31641_VALENTINE, STEVE_20020520

C,1.DAMA / DREDGE & FILL ON?31641 C
*' GENERAL PERMIT
Previous permit #
New ❑Modification El 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
C7 Rules attached.
Applicant Name .,J,, I t j; `> ;` Project Location: County
Addresst `=; �__ 1'a� i . E,; �,.,- + f ; ; ::' Street Address/ State Road/ Lot # s
City ` State_T_ ZIP
Phone # ! ��` ( ) ��, /`�- :.� ; Fax # (J) Subdivision -
Authorized Agent City ZIP
Affected LJ CW O EW PTA El ElPTS Phone # ( ) River Basin
AEC(s): i-' OEA HHF ❑ IH El USA ❑ N/A Adj. Wtr. Body _ (nat /man /unkn)
u PWS: iuFC:
ORW: yes / no PNA `yes-/ no Crit. Hab. yes / no
Closest Maj. Wtr. Body
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 r
Shoreline Length I '
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes o
Photos: es% no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed
Signature Please read compliance statement on back of permit"
Fee(s) Check #
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date 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, certifythat 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 (910-395-3900) for more information on how to comply with thesebuffer 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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)
Revised 10/C

STEVE VALENTINE f
DBA VALENTINE RENTAL
2568 LENNOXVILLE RD.
BEAUFORT, NC 28516
7 263
Date / 212 66-30/005
Pay the O
Order
of
FIRST CITIZENS...
BANKNK FirstCitizens Bank 8 Trust Company
l 11�� Baallort, N.C. 28516
For_CL Ci L
I:0 S 3 100 3001:0000 S 781, 2 788u' 00 26 3
.0—Amenran
$ No. 0�
Dollars
GUARDIAMSAFET BLUE WSL

APR 16 2002
f - I , QQ-a r c * V LAA--- (
to 4� 0
"64,-,j I
44 docl
low 4J,-
l 6Aj 10r

ADJACENT R-E'ARL-',,'V PROPERTY OWNTR STATEMENT
(FOR A PIER/,MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to+et6," Va/'epi(i
���s
(Name/off Property Owner)
prope.--,y located at 561a L— evAK o�C v�(C' Kd
(Lot. Block, Road, etc.)
on TaUtor'5 Crree be , in 0�� u-���'t'
N.C.
(aterbody) (Town and/or County)
He has described to me, as shlown below, the development he is proposi-_ a_ that location,
and, I have no objections to his proposal. I understand tha_ a pier/ mooring
pilingslboatlift/boathouse must be se: back a minimum distance of fiftetn feet (L') from my area
rian
of ripaacce nless waived by me. y
I do not wish to way. the setback requirement.
I Jc wish to waive t .at setback re.:uireme:it.
MAY 1 '7 200`
DESCRIPTION AN,D/OR DRWriG OF PROPOSED DEVELOP`EENT:
(To be filled in by individual proposing development)
I
LY
:,.+'.--.vim..-...�..o�
L2
iQnature
�-e-
Print or Type Name
Te!epho e Number
Date:

ADJACENT RIPARL�N PROPERTY OWNER STATE -LENT
(FOR A PIERAWOORING PILINGSIROA7ZIFT/ROATHOUSEj
I hereby certify that I own property adjacent to S`CeJe � Qc %U'
� 5
(Name of Property Owner)
property located at
(Lot. Block, Road, etc.)
on �G �cv-S Cvee L , in
aterb o dy)
(Town and/or County)
, N.C.
He has described to me, as shown below, the developmen: he is pro.0=7., a- tha: location
and; I have no objections to his proposal. I understand tha: a pie /moorna
pdin gsrboatlift/boathouse must be se: back a minimum distance of fif:etn fee; (, -7,) f-,�m my area
of ri*pa:-ian access unless waived by me. V
I do not wish to waivZ the setback requirement.
MAY 1 7 2002
I wish to waive t�.a: setback recuirement.
-
--------- —--------- --- ----------------- ---
DESCRIPTION AND/OR DRAWLtiG OF PROPOSED DEVELOPNFE'�-T:
(To be filled in by individual proposing development)
* I
1�vcr.so... L . G•�ce..Ks
Pant or Tvr�- Naimte
25-.2 7.2&-3s8
Telephone Numbe7
Date: