43477_MCFADDEN, BILL_20051025

DREDGE & FILL "Al
W"llrhrElPERMIT Previous per it#
New [Modification (''Complete Reissue DPartial 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
[I Rules attached.
Applicant Name Project Location: County-_
Ae4rlrAcS AU net
City -
Phone #
Authorized Agent
I . ; 11 .., ­`,
State zip
Fax #
El Cw EW D PTA
Affected
El OEA HHIF 1-11 IH
AEC(s):
0 Pws: F)IFC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
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
Boathouse/ Boatlifii
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes ino
Sandbags: es ?�—�
0 re 7
Moratorium: n/a yes (no
Photos: yes 'no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions _
ES D PTS
D UBA D N/A
Crit. Hab. yes / no
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Subdivision
City— ZIP
Phone# O River Basin
Adj. Wtr. Body,
—"'ornan /unkn)
Closest Maj. Wtr. Body r — ,
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
1A
Local Plan ningjurisdiction
Rover File Name

Of
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
landowners).
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:
D 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 (910-796-7215) for more information on how to comply with these buffer 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
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Oct 13 05 08:55p George Hill 252-747-3568
Oct IO OS 09:04p Edree McFadden 1-252 249-0114 p,1
Al
ADJACIM RWARMN P.ROF%RTY OWNER STAMP"
, OR A plSRWOORING P14JNGS180ATZIFT180A HOUSE)
I hereby certify chat E oumt property adjacent to :6 y_ 1- c e
(Nance of Property Ox.Aer)
P'J fated at 0
(Lot, M- W-I(, R- ome, et -)
(Watcrbody) (T,,, •wn rnd/ar CoDnly)
Nc has described to me, as shown below, the development he is proposing at that location,
and, I have no objecbons to his proposal, I understxW that a pier/mooting
pilingslboatliR/boadrouse must be set back a minimum distance of frft= feu (15') from my am
of riparian access unless waived by me_
X I 1 nAg wish to waive the wback =quirea=t_
I do wish to waive that setback rNuirement.
DESCIli`IPIMON AND/OR DRAWING OF PROPOSED 7DEVEIAFNIIt7 T:
(ro be f Ued to by iadivsdnal p oposmg d-fdop—rd)
�U
Telephone Number
Dale: /C - 13 as"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT'
(FOR A PIERIMOORING PILINGSIROATLIFIYROATHOUSE)
I hereby certify that I own property adjacent to t) J lQV QC
(Name of Property Owner)
(Lot, Block, Road, etc.)
on �rt r� C' 'in r �� '�a(�(yi �� , 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
pilings/boatlift/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 dR wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
T an n -,6 pry ��'� r P k �)
k"AA ZAA
Signature
Print or Type Name
/03<�/- 5 l U �5 _
Telephone Number
Date:
�J d1

Z1
1367
44, r
Donald Oxen[iine NCDL 3584956 466-770412531�f_�faudPdrotection*" "
Donna Molina NCDL 8050154
5114 Kershaw Rd.
—
Grientai, NC 28571-8723,
Ph.252-249-1301 — s
Pay to the G fie ,I
Order of
a p, FeaWres Deiells
Dollars u pnea
STATE VMA LOYEES' CREDIT UNIO,, W.
NEW BERN, NORTH CAROLINA �� .• � ..- 1
For
:; 253 L??C) 1:086309486791I' L36?
1-800-354-3540 WWW.Cheokgallery-oom P,,nlee on leyUeo PP" using vegeiaWa baseC ,nks mMARIE BUCHFINK. LICENSED BY RICH WISEMAN. LLC.
�. CHECK GALLERY, 2001 STl'LEa R50
1