46760_HUDSON, RICHARD_20061018

I]CAMA / 0 DREDGE & FILL
GENERAL PERMIT
Previous permit #
ENew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit iss e
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
i It i I [:1 Rull aglched.
Applicant Name
f "Y
`''
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
State' ZIP
Phone # (^)
3
`I Fax # O
Subdivision
Authorized Agent
� (,
City f� "; J J` %'� �r t' ZIP �- _A
❑ CW
EtEW
( PTA ❑ ES ❑ PTS
,
Phone # ( ) River Basin ,V e— _.C.
Affected ❑ OEA
AEC(s):
❑ HHF
❑ JH ❑ UBA ❑ N/A
r -t
')a �. �' t ' G�Yman /unkn
Adj. Wtr. Body :C� (" )
❑ PWS:
❑ FC:
t/
ORW: yes / no,
PNA
yes /:, Crit. Hab. yes / no
L..
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length -
avg distance offshore a r
max distance offshore
Basin, channel
cubic yards
Boat ramp
i
Boathouse/ Boatlift
Beach Bulldozing
Other -.
u
Shoreline Length
r'.
SAV: not sure
Sandbags: not sure
yes
yes
`no
r
Moratorium: n/a
yes
�cl j
Photos:
yes
no
Waiver Attached:
yes
no
A building permit may be required by: _
Notes/ Special Conditions
{ .:
(Scale: )
-See note on back regarding River Basin rules.
+
..__..�.,,,�.� City
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
,16 � 6 (� f�'�lv l �/ Y /'
Local Planninglurisdiction 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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
E�use 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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NC 285
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner or Applicant)
Mailing address if different from location address Po � % ,
(town, state and zip)
ayAor-'o . W L. 1-9,11j'
phone numbers you can be reached at �J-1, 7c�).3 Z Z'2, f4
property located at 056le(( & c D
gh5d6 l� d
(Lot, Block, Road, etc.)
r
e
on �Zy ` �� , in Pam cO , N.C.
(Wate ody) (Town and/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.
in' ials
I do wish to waive that setback requirement.
initials
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�1
/i� Signature
j7/a 4 Print or Type Name
�v
Telephone Number
Date: -(--W/ ;i Oo b
www.nccoastalmanagement.net/Permits/ADJACENTRIPARL4,NPROPERTYOWNERSTATEMENT.vdf r

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
` (FOR A PIER/MOORING PILINGS/BOATL/IFT/BOATHOUSE)
,L /1
I hereby certify that I own property adjacent to
(Name of Property Owner or Applicant)
Mailing address if different from location address
(town, state and zip)
phone numbers you can be reached at �� �-' `�� 3 '� �+ L S 2- T 6)
nn ,
property located at
(Lot, Block, Road, etc.)
on 2 ! ✓e+, in (01%� l G� , N.C.
(Waterb dy) (Town and/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.
initials
I do wish to waive that setback requirement.
initials
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A"k-4,44 -F
----------------------------------------------------------------------------- -------------------------------------
Signature
61-)0,&M ��/ L 4Al
Print or Type Name
Telephone Number
Date: // d J o �n
it
www.accoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEN ENT.Ddf '

DR. R. W. HUDSON
P O BOX 459
BAYBORO, NC 28515 13665
66-21/530
lift
BRANCH 77572
Date
��To The Ordcr Of A4
v�
WACHOVIA Dollars B k,,,,
Wachovia Bank N.A.
wachoAa.com
For
"'0 13" S"m ':0 5 3000 2 L 9i: 100 78 7 2 5 2 5 46911'