47263_WALKER, JACK_20060922

1:1CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issue
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 / r j > Ao C)
Applicant Name Project Location: County /
Address ' Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (�) Fax # () Subdivision
Authorized Agent City ZIP
L Cw EW PTA ES PTS Phone # ( ) River Basin
Affected — —
AEC(s): ❑ OEA HHF IH - UBA = N/A Adj. Wtr. Body_ (nat /man /unkn)
C PWS: FC:
ORW: yes / no PNA yes / no Crit. Hab, yes 1 no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length J r
Platform(s)
-
Finger pier(s)
Groin length - -
'
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
_ -
Basin, channel -
-
cubic yards
— -
Boat ramp
-
Boathous,(Boatlift i
Beach Bulldozing
V
Other
-- - --
f
Shoreline Length,
I
-
SAM not sure yes no
--
Sandbags: not sure yes no
LJ
Moratorium: n/a yes no
Photos: yes no -
_
Waiver Attached: yes no -- -
— -
—_
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
7< 1>_
Agent or 00ican
l
Signature P
Application Fee(s)
Led ame
read compliance state
Check #
Permit Officer's Signature
DCRA CY,_ � �, .
ing Date Expiration Date
U q
Local Planningf urisdiction Rover File Name

N
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:
F1 Tar - Pamlico River Basin Buffer Rules ❑ Other:
U 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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/ 1-888-4RCOAST
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

,A D JAC-ENT RIPARIAN PROPERTY OWNER STATEVIDENT
(FOR A piERIMOORRING p1ZI7vGS1B0A.rUFr1B0AM0USE)
1 Hereby certify that I own property adjacent to JA c,I� :%zllC 's
(Name of Property Owner)
property located at
G' -1!� C;�b
(fit,
Road, etc.)
(Waterbody) (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/boathftfboathouse must be set back a minimum distance of fifteen feet (15') from my area
of ri-oanan access unless waived by me.
I do not wish to waive the setback requirement.
V/ I do wish to waive that setback requirement.
— ------DESC�ON AND/OR DRAWING OF PR©POSEI) DEVEIOPNIE .-
(To be filled in by individual proposing development)
lx:�
iP-kC-4 Inc-, 4-6 SeAt --
Pant or Type Name
Te ephone Number
Date: — �_^

�7JA.C;ENT K[PARIAN PROPERTY
OWNM STA ��
(FOR A PIERIM00JUNG PILING
I heresy certify that I own PrOPMV a4iaceat to
(Nate of Property Owner)'
pzoperty loWed at
/-6>-?�- C;�o
Road, etc.)
N.C.
(Waterbody) (°Tows►► and/or County)
'He Ims described to me, as shown below, the development he is proposing at that
IL—caiion, w-4, I have no 60jcctiOns to his pWpOM.I. I understand that a pier/mooring
pilings/boathft/boathouse must be aet ban a r -inum dunce of fib feet (15') from my area
')f npanan access unless waived by me.
I {g wish to waive the ;setback requirement-
Liv_ wisi-: to waive that setback requimnent.
-------------
DESCRIMQN AND/OR DRAWING OF PROPOSED DFVFJ OPT:
(T'o be _f&d in by indiWdrual ,proposing developrmenl)
44-r
PIS
f ,
Signature
�!j L L ( ILA 7
print or Type Name
?,32 S - 4/1'
Telephone Number
Date: 7 / � /0

SPRING CREEK CONSTR cr
Ph 252-249-1819
2398 Whortor>sle Rd
Mtr NC 28556
W� OVIA
Wad—
2555
66-21/530
BRANCH 77512
DA'(�
s 026
DOLLARS
e.cmn
FOR
on
2007,16130
00 i8B
HARmo
__gm 511 2555 M' i :_