53074_COYTE, STEVE_20090113

GCAMA /El DREDGE & FILL
6iGENERAL PERMIT
E]New ❑Modification ❑Complete Reissue ❑Partial Reissue'
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
Applicant Name
Address
City
State ZIP
Phone # O
Fax #---
Authorized Agent
-• +-'
Ll CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
❑ OEA
AEC(s):
❑ 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/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift i
Beach Bulldozing
Other
i
Shoreline Length
SAV: notsure
yes no
-- ---
Sandbags: not sure
yes no
--
Moratorium: n/a
yes no
-.--
-' - -
-�
Photos:
yes noi�
1
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
-� or
Previous permit #
Date previous permit issued
attached.
Project Location: County _
Street Address/ State Road/ Lot #(s) I
Subdivision
City ZIP
Phone # (_ ) _!! River Basin T.
Adj. Wtr. Body '1''- " 'ri /unkn)
Closest Maj. Wtr. Body —
(Scale: )
r�
❑ See note on back regarding River Basin
Permit Officer's Signature
Issuing Date J Expiration Date
Local Plan ningJurisdiction Rover File Name

q
ffJ
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
Iandowner(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 (910-796-7215) for more information on how to comply with 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/ 1-888-4RCOAST
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

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: Steve
LOCATION: 1 `I, (-)"1`e� � t
k--S
PERMIT # ✓30 C
FIELD REP.
PHONE: (�' -3 0— J� DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) DoM/NO
sured dimensions of the development differ from those indicated in the permit and workplat?
Y ircle one].
COMMENT: d co ✓VI m�F
2) SEDIMENTATION & EROSION CONTROL:
disturbed areas? YES/NO [circ one]
COMMENT: *1A
Has Permittee seeded, grassed, or otherwise stabilized all
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y %NO circle one].
COMMENT: / V0

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Mirhaal F_ Faslev. Govemor James H. Gregson, Director William G. Ross Jr., Secretary
Date t J % ` b I
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) q,5 d cc � �"
This certification is valid thru (date)
k
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 11 o% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 5k V E�is
(Name of Property Owner)
property located at A (J14 F)/" t (,, L
(Lot, Block, Road,, etc.)
on if, N A l _,r. , in T 1 N t= �N o S 0 2E 5 , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections fo his<proposal. I understand that a pier/mooring pilings/boatliftfboathouse
must be set back a minimum,distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ID oc.(L t L F' t- l d 'Ft *Et> DX -I` S -4'6 0-&4 ' S D'a q '4 F to
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`i 9 r `A 4 i w S p oe-- K 4 t-
(Applicant Information)
I �
MailingAddress
1
City/StateLLip V
Telephone Number
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(Ripa3 ian Property Owner Info waa`tion)
Signature
i
DOU';/�4-S GV i�f��
Print or'Type Name
Telephon tuber
/ / -Z (-� -
Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to54EEvE Co is
(Name of Property Owner)
property located at i� L�� -� or (y V
(Lot, Block, Road, etc.)
on 1 frO 11� ,A �-- , in 1?1 N 2E- r N o ; o t2 , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
L
.+ � �h/ -a�- per- /
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(Applicant Information)
Mailing Address
City/State/Zip
L"') Z.'? to
Telephone Number
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Date
Riparian Property Owner Information)
'gnature
Print or Type Name
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Telephone Number
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Date

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ADJACENT RIPARIAN PROPERTY OWNER STATE
(FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOIIS �l
FEB I o 2009
I hereby certify that I own property adjacent to � � �y AkrAhk;46
City ��
C)Cry
(Name of Property Owner)
property located at 15kLu—V4 �-� z t✓L
(Lot, Block, Road, etc.)
ons , in �` , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to1its proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum',dstance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive, bat setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0
(Applicant Information)
2 11 J-F Nr-��S;�;:,'�
Mailing Address
L,Jr ) I -� a r\1 N I-- . 2 -) It
City/State/Zip
Telephone Number G�
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o
'parian Pro rty Owner Information)
'Signature I
lc
Print or Type N
-7�ga
Telephone Nu (beer
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Date Date'

P, RIC 3 1: a Y
ADJACENT RIPARIAN PROPERTY OWNER STATEIVIEDTT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) E E B 1 0? 009
I hereby certify, that I own property adjacent 9renead City DOM
(Name of Property Owner)
property located at 9 5 0 6 ► X� 1
(Lot, Block, Road, etc_)
on L� , in /j��J I`/ _, N.C.
(Waterbody) k (Town and/or County)
He has described tome, as shown below, the development he is proposing at that location,
and, I have no objections to Tits�_proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimurwAstance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waiveA.that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
E ,O aCd� g LL~
(Applicant Information)
Mailing Address
City/State/Zip
-z3o
Telephone Number
Date
br'1'6Yl_i1
L
(Riparian Property Owner Information)
Print or Type Name
r2 S17--6-3 S--7'
Telephone Number
2- -9. a
Date