35129D - Maughn

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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 7/I /20 D .
/ XRules attached.
Applicant Name 11Cs/'G.t 7 it4a ciih/) Project Location: County bTt1/f,5:v,`
Address /ol cl 13/"yec Cyr cJL Z_4,1 t Street Address/State Road/Lot#(s) ,,2 /
City f�yci/c✓i II State A/C ZIP .28'3O3 #(--lGc re. 'e-e.-f
Phone #(9/0) NO 3.3gf2 Fax# ( ) Subdivision
Authorized Agent AGh (/ 412h611,../ City ACC�� /5- ,cJJ zip ,q�S4CoCj
❑CW OV Ill PTA ❑ES\! ❑PTS Phone# ( ) River Basin LL(/+"I bCr-
Affected 71 OEA ❑HHF LI IH El UBA " N/A AEC(s): Adj.Wtr. Body Ca r"C<--( (nat /yunkn)
PWS: ❑FC:
ORW: yes /(n'o) PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body /fit w/A) •
Type of Project/Activity 7T- e- -,; 7 -1 c1-- /->ie''', 4.c-, .. ,�� / iue- 71?. Jc y e.
O
(Scale: /' 2 0 ' )
Pier(dock)length ',/'�'
r
Platform(s) a . 2.0' GA Kt A L.--
Finger pier(s) I& x 3
Groin length -
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel -
cubic yards
Boat ramp
Boathouse/Boatlift �0 /
Beach Bulldozing y.,' 1-=l-cq.1rn,
I
Other t"J DU �6-
I /Co/ I
Shoreline Length 50 1 1
SAV: not sure yes no -----------------
Sandbags: not sure yes 0 I I`
Moratorium: ilia yes o 50
Photos: yes n PL �hc- ✓.'0. C.
Waiver Attached: yes no e- c. .,c. - c_- e '.F`z•I f< l i'ST ul'(1
A building permit may be required by: /OG4...7-7[ i:k�Ce . ? 75�1/G C�7 I See note on back regarding River Basin rules.
Notes,/Special Conditions ,q/ALC�e 'Mc /-OG /`zrrJ r/ f , /Y7/ Cv3/c/i7/7er--3>_$ G`
Agent/Applicant Print Name Permit Officer'sSignature
Ilk /. /0 • '7•�3 /77 // 7 ,t `
i_ ature Please read corn lances tement on c of permit Issuing Date Expiration Date
0/4,0 oa 3L{ / C-en< ,.04si� �cG.,c_...4) /(//Al
Application Fee(s) Check# Local Planning Jurisdiction 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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9-733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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

GENERAL PERMIT COMPUTER FORM
' APPLICANT NAME: "&A.. Ma a(1r
ADDITIONAL NAMES: U
AEC DESIG: CkLJ f�- % DEVELOP AREA:__. L PROJ DESC: /�-
(Will only take 6) (Will only take 1)
WORK: 157e %L x 3
(Will only take 4)
rC ZO
MAINT:
(Will only take 4)
IMP: Oft) •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /O • / . C 3 //77rf
CAMA MAJOR DEVEL REQUIRED: /o • ? 0 3 //7/051

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: V1()
uq
Address of Property: 2 t - D
(Lot or Street#, Str et or Road)
(Ci and County)
I :hereby certify that I own property adjacent to the above-referenced ro e
P P rty. 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.
off°/Y) 2- 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,mooringpilings,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.)
Am it I do wish to waive the 15' setback requirement.
• I do not wish to waive the 15' setback requirement.
9-8 -O3
Sign Name Date
A/7A
�--k . Regas-Vta
Print Name NCDENR
NORTH CAROLJNA 1.n -St).q — Q.029 of
ENVIRONMENT AND NATURAL-RE50uRCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frm

0
DIVISION OF COASTAL MANAGEMENT
I ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
.r
Name of Individual Applying For Permit:
Address of Property: Z 0 r
(Lot or Stree #, Street r Road)
curl�ju0 G�C.. (" o. '
(C' and County)
I hereby certify that I own ro e
p p rty 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 obje lions to what is being proposed, please write the Division 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
you have been notified by Certified Mail. if
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat
t
bck a minimum distance of 15'from my area of riparian access-unless waived by me st f set
wish to waive the setback, you must initial the appropriate blank below.) ' (If set
___)aijzftiyd
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. -
Sign Name 917
Date
' A/IT?
/'/�oW -�.rv,
Print Name NCDENR
9�DCr —� 9?. E RN M CXlO D N DE�MRiMENT OF
MEGA AND N1R l R''V..
Telephone Number with Area Code S:\cama\shells\riparianproperty.fm

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KENDALL CANADY BUILDERS, INC.
3431
BUSINESS ACCOUNT COASTAL FEDERAL BANK
6886 A BEACH DRIVE SW SUNSET BEACH,NC 28468
OCEAN ISLE BEACH,NC 28469 67-7235-2532 I0/7/2003
PH. [phone]
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" PAY TO THE _
ORDER OF DVNR
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DOLLARS
DVNR
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