31620_VAUGHN, JIM_20020529

l
LAMA /'—DREDGE & FILL
GENERAL PERMIT`�'�
Previous Permit #
New 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
Applicant Name_. „,\ ,� (A k k C!- e
Address i +• ..
^ ,t)r rl`
City �_C ' �``
I
State_ ZIP
Phone # (f _%)
�y5` �y
¢ Fax # () _
Authorized Agent
Affected ❑ CW
C EW
❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
HHF
ElIH ElUBA ElN/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body �.; r r (nat' /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity 47 ,),:
(Scale: )
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 no
A building permit may be required by:
Notes/ Special Conditions
�.,�--fir-------
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signatu e
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 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)
Revised 10/C

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J/ becn rt t rn ha ced doc ! Srr back
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`,/ i/ bjN� C��3/(020
COASTAL MARINE CONTRACTORS INC 6469
PH. 252-638-6407
PO BOX 12729
NEW BERN, NC 28561-2729 q 66-112/531
/nf DATE J ! 2-01901
PAY
TO HE /-� � � 60
ORDER
,OpF_ $
0
DOLLARS
Bill7lLl
BRANCH BANKING AND TRUST COMPANY ,.
NEW BER ,NORTH CAROLINA
FOR <%L�C��
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Ile
00646cilia ':0 S 3 10 1 1 2 0: S 1 10 1 1 2698ii'

May 28 02 02:23p Bob & Missy Baskervill 252-249-3537
�F t, /06/1995 03:50 610-670-1767 HUNTLEY YACHT VACA
p.2
PAGE 02
Mab 24 02 W 41a gob i Miss" Baskervill 252-249-3537
A.DJAC M T RIO?AWAN PROPERTY O' WiaHI k SrATEMMr
(FOR A PJr6k lOOJU VG PJX 10$/S0ATIdF!'/BOATXOUSE)
I hereby otrtify that I awn p mperty AdjMat to Tj Ak VI,, L J.s
�� t `
ray locatedat — V-06Ai S
(IAt, Block, Road, eta.)
on ( .W#u S � . in Q 1
(Watal'body) (Town RodJet CWnty)
He has dcscrlbed to me, a aitiawtt be3ow, tlr: deveiapnrtat be is propubg at that
location, and. I have no objocdous to trios ptoposai. I uodaftW that a pierjummig
IMMOgs/boatl Armthouse must be get bia a midmost distance of fiR= feet (15-) fWM my arcs
of sipuiao access usleas waved by nKL .
_- I mot wish to waive the setback requirement.
I All Wish to waive that setback requirement.
p.2
DySCRMM014 ARID/OR DMMM iG OF PROPOSM DEVEWFNlM*T: .
Ob bs,JFltd is by iwdhWad pavposies dtw lepmno
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PILI
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doc k
f o lj�23_ -
Telephonc Number

May 28 02 02:23p Bob & Missy Baskervill 252-249-3537
�05/17/2002 08:33 3362287514 CAROLINA EYE PROSTHE
May l6 02 06:27a Bob tL Missy Baskervill 252-249-3537
ADJACINT PxP RLAN PROPERTY O1'i NER STAT amr
(FOR A PIERIA100JUNG PILINGSIBOA7'UMBOATHOUSE)
p.3
PAGE 02
p.2
I hereby certify that I own property adjacent to /;r - i A , � ,�J 2 ►s
Name df Roperty Owner)
�!
property located at L ° � _ , Coo) (/") I �✓ . � .� �c,�-� r ,,' r':: � r� •
(Lot, Block, Road, etc.)
on eeN 4 Gete2 , in Ok/Pi.; � (r 4.0 , N.C.
(Waterbody) (Town andlof County)
He has desenbed 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
pilinzwImUiNboathouse must beset back a minimum do uw= of fifteen foot (157 from my area
of riparian at; = unless waived by me'.
I de not wish to waive the setback requirement.
W
I dg wish to waive that setback requirement.
DESCRIPTION ANDIOR DRA%YD iG OF PROPOSED DEVM.OP.VlF.iti''r:
(To be filled in by individual proposing development)
1 I
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lg, ature
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Print or Type Name
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