31509_GLASS, CARTER AND KAREN_20020315

D CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
[3 New ElModification ElComplete Reissue OPartial 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
El Rules attached.
Applicant Name. ,,, 'cy i �afc,-, (- jjc,;
Address
City— State J ZIP
Phone # Fax #
Authorized Agent
Affected El CW D EW E, PTA E-,. ES ❑I PTS
AEC(s): E OEA E HHF Li 1H — UBA E N/A
I PWS: FC:
ORW: yes / no PNA yes no Crit. Hab. yes no
Project Location: County '-(A,- ) It
StreetAddress/ State Road/ Lot #(s)
Subdivision
City ZIP L'kslb
Phone# River Basin
Adj. Wtr. Body f'l: ve'e ((g)/man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
4 . ..... .
number
Bulkhead/ Riprap length
<
avg distance offshore_
max distance offshore
Basin, channel
4
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes 60
Sandbags: not sure yes no
k1
Moratorium: , n/a yes no
,or E.
Photos: yes no
01tv
Waiver Attached: yes no
A building permit may be required by:
El See note on back regarding River Basin rules.
Notes/ Special Conditions
P�*Cse-�
!flit ryc".
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
r 7.
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, certifythat 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 / 1-888ARCOAST
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)
Revised 10/C

15-800
UNITED STATES 000
A
POSTAL ITIONFAN ORDER
II POSTALSER x lk
902893 41371 0 P 01 .00
PAY TO
ADDRESS
O�6USED FOR p-W3
1:000001300 21:
I
CHECKWR I TER
IMPRINT AREA
90 289 34 13 7 1110
tIli WI Air
5
Y IN THE U.S. AND POSSESSIONS

-MAR-12-2002 11:29 PAUL FUNERAL HOME 2529740444 P.02i02
ADJACENT i �RLAN PROPFRTY OWNER STATENEENT
(FOR A PiERIMoORINC PILINGSIBOATLIF IB A THO
.�..
hereby certify that I ou+a property adjacent to C'4zco-e
(Name of Property Omer)
property locamd at
lock, Road, etc,)
on � UC.�.� to N.C.
(Weerbody) (`I n andlor County)
He has described to me; as $, Own below, the development he is proposir.� at teat lacauon,
and, I have no objections to his proposal. I understand uiat a pierfrlccrin;
pilingAcatsiftlboathouse must bew. sack a minimum diswcc of ffteta feat k15') from my area
Of riparian access unless waived by mc,
>� I dS ngt wish to waive the setback mquirement.
I 1:1,0 wish to waive that setback rezuitement,
DESCRIPTION AND/OR DRAWJ;� Qf�y OPOSED DEVELOPNM7`7:
{To be fiifed in by tndivulual pmposznt developrnenr)
M
i
O
•------------ ----._ -- - --------------------------------------------------•..
%J
7
Signature
l { oy
0
Print or Type Name
5 -q 4
Telephone N'umbe:
Date:
252 247 1121 MAR.12'2002 11:20 RECEIVED FROM: 2529740444 #7362-002

,03/13/2002 11:37 1-252-249-2602 VILLAGE REALTY PAGE 02
AEUjALL.iV 1 c%vr LA%4 A w •• � • —• �.- - --
(FOR A PIF'RIW ORING FILINGSIBGATLIFTIBO THOU;
) fl9---"Ar' dip
I he-eby certify that I own property adjacent to o►rl J.� �- S
(Name of Property Owner)
property located at -„3/
Biock, Road, etc.)
r
on
'e�,�.o -r,f in . N. C.
(Waterbody) (T n and/or County)
He has described to me, as shown below, the deve1opmC5t be is proposir.f at rhW lvcabon'
and, I have no objections to his proposal. I utiderswd that a Pi. V1rrc4ring
pilings,,boaciNboathouse must' be se; back a minimum disWce Or fiftetz ►` at 05) from my att:a
of r.'paria.n access unless waived by me.
I dp not wish to wa;vt the serback requirement.
I dD wish to wa yc :hat setback re -uiremerit.
DESCRIPTION Ay'DiOR DRAWOFtpP05ED DEVELOptitE's'T:
(To be f,'Ied in by individual propon'l devehnpmeat)
/+ W T t
• crj < - — /.i-��
1 �lr
y�
----------._.._------_ .....-.-_...__.....'---------- ---- _----------------------------- ----
I
4 e 1�7'
252 247 1121
aignaiurc
Z. 4 LL A4 4 "�, . r
Print or Type Name T
Telephone Numbe-
MAR.12'2002 10:37 RECEIVED FROM: 12522492602 #7360-002

3 L{o