38048_AUTRY, LARRY AND AVIS_20040326

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f - CAMA / J DREDGE & FILL
GENERAL PERMIT
_
New Modification C Complete Reissue --]Partial Reissue
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_
fZf
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s
Previous permit # d
Date previous permit issued j
❑ Rules attached.
Applicant Name I on" ' r,-i,Y Project Location: County
Address i' `y f'f I Street Address/ State Road/ Lot #(s)
City " State ZIP 11 4 ; ,
Phone # (" y ) -'1= " Fax # ( ) Subdivision
Authorized Agent City _ ZIP
ElCW ;-1 EW El PTA ❑ ES I] PTS Phone # ( ) _ River Basin f
Affected ❑ OEA HHF ❑ IH ❑ USA ❑ N/A
AEC(s): El PWS: ❑FC: Adj. Wtr. Body_ _ gnat /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier(
7
Platfo
MESON
NINE
M
Finge
Groin
umber
Bulk
,vg distance offshore
MENNEN
ax distance offshore
Basin
:ubic yards
LEE
ME
Boat -amp
M No
Boat
SO
EMOMMEMENOWNECT;
. NONE
Beac
ME
01
Othe
low
tine
NONE
NOW HE on
0
Shor Length
MMMMMI1
'M MEN
0
SAV: not sure yes
no
MEME
IIIIIIIII MEN ONE
W
Sandtags: not sure yes
no
MENNEN
Moratorium: n/a yes
no
EMEMEM
Photos:
Waiv
u
A building permit maybe required by: J f, t J %.
See note on back regarding River Basin rules.
Notes/ Special Conditions
M 1
ler
4. �'j 3dIIr (Z
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
7 LC. r L
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
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)
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)
www.nccoastalmanagement.net
Revised 10/05/01

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RONNIE CHADWICK
CHADWICK CONSTRUCTION COMPANY PH. 252-728-68-18
207 STEAMSHIP LN f ,
NEWPORT, NC 28570-9688 DATE 7�
PAY
TO THE
ORDER OF
Aib
BlIff
BRANCH BANKING AND TRUST COMPANY - i
MOREHEAD CITY, NORTH CAROLINA
FOR •�'��?'�-�i-Al%rS
II■nn866 y11� �:o S 3 LO L L 2 Lj:5 L L009 36 2611'
-�� -- _-
LARRY K. AUTRY
AVIS M. AUTRY
LIC. "O.-M03 LIC. 566446
IH62 HADLEY SINA, RI).
11ITTSBOR0. NC 27312
Pt,Y TO TIIF a�
��1:1)I:R
W,
1 '205
1),rTF f G
1657
8661
66-112/531
02302
DOLLARS^^-
CENTRAL C OLINA BANK
W 205
PITTSBORO. NORTH CAROLINA 27312
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i:053L00t,r=Sl: 48 202852911' L657
trams .ts�C�, .gyp . .�rt-Ak4",•.�"rt'':. `'.,crL.°`-=.�57`,.w
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
{ 1. Article Addressed to:
1✓ (� `� �L�L�.t1r �' � �� J
A/c,
A. Received by (Please Print Clearly) B. Dale of Orli
C. Signature
X Agent
it v .0 Addressee
D. Is deliver�'address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ce Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label) 7003 1010 0001 2601 0211
■
PS Form 3811, July 1999 Domestic Return Receipt 102595-00•M-0952

UNITED STATES POSTAL SE
• Spender: Please
c�
Ic
First-Closa,<i'vtai�_ _..
P-0ost�ge-&-F��S PaicJ w --.� . _ .t7P�
emit �Q~ G br-'
.t'y a e, address, and ZIP+4 in this box'`
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
R/4LC �G j A)C_ a -74
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signa
Y ❑Agent
O Addressee
D. Is deliveyy 4ddress different from item t ? ❑ Yes
If YES, enter delivgry,ad**flow: ❑ No
3.
_ . PIM
❑ Registered 07W—rn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
f Article Number (Copy from service label) 7003 1010 0001 2601 2 0 4
Form 3811, July 1999 Domestic Return Receipt 102595.00-M-0952

