55705_PROVERT, JACKSON_20100604

CAMA / ❑ DREDGE & FILL
New
PERMIT
��--�New ❑Modification El Complete Reissue ❑Partial Reissue
NY 55705 c
Previous permit #
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
[Mules attached.
Applicant Name
4 d rl
Address
City A'A,,
1 State N� ZIPP `i2 �
Phone # (^)
Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA )US ❑ PTS
Affected
AEC(s): ❑ OEA
[IHHF ElIH ElUBA ElN/A
❑ PWS:
❑FC:
ORW: yes / o ,
PNA yes / & Crit.Hab. yes / no
Project Location: County AC"
Street Address/ State Road/ Lot #(s)
Subdivision
City v �,+ ( ZIP�i.
Phone # ( ) River Basin 'Jl�w'-z �!'t4
Adj. Wtr. Body %4 Z -, n Li- (naf)/man /unkn)
Closest Maj. Wtr. Body A A)
Type of Project/ Activity
�Zvc- L� !` �_ n � 1
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s
�
I
-
Groin length
i- - — --
I -I I �--f j J
- - -
- -
number -
Culkhea / Riprap length
!
i
avg distance offshore
max distance offshore__
_ T_ I �
I
Basin, channel
cubic yards
Iy
f
Boat ramp
- +
i
--
Boathouse/ Boatlift
I I
Beach Bulldozing
`r --
1—
i
Q,t
-
Other_r
., I
T G � `
I ' I
Shoreline Length �L C '
tiL YG.
AIL
SAV: not sure yes rQ
Sandbags: not sure yes
Moratorium: n/a yes io
r I—
•� - --- __ . -- .
Photos: yes ryi
Waiver Attached: yes o�----
A building permit may be required by: ^711-`hJ co V ',
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
a) c.-� C. 2r� 1
4
tv�: y� kf'- e�
l
✓ii
l �Z�{' Y1ti'
j
' t"A i� �1�
c �� ��
1
I'�iU f.'i �7�i: �•', ''C
Agent orc4lpplicant rinted Name
Signature ** Please ead compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Si ure
`t 3 t
Issuing Dat( Expi do Date
Local Planning Jurisdiction Rover File Name

A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
April 6, 2010
Jackson Provost
217 Great Neck Hill Road
Hubert, NC 28539
Dear Mr. Provost:
Attached is General Permit #55705C to construct a l30x5xl Bulkhead at 217 Great Neck Hill
Road in Hubert, NC.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
4"'q� 6 /%�//U
Barry Guthrie
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

. '�ECEIVE�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT APR 2 3 2010
pst
4'Orehepc, City ®CM
I hereb certif that I own ro ert ad'acent to ' t/� `�)U t's
Y Y P P Y j 1
/ (!Name of Property Owner)
property located at 211 61 / 11 �`� Atc ,
(Lot, Block, Road, etc.) 6410
on (% S C. G� ,in �l;t %i.� LN.C. - o
(Waterbody) (Town Ad/or County)
Applicant's phone #: �'�U �`7MMailing Address: 17 ( �'�k p7t t'
He has described to me, 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 be filled in by property owner proposing development)
(5f— pa7?IcA&4. 5 S 6�
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
21-7 6 47(Li-\i 0AI L I (,
Mailing Address
City/State/Zip
9P-5Z&` 3&U7
Telephone W9mber
,7 �U
Xnature ate
I, �;. :
Signature
Print or Type Name
q10-3Z�-7Z(9
Telephone Number
�LIZ
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �EcElgo
if r jjC 1 PD l! �� 4PR 2 3 2010
1 hereby certify that I own property adjacent to �l�C! S�i� I aV 5 / —smo et,,4,
(Name of Property Owner) ,fa`,`^jw
property located at Z n 1
%�,, (Lot, Block, /Road, etc.)
on �j���i�ilZ��C�� , in ('�il��Y�/ /a/5�14// , N.C.
(Waterbody) (Town nd/or County)
Applicant's phone #: 9/t r ailing Address: 2I7 Gr-c---
rI kL L-
He has described to me, 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 be filled in by property owner proposing development)
,Dt51"vr2-6kjCt 'M 4----05iFA C—
U&� -'&u(-1r Pay
(Information for Property Owner Applying (Riparian Property Owner In TOrmation)
for Permit) _
Mailing Address Signature
City/State/Zip t Print or Type Name
s-�czy
Telephone Number
Date

�t 7 C�►2 /�?e� c
76 5-3 C�
1
36?07 C �
1;0 361- Cc-
X STEPS
X Iv
WOODEN
DECK
H
o X
X
X
X
j�© C�rl1J�c;r)c�1�
X EIS
PBOe. LM _ ----
,211 EXISTING
WOODEN
BULKHEAD
20 0 20
_,,HIGH WATER LINE
f
DOCK
I
I•
I
R
�rJ �-U—
RECEIVED
APR 2 3 2010
moreheov city oclw
21

l i■■ai■■ ■
■OMEN

`i �`� 66-7704/2531
LINDA P. PROVOST NCDL 850698 0660.5288 - 8578
JACKSON W. PROVOST NCDL 1839457 ��
date
HUBERT, NC 28539-4628
910-326-3607
Pal 10
3 a
U A)4.'kk.ir—' I(3U dollars
State Emlo�yeesCredit Union®
Wilmington, North Carolina
139—
memo — — -- --
1:2531770491:0860528929611' 8578

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Jackson Provost
Date: 6/4/10
Permit #: 55705C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
nt)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shoreline
Dredge 13 Fill O Both ❑ Other O
800
800
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10