32880_PIKESCO_20021007

32"R80C
�ICAMA / '-1 DREDGE & FILL
GENERAL PERMIT
❑New _ Modification I_ 'Complete Reissue Partial Reissue
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
C Rules attached.
Applicant NameL'. tic, 4Gt�i'G _
Address C'• f�k �t`c/a
City � {('�: v� jC F`c C �, State - ZIP ,:; :5/Z
Phone # Fax # ( )
Authorized Agent D
Affected ❑ CW ❑ EW I -PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes /' no Crit. Hab. yes / no
Project Location: County .--.Y-t ,
Street Address/ State Road/ Lot #(s) Z { Jy
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body 6 G' !r<(:_ oi (6-at Iman /u--nkn)
Closest Maj. Wtr. Body "
Type of Project/ Activity
ci
b
t (K iwor-'
L
-'
„�
i
ram.
- I`
,)n
Yd
�
4' .� G�
c�
, s�r a,i
s ,,,
c
`�
f
�t fir
On
�,�
�
�o
(Scale:
Pier(dock)length
Platf
1
L
"�
orm(s) K S-J
n length
number
head/ Riprap length
avg distance offshore
max distance offshore
cubic yards
ramp
r
eline Length
not sure yes no
bags: not sure yes no
atorium: n/a yes no
I � �
! I I
I _
I i I I i
h Bulldozing_ - -- - �
I
!
1 - j
i
Voo
Agent or Applicant Printed
�Name
A
Signature '"Please read compliance statement on back of permit"
Ott, �
Application ee(s) Check #
Issuing
LL_Date
j� Expiration Da a
.d
Local PlanningJurisdiction Rover File Name
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Voo
Agent or Applicant Printed
�Name
A
Signature '"Please read compliance statement on back of permit"
Ott, �
Application ee(s) Check #
Issuing
LL_Date
j� Expiration Da a
.d
Local PlanningJurisdiction Rover File Name
�h. L,. �L�a{ 'd.�L'��Tld�a'k VE14�." i1•-��wb_,. � I.n-- ti��il l-'OE•�v�a1e..� sYr�

• � 1
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
n Tar - Pamlico River Basin Buffer Rules n 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

cs 17 sy 0)
PIKSCO CORP
PO BOX 366
ATLANTIC BEACH, NC 28512
DATE
2426
66-1521531
PAY
TO THE
ORDER OF $
DOLLARS
aaa-z Z.fls-ba&.
�TACHOM
'hovia flank, N.A.
Pier AuollSI NC 2r,57
FOR - t N t17
ii'000021-,26iis 1:0531015291: 54E38 000
.............. ....... ............... . ...............

ADJACENT RIPARLA,N PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to CD Oyl �/"(li�J /ma's
l �S 0A <t-C P-' 0%'2 �(Name ox Property Owner)
�1 rr �
property located at F7'i3 o V G`A � /xf ,
(Lot, Block, Road, etc.)
on 2-c� k) - NS in /�- _ , N. C.
(Waterbody) (Town and/or County)
He has described to me as sho%m below, the development 1,e is proposing at that location,
and, I have no objections to his prop :,sal.
DESCRIPTION AND/OR )RAWIlVG OF PROPOSED DEVELOPMENT
(To be filled in -�y individual proposing development)
M.
0AK C.2)J F D i;.
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f, v� L (10 AL,)A
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Signature
Print or Type Name
Z 7 - lfe y
Telephone Number
Date:

ADJACENT R1Pz-.R1A!N P--'�0J0"W1-Y OWNER STXFENEENT
I hereby certify that! ow-n propGriti.7jdlnc-rltfo 's
f Property owner)
x
property 1=ted at A
AL-
(Lotl
011 N.C.
(Waterbody) fird/w County)
He has described to me ai shown below, Ehe ciavefo-om-,nt he is proposing at that location,
and, I have no objections in hi.�
.'% W
DESCRIPTION AND, OR DP-,c'ING OF PROPOSED DEVELOPMENT(To'*
7 jf*d�rc. .
9002
&19
-e� Name
It -:S ? ( 45
iumber
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JV._iV$AIL a R" y'I,
I;iVF�+ION (,I Y't �IA ` ,iGENIENT
ADJACENT RIPARIAN PROPERTY 01A N;FR NOTIFICATION/WAIVER FORM
Name of Individual applving for Ferfi,f.,
of Pr. o err.
Addressp y: - - --- ---.
nr ..• . ,- .....- koad, City & County)
I hereby certify that I. own property ad i �i' en t 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 descrintion or cir:,u,inq?. with pi)r._nsions, should be provided with this
letter.
I have no
If you have objections to when is heinq rrovosed, rlease write -the Division of Coastal
Management, flestron -PWa II, 1'51-,tt. ; fwv, �, hfomheart City, NC, 28557 or ca11(252) 808-
2808 within 10 days of receipt of thi`c novice. No response is considered the: sarne as no objection
if you have been notified by Cerhfieu" <<t.
I understand that a pier, dock, mooring miin.gs, brewwater, boat house, lift or sandbags must be
set back a minimum distance of l5' from my area of riparia,: access unless waived by me. (If you
wish to waive the setback_ you must initial the anr,ropriate blank below.)
I do wish to Naive the; Se"'oft._ k
I do not vlisb to waive z r i sed—lack requirement.
Signature45
_ h�
Print Name
Telephone Number With A.re, Code
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