39606_BACON, SAM_20040727

r ❑CAMA / ❑DREDGE &FILL
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized b the State of North Carolina, Department of Environment and Natural Resources
Y P
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ll Rules attached.
Applicant Name Project Location: County
Address �a f yx J' '` ;-V Street Address/ State Road/ Lot #(s)
City fir /..� r State ZIP v �G(� F
ss (/
Phone # () �' ?A; Fax # ( ) Subdivision
�.. / v
Authorized Agent ��' '' 1 � L ` �'J �� ' City ZIP
Affected ❑ CW ❑ EW ❑.PTA ❑ ES ❑ PTS Phone # ( ) River Basin
OEA HHF IH UBA ❑ N/A
AEC(s): ElElEl❑ Adj. Wtr. Body :�' '` "'� � � `'' (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity L
e7
Pier (dock) length
{ _l..-
Platform(s)
Finger pier(s)
Groin length
number -
Bulkhead/ Riprap length - _
avg distance offshore _,...
max distance offshore
I
Basin, channel
cubic yards -
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
(Scale: /✓ )
SAM 6not sure yes no
Sandbags: not sure yes to:p -Moratorium: n/a yes
Photos: yes no)i_
Waiver Attached: yes no -
A building permit may be required by: ! 6 r ' G . ©'See note on back regarding River Basin rules.
Notes/ Special Conditions
or
Signature' Please road.iompliancestatement onback ofpermit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

i
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:
❑� Pd'euse 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 / 1-888ARCOAST
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
151-13 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

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
1441
ss•vsso BRANCH nsiz
UA I I:
PAYTOTIIG //�J/�J
O(i �-�
RD OF s /Vu
CIT - ----- -------
WACHOvra
Wachovia Bank, N.A.
www.wachovla 1
FOR f3��
1:0 5 3000 2 191: 200 78 3000 L88 Slim 11A
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e7%21 /2004 15 : Oe 1-40.291
._. _- -- - - - --- ?AGE 0i1
07/19/1004 15: a9 2522491d] RLor;DY GeD4d;N
AWA,CRNT XPARLAN PROPERTY OWNER SFA sE1k M
ENT
(FOR A PI�SIf OO G PJI.�t7 GS✓A0AT [�'1
4—
i he.zeby certify that I own PrOPCAY Atolt to
(Name of Propwity Ovmer)
pmperty locaw at
(Let, Blaao )Read, de.)
(Waterbody) ('T'owp and/or COMO)
Ae has described to =, as awwkil below, the development he is pMp()tng at that
locatjou' =d, T have no objecdons to his pjaWW. T undern=d that a pier./mooring
pilingitbo,atWboatWuse must b�,-, set bazi a midmum dis%Mz of fifteen feet (15') ftm my Ma
of riparian as =u uaLess weed by me.
t AtjjytwU, to waive the setback wgUirmest.
1 A wish to ,o that stback requirenvat.
DESCRIP' ON �LNDI()R DRAV4NG OF PROPOS' R' DEi'°Ed.(D 'rt
(T o be JUUd ir; by indirddud pmposing devekpment)
ll +MAC~
t`
SignA�re
Paint tar 'rype Name
q12— 597- 7.) -7_ -
'Telephone Number
Date:
�01

Tuesday July 20, 2004 "2.0' parr Jim Staudt 1 (9781 68?-3843 p.02
g'AtZjv i ! : "I
P'R/lV"Iry ntarwm�s c•........,� \
(FOUR A pIR� 4fi7r}rnv r-F !w— :j ►i 4r7Y8c7ATlYOZ7SE)
I herebyttafy that i own prop" adjacent Lr1 1-1 rA(bJ�
(Name of Ptopprty Owner)
Property located at ,C-�.'�' (� �:>,� -�' v�� -; _
(Lot, Mock, Road, etc.)
ill �. EL� - - N.C.
(Waterbody) (Town and/or County)
lie has described to me, as shown below, dw develtypM=t be is proposing at that
- — = 1_dons to his prcrVNMI
on nPartar, aiaesS W'd%*3 W3iWd nV me.
..rot wisb to waive the srtfback tequkement,
i do wish to waitit that scflw� tzquirement.
DE5CREMON ANDJOR DRY-
�. A,ziVdud prvpodns development)
Print or Type Name
Telephone Number
Date: ! (]
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