42472_BUCKHOLD, KEITH_20050808

Fn CAMA / DREDGE & FILL N '72 G
GENERAL PERMIT
Previous permit #
hNew ❑Modification I Complete Reissue ❑Partial Reissue Date previous permit iss ed
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
(_ Rules attached.
Applicant Name '\ �" 1 �' ��(' i Project Location: County i 1 ` i i.,
Address
Street Address/ State Road/ Lot #(s)
City %" ,,:,Lj� r� StateZIP
Phone # O _ `f ) Fax # O Subdivision
Authorized Agent
Affected Cw
AEC(s): OEA
PWS:
ORW: yes / no
EW i7D-"A ❑ ES C PTS
_ HHF D IH ❑ UBA r N/A
FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
r
Pier (dock) length r A I � `-/
Platform(s) filt
Finger pier(s) X v
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
r�
Boat ramp _
Boathouse{/'Boa&A ! ,
Beach Bulldozing y
Other
1
City -
Phone # ( )
Adj. Wtr. Body I'
Closest Maj. Wtr. Body
Shoreline Length I
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
z ,
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
- ZIP
River Basin
gnat 1man . / i kn
(Scale: /.j ! % )
i See note on back regarding River Basin rules.
Perm) fficer'sSignature
Issuin� Expiration Date
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:
El Tar- Pamlico River Basin Buffer Rules I , Other:
1Neuse 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 (910-395-3900) for more information on howto complywith thesebuffer 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 / 1-888-4RCOAST
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
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

Keith C Nuckliold
earla 7 fluckhold
218Deer Jslglfd)U 910-326-5845
Swamsbaro, NO 28584
PAY TO TI IF.
ORDER OF
It
FiRKu CITIZENS
Bank 9 Trust CompanyS
I]ANK 'wansbolo N C M64
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6
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1:0 S 3 100 �Cool:oo 3t, I ?ac)q L
66-30/631
341 1361
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0 L 3 13 L
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D01 LARS
v

'7,
w ADJACENT RIPARIAN PROPERTY OWNER STATEME T
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
��GAS
I hereby certify that I own property adjacent to C�i �t�� s
(Name of Property Owner)
property located at ��U �/ %1 L/ 0 4 . '5'W/oVs<g'V0
e-i-- (Lot, Block, Road, etc.)
on �/o a% , in S60#10s"Yaeo , N.C.
(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/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waiveday me.
� 1 do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------------------------------------------------------------------------
Signat re
k1614A.Rb 01-1PN14A1
Print or Type Name
zs)- 3�-7-
Telephone Number
Date: - 2 k- 0 J

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Note: This Map Is Not Intended For Recording!
I, CHARLES A. RAWLS, PROFESSIONA)
LAND SM. EYOR do hereby c6etiiy
that I have surveyed the property
as shown hereon in accordance
with THE STANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH
CAROLINA. % J % 11111111,1
C A R4'/,,%
Cy �?
4
SURl1�'
LINE TABLE
NUMBER
DIRECTION
DISTANCE
Ll
S 12'07'28'W
17.40'
L2
N 87.43'38'W
41.75'
L3
S 88'41'37'W
34,26'
L4
N 87.11'00'W
29,50'
L5
S 79'56'27'W
37,47'
L6
S 77'01'00'W
3%08'
L7
S 60.32'05'W
13.74'
L8
S 05'46'38'E
5.16'
io N/P
NCdlemr 8 Arm
MaJcod llcir�n
00,1031,
Mb. 24, Pq. 97
Exi-Iirq D., F
Y Carla f . Buckhold and
Keith C. Buckhold
Individual Lot as per DB. 2018, Pg. 643, Onslow County Registry
218 Deer Island Road
Swansboro Township
Onslow County, North Carolina
Charles A. Rawls
CAR
and Associates PL"NDVG
1117 HAMMOCK BEACH RD., P.O. BOX 1126 MAPPING
SWANSBORO, N.C. 28584 SURVEYING
TELEPHONE: [phone] FAX: [phone]