42447_DIXON, FOREST III_20050818

1-1CAMA / 1 'DREDGE & FILL
GENERA. PERMIT
CINew JModification ❑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 NCAC
Applicant Name hy' '— -1.1,J k " Project Location: County
Address
' p f"`
�{
City t
State ZIP
Phone #
'--
Fax # (�)
Authorized Agent
ac n✓., {
Affected L CW
L EW
D-PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp —
Boathouse/ Boatlift,
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no -
Sandbags: not sure yes no
Moratorium: V/a yes no I
Photos: - yes no
Waiver Attached:. yes' no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision
tv� �
Previous p it #
Date prev us permit issued
O Roles attached.
City_ ZIPiS�
Phone # ( ) River Basin
Adj. Wtr. Body (nat• /man /unkn�
Closest Maj. Wtr. Body— '
(Scale: )
' See note on back regarding River Basin rules.
00:�
Permit Officer's Signature
Issuing Date
Expiration Date
Local PlanningJurisdiction
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 ❑ 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 (9 I 0-395-3900) for more information on how to comply with 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 / I-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

1�4eAMA/ L7DREDGE & FILL M 42447
GENERAL PERMIT Previous permit #
L�T�lew ❑Modification ❑Complete Reissue ❑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 f)
�"es attached.
Applicant Name Project Location: County
Address( f -7 6 f%��^ f9� {���' /r Street Address/ State Road/ Lot #(s)
Cityl/✓ f�^ / State N G ZIP .0!
Phone # (Df:�) D.:? -7 �3�' ax # ( ) pp Subdivision
Authorized Agent C C"J.- �lA.r�sC f ,Jr. City ��rfi l� C ZIP //,� ��
Affected CW [9*4 �'A DES ❑PTS Phone # ( ) River Basin /Ii��
❑ OEA ❑ HHF O IH ❑ UBA ❑ N/A Cjt c �( �/l,✓�✓
AEC(s): Adj. Wtr. Body Hl n / Ga /unkn)
ORW: yes / to PNA yes / Uo Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity _ (� �./- K /� T'
Pier (dock) length l
Platform(s)
Finger pier(s)
Groin length '—
number
Bulkhead/ Riprap length _
avg distance offshore '—
max distance offshore
Basin, channel
(Scale: N )
cubic yards
Boat ramp
1- - ! - - - ----- --- - - - --d
Boathouse Boatlif /3 K/3'
Beach Bulldozing
Other
Shoreline Length / aQ
SAM notsure yes n ----- r�
Sandbags: not sure yes o ,
Moratorium: n/a yes
Photos: yes } ko(1
Waiver Attached: ye no — ---I — — —--— -- -- - - - - -- — --
A building permit may be required by: e n eote on back regarding River Basin rules.
Notes/ Special Conditions (J x f %''^°f f �✓6 �fii / a "A" `� � u "' ' A iZ / A .
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Annlirorinn Focicl ('L,...1, IF
l _
Issuing Date Expiration Date
Local Planning lurisdiction Rover File Name

Yosemite Fails
c lain, M &ynords, 6351
Suzy a C.=iteynolds.
Tic 204`'479260
23©2u3berry fin: Date ! �S-
66-112/531
Wilson NCQ 27896 70102
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Paleroe Iva —_
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3 �a E is .. R
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4 AND TRUST CONPI WY. ..I�
a ..�' rNi �., a i Y ' - W , : •:i t'. • NATIONAI PARK. 'fLr „r FOUNDATION - S.Gi hP" _ .--
1:053 LO L 121j: LO L314??EIP'06351
®CMOvftPAmp„�h..�.�.. >• � RECYCLED 9APER® .vZ: -. ,� - -
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
August 19, 2005
Claude M. Reynolds, Jr.
2302 Mulberry Ln.
Wilson, NC 27896
Dear Mr. Reynolds:
Attached is General Permit #42447C
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Si cerely,
Stephen Lane/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%a Post Consumer Paper

Jul 26 05 08:50p
Jim and Holly Powell
[phone] p.2
ADJACENT RIPAW N PROPERTY OWNTER STATEWNT
(FIR A PIRRIUOORING PtLMOS/ROATl.IF? BOATHOUSE)
I hereby certify that I own property adjacent to rofec4 ;F * Mardi ?- Dwu, in s
(Narse of Property Owner)
property loc'ired at a6� T%L"V"t. O P0141
(I.ot, Block, Road, etc.)
in �&AULV4 (SzVTcfreJ N.C.
Gate: -body) (Town and/d County) "WSr(.
1-to has described to isle, at shown below, the development he is proposing at that location,
,inrl, I have tto objections to his proposal. I understand that a pier/mooring
pilings(baltliNboathouse must be svt back a minimurn distance of fifteen feet (15') from my area
of riparian accoss unless waived by mc_
_.... _..._ 1 .tlo qP( wish to waive Ihe sctbiek requircmc�u.
l I(Q %visli to Waive tlTat setback requirement.
I)I_fiCRI1r1'ION AiNYDIOR DRAW NC, OF PROPOSED DEVELOPMENT:
(To he filled in by individual proposfng development)
Print or Type Name
Telephone Number
Date; i "Z(;L-LoO

A,, za,
C�Gr�

Jul 26 05 08:50p
Jim and Holly Powell
[phone] p.3
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r Jul 2.6 05 08:51p Jim and Holly Powell [phone] p.4
Jul-2"-2005� I1:1T From -BHT ATM MANAGEMENT WILSON NC Z522465430 T-544 P.002/003 F-426
RSTATE9E T
A�).jAC1W1' RRA1Z'AN''ROl'E' A �L10AT110US-)
(- OR A pl F,. IAfOORliVG i'1LIv(]S
4 PA 6L" d'ee �, � � � � S
r hueby cecdfy Lh2t 1 own ProPerty adjacent to (`amc f pro perty Owner)
I,rop: ray locate-ti at
(1,0t, Block, R0.1d, etc.)
�v-,e.� -�� � eu� `r '..r"_"" � $tea � fi
vnctu�s in ('down an or County)
" (�vnter-haay)
11c lies da ilkZ'd to "V--, as shown below, the development he is proposing at that location,
proposal. i jinderstand that a Pierfmooring
ar a
'Intl, l havr. j)o objections to his l P
ilin�;slbo;titjii-u'l)C�:1Cl1QlISG nlll5t l�l'. S�'t�)1CIC c1 TtllRlrl1t1�11 t�1.S[dfICC QF fl�tC'�!1 feel �L�`) from my
of r�l) Lri�11 1�c�cS uj)jess waive(l by mo.
1 (l� r)ol wish to waive thc. setback rcquiccrnenc.
1 ile wish to tvlive r)nt selblck regt+irement.
------------- ---..._ ----'\l?IOlt DR-- ti�VING 01; PIt0 i)0SF.D Dr.,VCY,Or.%jENT.
D SCI IMION1 At
(To be filled in by individizal proposut� derelap�»ene)
S nature
Print or TyPC Name
lephon� �un�ber _,_ rf
n 1 T:—. I„i IA II-A0AU

r Jul 2.6 05 08:51p Jim and Holly Powell [phone] p.5
Ju1-20-200e 11:17 From -BUT ATM MANAGEMENT WILSON NC 2522465430 T-544 P.003/003 P-428
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