55038_PI KSCO CORPORATION_20091215

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9❑CAMA / ❑ QREDGE & FILL j
GENERAL PERMIT ; Previous permit#
LJNew ❑Modification ❑Complete Reissue El Partial Reissue j; Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resoufces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
f�Rules attached. 1
Applicant Name {� �r(� <_ !)( t' ti ? IrA Project Location: County �, ?
Address /~� �)( ii{ l( Street Address/ State Road/ Lot #(s)
CityJ),^+E�t t� 'iL'(>Cb) State I /(1 ZIP.
Phone # r�1 � 11 - P ' ( ) :)! Fax # ( }--- Subdivision
Authorized Agent ` t.t c (- i / I 1 City ZIP
Affected ElElElCW EW PTA ''(ES ElPTS Phone # ( ) River Basin
- _
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A J ti�
AEC(s): Adj. Wtr. Bodyman /upkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / fio, Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore � _I
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other r
I
1-1
Shoreline Length co
r-
SAV: not sure yes n
Sandbags: not sure yes no
Moratorium: n/a yes no".
uir
Photos: yes no rr
Waiver Attached: yes no t l�
J_r
A building permit may be reqed by:
Notes/ Special Conditions'
i -
1} I
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
t - -
.
i 10
(Scale: ' �' )
�i
A;
See note on back regarding River
//Basin rules.
�(Yl dry 1,4 /fV��;,
f 1 f4pl —1 ". I
Issuing Date /Expi ion 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
landowners).
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

NOU-23-2009 11:34 From:DCM MHDCTY
f�
NCDENK
ina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor) James H. Gregson, Director Dee Freeman, Secretary
North Ca
Date
Applicant Name
Mailing Address
To:92472897
Paae:2/4
i certify that z have aut�orizcd (agent) OR Ulf 2:�- Z—�� to act on my
behalf, for the purpose bf applying for and obtaining all LAMA Permits necessary to
install or construct (activity)}
at (location) l: 6— /Z r/9%�e'l<i�.G �,p.z ��/� ��t �z�'o�•i°S
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opp nunity \ Affirmative Aclion Employer - 50% Recycled \ 10% Post Consumer Paper

NUV-if6-Cbby 11: -34 r r om: u(- i r"uU , I Y 10 Pa 0e : 3/4
l
A.JAC -E� T RIPARIAN PROPERTY OWNER S'TATEIVIEN'T
III
I hereby certify that I own property adjacent to = D L,v /J
(Name of Property owner)
property located at JT= 6 — S
(Lot, Black, lZoad, etc.)
l
"L N.C.
(Watcrbody) (Town and/or County)
I�g2-A�''7-/ !"�
Applicant's phone #,: �2, Z Mailing. Address:
i
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to! his proposal,
------------- ----------- ---------------------------------------------------- ------------------------ ----------
DESCRIP13ON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Tp be filled in by property owner proposing developmeni)
-5 j levl -
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Y nature
Cily/Statc/Zip 11rint or Type NainiC
Telephone Number Telephone Number
,g Sturc Date /�� F Date

NOU-23-2009 11:34 From:DCM MHDCTY To:92472897 Paee:4,4
�rT
ADJACENT RIPARIAN PROPERTY ONVNER STATENIENT
I hereby certify Lhat I own property adjacent to i'Yl. �. rz t/C %Z s
(Name of Property Owner)
3-A 4/2 / '3Z)
property located zt. -,v7 6 -3e" Sr l of mil esy
(Lot, Block, Road, etc.)
on?,V � Sy.L i b , in hzlpL z - 5 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone P� 3lv pp 's p Mailing Address:
He has describcd to nie, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
Re
City/Slate/Zip �g Prtnt or Type Name
Telephone Number '"Telephone Number
Mnturc Vt Date

PIKSCO CORP
BOX 366
ATLANTIC BEACH, NC 28512
PAY
x I ITo THE
ORDER OF `f
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1571
/ 66-21/530
DATE E j /J Y/J 9 BRANCH 77614
Ov/
WACHOVIA
Wachovia Bank, N.A. 1/��/((\/
wach .com - 1 -- Np
�J 7464
FOR ,I. i;0 5 3000 2 L 91: 20 5 4 0
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