53041_WESTBROOK, JOHN & VIVAN_20081209

91 1 AK
,'L_ CAi 1A 1 DREDGE & FILL
GEAJERAL PERMIT Previous permit #
ONew D Modification ElComplete Reissue E]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1'�2 (50
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached.
I
Applicant Name ga'-' -4- �I'J"ai\ wt --A �ror' Project Location: County 04,
Address 2c6c\ C c ee&owe iqb, Street Address/ State Road/ Lot #(s)
City ZIP State �2 r�SLIL
Phone # Fax# Subdivision
Authorized Agent City—O ZIP
Affected El CW EW It PTA -1 ES -1 PTS Phone# (alu) 1112 RiverBasin)rJ1,4e
AEC(s): El OEA El HHF El lH Ej UBA 1:1 N/A Adj. Wtr. Body g(at ) man unkn
D Pws: DIFC:
ORW: yes no PNA yes n'6 Crit.Hab. yes 'n8), Closest Maj. Wtr. Body C v�"�
Type of Project/ Activity (Scale:
Pier (dock) length 8VI, t'o'
Platform(s) 2(,-T Lfi"J
'
I II
Finger pier(s)
-2
Groin length
number
Bulkhead/ Rprap length f--. -T
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
BoathousE40.ath,
Beach Bulldozing
Other
Shoreline Length 16o"
es y sure
SAV: not o'
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes Pno
Waiver Attached: yes es no
l
7 A building permit may be required by: Q LSee note on back regarding River Basin rules.
Notes/ Special Conditions Mi IPA -A 3 c- e I
Agent o(,Applican ,Printed Name
Signature Pleasp read compliance statement on back of permit**
oo
Application Fee(s) Check#
1-1 191,07, - 9
Issuing Dad! Expiration Date
-T�
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, 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

12/05/2008 15:13 9103535052 OSC PAGE 01/04
T
ONSLOW SURGICAL CLINIC, P.A.
255 MTIMORIAL DRIVE
JACKSONVILLF- NORTH CAROLINA 28546
PHONTi [phone] • FAX [phone]
EDGAR H. $ATCHELL rR, JR., M.D.
EDGA.R G. GALLAGHER, JR,, M,D,
JOIIN A. WT STBROOK, M.D.
L ENNOX G. WTL LTAMS, M.D.
TIMOTHY N. YATSELAS, M.D.
CHRISTOPHER BI HR, M.D.
FAX COVER SHEET
Fax Numbers. [phone] or [phone]
PLEASE DELIVER THIS FAX TO:
NAME:
LOCATION:
FROM; - =2 45 % "A�f' a b /.---
LOCATION: —At 9
TOTAL NUMBER OF PAGES: (INCLUDING COVER SHEET)
BATE: - - / Q TIME; .Z_ ❑ AMPM
* w w w w * w * w w w w w * * * * * * * * * # * * * * * * * * * * * * w * w w w w * w * * * * w * * * * * *
IF YOU DO NOT RECEIVE ALL PAGES OF THIS FAX TRANSMISSION
PLEASE CALL. �� g-_`�..3 AS SOON AS POSSIBLE.
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SPECIAL INSTRUCTIONS:
THIS FAX CONTAINS CONFIDENTIAL MEDICAL INFORMATION.
PLEASE CALL [phone] IF YOU HAVE RECEIVED THIS FAX IN ERROR.
THANK YOUI
mscolm.ass.•rom SC13

12i05/2008 15:13 9103535052 0'I PAGE 02;'04
1�fR5 Z bE� 1�: W4 �] �33� Q15Z C15C WAGE WEN
JACENT PA3� noiF"ar,RTY OWNFLk, sTATrjWTr
I hcTeby certify that z owu propam' adjiam ,C to r" •T ca�sS; y'R!L'r
(Name or property Owner)
propn-rty1ocatetl at �.�r,l°�,u,'-"+a w L.+�
(Lot, Bloch, ROSA, 0
(Watelrbody) (Torn an for County)
e04 iC el
AppliAaut's phone #. tea --�t � r � _ Mailing Address: � 8' �4Se �
IIa 1Me elescxibed to Me, as sk o Am -below, the development hf� is proposing at that loeatiAu =.d., �
have no objeotiatts to his proposal, I w.iderstand that a pier/mooring pgiV I boatlift 1 boathouse
m1m be qet back a mWfa un distance of fift0 a £eat (151) from my area of ripmian access unICH
wajvatl by me. (if ,
ou wbh to waive the 90ba0c, You must initial the 6pptrapt°tate blank
below')
i d qt wisb to waive
h►✓ i wish to waive that setback requirsxn,e at. .^ww
n.�-nnnn.nww�*�.. ............... .n n r...._._...-..,. ..-.. nn mw.�.. n....m..H..f.._r•.. _.
DF
(To befilled if h1+ indn+idual prnitogr�n del+edopnt�nt}
(I-bf0yMg1.l0n for rropert� Owner A.pply�ug
fpr Permit)
1'�1ailing ,P,,ddzess
Cityistaro/V ip
Tfllep�ono umJa�r
Sig Date
(Mparian pXopert}' t7 7ar.X tn£orzuaitnx�)
�igraa.l�xrc
Del Y�`
r4)�
Flep/hon.e Number.
Date

12/05/2008 15:13 9103535052
0SC PAGE 03/04
.j
BOARD OF COMMISSIONERS
Delma Collins
Chairman
Martin Araguna, Jr.
V'irf•Claai,r•m,an, '
Nul,Buchanan �IJP y y O TY
LiOnvll Midgett
Jouph McLaughlin Np CA
ROLINA
LOCAL CAMA. PERMITTING OFFICER
604 COLLEGE STREE'D<"
JACKSONVILLE, NC. 28540
PHONE: [phone]
FAX: 9I 0.347.5759
ADJACENT RIPAR.MN P'nOPERTY OWNER STATEMENT
APPLICANT NAME:
www.co.onslow.ne.us
ADDRESS OF PROPI�RTY:���'"a.u/.:�
APPLICANT'S PHONE: �J�3?Y�c.�3C�Hai•� '1 �i� 3�;3-;�ByPC'c,.�ac�
g! - zg J'9 - ,(/3 2. C C• t,/)
I ZID3REBY CERTIFY TFIAT 1,0WN WATT R—F, RONT PROPERTY ADIACENT TO THE ABOVE
REFERENCED PROPERTY. THE APPLICANT RAS PROVIDED M;'E A DRAWING OF THE
PROPOSED] DEVELOPMENT.
PLEASE T,NX'I'I;AL TII,'t; Sn ,,,oq" I'EMZ tDT i EIy Nr�IDF wQjU HAV-S,�O 08'aNC'•TIONS TO TkTDy
APPLICANT'S
R I
kl.
V 1 Q 0AJ,, bN&,rTW',fjJIS� � 1��?OSAL
--- -�- 7,
SIGNATUR-E OF RI,PARAN ', 'x...•,.
i
P RTNT NAME OF RD P ARIA �' / �-�/
w�rj cam.
ADDRESS OF RIPARIAN�%
COMPLETE PHONE NUMBER
,SEE ATTACHED PLOT PLAN
Onalow County Planning Deparhneut
604 College Street - Jacksonville, North Carolina - 2S640
Phone: 910.45WHI • Fax: 910.455,2453

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9103535052
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