32349_HOWORTH, GLENN_20020719

CAMA / DREDGE & FILL �y �) `
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
❑ Rules attached.
Applicant Name {,vt • 4L
Address th1n ri(- f .�
City- rJY to (t ,
State ZIP
Phone # (52) [ '? 35.E
Fax # ( )
Authorized Agent
lc ,h, Il
Affected ❑ CW
❑ EW
❑ PTA .91 ES C PTS
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / nc
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City- . le ZIP
Phone # (_ ) , J River Basin /V t,
Adj. Wtr. Body(nat /man /unkn)
__..
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: A —C )
Pier (dock) length
Platform(s) T--
I j i i
Finger pier(s)
Groin length 44 -
number -
Bulkhead/ Riprap length
avg distance offshore /�¢n .-1.i!.L, --I — — !-- — —r - �.. + I I - i ---
max distance offshore
--�
i
Basin, channel -- -- - -- - - -
i
cubic yards t -
l14T Lit!
Boat ram
Boathouse/ Boatlift
Beach Bulldozing
Zvi.. ti 1
Other
tt
Shoreline Length--
f - JM
SAM not sure yes no �
Sandbags: not sure yes no
Moratorium: n/a yes no AL i i ffl_i1
Photos: yes no f I �� '�-.._, ,- ----+--- _-., •O� r__li. _h .hlt: l`_� �1�.
Waiver Attached: yes no ri4 �' ��•'�
A building permit may be required by: +" v of v t ,,, d / See note on back regarding River Basin rules.
Notes/ Special Conditions ,(ac a/ r. r , .l
Agent or Applicant Printed Name
----i---_
Signature Please read compliance statement onbackof permit
i ,� j 1, t1.. ; ( t,(:I , t I—; =4:
Application Fee(s) Check #
Permit Officer's Signature
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 / 1-888ARCOAST
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
151-13 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

NCDL
GLENNDEBORAH HAWOOR OH NCDL 223275366175
GLENN R.
PHONE [phone]
3206 HUNTMASTER ROAD
1736
66-7704/2531
NEW BERN. NC 28562 $ / v O
gJAY l
Sta ;1.yees' Credit Union
New Bern. North Carviina
34
:086282002Lsil 736
:2S3 17701,9
m

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
i so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A.
zu
W Addressee
Received by (Printed Nam e) C. Date of Delivery
Lr. ` '11p;:GC nnAI. I f_ — /^-.^ I
D. Is delivery address different from items? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S ice Type
ertified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise ?
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 70r 91 340z9®`/�-
PS Form 3811, August 2001 Domestic Return Receipt
102595-02-M-0835+

UNITED STATES POSTAL SERVICE
First -Class, Mail
Postage & Fees Paid
USPS
111111 Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
�GCrr� l�oc-�/a i

DIVISION OF COASTAL NLkNAGEN ENT
ADJACENT RIPARIAN PROPERTY Owl -ER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
ddress of Property:
V,
(Lot or Street e, Sc"---, or Road, GOO & County)
I hereby cerri y that I own property ad acent to the above referenced prop-.�y. T n- iflUIVILLUeU
a:,oiyina for this permit has described to me as shown on the attaches drawing the development
=ey are proposing. A description or drawing, with d mansions, should be provided with this
l�:ter.
I have no obiections to this proposes.
If sou have objections to what is being proposed, please wr-a; e the Division of Coasral
Managemerzt, Hestron Plata Il, 1.51-B, Hwy. 24, Morehead City, NC, 28557 or call (25?) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no obiecrdon
if you have been notilTed by Cerri ied Mail.
WAI'v-ER SECTION
I •.::,derstand that a pier, dock, mooring pilings, brew�a:e'; boar house, li�L- or sandbags must be
.e: back a minimum distance of 15' mom my area of n; a z- access unless waived by me. (If you
to waive the setback, you must initial the approp: a biank below.)
I do wish to waive the 15' setback recuire-ent.
I do not wish to waive the 13' setback req.•-ni-ement.
4111�10 2—
Date
v �'�.e /tom D J ����i✓C
P; nt Name
-zs2 - 4�(-4 ^3 IS 2-
Te1eohone Number With Area Code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tenn R. flar" 's
(Name of Property Owner)
Property located at LDS L �J� IC1Z1r1�0
(Lot, Block, Road, etc.)
i 1�� inc�VrC-0�lon NeAASC- �, 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 nn nbj-C+�onr to his propose?.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) -iFq}
2 ==
a
Print or Type Name
2SZ-41-c( -3iI�2
Telephone Number
Date: o 2-