48491_DAVIS, ROBERT_20070502

15-1.0-1 16,6,
j ❑ 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 NO
Previous permit #_
Date previous permit
Applicant Name _KbU!QCT f ' !)c>,\/IS Project Location: County LQnJ t
Address 55 5 �)av,60Iq ��d I I 0 Street Address/ State Road/ Lot #(s)
City A � M 1 C� � State zip
Phone # O Fax # ( ) Subdivisionws�,y C reed, �I S
Authorized Agent City ZIP
Affected ❑ CW 41EW ❑ PTA ❑ ES Ts Phone # ( } River Basin �
AEC(s): ❑ OEA ❑ HHF ❑ IH [IUBA N/A Adj. Wtr. Body gnat /man /unkn)
ElPWS: ElFC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Win Body
Type of Project/ Activity
Pier (dock) length `J x a 25
Platform(s) qS %y
Finger pier(s) ` {�
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatli
Beach Bulldozing
Other
Shoreline Length /
SAV: not sure yes no _
Sandbags: not sure yes n 1
Moratorium: n/a yes no
Photos: yes n
Waiver Attached: yes n
A building permit may be required by:
Notes/ Special Conditions
/�\ - `
Agent or)!pjicarnt Printed Name A /"
Signature '' Please read compliance statement on back of permit
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction Rover File Name

T
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

♦ h-e�.p,�. 'A .
4y
No `'1 Carolina DE?�J�;i tl ent of and Natural n�'S��1rC�5
Date Lf� 12/ 07
Applicant Name _I_S_��T ✓ma`s ��
Dfz
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, ith rf� (., .� '��� E �n�S�UCT1©I✓��a act: ate. ,.,z�
bets-If, for Oic pi -?-nose of apyplyin,al, for and obtaining all C.-- iINJA' Pc—lits neccSFaFT to
cnsta" or construct (ictivit7r) Z R F7 ceiyr/1c� T-)Ck 1. twin SAT Ljn:
at (9crcation) o =__y� _ �i9V�86 7 Aj, c�
'riiis certification is valid thru (date) A g
483 Corr merce Avenue, Morehead City, Ncarth Carc "na 2855'
Phone: [phone] i F +X: 252-2u7-333V (ntemei: wvvw.nc.�astaimanacement.rAt
An Equ2I Crmodumbl t Arfrroative AcUor, Employer— 50% Recycled JO!, R:sf Gensur—rr PP^er

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
Bob Davis Sr
I
property located at 555 Dawson Creek Dr.
on in in Arapahoe/Pamlico Co. N.C.
(Waterbody) (Town aged/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 set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-----------rr----------------------------------------------------------------------------1l---------
DEScCIdIPTION AND/OR DRAWING OY PROPOSED DEVEI_,®1�I ENT:
(To be filled in by individual proposing development)
N
> 15, 1
gas`
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I--------------------- - -------------------------A------- qbf'---------------
Signature
Print or Type Name
q
Telephone Number
Date: �� ✓
—�

W.
ADJACENT RIPARIAN PROPERTY ®INKIER STATEMENT
ENT
(FOR A PIERIMOORING PILINGS/BOATLIFTIBOATHOUSE
I hereby certify that I own property adjacent to Bob Davis Sr.
property located at
555 Dawson Creek Dr.
on 3LA'x) l in
(Waterbody)
Arapahoe/Pamlico Co.
(Town and/or County)
Is
, N.C.
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 (15') from my area of riparian access unless
waived byymme_
✓ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-
- ------------------------------------------------------------------------ -------------------
JIDIES C>1�IIP')i'>ION AND/OR DRAWING OF PROPOSED �>EV ELOP lxENT:
(To be filled in by individual proposing development)
I
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1 �!---------------------------------- �- ---a ----- - --- -� -
Signature
Print or Type Name
lam) G2,Ql• Ll O-D zJ Z-��' � G-�--�1--'�I�-�
Telephone plumber
Date: ��/2-G6 7 --- -

BROAD CREEK CONSTRUCTION
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572
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