32325_ANDERSON, BEN AND KITTY_20020716

CAMA / DREDGE & FtLL
GENERAL PERMIT Previous permit #
New 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 I SA NCAC
i_ Rules attached.
Applicant Name I � K, A.
Address ! - / i -SI (LI
i
City v �, State_ ZIP
Phone # O Fax # ( )
Authorized Agent
Affected Ll CW C}EW [�-"A El ES ❑PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ 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 1-
5r
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
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 #
Project Location: County
Street Address/ State Road/ Lot #(s)_ —
Subdivision_
City —
Phone # (�) River Basin J / IC t ✓ `
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
See note on back regarding River Basin rules.
Permitpfficer s Signature'
IsiuingDate l Expiration Date
f
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:
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)
Revised 10/05/01

DEREK M. WALLER 3819
PH. 252-247-2451
2105 FISHER STREET 1 66-7538/2531
MOREHEAD CITY, NC 28557 Date -7_Tele,� 04
Pay to the
Orderof 1 1 $;40
od S
—Dollars
First Fw, ..
Morehead City, NC 285S�,
1: 2S3 LTS384i: LOaD IS 2S 140310 3819

JUL-01-2002 MON 03:22 PM NC DIV OF COASTAL MGMNT F'AX NU, 4 V. UZ
,-•• 4 4 ►jvvnjiyu rrc.j1vW1,UUA1L1h71BOATH005E)
I hereby certi�y that Z own property adjacent to� t ;7• �,,� .ma's
(Name of Prope Owner)
property located at 4 Q-1- �31 / `� a /�� 6o r v �'7444E it,
(Lot, Block, Road, etc.)
(Waterbody) (Town and/or County)
M
±62s5: /9. r/., IV.ss
He has described to me, as shown below, the deve?opment he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilingsNzJr iM0athouse must be se: back a minimum distance of fiftcen feet (15') from my area
of riparian access unless waived by me.
160 not wish to waive the setback recuirement.
I wish to waive Lrat setback re:uir,-. ,ent.
DESCRIPTION AiND/OR DRAWJ.N;G OF PROPOSED DEVELOP"Y[P\ ';
(To be filled in by individual proposing development)
y9`
Sig;�aNre
,s c DT 1 ,t),)
Prlr,t or Type Name
262 - 2y-7 L/ b
I d!zonone Number
Dace: J vL

JUL-01-2002 MON 03:22 PM NC DIV OF COASTAL MGMNT FAX NO, 4 P. 02
1- ..,. ,. - .-4,,4r,1/,/n.jYv rll—fwWIdUAtLIP 7/BOATH005E)
I hereby ce:gjfy that I own property adjacent to-&.Y W-- r'tA 's
/ (Name of Property Owner)
progeny located at L. Q� �31 I Ya #- 6o r v,f4E I,- N * S . /Q S/., S$ SS
(Lot, Block, Road, etc.)
on rgWAj T,_o•v4 , in N K !I S r Car,Fgrt,,E- , N.C.
(Waterbody) (Town and/or County)
M
He has described to me, as shown below, the d°Vt!!O. =rIt Is yrCpCSME at that locatlon,
and, I have no objections to his proposal. I understand that a pier/mooring
pilin�s/bea:liWboathouse must be se: back a minimum diszuce of fifteen feet (15') from my area
of riparian access unless waived by me.
� _ I d-o no wish to waiv,4 the setback requirement.
I �D wish to waive LLL setback require,,,e%.
-------------------------
----
DESCRIPTION AIN D/OR DRAWING OF PROPOSED DEVELOPWEN-T;
(To be filled in by individual proposing development)
PrMt or Type Name
--Cl',-=moo- s`y-r
Te!zpnone Number
Date: o.z