30585_WILLIS, KERRY AND KIM_20021031

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CAMA / DREDGE & FILL
GENERAL PERMIT`
Previous permit
New 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
Applicant Name_
s
Address
.
City __ --_
State _ ZIP
Phone # ( )
- - - _ Fax # O__
Authorized Agent
E CW
I EW [?TAElES ❑ PTS
Affected
AEC(s): ❑ OEA
//❑ HHF ❑ IH ❑ UBA ❑ N/A
7- PWS:
❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City _ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body gnat/man unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) _
Finger pier(s) t "
Groin length ,
number --- - -
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
s
cubic yards
Boat ramp - r
t
Boathouse/ Boatlift
Beach Bulldozing ---
Other
Shoreline Length F A '•^'�' •_ _� -}�
If .
SAV: not sure yes no
Sandbags: not sure yes no • `j ` "J i i �'
Moratorium: n/a yes no t
Photos: yes no
f t
Waiver Attached: yes no -- t -
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
r
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction 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 (910-395-3900) for more information on how to complywith 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 / 1-888ARCOAST
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)
Wilmiieon 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)
Revised 10/C

4
, /(9y26.y �!-90-796-16107 2781
A),!; cis oi� Giniw
61%e%�u/�i�, br' �tQSIj7 66-152/531 CC
Dz-
/� DATE:
THG
ORDER
RDGR OF
ACRom
wecnuvia Bank, N.&
Wald-.l. NC M1A
FOR aria'
1:0S3 L01S 2 9i�
278 L
J

No
ELEVATION CERTIFICATE O.M.B. May37, 7993
Expires May 31, 1993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requiremert. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIL NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot on Core Sound Davi.s,N C —
CITY STATE ZIP CODE
Beaufort N.0 28516
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
6SZ0�21
C
--19-85
5
7,a.
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I I I I .LJ feet NGVD (or other FIRM datum —see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicat the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
2(a). FIRM' Z'ones�Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I I I I�.UD feet NGVD (or other FIRM datum —see Section B, Item 7).
(b). FIRM Zones V1430, VE,.-and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of l l l l l l .0 feet NGVD (or other FIRM datum —see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L1J.LJ feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W . LJ feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: X Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: X actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.) �f
6. The elevation of the lowest grade immediately adjacent to the building is: I f l l l l . 1 feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. if the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I II. .0 feet NGVD (or other FIRM datum —see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31r MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION

SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features —if the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be Entered.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the dat�A` 1 b(t;ARO"" e
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Sect, �4."i , � ),,..
' X*G1STC4;. -y
Larry C.Pittman L-965
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) - L—SEAL g
L-965
TITLE
_ Land Surveyor
ADDRESS
_ PLO Box 601
SIGNATURE Ann/ /! ,
COMPANY NAME
Pittman Sur
CITY
1 2-1 8—
_6V J I V-
DATE PHONE
919=728-31
yya
t'. SU
TAW C.
Copies should be mad"f this CeWcate for: 1) community official, 2) Insurance agenVcompany, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
I
ZONES ZONES ZONES ZONES ZONES
REFC-RENGE
LEVEL
REFERENCE
REFERENCE BASE
IF.VFI
LEVEL FLOOD
ELEVATfON
g
BASE
.:..I.;:.�:•:?.:t,
..+: ..:
BASE''"•'' ADJACEIT .•: '" REFERENCE
FLOOD
' 7 LEVEL
FLOOD GRADE ' :1:>..:
ELEVATION
ELEVATION REFERENCE ADJACENT yj+
LEVEL GRADE
'`:� ADJACENT:;, '
i-::'.:.p.:•.::.r{.1: �,ft
.......'. ....... ......:III If:'`
GRADE .
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.

MAY-28-2002 TUE 10:36 AM NO DIV OF COASTAL MGMNT FAX h0, 4 R 03
ADJACEINT RIPARLAti PROPERTY OWN -ER STATE'IE'I'
t (FOR A PIERIMOORING MUNGSIBOATZIFTIBOATHOUSE)
I hereby certify that f own property adjacent to 6-(z (Z CWt VWi 111-S
'
(� (Name of p6perty OW%er)
ro located at V 1 S �y L' �� CX L 0-, "� C
p Cerny ,
(Lot, Block, ;Road, etc.)
S
-
an VAin DA-4 S'
(Waterbody) (Town and/or County)
He has described to me, as shown below, d-,e development he is proposing a: thz: location;
and, I have no objections to his proposal. I understand that a pier/mnonn;
pilin�s�i7catliftlboathouse must be se;'back a minimum distance of fifiee7 feer (15) from my area -
Of riparian access unless waived by me,
I daaa wish to waive the setback requirement.
I do wish to waive t.sat setback requirement.
EU56�efilled
AND/OR DRAW�iG OF PROPOSED DEV�ELOPN ENT:
in by individual proposing development)
Telephone Number
Date:

MAY-28-2002 TUE I M4 AM NC DIV OF COASTAL MGMNT FAX NO, 4 P. 02
A14ACEIN T RIEPARL-k-ti PROPERTY OWNER STATENIEN
(FOR A PIERIMOORING PILINGS/BOA71IFTIROATHOCSE)
hercb ceru that I own property adjacent to K eCZR �s'l kt-
I� wtliiss
Y fY 17 p Y 1
(Nanne of Pr erty Owner)
LCUIlC--
grope. located at �-t-� t � C� V ACV ,
(Lnt, Block, Ro etc.)
on Corzo-- Soo vl, in U C�- V ( S - N.C.
(Waterbody)
(Town andlor County)
He has described to me, as shown below, the development he is proposing at Lha, location,
and, I have no objections to his proposal. I understand that a pierimoaring
pilinRsi oaT ifftoathouse must be sc: bacic a mininum dis=ce of fiftee m feet (1-+) from my a:ea
of riparian access unless waived by me.
I do not wish to wa ve tut setback requirement.
I Ar, wish to waive teat setback requirement.
2<
t}
aCRIPTION AND/OR DRAWE G OF PROPOSED bEVELOWENT;
(To be filled in by individual proposing development)
� 7cffi
Signature
Drina or Type Name /
Telephone Number {{
Date: Q (J

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OWNER: WILLIS '
03 664 PG 321
PHYSICAL SURVEY
KERRY & KIMBERL Y WILLIS
DAVIS TWP. CARTERET CO., NORTH CAROLINA
DATE: 3/26/93 SCALE: 1'=40' SURVEYED:
TES:
CL I ENT : KERRY d wife KIMBERLY RAWN :
WILLIS
STROUD ENG 1 NEER I NG, P.A. PE.G.C,
HESTRON PLAZA ONE SUITE 202
MOREHEAD CITY. N.C. 28857
[phone]
E. GLENN CORBETT R.L.S.
0