32008_ROSE, TRAVIS_20020723

t ❑CAMA / ❑ DREDGE & FILL �i ' C%
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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF Ell IH
❑ PWS: :❑FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
❑ ES ❑ PTS
UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (�) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
B thous-/ Boatlift
oa �
Beach Bulldozing
y
Other _
Shoreline Length i
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes nol->
Waiver Attached: yes no -
A building permit may be required by: _ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningjurisdiction 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 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 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
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

�zoa� 7 014
JOHN L. PIERCE & ASSOCIATES, P.A.
P.O. BOX 1685 PH. 910-346-9800
409 JOHNSON BLVD.
IVJACKSONVILLE, NC 28541 66-85/531
4 DATE 1 2—
PTO THE $AY /�� /'
ORDER OF / !/L� 'C�>,/
DOLLARS
RBC
Centura
ROC Centura Bank
FOR'q
Jackson-,ills,NP
1 — --IBC u'0000 70 14um 40 S 3 1MB S01:0 26 208 7 S481"

ADJACENT RIPARIAN PROPERTY OWNER STA'ITIIVH214T
{FOR A PIERIMOORING PJLINGSIBOATLIFTIBOATHOUSq,
I hereby certify that I own property adjacent toiU%✓ �D,;,� 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in (`v 1J/,// & , 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 pier/mooring
pill gs b, atlalboatl'iouse -:cast be set back a minin-ium di-s`�►ce of fiPteen ff:,t (L") from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. J U b L, I-t"C
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNMNT:
Gyv`c/z
Si tore
7'-
Print or Name
3 ?,
Telephone Number
Date: 4��2 ��

ADJACENT RIPARIAN PROPERTY OWNER STATEIWENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBO_A OUSg
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at , h)
(Lot, Block, Road, etc.)
on
�6��l�����N.C.
(Waterbody) y)
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/boat ft,lboatho-ase LlLllst be set back a mininLur2 distance of fin feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I� 0 00?
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPTNIENT:
(o� Fti-S,
Print or Type Name
Telephone Number
Date: 6-- 7 0
c;L

JOHN L. PIERCE & ASSOCIATES, P.A.
Land Surveying - Land Planning - Mapping
P.O. Box 1685
409 Johnson Blvd.
Jacksonville, N.C. 28541
Office: [phone] Fax No.: [phone]
E-Mail: [e-mail]
TO Ms. Tere Barrett
N.C. Division of Coastal Management
151-B Highway 24
Hestrnn Plaza 2
Morehead City, NC 28557
WE ARE SENDING YOU
❑ Drawings ❑ Attached ❑
❑ Copy of Letter ❑ Prints ❑
❑ Change order ❑
letter of transmittal
DATE JOB NO.
ATTENTION
RELot10 Burcham Subdivision - J. Travis
Rose
Under separate cover via _
Plans ❑
Samples
the following items:
❑ Specifications
COPIES
DATE
NUMBER
DESCRIPTION
2
Copies of "Dock & Walkway & Boundary Survey"
1
Check in the amount of one hundred dollars ($100.00)
2
Adjacent Reparian Property Owner Statement
THESE ARE TRANSMITTED as checked below:
❑ For approval
❑ Fdr your use
❑ As requested
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ For review and comment
❑ For bids due
❑ Prints returned after loan to us
WTI •. .a .•• •�.
information, please let us know.
SIGNED ��

THIS IS TO CERTIFY THAT THIS MAP IS A TRUE
REPRESENTATION OF THE PROPERTY HEREON AS
COMPILED BY ACTUAL SURVEY OF THE PREMISES
AND THAT THERE ARE NO ENCROACHMENTS ACCORD—
ING TO THE BEST OF MY KNOWLEDGE, EXCEPT AS
SHOWN. THE RATIO OF PRECISION IS 1:10,000+.
JOHN L. PIERCE, P.L.S., L-2,%15 c, ,-
ti
cc
Ct
14�L
•OHN I-
LEGEND:
EIP = EXISTING IRON PIPE
SIS = SET IRON STAKE
R/W = RIGHT OF WAY
CP = COMPUTED POINT
7.1' = ELEVATION
40.0'
5' WIDE DOCK
r
a
3
Y
J
<
3
W I L S 0 N B A Y I I,
4.3'
� C
ElP
LOT 11
t!1
O
C+
DONALD G. FOSE, JR. & WIFE, aL
KATHLEEN D. FOSE 0
8 BAYVIEW DRIVE ^' Q1
JACKSONVILLE, N.C. 28540
D.B.1545, P.696
rn
rn
'ot
0
0
}
<
3
Y
J
3
ID
0
06
W)
PROPOSED WALKWAY & DOCK
r8 O/C
(TYP. )
W I L S 0 N
4
MEAN f 1G1�
CONCRETE BULKHEAD
N 78S2 22 W 110.20 CID
ZONE "A"
--.—N=50'7p" ZONE "
W 86
Sao 25.99 EIP -
100-YEAR FLOOD PWN 5�
AS SCALED FROM FEMA
MAP 370178-D0088,
DATED FEB. 15, 1985.
SHED iu 11
20.0'
54.2'
CONC.
DRIVE
LOT 10
18,747.21 sp.ft.
0.38 ocres
43.4'
CONIC.
;p 28.3 7.9
ad `^ 12'
1.7' 4.2' 15.0
c ONE STORY
14 4'
ko BRICK
N FIN. FL 7.12'
M _
AC PAD
04 m EL 5.04'
p. PORCH 6.8 17.8'
- — tv 17.1' 26.3'
CONC
WALK
it7
00
�n
W
C'4
0
0 z
CO
LOT 9
HARRY BEST & WIFE,
HAZEL N. BEST
12 BAYVIEW DRIVE
JACKSONVILLE, N.C. 28540
D.B.351, P.180
EIP 1 124.19'/EIP 70.97' 7A'
5.0' N 80.39'00" W 95.16' EIP
BAYVIEW STREET - 50' R/W -
F,
LL.J Ln
LLJ 45.82' I —
I iLn f
m�
VICINITY MAP - NOT TO SCALE I
PROPOSED DOCK & WALKWAY
& BOUNDARY SURVEY
PREPARED FOR
J. TRAVI S ROSE
LOT 10 BURCHAM SUBDIVISION
JACKSONVILLE TOWNSHIP, ONSLOW COUNTY, NC
PREPARED BY
JOHN L. PIERCE & ASSOCIATES P.A.
409 JOHNSON BLVD. JACKSONVILLE, NC 28540
PHONE: [phone] DATE: JULY 2, 2002
SCALE: 1 "= 30' F.B. 473, PG. 62
JOB #22345 FILE NAME: TRAVIS ROSE
GRAPHIC SCALE
?o 0 15 30 80 120
REF: M.B. 3, P. 50
D.B.1852, P.284
( IN FEET )
1 inch = 30 ft.

