50714_NEWSOME, DAVID_20080501

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I[CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial 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 15A NCAC
Applicant Name
Address —
city
State ZIP
Phone # O
Fax # ( )
Authorized Agent - ,.
_
X CW Iif EW
IXi PTA X ES ❑ PTS
Affected
AEC(s): [I OEA ❑ HHF
❑ IH n UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
_y
Previou%ermit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body = t (nat /man /unkn)
Closest Maj. Wtr. Body ` r
Type of Project/ Activity
(Scale:
Pier (dock) length 7 '
Platform(s)
Finger pier(s) .; �; v :. I ; .. Y 1 j0-4
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
t
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
L
i I
Shoreline Length 1
SAV: not sure yes no '*'
Sandbags: not sure yes ¢o
Moratorium: n/a yes no
Photos: yes no4#
Waiver Attached: yes no
A building permit may be required by: (�^ ` ,''-��
Notes/ Special Conditions
I
I
r
i
❑
See
note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Issuing Date Expiration Date
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/ 1-888-4RCOAST
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

DAVID K. NEWSOM
LIC. 6077850
699 WHITE OAK CROSSING PH. 910-326-2235
SWANSBORO, NC 28584
66_a5,531 1094
0260233361
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Applicant.Name
Mailing Address
I certify that I have authorized (agent) ?/4 �l' oo to act on My
behalf, for the purpose of applying for and obtaining all CANNA Permits necessary to
install or construct (activity) DDa(
at (location)
This certification is valid t
Signature
(d fell
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR PIER & MOORING PILINGS)
I hereby certify that I own property adjacent to David K. Newsom's
Located at: 699 White Oak Crossing
Swansboro, NC 28584
On the White Oak River, in Onslow County, N.C.
(Waterbody) (Town and/or County)
Mr. Newsom's Phone Number: [phone]
By signing below I acknowledge that Mr. Newsom has fully informed me, by way of attached
drawings, as to the development he is proposing at the above referenced location.
I further indicate by my signature below that I have no objections to his proposal and that I
understand that a pier and mooring pilings must be set back a minimum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
(Mr. Newsom is not requesting a waiver.)
Recipient / Adjacent Property Owner:
Name 1 i 't i = 0", o L L L-
Address EZ; A� 6yi ��(,7-
City, State, Zip
,,- C u ;,,
APR 1 7 2o[18
Morehead City ®CM
--.J,7 L Irjv—
Print or Type Name
Telephone Number
Date: l /

Kathy B. Vinson, AICP
Serving Costal NC Sin<'e 1988
COASTAL PLANNING SERVICES, INC.
Lund Use Planning and Permit Assistance
Phone: [phone] P.O. Box 827
Fax: [phone] Morehead City. NC 28557
Cell: 252-240-9297 [e-mail]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR PIER & MOORING PILINGS)
I hereby certify that I own property adjacent to David K. Newsom's
Located at: 699 White Oak Crossing
Swansboro, NC 28584
On the White Oak River, in Onslow County, N.C.
(Waterbody) (Town and/or County)
Mr. Newsom's Phone Number: [phone]
By signing below I acknowledge that Mr. Newsom has fully informed me, by way of attached
drawings, as to the development he is proposing at the above referenced location.
I further indicate by my signature below that I have no objections to his proposal and that 1
understand that a pier and mooring pilings must be set back a minimum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
(Mr. Newsom is not requesting a waiver.)
Recipient / Adjacent Property Owner:
Name �F-WNE-HFHL
Address y-7 I LrD
City, State, Zip
1,7
Adjacent Property Owner Signature
Print or Type Name
Telephone Number
Date: -) - 1,
APR g 7 2008
Morehead City DCM

COASTAL PLANNING SER 2S2247587S
04/17/02 02:88pm P. 001
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Vxhae! F. Easley, Governer Jaynes H. Gregson, Director W;Ilian, G. Aoss Jr„ Se--tetary
Date q I1 :Z 1't/L'I
C-
Applicant.Name JzwkI.W54V
Mailing Address
f%
I certify that I have authorized (agent) _ ' (/ ( to act an my
behalf, for the purpose of appiylug for and obtaining all CAIVIA Permits necessary to
install or construct (activity) Docif ,
at (Iocation) 6qq U z7:r— C24,c
This certifi
Signature
400 Commerce Avenue, Morehead City, North Caro i is 26557
Phone: [phone] \ FAK 252-247-3330 `, Internet: w-,Nw.ncccastalrna,-Iagemert.ret
An Equal Action Ermtyer - 5,:% Racyc'•EA t 19 % Post Const mer R33eT
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