36733_GARNER, LESLIE_20031118

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❑ CAMA / DREDGE & FILL nL f
GENERAL PERMIT Previous permit #
❑New I JModification ❑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 I SA NCAC
E Rules attached.
Applicant Name r.i ` e 1. (f: of Project Location: County
Address
City 1. r � � ,� ! I f State PA ZIP 16
Phone # () "t� SE,'r 1 Fax # (1) ? sS > 9 ?Z
Authorized Agent �/ i i' ` / I^/`' 4
Affected C CW E EW [2 PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City.- _ ZIP )? -`IZ
Phone # ( ) River Basin
Adj. Wtr. Body ;,, r, ': , i r bF r ( (nat /ro /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
140 E k(c . - d
(Scale:
.Ai_r^%,4
Pier (dock) length
Platform(s)
Finger pier(s) 3 Y
Groin length
number
-- -- -- - --- - -- — ------
—
Bulkhead/ Riprap length
avgdistance offshore
' }
(r �' I'!� �f�
-
max distance offshore
Basin, channel
--
-
cubic yards
Boat ramp
Boathouse/ Boatlift ' Y
'GkI_ NHrLyFra�
Beach Bulldozing
Other
i I f 1
Shoreline Length !' _
SAV: not sure yes no. - -
Sandbags: not sure yes no:
Moratorium: n/a yes no.
Photos: yes mo
Waiver Attached: dyes 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 #
I
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing) Date Expiration Date
� 1/1, N I, �P/ l -) J1 i ? ''I A
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, 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

SPAWORKS
P.O. BOX 352
MOREHEAD CITY, NC 28557
66-85/531
0280190258
DATE
1056
PAY TO THE s /e,
ORDER OF
R —4 DOLLARS
RBC
Centura
RBC Centura Bank
Morehead City. NC 285:,6K,/3 b-1 3 NP
i:0 53 10085D:0 280 190 2 561" 1 OSG

ADJACENT >zI.l APUAIN PROPERTY ONVINER STA'IE-,,NIE N ,.
(FOR A FI ERIIVOonrNc P rLliVGSI)30.4 rLrF27BOA THO USE )
I hereby' certify that I own property adjacent to. _¢k-'}�S
CNatlte/of�ProopertY 0ii i,ct)
property located at _q� 1D �� tv l_ t✓-5�---......
Ag (I'ot, Block, Road, etc,))
N.C.
(Town and/or'C..'ount}•) T
He has des^ribed to me, as shown below, the development he is proposi.w <at that location,
and,1 have no objections to his proposal. I understand tlla; a pier,!moorinb pilin;slaoat:iiibolthouse
must be set back a minis-1kini distance of fifteen feet (15')'r6m�my area of ripiri:tn acccss unless
waved ky uie. .�
I do not -,vish to waive the sctbaek req�tiremw--
I do wish to waive that setback requirement. _L4'
-,................ --------- ------- ---------------------------------- -
DESCRIPTf.ON ANWOR DRAIVINNG OF PROPOSED DEVELOPMENT:
(To be filled in by h:dfvidaal proposhc� do>velopr�rent}
I
, f 1 Print or Type Name
252 - 35-919� 3o
Tc ephone Natx ber - --
Date:
7'a I.unn'aT r'a077 QT. '1071 nr, ahlnH.-t
913 Nr t t Si.NQ : WOZI

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIjVIOORI/YG PILINGSIB OA TLIFT/B OA THO USE)
I hereby certify that I own property adjacent tos
(Name of Property Owner)
(\ r
property located at A cam _i4�.-Il— ` 1 I,- i .(�_ (�.���-� v I,-, t-
(Lot, Block, Road, etc.)
on in �' , N.C.
(W a t e r b A y) (Town and or Countti)
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 pilinosfboatlift/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.
Le/ I do wish to Nvaive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in bV individual proposing developlueut)
---------------------- •----
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Print or Type Ira e
C-; A ' - _;, \�1 � - J 5
Telephone Number
Date: `-) /// ( �y
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S".-awork,
Home Improvement Pool and Spa
General Maintenance $, "tervices
PO. Box 352 /:vVO1E # 2003
Morehead City, N.0 28557
Home [phone] Cell [phone] , <,
Email tivi1lis5,iiec.rr.cnm DATE: x '•
Bill To: For:
DESCRIPTION *. AMOUNT
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TOTAL
• ,4VIake all checks payn'6le to Spaworks
If you have any questions concerning this invoice, contact Terry Willis a [phone]
THANK YOUPOR YOUR BUSINESS!