40.0'
c4e I la i 1'4';
5'
o
h
OLD BRIDGE ST.
VICINITY MAP - NOT TO SCALE
DOCK
WIDE
Y
J
J
<
3.
j"
/y
W I L S 0 N B A Y
PROPOSED WALKWAY & DOCK
8'O/C
�TYP. )
Co
W I L S 0 N B A Y
w
r
<
�p
Y
J
3
W AIR uNE
0
' 4.3'
MEAN N1�'
CONCRETE BUCID LKHEAD
N 78'S2 22
3.8'
110.20 ZONE "A" �
W
EIP
�N 85p'1Q..
—
ZONE
W
`6.34'
�100—YEAR FLOOD PLAIN
ss9-56OA-*
EIP
AS SCALED FROM FEMA
S15
MAP 370178-00080,
DATED FEB. 15, 1985.
LOT 10
ono
LOT 11
16.747.21 sq.ft.
0.38 acres
Ln
W
o
LOT 9
DONALD G. FOSE, JR. & WIFE,
c,+
oc
KATHLEEN D. FOSE
HARRY BEST & WIFE,
8 BAYVIEW DRIVE
°'
43.4'
HAZEL N. BEST
JACKSONVILLE, N.C. 28540
CONC.
o Z
12 BAYVIEW DRIVE
D.B.1545, P.696
SHED 11'
28 3
7 s
JACKSONVILLE, N.C. 28540
10.8
bo m
C6
m
12
v
D.B.351, P.180
°iCARPORT
1.7' 4.2'
15.0
ONE STORY
20.0'
m
In BRICK
14.4'
THIS IS TO CERTIFY THAT THIS MAP IS A TRUE
`4 FIN. FL - 7.12'
REPRESENTATION OF THE PROPERTY HEREON ASAC
D
PAD
COMPILED BY ACTUAL SURVEY OF THE PREMISES
' o 4' Co
EL. 5 04'
AND THAT THERE ARE NO ENCROACHMENTS ACCORD-
r, PORCH a._6 m 17.8'
ING TO THE BEST OF MY KNOWLEDGE, EXCEPT AS
_
54.2'
_
N n.,'
26 3
SHOWN. THE RAT10 OF PRECISION IS 1:10,000+.
�
CONC.
DRIVE
PROPOSED DOCK & WALKWAY
N
WWAL.KC
& BOUNDARY SURVEY
JOHN L. PIERCE, P.L.S., L-26
PREPARED FOR
—
EIP
24.19'
EIP
7097,
7 1'
-
J.
TR A VI
S
ROSE
EIP
5.0'
N 80'39'00" W 95.16'
SHOWING
LOT 10 BURCHAM SUBDIVISION
BAYVIEW
STREET — 50'
R/W
JACKSONVILLE TOWNSHIP, ONSLOW COUNTY, NC
8
g
PREPARED BY
���
JOHN L. PIERCE & ASSOCIATES, P.A.
EP�NDEXISTING IRON PIPE
Li45.82'
409 JOHNSON BLVD. JACKSONVILLE, NC 28540
SIS = SET IRON STAKE
PHONE: [phone] DATE: JULY 2, 2002
'=
R/W = RIGHT OF WAY
3
SCALE: 1 30' F.B. 473, PG. 62
cP COMPUTED POINT
�
0-1
JOB #22345 FILE NAME: TRAVIS ROSE
7.1' =ELEVATION
w
�{
Q U-)
GRAPHIC SCALE
I
30 0 15 30 60 '20
REF M.B. 3, P. 50
D.B.1852, P.284
( IN FEET )
1 inch = 30 ft.