51159_CHAPMAN, KEITH_20080715

❑ CAMA / []DREDGE & FILL f' �`� .159 C
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El Partial Reiissue ! 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
O Rules attached.
Applicant Name Project Location: County
Address 't Street Address/ State Road/ Lot #(s)
City State ZIP /1
Phone # ( ) Fax # () Subdivision
Authorized Agent L •C_City ZIP
Affected ❑ CW r-i EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑OEA 1HHF ❑IH ❑UBA ❑N/A / -.f
AEC(s): Adj. Wtr. Body '`t,'?� r (nay/man /unkn�
❑ PWS: ❑ FC: // ;\'
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body _ ( �. G f l f l
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date ! _ Expiration Date
Local Planning Jurisdiction ' 1i Rover(FileName �—

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
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/ 1-888ARCOAST
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

Nor'Uh Cardin, Deparlment of Environment U-nd Halural
Division of Coastal Management
i'Ac- Ael ?-!ey' Goveir DI Charles S, jones, Director
Date -.Z-OV--w
-Aviplicant Name
Mailing Nddress
--62-k-Uij-S'6ekO1 AA--
4c4
I certift that I have authorized (agent) to act (-,[I Tiiv
behalf, for the purpose of applying for and obtaining all C.01A Permits necessary to
install or construct (activity)
at (location) ZQ_,ZCL_V f:L* _
This Certification is vali 11 da
Iti
Si -nature
40-0 Commerce Avenue, Morehead City, North Car,--.kna 28-'-'-,;-7
i .
Phone: [phone]"PAX: 252-4147-3330'Unternet w-%Aiw.ri=as�@:n-1,?,iag;--:izn.,-,,.,
An Equal C4-,portunibjt Affirmative Action Employer— 50% Reqycfed % 110% C'ons-1; me r PR:'t-r

JUN-25-2008 14:28 From:CHAPMAN MECHANICAL 3363899249 To:252 745 4253 P.2'3
LNt+M/ NQy a0 2WO
1849.Q0
Mate W
North creek s Cmm VICO
Real Eefele Ems+.. r•n
NORTH c:AROLINA
PAMLICV COUNTY
FLED 1n PAfLICO Cau►ry, f r
On PkV 30 2W H 0L"i�I:ZD A
bV: ME K WCTF Ro
REUi6T" Or DEEDS
BOOK 517 PAGE 111
WARRANTY DE;6D
?j '11"" DF-2", ,uitde And entered into this 2Sth day of Ap-t11,
",•1 2008, by and b"Ween JOHN RHEPPARD BUILDERS, INC. , hereiiwf. p
;1
"11Pd "granr.or° , And It.E3ITTT BEYMLR CHAPMAN, JR. , .1.928 Fox Grove
{ Trail. Greeneboz•u, NOrth CarOliiiu 27
906, hezcirtafter ca11Ed
HII�NE
IiETH:
That grantor, for and in cunftidcxatjnn of the gum of ten
do214re alld other good and valcrablu considerationc to i.t paid,
the receipt u1- whicl, to hereby aclulOwledrJcd, hap, bargained ,9ncl
sold, and by theoo preeenta doen bar_
,+in, aelf and convey tO the
*aid Keith Deymer Chapman, Jr, end hig heir:cj and isaigno, :c
cez l.aj n lot or p4rce1 of land in Number T'wu (2) Tow,cNhip, Patnl i co
Ccnur,ty, Ntirlh C.gro?inm, pfirtit:ularly descriljcd as fi,llows:
r
Beinq all of r,ot Number llvelve (11) upoli that plat
entitled "A Stirvty for Jurry CArtwright and Oth,Dl-s-
prtapac ed by A. Hugh Harr, o , Jr . , RLS, L-197.5 , On
Oecuirther 15, 1980, plat Of which iy recorded an the
Office of Lite RCyister OL Deprin oZ Pam] i.co County ill
Map Bouk 11, Page 64, reference to whtc.li iR hereby
made.
Said land was cOnveyed to Johr, Sheppard BuilderF, kite,
by deed dated septaember 15, 2006 and reQurded in Book.
479 at page 7, Pamlico County Regimr_ry.
TO HAVE AND TO lioLri the afnrc:+aid lest or PRrcel of land,
tngPtlur with al'i privileges and appuxlenanceo tharaunto
hALonUinq, to the eaid Keith Beymer Chapman, Jr. and hia hei.re
and "Oi9rls, 114 felt Simple forever,
A,ui grantor, for itself, its wttcacaaorr; and assigno,
cuvenanto with grantee and hiti heir:, unri nopigilm, thut it iR
sei—d OL said premises in tee; that it haE a perfect riche to
convey the name in fee pimple; that the sam are free and clear
Ot ell encumbranrp.m whatooever. and that It will warrant and
dntrnd the title to the aamc+ agai,trat. the lawful clainty of all
Persons whomuoeve-r . WNED TO: �0.ryc r
MITE RMRNED: b-e'Dsf
Ptryaced by HULLUWM.Ltee m fLLOWt TL
j Attviurr. ■y Law
Saybom, North Carolum 7851 i

