51891_CHADWICK, RICHARD_20071211

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previouspermit#
❑r4ew ❑Modification ❑Complete Reissue El 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 15A NCAC
❑ Rules attached.
Applicant Name - Pro'ect Location: County
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ U BA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
M.
ME
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Permit Officer's Signature `
Issuing Date Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name

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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.
Raleigh, NC 27604
919-733-2293
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

BW
THE HOLLAND GROUP REAL ESTATE
Branch Banking and company
113 TURNER ST.
66-112/531
BEAUFORT, NC 28516
PH. [phone]
2376
12/07/2007
PAY TO THE $ —200.00
ORDER OF NCDENR
Two Hundred and 00/
NCDENR
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MEMO: ;
permit renewal 2680 Lennoxvill
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property:
(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 A 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

ENCROACHMENT o%
NOTE: FENCES INSIDE RIGHT OF WAY
DISTANCES AS SHOWN. i
CAST IRON FENCE
PROPERTY LINES EXTENDED-7
H W'`' 70
LENNOXVILLE ROAD
LEONDA DR.
VICINITY MAP NOT TO SCALE
LEGEND
IRF
IRON ROD FOUND
IPF
IRON PIPE FOUND
N/F
NOW OR FORMERLY
DB
DEED BOOK
MB
MAP BOOK
PG
PAGE
R/W
RIGHT OF WAY
PKF
PK NAIL FOUND
MBL
MINIMUM BUILDING
SETBACK LINE
m
0
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78.04'
PROPOSED IPF
DRIVE
10' WIDE — •�
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DATED
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FLOOD ZONE AE BFE 8.0'
AREA=
26,712 sq.f t,
0,61 acres
By Coordlnates
PROPOSED
SEPTIC REPAIR AREA
100' WIDE MBL PER MB 28 PG 594
TREE OVERHANG
PROPOSED
- SEPTIC DRAINFIELD
PROPOSED
— SEPTIC DANK ADDRESS: 2680 LENNOXVILLE ROAD
0) PIN# 731511577173000
°cam° RIE(FERENCE: OWNER:
m DBOOK 1179 CHADWICK,RICHARD H III
y, DPAGE 105
y MB 28 PG 594
a- TREE L❑CATI❑N & SITE PLAN
Q FOR CHADWICK,RICHARD H III
Of RICHARD H. CHADWICK S/D
/ LOT 3 PER MB 28 PG 594
BEAUF❑RT TWSP„ CARTERET COUNTY, N,C•
r�y13 4V. STRICKLAND SURVEYING, P.A. SURVEYED, (
S 5 P,❑, BOX 331 INV#/ FB#
8j M❑REHEAD CITY, N.C. 28557 3689/ 2E
PKF S p2W [phone] DATE,/19/07
THOMAS EDWARD STRICKLAND,III P,L,S. CALF
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