48947_FLOYD, H. & JONES, SHEILA_20070514

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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
E Rules attached.
Applicant Name j Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # QSFax # O Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW p.PTA ❑ ES ❑ PTS Phone # O River Basin-.,.)-,
AEC(s): ❑ OEA [IHHF [IIH El USA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes % no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore_
Basin, channel -
cubic yards I ,
Boat ramp
Boathouse/ Boatlift ; t c X.. -
c,r
Beach Bulldozing
Other l
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: es no l
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name r i
r
'r
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Issuing Date Expiration Date
1;i� �.�3 e, •tj.
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
❑ Neuse River Basin Buffer Rules
❑ Other:
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

H. FLOYD, JR• OR SHEILA JONES
548 COUNTRY CLUB RO• PH- 336 3505
MOUNT AIRY, NC 27090
7677
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14 G ggy3`i 66-112/631
6 �
BB&1 4 0
BRANCH OWG" 'A�TRUST COMPANY
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AP

FEE .22-2007 12:15 From:NC DIV COASTAL MCaMNT 2522473330 To:919107929555 P.3%7
• ADJACENT RIP',A,RUN PROPERTY OWNER STATENMN`1'
(FOR APIERIMOORI?VG PIL 2VGSIBOATLIFTIROATHOUSE)
I hereby certify that I own property adjacent to - 4 r v R 1 %�� �� �c� � o &) C S''s
(Nanxe of Property Owncr or Applicant)
Mailing address if different from location address 5 `/Y Cou&)T2 Ir u 6
(town, state and zip) m ( 14( r1!�' fJ, C-, r-)-70 3 v
phone numbers you can be reached at 3 �C- v % ,'? — 3 CO
property located at ID `l ._ ? �. -_1-LJtNQ Dr;,,e L/,,
(Lot, Block, Road, etc.)
on. Qu'ErzfJ5 CR`FK ,iri f+�tQ�2T �C.•- Of\{Si3OW COV,4j N.C.
(Waterbody) (Town and/or ouuty)
He has described to me, as shown below, the development he is proposing at that location,
arid, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a rninimum distance of fifteen feet (I5) from my area of riparian access unless
waived by rile,
l do not wish to waive the setback requirement.
initi IS
T do wish to waive that setback requirement.
initials
--------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indi " ual proposing development)
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5Tlnfc 3� e 5A%.t7 b �� 5 Sigoa ire
1 ` Print or Type Name
Telephone Number j�-r- �� )_ 0 3 3
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FEE-22-2007 12:15 Frorn:NC DIV COASTAL MGMMT,2522473330 To:919107929558 P.2'7
C:ERTIMM MAIL RETURN REMPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACI<NT RIPA-RIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
�5��eila Jones
Naine of individual applying for the permit:
Address of property: l c?� S5"q ill i7 'bg ` v�
(loot or street#, street of road)
Maiiing address: 51-W CaufV T-rz'-� C.. -c to RD.
)"V©RTY OpWo iti14 09030(5uR2Z4
(City & County)
Phone number you can be reached at 3 3 = K`l 3 5 5
C a u�wTf-(
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached drawing)
the development they are proposing. A description or drawing, with dimensions, should be
provided whit this letter.
J Have no objections It) this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone] within
10 clays of receipt of the notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' From my area of riprap access unless waived
by me. (If you wish to Waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
ct,l, D
Signature Date
Print Name
�Uq,153 g1,gq, ..,_
Tc)t phone number with 5rea cndc
Ci ICE - _--3 --26 - I a '2-y

FEEL-h2-2007 12:15 From:hC DIV COASTAL MGMNT, 2522473330 To:919107929555 F.3%7
a
" ADJACENT RIPARIAN PROPERTY OWNER STkTE EN1'
(f'01d APIE.RIMOORING PIL12VGSIBOATiIFTIROATHO�JS211 Jr n e
I hereby certify that I own property adjacent to -, rl EOJ Z''(
(Nance of Property 0wncr or Applicant)
Mailing address if: different from location address 67yk 0-oUrU'7-+2Y CL.�EO i2D
(town, state and zip) IAT A (A!�+ k), C,. a 70 3y
phone numbers you can be reached at 3 3(a — 7 e'i - 3 5-0 5
,property located at !D<<l
(Lot, BIock, Road, etc-)
0a. , N.C.
(Waterbody) Crowxx nud/or C ouuty)
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 if not wish to waive the setback requirement.
initials
VC _ I do wish to waive that setback requirement.
initials
------------------------------""-----------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin development)
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Print or Type Name
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Telephone Number
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