32085_GEER, WEB AND GEER OIL_20020625

CAMA / DREDGE & FILL
GENERAL PERMIT
.'New Modification Complete Reissue iPartial Reissue
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
Applicant Name
Address
City
State ZIP
Phone # ( )
_ `�+
Fax # O _ -
Authorized Agent
Affected ❑ CW
L' EW
n PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
HHF
❑ IH ❑ UBA CN/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
/" a
Previous permit # �r1
Date previous permit issued
=] Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City - - — ZIP_
Phone # ( ) _ -__ River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body
Pier (dock) length____
Platform(s) —� -
Finger pier(s)
Groin length - - -- k - ---, =-r- --
- — I
number
Bulkhead/ Riprap length
avg distance offshore_ _
max distance offshore
Basin, channel - - - --- - -
cubic yards
Boat ramp -
Boathouse/ Boatlift
h
Beach Bulldozing
Other
Shoreline Length
SAM 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
T
Application Fee(s) Check #
(nat /man /unkn)
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date / Expiration Date
Lcdy``��,, %21--§A
Local Planning Jurisdiction Rover File Name
1

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 [)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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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

ADJACENT RIPARLAN PROPERTY OWNTR STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Gres C'1' l C,: The Di3A mc%eyc (:3
(Name of Property Owner)
property located at (.011 C. v, a C , " W c 2�6S`s --I ,
(Lot. Block, Road, etc.)
on is ehe•ip �� bivi net , in 0")ty(f1xewo C: A L , N.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 pie7; mooring
pilings/boadift/boathouse 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.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin; development)
�- Signature
Print or Type Name
`7-2
Telephone Number
Date:

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
S ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1 1. Article Addressed to:
c
�.L. ClrAl't'orn f�
° `ZSO'° iAk,tiw000S 3\,r6,
1 �,�ti• N C , 2--71-c,LA
A.
X
r
❑ Agent
B. Received by (AInted Name) C. Date Delivery (011
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Lis Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2, Article Number
j(Transfer from service label) CT-- C� Ic- C44 13 5 e39 i
s PS Form 3811, August 2001
i
-------- -- - ---
Domestic Return Receipt
102595-02-M-0835

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail only; No Insurance Coverage Provided)
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