51884_POTTER, CLYDE_20071205

El 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 __ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
0 Rules attached.
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
51884,,
s
Local Planningf urisdiction 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:
'TS�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 Offi 52-946- or the Wilmington
Regional Office (9 I 0-796-7215) for more information on how to comply with these buffer ru es.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Page 1 of 1
G� �
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http://www2.undersys.com/pamlico/pammaps/mapfiles/wv33742187.png 12/4/2007

N.C. Division of Coastal Managemen t
400 Commerce Avenue
Morehead City, N. C. 28557
Re: Property owner consent
Dear Sir;
-p�� - 7-3 / /
PO Box 778
Bayboro, N. C. 28515
November 26, 2007
ZOV
MOrehead City DCM
Enclosed please find the required information you need for me to acquire
a permit to build a dock on my property on Rice's Creek in Pamlico County.
Mr. Thomas J. O'Leary, owner on one side of my property has signed the
waiver which I am enclosing.
I mailed an unsigned waiver, certified mail -return receipt requested to
Mr. James Mannion, owner of the property on the other side of my property.
He received the letter as you will note from the signed receipt. It has been
over 10 days and I have not heard from Mr. Mannion, therefore I am
assuming Mr. Mannion has no objection.
Thank you for your kind consideration in this matter, and waiting your
early reply, I remain,
Sincerer. A
d-u f
Clyde'-A,Potter

PAML
'O COUNTY HEALTH DEF - RTMENT
P.O. BOX 306
BAYBORO, N.C. 28515
%,
IMPROVEMENT PERMIT
(valid 5 years) Rxnpr
Owner:BENJAMIN HALL
Owner Address:5223 WAXHAW-MARVIN ROAD`
Owner Address(2):WAXHAW, NC 28173 nlloreh. City ®C Wr.
Owner Phone #: [phone] s`� ( ) Initial Site .��`r•``
Property Address:QELL POINT S/D Wastewater System: Conventional Pipe.-
PIN-.KO50-008-IA-061 Abw Long Term Acceptance Rate(GPD/SQFT):0.4
Record: LOT # 6 Trench Width:3 FT '°
Establishment Type:Home
Y Trench Spacing (OC):9 FT'
INType of Wedl:Public Well. Trench Bottom From NGL:-18 IN`'
Design Flow (GPD):360 '` Septic Tank Volume:1000 GAL°
F-
N'
y ¢
`' �C" V t ,
Repair Site -,;
Wastewater System: Conventional Pipe_
Long Term Acceptance Rate(GPD/SQFT):0.4
Trench Width-3-FT _ \
Trench Spacing (OC):9 FTC,,
Trench Bottom From NGL:-18 IN
Septic Tank Volume:1000 GAL
t rcemetary
-1vw
I-
10
A
0
0
L. L45
44
60.00 feet
1:720
i � � •f
F AN AUTHORIZATION TO CONSTRUCT MUST BE OBTAINED AND
ALL FEES PAID PRIOR TO WASTEWATER SYSTEM INSTALLATION. /
. THE
PAMLICO CO. HEALTH DEPARTMENT RESERVES THE RI-GHT�''
,s PTO REVOKE THIS PERMIT IF THE SITE IS ALTERED, INTENDED
-.,,,_USE CHANGED, OR ANY INFORMATION IS FALSIFIED.
ANY CHANGES TO THIS PERMIT WILL REQUIRE A REDESIGN } r
PERMIT SUBSEQUENT FEE. — , �
Authorized Agent: //// ��� � C� �-�i�ir���L o°� � __ __. Date 5/6/2004.
tc7!
0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
f OR A PIERliMOORIII%G PILINGSIB OATL.IFTIBOATTI'O LSE)
I he'relly cc'rtil,% that I o`.rr`;1 property to
property located at
(!k ;ilili o1 proj,ertty Ov, �°ry
(Lot, Block, Road, etc.)
!/
City
on i6. Ct^e , in CL N.C.
(Waterbody) (Town and/or ounty)
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 set back a minimum distance of fifteen feet (IS') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�c
u
O
Signature
Print or Type Tqame
Z YS^ - 5� t l
Telephone Number
Date: tvov • 4; , ;?, 6C)7

9
CLYDE POTTER LANDSCAPING
PH. 252-745-7311 PH. 252-229-2037
P. O. BOX 778
BAYBORO, NC 28515-0778
DATE "
' PAY
w TO THE
ORDER OF
4188
66-21/530
BRANCH 77512
$ 2 O 0 1.QQ
WACHOVIA
Wachovia Bank, N.A.
wechovie.com
FOR �
116004 lg8Ii' I:0 S 3000 2 191: 20000 2949 38 74ii'`--

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BAYBORO MPO
BAYBORO, North Carolina
285159685
3613950691 -0097
.'08/2007 [phone] 03:03:0
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