50793_WALKER, JACK_20080523

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ial 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 ��_ 'Y` l Project Location: County
Address ! Street Address/ State Road/ Lot #(s)�—
City State ZIP;_1'st:�,�o�,�Y1\1%fli
Phone # O Fax # O Subdivision
Authorized Agent ZIP
© CW ElEW 0 PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body r 1 1 ` .1 < (nat /man /unkn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj, Wtr. Body '
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Agent or Applicant Printed Name ) t� j
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
1- 4
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, certify that this project is consistent with 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W
(Name of'Prlo)perty Owner)
property located atZ)a'evk�/2�' ,
(Address, Lot, Block, Road, etc.)
on `< �y/t/K , inA, 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
L1qM"A A±It��
Print or Type Name
a5 a - 24g- c� 4�,,) �2
Telephone Number
Date: cl i) I)�f � G("

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ADJACENT RIPAILIAN PROPERTY OWNER STATENIENIl
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Ony teen:} ',hat, I owr, property mlpcmt to
(Nmie,4 P roptrty Owner)
t mp cTly :Oclted nt (Add rest, Lot, f0'r-k:,:R0j*ld, ctc.)
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fTr)wn jmd'?or Coutty)
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e hAN di�scnbed to. mc sv; Rhown Wow, tl c dev(°m-imcutl-te is prcro.$)ng at that lo, atirym and, 1 haNe no
objections to hiE propoa.L
DFSCRIPTION ANDIOR DRAIXING OF PROPOSCUl DEVELOPMENT
(ro befUed i" by individutzIproposing *veiopment)
I'mnr or-T 'pe Nune
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NOTES:
FOR REFERENCE SEE
PC A, SLIDE 6-1
THE RATIO OF PRECISION WAS
CALCULATED AT 1".10,000+
EIP - EXISTING IRON PIN
ECM - EXISTING CONCRETE MONUMENT
MAG - EXISTING MAGNETIC NAIL
THIS SURVEY IS OF AN EXISTING PARCEL EIP
AND DOES NOT CREATE A NEW STREET
OR CHANGE AN EXISTING ONE.
THIS SURVEY IS SUBJECT TO ANY FACTS ----"
THAT MAY BE DISCLOSED BY A FULL AND
ACCURATE TITLE SEARCH.
DEUTERONOMY 27-17
MARK_ R. LEE
PROFESSIONAL LAND SURVEYOR
P. 0. BOX 303
ARAPAHOE, NC 28510
TELE. * (252) 249 - 0226
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A SURVEY FOR
JACK DALKER awFE.
SIGRID M. WALKER
LOT 20,BUCCANEER BAY
SECTION TWO, AMENDMENT No. THREE
ORIENTAL
TOWNSHIP *2, PAMLICO CO, NORTH CAROLINA
IDATE` FEB 5, 2003 I`'" "' MRL
FEB 10, 2003 F' 030202

JACK D. WALKER 66-987/531 j 1048
SIGRID M. WALKER 000asslsi7 C��:6
P.O. BOX 1069 ���
ORIENTAL, NC 28571
LSB Beeline Baaing- Investtor's
Lexington State Bank L ] Account
High Point, NC 27262 o-11 '-'-
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1:053 L09877': 000866 LCM118 i048
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