32375_CYPRESS BAY POA_20020827

f J DAMA / DREDGE & FILL
GENERAL PERMIT
r 32375 -�
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Previous
permit#
EINew El 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 • / 3�0
m Rules attached.
Applicant Name R( A
Project Location: County
Address y ► I c nk
Street Address/ State Road/ Lot #(s)
City j V V( ("� State I'l ZIP L'
_ Z r r, <.. ryz�.� 1'i li ,,c' Cjµ, f. �► fu
Phone # (_` Z) Fax # ( )
Subdivision AA tj
Authorized Agent i - ' rn n , J
City u �_ j Y _ ZIP r 53 Z
Affected Ll CW ElEW lI PTA El ES ElPTS
u.( �^ i
Ab
Phone # ( ) River Basin Abu'F h 111,
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
�_
Adj. Wtr. Body A14 i< ! r P ; � c. iat an /unkn)
'❑i PWS: ❑FC:
AI
f
ORW: yes / no PNA yes /,'no Crit. Hab.
yes / no Closest Maj. Wtr. Body 'y !!
Type of Project/ Activity AU IJK, i t-< Ai, j <C H w 00 Oly ( V-4
(Scale: A/(�7 )
Pier (dock) length
Platforms)
Finger piers)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
-- ----- - ---- — r+•?+f F
Basin, channel — -""" - "- ' " 1 � I
f (riF �LCG tY
cubic yards
Boat ramp
Boathouse/ Boatlift — `_- - '— - -----
Beach Bulldozing
Other ._
Shoreline Length
SAM not sure yes Rio; . -- - --- -- - ----- -- — -- - _.
Sandbags: not sure yes no
Moratorium: n/a yes non'n"bv1 _ fC-f I
Photos: yes
Waiver Attached: yes no — ----- - I r/ L,
A building permit may be required by: 'to,(( v 1 i See note on back regarding River Basin rules.
Notes/ Special Conditions J r n r J .. ! c I c- r ua .j ' (1 - J j r, i \ nr at�f' c.
Agent or Applicant Printed Name w ;�
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
D kk-71© L_ !/ 17 ? /0 Z.
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, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-41RCOAST
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
151-B Hwy. 24
127 Cardinal Drive Ext.
Hestron Plaza II
Wilmington, NC 28405-3845
Morehead City, NC 28557
910-395-3900
202-808-2808
Fax:[phone]
Fax: [phone]
(Serves: Brunswick, New Hanover,
(Serves: Carteret, Craven, Onslow -above
Onslow -below New River Inlet- and
New River Inlet- and Pamlico Counties)
Pender Counties)
Revised 10/C

CYPRESS BAY ON THE NEUSE PROPERTY OWNERS 66-112/51267
s2�2»ao76
ASSOCIATION
P44-2`s2-444'3137 DALE
HAVELOCK, NC 28532
PAY TO THE /� &/ W / I / b D p 0
ORDEROF / 40 rc>
/2-_ � / ©C'� DOLLARS 0
02001 BB&T n 1 ci l ,Si 5 f] 44
�. ■1
1303 EAST MAIN STREET
HAVELOCK, NC 28532
MEMO
1:053 10 112 Li:5 21 27 1307611' L 267 of

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORti1
?Fame of Individual applying for Permit: © �
Address of Property:--©©lZc�-S
�, ` C- o
(Lot or Street #, Street or Road, City &
ir�ereby certiry that I own property adjacent to the above referenced property. The individual
:plying for this permit has described to me as shown on the attached drawing the development
:liey are proposing. A description or drawing, with dimensions, should be provided wi .
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
1�fanagement, Hestron playa II, 151-8, Hw
y. 24,Morehead City, NC, 28557 or call (252) 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 :ender stand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
se: back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
to waive the setback, you must initial the appropriate blank below.)
_ i do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15'setback requirement.
Sisr u
Date
l011 Cf U elfn e
Print Name
Telephone Number With Area Code

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
It
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box 0
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��J L �l V 1 n1 r tii\lrll rrc V r r ri l Y ki A 1 r lvLtiN 1
I hereby certify that I own property adjacent to 3 Uc/'e y is
(Name f Property Owner
property located at Lo j
Block, Road, etc.)
on . ' , , in C2r70—C> 5� , N.C.
(Waterbody) (Town and/or County)
He has describer) to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�2ew-r o v'e /�w� 2����c �- C Gn.l'L��T� 2��� sPc/��a.•�
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Signature
Print or ype Name
6/-233123/
Telephone Number
Date: ,

I 1%.LrtA�l rWJrF�nI z v vrNL.n 31AIr.M-LiN 1
I hereby certify that I own property adjacent to l
ame of Property Owner)
Property located at ,- j
(Lot, Block, Road, etc.)
on Ayet� S� 1 l�c>/� , in L� w C , N.C.
�-1.�
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
/ze /i� c Lev /V cle %Z�j-�J� �S ec7
rg 2 o j�er>i9TeL � /:: -rc?eT L✓r W-e &.\
s e e T
Si
Rci-yla)ol
Print or Type Name
35a ++I-(�>Ia:3
Telephone Number
Date: a �-

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