49075_PAYNE, GORDON_20070618

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❑CAMA / ❑ DRE6GE & FILL
GENERAL PERMIT
CNNew ❑Modification ❑Complete Reissue ❑/artialReissue
As authorized by the State of North Carolina, Department of Environment and Natural Res urc
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA N
Applicant Name `):Jc,%
Address i i u ti �be� �� � c"
City State ZIP >? =7 tt
Phone#(') )35`!- Fax#()
Authorized Agent
Affected E CW O EW L] PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Ia PWS: ❑ FC:
ORW: yes /,.n PNA yes /,nn 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
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes;
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
4
Application Fee(s) Check #
Project Lo<
Street Add
,// v
Subdivision
Previous permit #
Date previous permit issued
El Rules attached.
r County
State Road/ Lot #(s) L-
City ZIP2 _ f
Phone # ( ) i River Basin
Adj. Wtr. Body 1 ' 0-- V1--L r"(nat /man /unkn)
Closest Maj. Win Body I � C Jj L�
(Scale:VA� )
See note on back regarding River Basin rules.
Permit Officer's Signature
61
Issuing Date
= I; C
Expiration Date
Local Planning jurisdiction
Rover File Name

R
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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to('Jotocoj`��� '
(Name of Property Owner)
property located at L / ► 110 2 11 mber Ta I
(Lot, Block, Road, ect.)
on b (A C 10. in � r� of I $ � > NC_
(Water body) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Attached)
i
(Do `L' E,L +3/ efetJ eAd
Signature
Print or Type Name
�S zl(,,�76
Telephone number
Date

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NOT TO SCALE
LEGEND "
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R/W RIGHT OF WAY \�
M.B.S .L. MINIMUM BUILDING SETBACK LINE
M.B. AMP BOOK
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NOTES �8xsy NI - /z`��l
1. AREA
2.1 CLOSURE = 1:10, DOO tX�i6 , y
3.) REFERENCE : M. B 8 PG. /7 7
4.) P.I N. t La'��4, o9-ZS- 5/G.✓7 0 �Sr
5.l FLOOD ZONE :"X' F q6-E4 a
w U`
6.) FINAL MAP RECORDED
7.) THIS PROPERTY IS SUBJECT TO ALL Q
EASEMENTS, AGREEMENTS, AND RIGHTS
OF WAY OF RECORD PRIOR TO THE DATE YG• 4 b C
OF THIS PLAT. W
8.� �'NT/APE PRoPF�R7�j/ LOCATED � '—
M.B S
;. ":F.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /
(Nam f Property Owner)
property located at21MZ1A�1&44
(Lot, Block, Road, ect.)
o , in Q�(tp P( 811.Y/ua , NC.
(Water body) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (ATTACHED).
Signature
C,IR-, i-r, S 2 7-05EIL
Print or Type Name
Telephone number
7 00
Date
0

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f
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NOT TO SCALE �d e
a
LEGEND
EI.P_ EXISTING IRON PIPE
S.I.P. SET IRON PIPE V• I `r. F e
R/W RIGHT OF WAY
MINIMUM BUILDING SETBACK LINE I
M.B. MAP BOOK C C.
PG. PAGE AE
S.F. SQUARE FEET 8 EL. (\_
CENTERLINE I b
ic.M. EXISTING CONCRETE MONUMENT �! y
E.I.S. EXISTING IRON STAKE
E.M.N. EXISTING WG NAIL�N
S.M.N. SET MAG NAIL `� 0 p
0
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NOTES
1.) AREA = /¢, 559 9-3 s. F.
2.) CLOSURE = 1: 1 0, 000+
3.) REFERENCE : M.B. 6 PG. /7
4.) P.I.N. s G37-4,
5.) FLOOD ZONE : ,W' ! ilE- EL G' PE.GF/4M
6.) FINAL k4P RECORDED
7.) THIS PROPERTY IS SUBJECT TO ALL
EASEMTNTS, AGREEMENTS, AND RIGHTS
OF WAY OF RECORD PRIOR TO THE DATE
OF THIS PLAT.
8.� ENT/APE P.Fo-9E e7y LOCATED
W/TI//.ti/ THE 575 O. R. fin/.
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BUILDERS BY DESIGN OF EMERALD ISLE, INC.
1102 TIMBER TRAIL BANK OF AMERICA, NA
EMERALD ISLE, NC 28594
66.19/530
I I
PAY 1l06 hUg1V('(I �lC�
roj�
TO THE
ORDER OF DATE
0 b /\� J� � , /9,0
�J 2 Ir>t �n-
"'00 2 56 111' i:0 S 3000 1961:
CO?O0006936211s
AMOUNT
2uu
VOAFTER 90 D YAJ(Z/,,0RlZFD,;(GNAlLJRE
S
/
2561
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