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Z Aa rx Y
ISMz /'C&Y /j,`Lc_ .
l 1 5 6�901ge AL- 2 791 �--
I

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: e1 157 S©CATH 21 `lEf2 �e.lye
-&e AU-F0k (e Ale'T-�g -r) , A C.
(Lot or Street #, Strut or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza 11, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
Signature Date
Print Name
Telephone Number With Area Code MAR 1 G LuU

r t
a
ADJACENT RIPARIAN (PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Lh14y fc. Y s
(Name of Property Owner)
property Iocated at _ 10-F t 1 , /5`7 jpuT14-_ lei 4(Lot, Block, Road, etc.)
on �p(t7Cr /Pi�/E�e. , in BeAUfU �e-A-kTEke-F) N.C,
(Waterbody) (("own and/or County)
He has described to me as shown below, tht development he is proposing at that Iocation,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indivitlual proposing development)
Damaged section of
current bulkhead
• Reset and repair section
of bulkhead damaged by
recent storm (2-04)
• Place riprap (granite)
rock in front of bulkhead
and left side only of jetty
wall, as shown.
• Replace missing or
undermined pier pilings
on the left side of jetty
wall in order to rebuild
walkway. The walkway
would be above the
riprap.
5i?nature
Print or Type Name

2 2004
jalWoft= law
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: l ! 167 SoaW4 ill �05M 3 e l f c
_ R E A,U-F02T CCr A/L7-EF 2E7� , 1� 'C-
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza 11, 151-B, H►vy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signatur' Date
Print Na e
Telephone Number With Area Code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LhMY K AfT1dY 's
(Name of Property Owner)
property located at L07- I( , 15-7 5pu-W- let ✓e
(Lot, Block, Road, etc.)
V61
on SOO7Cr I iVEt2 , in-EeAU-FOr2i (eA�rEtET) , N.C.
('Vaterbody) (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 AN`D/OR DRANUNG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�0
Damaged section of
current bulkhead I
Signatu
• Reset and repair section
of bulkhead damaged by
recent storm (2-04)
• Place riprap (granite)
rock in front of bulkhead
and left side only of jetty
wall, as shown.
• Replace missing or
undermined pier pilings
on the left side of jetty
wall in order to rebuild
walkway. The walkway
would be above the
riprap.
Print or ype Name
Telephone Number
Date, 11E '/
/Cl

c
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: UF2-'—Y r. Ay-i7'Y
�,— tl r57 Souk IZ1,0572. �oeIVe
Address of Property:
E Au-Fo/zT �C A2TZ 2E T")
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has describiNd-to- me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, sh9puld be provided with this
letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, H►vy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certify-d Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15`Trom my area of riparian access unless Nvaived by me. (If you
wish to waive the setback, you nftrtinitial the appropriate blank below.)
I do wish to waiveA-he 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(nature ` ' ( Date
,z2 t e- L l'Tcoc,f./
Print Name
1/ 9 S V6 S92-1 919 8s3 YW?
Telephone Number With Area Code
(�'2po c /-/
9,(0 3YY 's Y3
,r,ae s" C CTOuc��
40-ML

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LA"y I<. ykLx ley s
(Name of Property Owner)
property located at L.07- t I , /S7 SouT14- let ✓E
(Lot, Block, Road, etc.)
Ve
on spUT14 elvEft- , in _EeAUf04r _(0_A-r27-EeET) , 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 DRAWLNG OF PROPOSED DEVELOP�ITENT
(To be filled in by individaal proposing development)
( 10I A
Damaged section of
current bulkhead
Z_ 6ocC_ ]2
�`td Ir-Izi
• Reset and repair section
of bulkhead damaged by
recent storm (2-04)
• Place riprap (granite)
rock in front of bulkhead
and left side only of jetty
wall, as shown.
• Replace missing or
undermined pier pilings
on the left side of jetty
wall in order to rebuild
walkway. The walkway
would be above the
riprap.
AcAv
Si;nature
Print or Type Name
ql gs3 Y�z �/� 3Y3 Qs*3
Te! e p h o n e Number
------------- -
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