39316_FALLON, WILLIAM E_20040706

�CAMA / ❑DREDGE &FILL � C
GENERAL PERMIT _ Previous permit#
'New DModification ,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
�� �� _ ules attached.
Applicant Name u/r J/t a
Address L� �4, ti S�
City State ZIP
Phone #Fax # O
Authorized Agent /V r A-V /4/
Affected 2 CW ❑ EW [?VTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ 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
Beach Bulldozing
Other
Shoreline Length
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City _ _ - _ ZIP _
Phone #
Adj. Wtr. Body_
Closest Maj. Wtr. Body
River Basin
i
_---- `(nat /than /u�kn)
(Scale: Ay T5j )
SAM not sure yes no — - - -
Sandbags: not sure yes no — _
Moratorium: n/a yes no
Photos: yes no o Cl
Waiver Attached: yes no -- - -
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
r
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date Ex ' on Date
ApplicationFee(s) Check# Local PlanningJurisdiction Rover FileNa

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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Ji Tar - Pamlico River Basin Buffer Rules
L_I Neuse River Basin Buffer Rules
❑ Other:
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 / 1-888ARCOAST
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

. 1 ' ,, ; /', j ' ,� j 'I. HOLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK HOLD DOCUMENT UP TOiMMAJI110 TO VIEW TRUE WATERMARKr�_]s�''►tiy+
1028105 382677645 10-86/220
Pay To The Order Of J� Date
,/, 06/18/2004
Dollars � t�
N
Q *ONE HUNDRED DOLLARS AND 00 CENTS $*************100.00
a
a
Sender
Address
M=01011176M:50000- c' :447d 'J'-
For
WACHOVIA
I—w,d by Inlnymted Payment Systems Inc.. P_ng1,:v...... i. I-,..�� ...� Not Good For More Than $1,000.00
To Citibank (New York State): Buffalo, N.Y.
lie 3S0927110 1:022000868i: 68003a 267?645611'
J

SECTION .2000 - GENERAL PERMIT FOR AUTHORIZING MINOR MODIFICATIONS AND REPAIR TO
EXISTING PIER/MOORING FACILITIES IN ESTUARINE AND PUBLIC TRUST WATERS
15A lICAC 07H .2001 "GRPOSE
This permit will allow for reconfiguration, minor modifications, repair and improvements to existing pier and mooring facilities
_-_ „ :: provicladn Subct.apt r 7J .1 li;i) of this Chapter and according
to the following guiuelines. this permit will nut apply to the Occ:aun Hazard AT'C.
Histon, Note: ArrtlrorilvG.S 113A-107; 113.4-118.1;
Eff. October 1, 1993.
15A NCAC 07H .2002 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting approval for
development. The applicant shall provide information on site location, dimensions of the project area, and his/her name and
address.
(b) The applicant must provide: 6
(1) a dated plat(s) showing existing development and the proposed development: and
(2) confirmation that:
(A) a written statement has been obtained and signed by the adjacent riparian property owners inlicatinu
that they have no objections to the proposed «•ork: or
(13) the adjacent property owners have been notified by certified mail of the proposed work. Such notice
shall instruct adjacent property owners to provide anv comments on the proposed development in
writing for consideration by permitting officials to the Division of Coastal Mauragement within teen
days of receipt of the notice, and, indicate that no response will be interpreted as no objection.
(C) DCM staff «ill review all eonunents. If DCM determines that:
(i) the comments are relevant to the potential impacts of the proposed project; and
(ii) the permitting issues raised by the comments are %yorthv of more detailed review. the
applicant will be notified that he/she must submit an application for a major development
pennit.
(c) Approval of individual projects will be acknowledged in writing by the Division of Coastal Management and the applicant
shall be provided a copy of' this Section. Construction authorized by this pennit must be completed within 90 days of permit
issuance or the general authorization expires and a new pennit shall be required to begin or continue construction.
Histoty :\ isle: Autltorin, G S 113. f-10-; 113.4-118.1:
Eff. Jarman• 1, 1994.
15A NCAC 07H .2003 PERMIT FEE
The applicant must pay a permit fee of'one hundred dollars (S100.00) by check or money order payable to the Department.
lfistoiv ote: Ifuthorin, G.S
Eff. October I
Atnenelecf Ef
113.4-10-; 113:4-118.1: 113A-119.1;
1993;
Atgzust 1, 2000.
15A NCAC 07H .2004 GENERAL CONDITIONS
(a) Structures authorized by this permit shall confomn to the standard, herein.
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make periodic
iasvcctions at anv time deenned necessan' in order to be surcthat the activity being performed under the authority of this eeneral
permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no unreasonable unterfen:nce with navigation or use of'the %Naten by the public by tine existence ofpiers or
mooring pilings.

