee(s)
Chk# Local Ho( t1
ningJurisdiction Rover File Name

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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 I)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:
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(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1M'4.4,4A4 ..0 L/077 4 ��A�K'ES S�A✓�,e
Address of Property: //7 7 v4 Di i✓E (d&-/s51 /%4Ba,Z dcAes PLAT 843
(Lot or Street#, Street or Road)
1V�k,v ,8 ci (SL..ppLy) 8/?a4/5 ys',ck eo ,�y
(City and County) /
8 14.2 -027
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, 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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be
set bck 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name - � Date
L-.
/1//i /1/ I :T: /76,;(3-/c AT
Print Name y M
NCDENR
NORTH GROUNA De ARTMeNT OF
ENVIRONMENT AND NRURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm

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' 9
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: eth4414 M Cif i of i; / 4.ICF=s I S�A✓
Address of Property: a/7 1 #1/1 DR wE (2-v,c ' IIIRZog ewers 8l3)
(Lot or Street#, Street or Road)
f- iiE cA (S-Alfy gRu sw«k co�,�V yy
(City and County) ,Z 8446z-/g Z 9
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, should be provided with this letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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,'boat house or`boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. of
you wish to waive the setback,you must initial the appropriate blank below.)
te', :.r, I I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
afa4ce mom. ' moo.
Si'm Name Date
JeCtildfe)g. B05-1" 1)71e j)s--t- AIA
Print Name • __
0 �q/1 /'.�j (7302, L NCDENR
1 VJ I gA — Nam1 GROUNA DEPARTMENT of
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm

SENDER COMPLETE THIS SECTION I COMPLETE THIS SECTION ON DELIVERY
, Compieteitems 1,2,and 3;Also complete, A Sigri' L
item 4 tf Restricted Delivery is desired ❑Agents
■ Print your.name aril address on the reverse
so that we can return the card to you g R ei edby(Printed Name. G D ery
■ Attach thiscard to;the backof the.ma_ilpiece,`
or on the:front if space permits 's
1 Article Addressed to '
t D Js delive`ry address different from item 1_? 0 Yes
e ^� If YES,enter de• livery address belomr ❑No
3. Service Type
• D Certlfed Mail': O;ExpressMail
v� # ❑Registered ❑Retum Receipt for Merchandise
❑Insured Mail' ❑C O.D r
Restricted Delivery?(E�cfra Feel p Yes a
2 Article Number =
ransfer from se
7003 2260 0004 7879 8522
PS Form�81`1,August 2001 Domestic Return Receipt 3' 102595 02 M 1540
-

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W. ELLIOTT SHAVER PH. 910-842-1690
PRANCESDR H. SHAVER 532
117 TUNA
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HOLDEN BRACH,NC 28462-1829 /? o _2
0 Q �'112/531
Pay to ,f��2)4:5" R �`. I a�.
.� the to n $/i0Q /.. ..
1 ---sfrf-' 1/44-•*-"-Pilj 4 _./c, d
BRRA CI1 BANKING AND TRUST COMPANY
SUPPLY, NORTH CAROLINA
62101 O
For 21•if r4I/ai gir/1 ►+.T Q //? 2 MN4 YY� M
hi___Ce
DI:053 LO l l 211: 5 218 15 ?El 200 053 2
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