40392_HARRIS, WAYNE_20041207

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[-,�CAMA / Ci DREDGE & FILL r,'�92
GENERAL PERMIT
Previous permit #
ENew ❑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 v 7 H7
®-Rules attached.
Applicant Name V" ` l �` "' �f / �` ` ! ` '° Project Location: County fiY
Address / 7�"" 3? // '' �� Street Address/ State Road/ Lot #(s)
City_ V U e.` State %� ` ZIP
Phone # ( ) Fax # ()
Authorized Agent
Affected ❑ CW Q•EW E}PTA ❑ ES 0 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
1J/.I
Subdivision /
City ��r is ,,�✓' ZIP
Phone # ( ) / r^ River Basin
Adj. Wtr. Body `f ' G)man /unkn)
Closest Maj. Wtr. Body_
Mq=
(Scale:
Pier (dock) length > '�
Platform(s) 1 I
Finger pier(s)
n
Groin length � , t �
number
Bulkhead/ Riprap length — L.• ��
avg distance offshore
max distance offshore
Basin, channel j f
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing "
Other
JI
Shoreline Length jki
SAM not sure yes co-
Sandbags: not sure yes
Moratorium: n/a y �s ,ni
Photos: yesq
Waiver Attached: -� yes) no
A building permit maybe required by:
Notes/ Special Conditions
r Jf
C —Seenote on back regarding River Basin rules.
[. i Cr 1. �i} (-� r �/ "� fjia c '�.i r/ Y p / / ?.f.r /�1/ .•'I• �/ S Q._+/ • f•s.r r.
0VeV1 -1'1r l
_ 1'rie'v
Agent or Applicant Printed Name
Signature, Please read compliance statement on back of permit ee
i J
J—" 7 /
ti Applica�tii�on Fee(s)
Check #
Permit Officer's Signature
tj, -7 _ k, 3 _ --) _ 0 4
Issuing Date
Expiration 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 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 D 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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

e'u ha n c e d d o c u menf. See 6nek f or def ails. (:) • ' '' '
INNERSANKS MARINE CONSTRUCTION, INC. 1771
P.O. BOX 190
ORIENTAL, NC 28571
252-249-1429 t 66-30/531
%y, --A.4v4 rw DATE / V 472
PAYTO THE — `
ORDER OF $ 1 " 0 a
[ hP. ,�k�i\r%� C9_. W"A lr/1 DOLLARS
00-. FYRSI' CITIZENS 472
IEIAj�j1II First-Citizons Bank& Trust Corm—y
�11 mil_ prientalAC. 28571
www.firstcitizens.com
FOR t�1�r.e:� Qc� vw�' �4%�: S� _ ..__ _ __.�._.�_ -..___.-- --- ---.._
ii'00 17 7 11i' t:0 S 3 L00 3001:004 7 L 20 1 28 2 211'

CERTIFIED MAIL a RETURN RECEIPT REQUESTED e�"i�1 .
uA& Heath and Halml Aeseunes
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: W
Address of Property:
Nc.
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151B, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
k--,_ I do not wish to waive the 15' setback requirement.
Signature c �'� Date
Print Name
x J-/� - //.�/ 7 - A�
Telephone Number With Area Code

01'. 4e"A "x\ \

Sep 16 04 12:42p PETER OVERGAHRD 252-249-1429 p.2
xur1xLUAA rtcvrkK1 Y V WPIKAK' l:AJLkMJKN t*
(FOR A MMUMMUNG P1LJ7VGS/B0ATLLFI/B0ATH0USE)
I hereby certify that I own property adjacent to � A ,- � �,d�. ,. CY€-, ' .. , 's
(Name of Property Owner)
property located at 3 I-S 3 3
(Lot, Block, Road, etc_)
on C12 :Nr g , in N C.
(Waterbody) (Town andlair 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 pierlmooring
pilings/boatliWboathouse must be set back a minimum distance of f fteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEMPNEENT:
(To be fitted in by individual proposing development)
+� hrt'LL �eM r
• Ci y l _ �
f
X,OLLY or1 Co 7rc2
Print or Type Name
7S�-
Telephone Number
Date:

Sep 16 04 12:42p PETER OVERGRARD
252-249-1429 p.2
t,.Luitx%-r-x4 jL xu-reAmLai'4 r.KUjrkjK I X 0 WiNEK 64AJUkAU:N , F
(FOR A PIERIMOORING PILINGSIMMUTTIBOATHOUSE)
I hereby certify that I own property adjacent to W,%Lhc, + VocIL.; s
(Name of Property Owner)
property located at 3115" -� 33\
(Lot, Block, Road, etc.)
on in N.C.
(Waterbody) Crown andloir 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/boadift1boathouse 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.
/Y I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he JMed in by individual proposing development)
PAI
Signature
Print or Type Name
Telephone Number
Date:

Sep 16 04 12:42p PETER OVERGRFlRD 252-249-1429 p.2
t�u}E-lx.r l a x1fLir1UU P►l'j rKVYk-KI Y V WPf111K b 1 A:JLI ;M N —F
(FOR A PMRIMOORING PffIIYGSIBOA7UITIBOATHOUSE)
I hereby certify that I own property adjacent to ��{; + \4M Cr Z:;. 's
(Name of Property Owner)_
properly located at, S 3 3 \
(Lot, BIock, Road, etc_)
one�r inN.C.
(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
pilingVboatliitlboathouse must be set back a minimum distance of fifteLn feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
X I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEMP EENT:
(To be filled in by individual proposing development)
m
J/
I
% 4V*gvr9lY S//6Rz:
Print or Type Name
Telephone Number
Date: X cf — /7- o V

Oct 04 04 08:59a Innerbanks Marine 252-249-1429 P.1
PO. BOX 190 ORIENTAL, NG. 28571
Phone [phone] Fax [phone] Email [e-mail]
I Waverly Shore acknowledge that I am applying for a joint permit for a dock with Wayne
Harris- In doing so,1 am aware that in the future it will be necessary for me to get a major permit
for the construction of an additional. dock on my property located at 331. Dixon Dr
X
Waverly h. re.