38100_DEL MAURO, COL. D.G._20040421

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
XNew ❑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 6 �111 /Selo
7 f / 1�•Rules attached.
Applicant Name ( G7.�}, r7. �forr y D Project Location: County _y
Address G,-� /C� Street Address/ State Road/ Lot #(s)
City .Sir r�v/o StateV�ZIP � Srx� ,ic./ f� �•/ -
Phone # (?iv) _393- 4-73 2 Fax # ( )
Authorized Agent
Affected ❑ CW �bMW XPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: ryes>/ no PNA yes / ipo.: Crit. Hab. yes / no
Subdivision
City f✓a•, /el , ZIP P 1 § /�
Phone # (? Z) y75'j= (732 RiverBasin
Adj. Wtr. Body ,� (�lG�s ' n. / (nat /mangy/unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity 7
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X /a r z .� :.� x /o X V49 a"d 3 X 9 r.2o, /)f OcA- % (Scale: NOi�.s� )
Pier (dock) length
Platform(s)
Finger
Boat
SAV:
Sand
Mo
Photos:
Waiver Attached. yes
A building permit may be required by:
Notes/ Special Conditions
�V
;
El See note
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on back regarding
w �' ' • -'
River Basin rules.
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Agent or Applicant Printed Name
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Signature Please read compliance statement on back of permit
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Application Fee(s) Check #
Permit Officer's Signature
LX 16V
Issuingr ate Expiration Date
Local PNanning 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 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
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

COLONEL D.G. DEL MAURO USMC RET.
5748
MRS. R.M. DEL MAURO
PH. [phone]
409 ANITA FORTE DR
// 68-7497/2560
SWANSBORO, NC 28584
DATE_
PAY TO THE
ORDER OF-!
D O L L A R S 12
NAVY
FEDERAL
CREDIT UNION
www.navyfcu.org
1
FOR Gf G M'
1: 256074974o:5?4Bl,10 27 L87670BI'm 0 1
TRANSIT ROUTING NUMBER CHECK NUMBER ACCOUNT NUMBER

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1 iy �' �'`J 's
(Name of Property Owner)
property located atj. 2 S
(Lot,
on 6,62,k
(Waterbody)
ock, Road, etc.)
in , N.C.
(Tow 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
`D.P_& G1,ceJ,
"'ta ti-r
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----------------------------------------------------------------------------------------------------------
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Signature
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Print or Type Name
Telephone Number
Date: 4—A/ Z el

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at I l
(Lot,
on
(Waterbody)
lock, Road, etc.)
in �" _Ie� , N.C.
(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.
DESCRIPTION AN`D/OR DRAWING OF PROPOSED DEVELOP�IMENT
(To be filled in by inditi,idua/ll proposing dereloprnent)
to -
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----------------------------------------------- -----------------------------------------------------------------
Sig r
AC4 ,e�
Print o ,pe Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to e Ai1S 'bzt r� oleo 's
(Name of Property Owner)
property located at 400 Av, fr 10' vt
(` (Lot, Block, Road, etc.)
&
on qta-terbody)
v.e U in'�-, N.C.
(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 dQ wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
See /0TA04 'bJMt,11AZ?-
---------------------------------------------------------------------------------------------------------
Signature
4Itct- v
Print or Type Name
o�j'o2 - 3 q 3 '_F!�O
Telephone Number
Date: Date: `7 "/C "("/

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
N�S Ot 's
(Name of Property Owner)
property located at 4". I rA '�'DRi Vd
(Lot, Block, Road, etc.)
on 1-6t1 �S{,'�(n� t� , in ,C , N.C.
(W terbody) (Tow 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 dQ wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S�' r
- "M"'"
-----------------------------------------------------------------------------------------
I%
Signa u1 t'g
Print or Type Name
� Telephone Number
Date: y /'� --

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I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
+ (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
�vtilrs 'Ogt tl-) orw I
Alvrm
(Nameoof,,Property Owner)
property located at 40o �� �N i ve; " �.l �f
(Lot, Block, Road, etc.)
on ���o� &VA4) , in CW �'� , N.C.
(V terbody) (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/boatlifVboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by rne.
I do not wish to waive the setback requirement.
I & wish to waive that setback requirement.
----------------------- --------==------------------------------------------------------------------
DESCRIPTION AND/OR DRANVING Or PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
------------------------------------------------------------------------------------------------------- --
Signature
Print or Type Name
Telephone Number
Date: '/-lc -0Ll

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