(d) This permit will not be applicable to'proposed construction where the Department has determined. based on an initial review,
of the application, that notice and review pursuant to G.S. 113A-I 19 is necessary because there are unresolved questions
concerning the proposed activity's impact on adjoining properties or on water quality; air quality; coastal wetlands; cultural or
historic sites: wildlife: fisheties resour,;cs; or public trust rights.
(e) This permit does not eliminate the need to obtain any other required state, local, or federal authorization.
(f) Development carved out under this permit must be consistent with all local requirements. AEC rules. and local land useplans
current at the time of authorization.
(g) This general permit will not be applicable where the Department determines that the proposed modification will result in
closure of waters to shellfishing under rules adopted by the Commission for health Services.
llistog .,Vote: Authority G.S. 113.4-107; 113. f-118.1;
Eff. Januan• 1, 1994;
Anrenuleel Eff. August 1,1998.
15A NCAC 07H .2005 SPECIFIC CONDITIONS
(a) All proposed work must be carried out within tine existing footprint of the development with no increase in the number of
slips nor any change inthe existing use. "Existing footprint" is defined as the area delineated by the outermost line of tie pilings,
ends of piers. and upland basin or area .within an enclosine breakwater. whichever is greater.
(b) Modifications to piers and mooring facilities shall not interfere with the access to any riparian property. and shall have a
minimum setback of 15 feet between any part of the pier(s) or piling(s) and the adjacent property lines extended into the water at
the points that they intersect the shoreline. The minimum setbacks provided in the rule may be �yaiyed by the written agreement
of the adjacent riparian owner(s), or when two adjoining riparian owners are co -applicants. Should the adjacent property be sold
before construction of the pier(s) or piling(s) commences, the applicant shall obtain a written agreement «ith the neiw owner
waiving the minimum setback and submit it to the Division of Coastal Management prior to initiating any development. Tlnc line
of division of area:, of riparian access shall be established by drawing a line along the channel or deep iwater in front of the
propem. then drawing a line perpendicular to a line of the channel so that it intersects with the shore at the point the upland
property line meets the waters edge. When shoreline configuration is such that a perpendicular alignment cannot be achieved. the
pier shall be aligned to meet the intent ol' this rule 10 the maximum extent practicable.
His toll! Vote: 4tithority US 113.4-10-; 113:1-118.1:
lJf. October 1, 1993.

'4-lmd� Ga
,�o
- i-2c3�
ADJACENT RIPARIAN PROPERTY O OL J R STATEMENT
OAT DOSE E
(FOR A PIER/MOORING PILINGSIB
`�✓. 's
I hereby certify that I own property adjacent to -
(Name of Property Owner)
property located at / l��� 3l
(Lot, Block, Road, etc.)
_ / -'r ��,� _ N.C.
on ---- to (Town and!or CollntY)
{Waterbody)
He has described to me, as shown below, the development he is proposing at that location, y
and,
I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet 05') from my area
of riparian access unless waived by me.
I di) not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-----
------------------------------------------ ------------
--------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by individual proposing development)
/hoar a � � ; I`a '
1= r S7 �, a
�<---------------------------------------------------
Signature
Print or Type Name
Telephone Number
Date: 4z-
N"
a

ADJACENT RIPARIAN PROPERTY ®dVNF:RSTATEMENT
� vu,6
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOAT OUS
I hereby certify that i own property adjacent tom a of Fro owner)
erty Ow
A
S
property located at ---
(Lot, Block, Road, etc.)on in
.�e.
(Waterbody) (Town and/or County)
fie 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 (I5') from my area
of riparian access unless waived by me.
I dQ wish to waive the setback requirement.
I do wish to waive that setback requirement.
------------- - -
DESCRIPTION AND/OR DRAWING OF PROPOSED DE` F
(To be pled in by individual proposing development)
/3aAt
ki Pt
I" � 15"t e � � V►- � � L,
Print or Type Name
Telephone Number
Date:
0
0
L