32328_WILSON, HOLMES AND JUDY_20020717

❑LAMA / ❑ DREDGE & FILLS
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
❑ Rules attached.
Applicant Name : ! i,, c (.c.,
Address-4 61 C) C
City "-"CLAD (—le't t . State ZI P
Phone # (° ),. - cilr Fax # 7 /2 f-
Authorized Agent
Affected J CW 1- EW C� PTA E ES ❑ PTS
AEC(s): El OEA ❑ HHF E lH ❑ UBA ❑ N/A
PWS: O FC:
ORW: yes / .,no PNA yes / no Crit. Hab. yes / no
Project Location: County (_ ' / ,�
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body Jz' r _ (hat /man /unkn)
Closest Maj. Wtr. Body V r-p-
Type of Project/ Activity erJl/T e-a cam- 2. ., -! •-
l'a�i_S17>rr.1hcuCcGY-n o 31S (Scale: )
Pier (dock) length Z4/�('Ce!ct1�c
Platform(s) i' X 12 it.A)
— -
Finger pier(s) Z 56 ? --
Groin length V r t
number
Bulkhead/ Riprap length 1
avg distance offshore
max distance offshore
Basin, channel -
cubic yards
Boat ramp
Boathouse/,BoatJift J 4 <
Beach Bulldozing
Other
i
i
II
-f-- j
I
SAV: not sure
Shoreline Length
yes no 7
�.
Sandbags: not sure yes no { r^` r_.----
Moratorium: n/a yes no
Photos: yes noWaiver Attached: yes no I kIJ I f o )
A building permit may be required by: V0, i co. ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions �i �k;2� c J, E` CI CC, 't"f 1cz Imo. tii+'' '2
14
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Sfg6iture
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name l'

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, certifythatthis project is consistentwith 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 10/05/01

HOLMES WILSON 66-30/531 1018
JUDY J. WILSON �
NEW BERN, NC 28560 ` �7 6
faf�te
$ /Od
-q"g" Mw,.
FIRST CITIZENS...
First-Cihzans Balk d Trust Company
New Barn, N.C. 26563
TIERED ENSURED MONEY MARKET SAVINGS
Wi
':0 5 3 l00 300': l l 280 3 68 7 Sol i0 l8

ADJACENT RIPARUN PROPERTY OWNER STATE-N EIN"I'
(FOR A PIER/MOORING PILINGSIBOATUFT/BOA THOUSE)
I hereby certify that I own property adjacent to ,s
(Name of Pro ert, Owner)
property located at 4 ZL1.,
(Lot. Block, Road, etc.)
onin N.C.
(Waterbody) (Town and/or County)
He has described to me, as shlown below, the development he is proposir.= a. that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pdin gs/boatlift/boathouse must be se: back a minimum distance of fifteen feet from my area
of riparian access unless waived by me.
I Flo not wish to waive- the setback requirement.
I wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT:
(To be filled in by individual propos-in; development)
1 S-�lr :o ir2 �c.eJ2.v,
//z
' n
�-16V `l /y 4
-,14—
(' , I-P4
Print or Type Name
Z.S z2- - 0 Wj l
Telephone Number
Date: 2 — /7/ —O Z/

ADJACENT RWARLAN PROPERTY OWNER $-t'ATE--tE*L1-'
(FOR A PIEPIMOORING PILINGS/,90ATLIMBOATHOtSE)
I hereby certify that I own property adjactnt tti $
00�me or Pi rty wner)
property looted at
(Lot, Block, Roa.dt etc.)
on zf, a - - - , in Z�= lil� N.C.
(Waterbody) (towti end/or County)
He has described to me, as shown below, the development he is pfoposin,g at that location,
and; I have no objections to his propotal, I understand, that t pier/mooring
piling s/boatUft/boathouse must be se: back a minimum distance of fiftced feet (15') from my area
of riparian access unless waived by me.
1 do not wish to waive the setback tec}uirement.
I & wish to wave that setback requirement.
DESMIPTION ,AINWOR DRAWENG OP PkOPOSED DEVEI:.OI' MXT:
(ro be filled in by individual prdltdsing developrnPitt)
�- - ISO
Print or Type Name
Telep one Number
bole; ��1•-