39629_STONE, JERRY_20040819

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CAMA / D DREDGE & FILL
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GENERAL PERMIT
Previous permit #
-'New '- Modification .Complete Reissue
DPartial 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
F] Rules attached.
Applicant Name '5, oC
Project Location: County_ _
Address I T' i'� !c s �!' `�c= k "'v :`
Street Address/ State Road/ Lot #(s)
City State <:' ZIP;
/
Phone # Fax # ( )
Subdivision
Authorized Agent
City_ _ ZIP_
i CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # (_) River Basin
Affected
AEC(S): OEA HHF 1H El USA El N/A
Adj. Wtr. Body (nat /man /unkn)
❑_ PWS: El FC:
_
Closest Mai. Wtr. Body --
ORW: yes / no PNA yes / no Crit. Hab.
yes / no
Type of Project/ Activity
)
C
(Scale:
Pier (dock) length
Platform(s)
Finger
Groin
Othe
SAV:
Sand
Photos:—
yes no
A building permit may be required by:
Notes/ Special Conditions
/ f '�
1 jt
El See note
on
back
regarding
River
Basin
rules.
length
YI
' +'h'�
1
i
I
I
I
number
I
r_ c�f)t c�
Agent or Applicant Printed Name
Signature * Please read compliance statement on''back of permit *
Permit Officer's
Issuing Date Expiration Date
ApplicationFee(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:
❑ 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 / 1-888-4RCOAST
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

PAY TO THE
ORDER OF
T D EURE CONSTRUCTION CO., INC.
PH. [phone]
P O BOX 650
MOREHEAD CITY, NC 28557
D 6/,1ti f2
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY. NORTH CAROLINA
37747
66-112/531
02301
49 d
$ I DD
_-'
DOLLARS
MEMO'
II'03774 7111 i:053101120:123L00242a""

SECTION.2000 - GENERAL PERMIT FOR AUTHORIZING MINOR MODIFICATIONS AND REPAIR TO
EXISTING PIER/MOORING FACILITIES IN ESTUARINE AND PUBLIC TRUST WATERS
15A i I CAC 07H .200I 1• Ii 1tPOS E
This permit will allow for reconfiguration. minor modifications, repair and improvements to existing pier and mooring facilities
ct ' ,: purr idedn Sr:'t>ci�aptcr 7l . l li'O of lhi., Chapter and according
to the following guiuelines. Tliis permit %%ill not apply' to the Ocean Hazard A-C.
History Vote: Authority G.S. 113A-10i; 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: t
(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 inlicating,
that they have no objections to the proposed work; or
03) the adjacent property owners have been notified by certified mail ofthe proposed work. Such notice
shall uistruct adjacent property owners to provide any comments on the proposed development in
writing for consideration by permitting officials to the Division of Coastal Management within ten
days of receipt of the notice. and, indicate that no response will be interpreted as no objection.
(C) DCM stall•will review all continents. 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 continents are worthy of more detailed review. the
applicant will be notified that he/she must submit an application for a nraior 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 permit must be completed within 90 days ol' permit
issuance or the general authorization expires and a new permit shrill be required to begin or continue construction.
HLsro�y:\'o!e: ,-ltrtlrorin�GS'. IJ3.1-1C-; 113:1-11S.1:
Eff. Janttarv- 1, 19941
15A NCAC 07H .2003 PERMIT FEE
The applicant must pay a permit fee of one hundred dollars (S 100.00) by check or money. order payable to the Department.
llistoi-v :Vote: Authoritt• G.,S. 113A-10"; 113. f-11S.1: 113.4-119.1;
Eff. October 1, 1993;
Amenuleel Eff August 1, 2000.
ISA NCAC 07H .2004 GENERAL CONDITIONS
(a) Structures authorized by this permit shall conform to the standards herein.
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make periodic
iasvn.,ctions at any time deemed necessary in order to be surshat the activity being, performed under the authority ol'this general
permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no unreasonable interference %%ith navigation or use of the tisaters, by the public by the existence of piers or
mooring pilings.

(d) This permit will not be applicable to'proposed construction where the Department has determined. based on an uiitial review
of the application, that notice and review pursuant to G.S. 113A-119 is necessary because there are unresolved questions
concerning the proposed activity's impact on adjoining properties or on water quality; air quality; coastal tyetlands: cultural or
historic sites; wildlife: fisheries resources; or public trust rights.
(e) This permit does not eliminate the need to obtain any other required state, local, or federal authorization.
(1) Development carried out under this permit must be consistent with all local requirements. AEC rules, and local land use plans
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.
11istoty.,Vote: Arrthoriq•G.S 113.4-10- 113.4-118.1;
Eff. January 1, 1994;
Amended Eff. August 1,1998.
15A NCAC 07H .2005 SPECIFIC CONDITIONS
(a) All proposed work must be carried out within the 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 outer most line of tie pilings,
ends of piers. and upland basin or area within an enclosing breakwater. whichever is greater`.
(b) Modifications to piers and mooring facilities shall not interfere Nyith 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
tlnc points that they intersect die shoreline. The minimum setbacks provided in the rule may be waived 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 pilings) commences, the applicant shall obtain a written agreement with the ne%y owner
waiving the minimum setback and submit it to the Division of Coastal Management prior to initiating any development. 111c line
of division of areas of riparian access shallbe established by drawing a line along the charnrcl or deep water in front of the
property, 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 water's edge. When shoreline configuration is such that a perpendicular alignment cartrtot be achieved. the
pier shall be aligned to meet die intent of this rule to the maximum extent practicable.
History .Vote: 4uthorin- G.S. 113.4-10 !l3:1-1I8.1:
Eff. October 1, 1993.

AllJACENT RIPARIAN PROPER'I'I' OWNER STATEM LN'1'
(FOR A P1ERIAI00RING 1'ILI1'GSIBOATI IITIBOATIIOUSIi)
I hereby certify that I own property adjacent to _'s
(Na of Property 0Ni ner)
property located at
(to(, Block, Road, etc.)
1
on , in e�t� N.C.
(Waterbody) (ToAl an&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/boatlifUboathouse must be set back a minimum distance of fifteen feet (15') from my arca
of riparian access unless waived by me.
I do not wish to waive the setback requirement. 1.
1/ I do wish to waive that setback requirement.
---------------------------- Y - ---- - -�
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by individual proposing development)
1400 M— F LD,4ri tNG
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l
------------------------------ ------------------------------------------
Signature
Print or Ty
pc Name
Telephone Number
Date:
g ----- — —

ADJACENTRIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING I'ILINGSIBOATLII7''IBOATIIOIISE)
I hereby certify that I own property adjacent to e s
(Name of Property Owner)
property located at
(Lot,'Block, Road, etc.)
on in 19-4-4-�/ /l .e N.C.
4'alerbody) (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/boatlifUboathouse 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.
f,!1 r�
I do wish to waive that setback requirement.
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DESCRIMION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by individual proposing development)
Aou a- FL0.0f—, JVr
---- --- - - - - - - - - - - - - -- ---------- - --- -
Si nature
/ �6NA/c� S-T-o /I -L-
Print or Type Name
ZS—z — .5'6Y — 5 S—>>3 _
Telephone Number
Date: 55;�--1; 4 __