50775_STEVENS, JOSEPH_20080514

❑CAMA j ❑ DREDGE & FILL 30 7 7
GENERAL PERMIT Previous permit #
❑New ❑Modification El 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
0 Rules attached.
Applicant Name _ 7.(,.` �(_ i,, Project Location: County
Address +' { s --( Street Address/ State Road/ Lot #(s)
City
State ZIP ' }
Phone # ( )
Fax # (—)
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
J
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length ;'
I
Platform(s)
Finger pier(s)
i
Groin length
number
_
Bulkhead/ Riprap length
avg distance offshore
i
I
is offshore
max distance sho
Basin, channel
cubic yards
Boat ramp
z o Q
f
I
Boathouse/ Boatlift
T
E o J o`
�Z� uU
i
Beach Bulldozing
TF
r v �'
Other
1,_�
N o
c�'C 3 �
f
r
Shoreline Length i i
_o `_� c
SAV: not sure yes no
>
Sandbags: notsure yes no
x o
Moratorium: n/a yes no
- x Q
Photos: ,yes no
Waiver Attached: yes no j
A building permit may be required by:
❑ See note on back regarding Rivera 19,r les...
Notes/ Special Conditions
/
7
t_ Al A-
t
r T
Agent or Applicant Printe"p, ame
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing D a Expiration Date
Local PlanningJurisdiction Rover File Nafne

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

P
I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
o .5e !
I hereby certifythat I own property adjacent to �y� s
r r
(Name of Property Owner)
property located at r SCo�" j,' /
i (' l S PX, . --- — -
11 (Lot, Block, Road, etc.) I
on Tk (\ C Reek —,in 1 r`,1k�1/�e14 C4q,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/boatlinoathouse
must be set back a minimum distance of fifteen feet (15') from my area
waived by me.
I do not wish to waive the setback requirement. APR 0 4 Z009
�✓ I do wish to waive that setback requirement.
IVIoranead City DCM
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
3q I 4�/
Mailing Address
9uR 11^-��'o
City/State/Zip
331�, - a60 O�o�vS
Telephone Number
�)DC- K
pgo (tSes
(Riparian Property Owner Information)
Sign( e
Print or Type Name
Telephone Number
Date
Date

3
r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIB OA TLIFTIB OA THO USE)
I hereby certify that I own property adjacent to .Jo5ee k' S7 )&A)S 's
(Na
me of Property Owner)
property located at S p Tl t (+ S
(Lot, Block, Road, etc.) (J
on 11 �i��'e'\ , in X0 V Vfq �t , 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 pi I ings/boatl 1 ftfboatho use
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.
PIC &-
I do wish to waive that setback requirement. APR 0 4 2008
- - - -- - - - -- - -- - ----------------------------------A4,w--------�- v;� -----------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEV RI Vzow
(To be filled in by individual proposing development)
yy �Pfpy� i,5 /ri1�s
(Applicant Information)
Mailing Address
OoZtate/Zip
33(' ^ago -o�6S
Telephone Number
3 -")4- 0 g
Date
f (' 'q � I' AJ J
DaC
PR oeseA
---------------
(Riparian Property
JOir-ner Inf mation)
Signature
Print or Type Name !y
goy-7L 3
Telephone Number
p3 Za5 O<3'
Dale

JOSEPH D. STEVENS 13116
BETTY B. STEVENS ss-„tis3,
PH. 336-221-1326
3416 B DR.
BURUNGTONGTON, NC
27215 C/ O
e.cu.i.i
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
':O 5 3 10 1 1 2 11:000 1803 1640 2
Harland Clerks 4 -. � ..f I ' .. �ir.• .
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