JUN-25-2008 14:28 From:CHAPMAN MECHANICAL 3363899249 To:252 745 4253 P.3/3
<_
8= 517 PAGE 112
IN WTTNr.9 ; WT•TVRBOF, grantor has caused this deed to be
wigaud in its corporate name by ita Prepidenr., heing
authorized to do so on behalf of t'he uurporntion, the r1.xy and
y'*ar firRt abr.,ve written.
JOHN SHEPPARD BUILDER, INC.
a,::,
NORTH CAROLINA
COUN'PY or' h'Qoh W r_'1
�r
1
I, J?Ss/cr.LA' Y0t_(54_S , a Nutuzy Public
in and for said County and wL"Le, do hereby CuzLify Chat
JOHN A. SHEPPARD, President vL JOHN SHEPPARD BUILDERS, INC-,
personally cane before me this clay caul acknowledycd i:hat he is
1'rr_oidvtiL of JOHN SHPPARD BUILDERS, INC., a uorpuzatiu,t, .aid that
he, .aa being uuL1xvzi<Cd Lo du au, uxuouted t.h?
fuzvuuinu oil bahulf OL l'2LC corporation.
Witness my hand and official Seal, this the �Gday of
otary Public
My commission expiree:
11ccpswd by HULU-ME , & 1i011..)WYLJ..
Allfimty6 ut law
bayboro. North C'arolm: 28511

LL C
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN7
(FOR A P IERIMOORING PILIvf> SIBOATLIFT113o,)ATHOjj:�;
i hereby certify that I own property adjacent to
'dame of Property- Ch-,-ner)
property located at
(Lod, Block, Load, etc.)) ,
on
%
5 l in �j--c%Sl�� / til.i
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'boatlif)/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do nod wish to waive the setback requirement.
I do wish to waive that setback requirement.
-- q
-------------------------------------
PFSCRlld'' ION AID DIOR DRAWING OF PROPOSED DEVE' .t` P'-'IIE 1T:
(To be filled in by individualproposing rievelopmers8)
rrim or I ype Name
252 - � 2Y- 533
Telephone Number
Date:
,'v Z 1 UL:

ZoUI. 0• LUU0 0:LYHIYI
Jul 01 08 04:12p BCC
No. 2311 P. 1
252-745-4253 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMWN'T
(FOR A PWR/MOORfNG pMINGVROAT,L IF'T/BOA?ffOL/SE)
I hereby certify that I awn Prop" adjacent to
(� (Name of Property Owner)
Prop" located at
(Lot, Block, Road, etc.)
°m;�P
(Waterbody) (Town and/orC ty)
He has d=cnbed to awl as shown below, tibe development he is proposing at that location, and, I haven objections to his proposal. I uadmbmd tbata piedmooring pilingwboadift/boathouse
Must be set back a Minim= distance of fifteen tbet (151 from my am of riparian access unless
waived by me.
1 do not wish to W2ive the setbwk r.quir..,.L
I do wish to waive that 5etbaak.rcqu*MWL
DUCUMUON AN0019DRAWRW OF PROPOS$D DEVELOPbIEI�L'I :- _w
be~ if by &zdhidwWpro
'c.7CCS � 1
• � c+ct'Sr� �o
71"
• �
E-Y-" zr-�-3 (20
Sipature
Print or Type Name
Telepbwc Number
Date: e,`

®r!I -
6280
BROAD CREEK CONSTRUCTION 66-112/531
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572 [ 5
Wuh
/u /fir niz/ri'
5115 2' 1
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.00m
i:05 3 10 1 1 2 0:0005 29 278
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