32821_FITZGERALD, MICHAEL_20020930

47CAMA / LiDREDGE & FILLENERAL PERMITPrevious permit #
New '-]Modification El 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 ' ' I t l
❑ Rules attached.
Applicant Name 114 ( hu f ' ' t zqE r w
Address 0 ),(v. 4' r jJ ( 4
City rc•.,:r >ti . 1 �t State �t ZIP
Phone # Fax # (_)
Authorized Agent j •(j
Affected ❑ CW C EW p PTA ❑ ES ❑ PTS
AEC(s): ❑ 0EA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / 19 PNA yes /o Crit. Hab. yes / no
Project Location: County i R A ui",J
Street Address/ State Road/ Lot #(s)
Lc4 -P 144 P51C11-1 iDC1.
Subdivision (edr Y
City 0uir jit 0 __ ZIP_ 52.
Phone # (_ _) River Basin "�V l t
Adj. Wtr. Body Vf-u.•, ••'' k r r (nat /man /unkn)
Closest Maj. Wtr. Body NW;P k ( ofr
ength
ad/ Riprap length
distance offshore
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
Permit Officer's Signature
9- 3n Gz- ?r (
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 ❑ 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 / I-888ARCOAST
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)
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] Secu ri 1 enhanced dor n men L See sack _.�----
DECKS N' DOCKS 2130
CONSTRUCTION, LLC
PH. 252-637-1595 66-112/531
243 FOREST GLEN DR. �' —'� e9 •- v L" 01901
POLLOCKSVILLE, NC 28573 DATE
PAY i $
TO THE
ORDER OF
DOLLARS.~
e
0
BB&T
BRANCH BANKING AND TRUST COMPANY /•
NEW BERN, NORTH CAROLINA NP
FOR AfIC6 f da= ii
000 215011' i:053 10 11 2 L1:5 L956 2f� 9611'
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25 2002 7;47 PM Paul Valko 203-926-1059 PJ 1
Department of Social Ser (2521 S34-2603 p.2
• (FOR A PIERIMOORING PJUNGSIBOATL FTIBOAT710USE)
r e y ardffy that I own property adjacent to
(Lot, Block, Road, etc.)
r
ater%ody) (T*wn and
described to me, as shown below, the devel
- ? }have no objcctiom to his proposal. I i
rboathouse must beset back a minimum distances
- an unless waived by me.
_-- I �aQt wish to waive the setback requirement
A .JR wish to waive that setback requirement.
-3mon7QN AND/OR DRAWING OF PROP(
(To be Xed in by fn&Mual proposing
(Name of Prnperty Owner)
N.C.
County)
he is proposing at that
id that a pie:/mooring
1 feet (15') from my area
v `? 7 2002
DEVEMP'1MN'T:

ru��r��.rJl�� turhrc�Aiv rttUY�K1 Y UVVINtA 6'1'A'1'EN1-ENII'
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to A/;& JZ 4"Tz g>
(Name of Property Owner)
ro located at
property ? o ' �� T
(Lot, Block, Road, etc.)
(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
pilings/boatiiit/boathouse must be set back a minimum distance of fifte--a feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
✓/ �: � � 7 Zeez
I do wish to waive that setback requirement.
DES CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNMNT:
(To be filled in by individual proposing development)
Signature
//�-' -5 L
Print or Type Name
4
Telephone Number
Date: �� �—

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