55068_DENNIS, GREG_20091207

❑CAMA / ❑ DREDGE & FILL
GENEIRAL PERMIT Previous permit #
❑New .'�]Ploclir cation ❑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 t I GUr:
[�J Rules attached.
Applicant Name
Address 2 Q?
City ,mo fr-u 7Y p State NC- ZIP d?
Phone # (7�_-) Fax # ()
Authorized Agent
Affected ❑ CW El EW &PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County ', r(
Street Address/ State Road/ Lot #(s)
Subdivision
City j - , ZIP ' rs'jV
Phone# River Basin i c�
Adj. Wtr. Body r ^' r ` a : ( r.X�at� /man /unkn�
Closest Maj. Wtr. Body a J o
Type of Project/ Activity
(Scale: f r� �1 r )
Pier (dock) length �J
Platf
Fing,
Groi
Bulk
Basii
Boat
Boat
Bea(
Othi
Shor
SAV
Sanc
Mor
Phoi
Wai,
)rm(s)
i
r pier(s)
i length
—
1
number
lead/ Riprap length
avg distance offshore
max distance offshore
channel
I
I
TET
I
�
cubic yards
ramp
louse/ Boatlift
Bulldozing _
I
r 3 5
This facility is located within a Prim ary
Nursery Area and is not for boating use.
No slips are pgmlitted for vessels -
motorized, 9W, or other. Any kicking or
Prop wash will be considered a violation of
this permit, and of the CAMA and D&l~
-
-t
aline Length 35
not sure yes no
I
-
C
)ags: not sure yes no—
i
.torium: n/a yes _--
er Attached: Yes di-O.,
—
—
-
A building permit may be required by: (MQCa 1 V ,.1..?1Q
Notes/ Special Conditions
-A l
f
p icant rin ame
Signature -- Lase ompliancestate mentonbackofpermit"
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
41
PermitOfficer's Signdure
12 O� 5 41
IssuingDatel Jp i rael o n Date
Local Planning Jurisdiction 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 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, certifythat 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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI,F-RIMOORd1!',',,- PlLINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to � Is
(Name o_ - ro p errty Owner)
property located at
(Lot, Block, Road, etc.)
or, Y�' , in , N.C.
(Waterbody) (Town �and/iorCo��ty)
Applicant's phone #: 1--? � 5 Mailing Address:
el-m e ea4r0 Z5t A
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. (if you wish to waive the setback, you ;Mast initial the appropriate blank
below..)
i do not wish to waive
1 do wish to waive that setback requirement.
---------------------------------------- -------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: �
(To be filled In by individual proposing development)
22o/
kn -
(—, 4 -L,,
/ 3ot
------- ---------------i i f_-l`
(Information for Property Owner Applying (Riparian Property Owner information) y
for Permit)
7igi q C aj
Mailing Address
t�vint�� nc, 01�;5qv
City/State/Zip
c59,- 041--74qc:�
Telep. ne Number
C
l'
Signature
Print or Type Namc
Telephone Number
:2� S,aj�
Nignature Date
_i Date

ADJACeeENTrR�11PfARIAN P#OPERTY OWNER
STATEMENT
(FOR A PIER/�'i ORIFNG IL 11�J€iS1B0ATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to �� {ma's
CS
'Name of Property Owne )
property located at ba LO�'1d_ C Y
(Lot, Block, Road, etc.)
on kdl Gr eVa)66 f- , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:A2 % — MMailing Address:
�..CL� i�tdlfP -G�S`15I
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. (1i you wish to waive the setback, you dust initial'tile appropriate blank
below.)
1 do not wish to waive
I do wish to waive that setback requirement. k
----------------------------- ---------------------------------------------------------------- ----------------------
.n
D"Ckti" 10N AND/OR DRA�'iN(. C)I+ Pi�OPOSPD DEVIEPOPiviPNTa
(To be friled in by individual proposing development)
4,cz /<✓
22v�
(Information for Property Owner Applying
for Permit)
Mailing Address
Clty/Satate/Zip
1'ele hone Number
Signature Date
f 3o
M
an Prodettty Owner In
Print or
tion)
1_ Signatureme Name
_a sa 2sq - 1- 3
Telephone dumber
Date

GREGORY L. DENNIS 5 Z8
PH. 252-354-6292 NCDL 5364214 Z pate
7124 CANAL DRIVE
NK 28594
EMERALD ISLE, 7 ''yam
p
Bank of America
ACH R(T 053000196 � en
_
,__1 II@ L7 L5
,:053000 p0065067 2785