55025_MELVILLE, LINDA_20091105

❑CAMA / ❑ DREDGE & FILL diO
GENERAL PERMITVV
Previous permC
I-ANew ❑Modification ❑Complete Reissue ❑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 t Off'
ll EN Rules attached.
Applicant Named + r�J�, �`t IV 11j f— 1 Project Location: County i ! n
Address S -T r,'r1 V i o t,.. C• t'• Street Address/ State Road/ Lot #(s)
City �a=�' ��G: o State ZIP
Phone # ( ) Fax # () Subdivision
Authorized Agent "J c.'� i) t t c ;, City `-� �1 r I , r . ZIP
- � i
ElCW A EW *PTA �ES ElPTS Phone # (2�?) t j �� 1 i 5 5 s River Basin N ky `:'C
Affected ❑ OEA ElHHF ❑ IH ElUBA El N/A AEC(s): Adj. Wtr. Body ! (��, �� r (,at; /man /unkn)
❑ PWS: ❑ FC:
ORW: yes /' no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body j ' cc
Type of Project/ Activity sf �( �,:, r ra nG v Q i , i 1 < W 4,
Pier (dock) length _
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length / X xC
-a0g distance offshore__
\" V"
max distance offshore ,0
Basin, channel - -- (-- ---- — -
cubic yards
�`�'---
Boat ramp 1 k #
Boathouse/ Boatlifi 1 Y ! e
Beach Bulldozing_
Other i s 1. 1
Shoreline Length or, r, ,
r
SAV: not sure yes
Rio
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
en r Applicant Printed Name
10
Signature "Please read compliance statement on back of permit"
ows
Application Fee(s) Check #
(Scale: )
See note on back regarding River Basin rules.
Permit Officer"gnature
1
1IISio0, r.1l►ti
Issuing D to I Expiration Date
<) ,'I;) ,-,�-t.,
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
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

-6io

Policy Number. AB125184962975 4
PMKT 464

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to L I.,X n) c lu i k,
(Name of Property Owner)
property located at 46,E -Tfi /�My` n
(Street Address, Lot, Block, Road, etc.) S
on `A)kiI e- rt,,,f/ ,in
(Waterbody) ('Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that location and
I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have
indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
,�) -y-�T
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
11 f-t
Signature
Print or Type Name
ZS'2 670)/3
Telephone Number
Date:

b(A n Y-) �- (

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERlMOORING PILINGSBOATLIFTBOATHOU� N rn I u .)) L,
I hereby certify that I own property adjacent to Sy 's
(Name of Property Owner)
property located at L 1 T1 b4rt k- V i �=✓'^°'��' j
(Street Address, Lot, Block, Road, etc.)
on i c � , in 7 ,' A-n J17 i ; �; , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that location and
I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have
indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
mrgals)
-�-s 1 do agree to waive the 15' setback requirement.
(init
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
L2
Jb
Signature
J)0VA 1 D C. J-6N4 VS0Y,
Print or Type Name
qlb- 3z4-3aF9
Telephone Number
Date:

ATLANTIC ALL - PRO SEPTIC TANK
SERVICE INC PH. 910-743-2266
ROGER MELVILLE OR LINDA MELVILLE
2032 BELGRADE SWANSBORO RD
MAYSVILLE, NC 28555
Pay to the
Order of
10805
66-1121531
Date
t
Dollars
Business Value Checking
BRANCH BANKING AND TRUST COMPANY
i 1 1-800-BANK BST BST.COM
S�Gzc--�T
For i 1 ""`" _... I ....... ... - "`'
1:0531011211:0005292143SC."i 10805

BOONDOCKS
P.O. BOX 28
129 WETHERINGTON LANDING RD.
STELLA, NC 28582
PAY TO THE
ORDER OF
66-85/531 2109
DATE 1 1 _ 1y ^ kA
DOLLARS S a e
GRBC
Centura
RBC Centura Bank
Cape Carteret, NC 28584
_
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MEMO 71T
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