38898_FISHERS POINT HOA_20040618

Y1CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
®New ,]Modification CComplete 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_ F ``�" t �{ ' H-! ' 1Ln el C, �"r i� a. �C ``" f Project Location: County
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ''� zip ' u
Fax #( )
❑ EW 0 PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier -A len h iiQ'
Platt
Finge
Groin
Bulk
Basir
Boat
Boat
Beac
Othi
Shor
SAV:
Sand
Mor
Phot
Waiv
Previous permit #
Date previous permit issued
� Rules attached.
Street Address/ State Road/ Lot #(s)
C. I V;. , r+-D. Cr;
Subdivision ! %• ' "'�
City "'v - �r - zip S f�
Phone # (_ ) River Basin /14 ✓d<
Adj. Wtr. Body fe l' /man /unkn)
r _
Closest Mai. Wtr. Body ild, ,I ' r
(Scale: n1LNL )
oc gt
orm(s)
atorium:
yes
-
r pier(s)__
i
length
j
number
lead/ Riprap length
avg distance offshore
max distance offshore
i
I
I.
,channel
`
1111
_
cubic yards
ramp
louse/ Boatlift
Bulldozing
i
I
r
TT
eline Length
not sure yes no
bags: not sure yes no
n/a yes no
-
-
--
_
os: yes no
er Attached: no
-- -
j
: P
-
I
4
A building permit maybe required by: t A Ak,c� (C. 0 See note on back regarding River Basin rules.
r
Notes/ Special Conditions we I0./ f; tiY till Ew h wfr 4 rev I i"
LA! �v l r f o- 'C', i r: rite
Agent or qW iicant P ted Name
Signature Please read compliance statement on back of permit
%' p er. {,,. ♦ 14,
r
.4.d
.f.-�
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # 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 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:
[3� 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

NOE CONSTRUCTION & SERVICES
972 HIGHWAY 101
BEAUFORT, NC 28516
[phone]
i
WACHOVIA BANK
BEAUFORT, NC 28516
66-21/530
1543
t�
$ �tD
69
III �
543u 1:0530002191:2054600044753110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property O,pvner)
property located at / U U f M
(Lot, Block, Road, etc.)
on )ke-e —,in lie)-11-IR-6 n ,NC.
(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")
fro mrtl y area of riparian access unless waived by me.
CJJ�/I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------------------------------------,."�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL NT ����
(To be filled in by individual proposing development) OQ�
----------- - - - - - - - - - - - - --- ---- - -
Sig ur
Print or Typ ame
Tele on Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to;��A-V '�'k&
j (Name of Proparty Owner)
property located at
(Lot, Block, Road,
etc.)
61"a on C %'� (� , in / � - '-, ,NC.
(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 (I
from my area f riparian access unless waived by me.
I do not wish to waive the setback requirement._
I do wish to waive that setback requirement. 0".���
---------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: �C
(To be filled in by individual proposing development)
0'r
. I v
------------------------
f---------------/-----------
Si e
Print or T e Name
Telephone Number
Date: 6 — a a — 0 V