34755_ROUSE, ALTON AND WREN_20030821

❑LAMA / -]DREDGE & FILL
GENERAL PERMIT
_I New 7'Modification 1, Complete Reissue CPartial Reissue
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 I SA NCAC
Previous permit # 7
Date previous permit issued
Ci Rules attached.
Applicant Name j �-th 'r i„1yth IL ,_ Project Location: County ( or 4�. .
Address i 3 'S r I J 1 e Street Address/ State Road/ Lot #(s)
City Nfw s State ni( ZIP 57
Phone # (_) ,13 _ ;'12; Fax # ( )
Authorized Agent �"Po r I i
Affected ❑ CW ❑ EW Q PTA ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City— -__ ZIP_
Phone # (�) River Basin
Adj. Wtr. Body i' + , t-d (nat /man /unkn)
Closest Maj. Wtr. Body 4 e
Type of Project/ Activity
�cale: )
Pier
t
Platfo
Finger
Groin
Bulkh
Basin,
Boat i
Boath
Beaty
Othei
Shorel
SAM
Sandb
Morat
Photo
Waive
■■■■�i■r.iLiiC�i■�L'��L'��1■r/■■■■i�i
■■■■
length
■■■■■■■■■■■■..file■r■■■■■■■■■■■■■■■■■■
. ... length
vg distance offshore
.-iax distance offshore
-
■■■■■■■■■■■■■
oil
ME
MINNIE
channel
■MEN
ic yards
• ,
�■■�■
Bulldozing
ine LengthNTJ®■■■■
not sure
■■�
no
■■■■■■
I
I
■■■■■■■■■■■■■
■■■
■■
■■■SOON■■■■■■
..
■IEE�ii
Win
r1■
■■MEMOS
■■NN
■■
NMINIM
MIN
■O
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a
■■■■■■■■■■■■■N■
■■�l►.�Il1N■■■DORM
i�■■■■■■
=MEN■�■■�+■■
yes
�g s: not sure yes
r Attached: yes
.
no
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i
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B
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r�
A building permit may be required by: j -J f. r+ ro. / C❑ See note on back regarding River Basin rules.
Notes/ Special Conditions Ji t i rf r L11t f 4L p vu , JLI J 4 CG r
��. +.(+ �, � t'"�, r f. �!� � - M ( !1A b !'. r �,� 1.[� � � � G jjo ✓c � /t'.ri . i �.
Agent or Applicant Printed Name
�J
Signature ' a* Please read compliance statement on back of permit a
r:L.J0
N ay�
Application Fee(s) Check #
-�4, e / f,4114—
Permit Officer's Signature
Issuing Date
Expiration Date
/7
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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
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)
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

3170
ALTON R ROUSE 66-152/531
WREN ROUSE pare
NEWPOR7 NC 28570 393 3483
Pay To The �� n F•;; ;;;
Order Of �,�% ❑'=t°
_ A�0_
Wachovia Banl` N.A.
111nrchced Cr N 28557
1:053LOL5291: 5460 25
NP
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(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to /g/A n k/ L ��; use 's
(Name of Property Owner)
property Iocated at /J Jw
(Lot, Block, Road, etc.)
on9,o4tc_eJ(& J1-77e in ���7«�7� , 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/boatlift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa%-e the setback requirement.
I di wish to waive teat setback requirement.
DESCRIPTION AND/OR DRAWLNiG OF PROPOSED DEVELOP.v E\7:
(To be filled in by individual proposing development)
Agna
Print or Type Name
Telephone Number
Date: ("%-- //�j` p,

(7F Ir ►ED MAJI, - REITTEN RECEIPT REn1-FS1ED
DIVISION OF COASTAL MANAGEIN ENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
�;61A n �� u.s
7 i ��e-
-.ddress of Prope. Lv: '
< a.
(Lot or Streit =, Streit or Road, City & County)
t above re:e: e:ice proper Ly. The individu ll
I heresy cersry ti,at I own pr�p...�y adjacent o t.l.he . .
aoolying for this permit has described to me as shown on the attache: thawing the deve:opme: t
.=w are proposing. A desc.�ption or drawing, with d::Tlensions, s-tou. be provided with this
le..er.
I have no objections to this proposai.
If tiou have objections to what is being proposed, please write the Division of Coastal
:�fanagemerrt, Herron Pla:lr II, 151-B, Hwy. 2.4, Morehead Ciry, NC. - - i or call (?��) 808-
2808 within 10 days of receipt of this notice. No response is considered t-he sc-ne as no aoieczon
it you have been notijTed by Certified Mail.
WAIVER SECTION
I _ - _ S, ear 1va--!-, boa: house. E:zZ or sandbags must be
t;,a. a ^ier, aoc::, mooring piiing br..
'�der��nd r
1 y a -ea of 11 a1. ;access unieS_ vtia:ved by me. (I you
vaCK a minimu-n distance Oi Iiom m
w _:- to Waive the se.back, you must initial the appropna-a biank be:ow.)
do wish to waive the l 5' setback- re -wire -:eat.
I do not wish to waive the 15' setbaci: rec :irement.
,ea e-
P, nt me
g!q
Teieohone Number With Area Code

Aug .28, 2003 11.34AM lQ w l c k Pack & Shlp No.9043,�YP. 1�
'lea.se, aecep;� �Xts as ao aWwli4ioq -1v po,-
alrMdy el/sA"?1 o/ ,
1!QvG �ePi7 /rArmeW 4j /U%r• �/1V� Awe- and
hiS w� L hhzo Ifoilse and have, nn P6J �vn
-A an adal,-bb,7al pole ana' any ,altrl;Vs re�w;r.W
I 5�- /i6� a� fh[i� ar3 . fie// Lame
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02V 7-335

+8-29-2003
01:16pm From—Carolantic Realty
9198320579 T-478 P-002/002 F-779
I, E. Stephen Stroud, give my permission to Alton and Wrenn Rouse for the installation
of a personal water craft or Sea noo lift.
Sincerely,
E. Stephen Stroud