51882_SPIVEY, ALLEN_20071127

❑ CAII,4A / ❑ DREDGE & FILL 51. 9,8 2
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial i ue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment a Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
Applicant Name / Project Location: County i
Address Street Address/ State Road/ Lot #(s)
City State ZIP
_ I
Phone # J / Fax # ( ) ; Subdivision
Authorized Agent r City ZIP
Affected ❑ CW ❑ EW ❑ PTA E ES ❑ PTS Phone # ( ) River Basin ..
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes / no
{
Type of Project/ Activity
(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
Boathouse/ Boatlift
Beach Bulldozing
Other
•
Shoreline Length
SAV: 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
Notes/ Special Conditions
1 -
�• '
—
�
j
r
LA'
I
717
i
I
A
I
_
It T'1
-' 'T
by:
❑ See note
on back regarding
River Basin
rules.
Agent or Applicant Printed Name:
Signature Please read compliance statement on back of permit"
I; x
PermitOfficer's Signature /
Issuing Date Expiration Date
Application Fee(s) `•-Check # -
Local Planning Jurisdiction
Rover File Name

rt
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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

11/26/2007 08:16 FAX [phone] ALLEN SPIVEY HOMES
01
[004
Jones, Dfra�rtcir -,Ross 'a -Saue- jry �r as Willism C
F.S: I
D-qt,c /1&0 / 0 .--
App3jca-,ilt
Mailing Address 72-¢ 6
!S7
I certify that I have auth ori2ed (agent) to act 03-1 m-
bebalf, foj- the purpose rof appiyiug for and obtsiWng aid CANIA Femits necmaz-y to
install or ennstruct (adiVity)
at (Iocatian; L D 4- —J,-))A J—'
This Certification as valzid thru (date)

11/26/2007 08:15 FAX [phone] ALLEN SPIVEY HOMES
111112
i��)' G,A ,�
7. Jjf'; CEO I c' i_:'ri�i L_ iL ( Zi7 R . ' i1i1 L q 1� —r �oo/
nl `31
`.,
(FOR A PIE'R✓UNCOVEP�ED B OA T 11,I j
1 ACM hereb cy;�iF� Cn t I qW'n DrOpz � adlac:2r1C to 1ft@� �lt/t�l al�
r'rC. ptrty v 4i'"B2r;�
proper Icted ac �p4- erg R,) tl 51L��IULSIOti�
(lot, Black, Road, etc.)
('V4'aterbodv ' iti_C'
CI os n and/orj County)
He has des -ibe:J to me, as a below-, the di velopl' he, is proposing a� Chat
1c Cion, and, I have no oojevtions to his pr000sai. I unde,scand 4hat a pieriuncovere,;i boat li
oust be s,:; back a minimum dis[ancti or ri-een rat (ij') from m; iuea o(riparian ac=s 1niess
waived by me.
I do P-ot wish to wa, Vy the setback re uzreme;tt.
I k wish to waive that 5eLback requirement.
DE5CRZP7T0. A-'ND/OR DRA'WL'v G OF PROPOSUIDEVEr OPT EEE 4T:
(?"c be filled in ov fndiPidual proposing develpprnent)
--- - — — — - - — - — — —
�1
Sigrdtur
Print or Type None
�3 ©old
Telephone i~iurl`e�r
i

11/26/2007 08:16 FAX [phone] ALLEN SPIVEY HOMES
Z 005
Novboc°ii
01/ ,� 6 �U07
MQref7QQC,
7r-o-Pose-x-1
k'e-r/Dz�c'L
Lo+c4-
sfA-rt4o�3
Lkn J.l

11/26/2007 08:15 FAX [phone] ALLEN SPIVEY HOMES Z 003
Nn,(. 21. 2007 9; 56AM COPELAND REAL ESTATE Nu. 6172 P, 1
11/10/2007 13: 00 FAX [phone] aLiM WM7 RWd 5 1 : 6 , 'Q l 'n o.N a w l l d n , d J a biocz
Al!1 i i r,
(FOR Est PzR'R mcomm Aa4rli m
d h=bf ctrtifjr r}rmt I owl gr� zdjac�;c 's
a ur Propem Owner]
pr po-:r kvated u Z - r ,
(Lnf, Block, And, eta)
(i�ir�lesbod�) cs-o*a sacilo C )
.,_ ._C•
Fx bas dc=ibd tv Mc, as shown helow. fie sleslercps nr ba is propo¢i rtc roc
1=Ei0a, end. r h2ve .11; 4;cje:�60ns Le his proees;.I I uadc=und ihm a pfujuaroverd boa gt,
must be s81 back a ritist>mum disw= o fjj�x= j�_r (Li") more my: Q�rip�sia.� a im1
waived by me.
An = Wio to wai�-s chae scLl ck t iz nc. ; -
I AO 'wish m wvaivm thu stetbw_k rcqukerent-
. D
DRAW - i
G OF PR,Opu
(To b.Md ht k- indirUua pnjwAzg
sea, ca:y�*. d Cir'0!s✓.f*p11 r
1 y
t
Ptin; or
r ye tr'#m
r/
Telephone Num r
Aeceiosd Time how.19. 4:CBPM DNA-- 67
i"-.4 •S6TLz.bZ��. it3'issim a�2js7b Wd is;so teams-0��n0

11/26/2007 08:16 FAX [phone] ALLEN SPIVEY HOMES
fa 005
:::�+"e f— I
t
Ain,
t, 2001
-k-SA cc►N ors"`�orwy .
22!6 l e r,�G� ae—
f
L" -rp'4�
�ro oS�
kt- r- /D o C
- oa Lo+04¢
u�nt (� � �c� � LRn �.i ►�.
(3 A-+s e-- `-f L A-A-1 C,

WESTERNI (MONEY JNTEGRATED PAYMENT SYSTEMS, INC. - ISSUER
UNION ORDER` Greenwood Village, Colorado
08-796825603
82-40/1021
Aj .J.
PAY EXACTLY
PAY TO THE /Z/j ��� //� P YWFC
ORDER OF ✓ �/ i/'��C
PURCHASER'S ADDRESS
PUROHASER, SIGNER FOR GMWER
Ratil SER BY SIOHRIO YOU AORES TO THE TERMS OH THE REVERSE BIDE
Western Union Money Order and Design is a 6en/1ce mark of Western Union Holdings, Inc./Payable at Wells Fargo Bank Grand Junction - Downtown, N.A., Grand Junction, Colorado
is 10 2 L00400i: 40087968 256038n•