32350_WILSON, PHILLIP_20020723

i=v.CAMA / 0 DREDGE & FILL �J3
GENERAL PERMIT Previous permit#
LLNew ❑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 0
El Rules attached.
Applicant Name }'�' II jj 1lLj ffi t r+ Project Location: County %h,
Address ,' �0 l kv, myi- PJ Street Address/ State Road/ Lot #(s)
City - F u, a State W ZIP I (:' I : I " 2, 5-
Phone # (,) 'l , b 3L 5' Fax # ( ) Subdivision r le,
Authorized Agent sit-,, City
Affected ❑ Cw ❑ EW O PTA ❑ ES ❑ PTS Phone # ( ) River Basin A4 r
ElOEA ❑' HHF ❑ IH ❑ UBA [I NIA AEC(s): Adj. Wtr. Body A 1,2 ►+-1 + (na£Jman /unkn)
❑ PWS: ❑ FC:
ORW: yes /, no PNA yes / no Crit. Hab. yes / no Closest Mal. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore f t ��,1 c
max distance offshore s
Basin, channel
cubic yards i
Boat ramp-- — - "!
Boathouse/ Boatlift
(Scale:
F '
f
i � I
--_
ri
Beach Bulldozing ��^
_!
_-.`-
o
?
Other
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
(
` 4.�
Moratorium: n/a yes no
1
1
Photos: yes
Waiver Attached: yes no,
_
A building permit may be required by: l p +
i t ,
© See note on back
regarding River Basin rules.
Notes/ Special Conditions i' ^J`• sJp F •
p
' . , iti
'
Agent or Applicant Printed Name /
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
I
Permit Officer's Signature
Issuing Date Expiration Date
I ,
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, 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

PHILLIP R. WILSON NCDL 2193126
ANNE A. WILSON NCDL 4963004
PH 252-728-6305
200 THURMAN RD
BEAUFORT, NC 28516
Pay To The
Order Of _
8031
/f 66-152/531 CC
t/ Date
WACHOVLI /J
Wechovta Bank, N.A.
Ii—f Iti. NC 28516
Men106P3` Q - -- - —
�:053 LO L5 29�: 6350 L4876 Lu■ 80
0 -MIND 2"

11a
DIVISION OF COASTAL MANAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
-Name of Individual applying for P..rinr
Address of Property:
(Lot or Str�.t =, Str-.a or Road, Gty & l-ounty)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the deve:opment
~ey are proposing. A desc.—:ption or drawins, with di:��ensions, sbouid be provided wah this
le_.er. 2002
xI have no objections to this proposal.
If you have objections to what is being proposed, please wriie the Division of Coastal
Management, Hestm n Mara Il, I5I -B, Hwy. 2,4, Morehead City, NC, 2 8 5 5 i or call (2 i 2) 808-
2808 within IO days of receipt of this notice. No response is considered the same as no ohrecrion
it you have been notified by Cenci ed Mail.
` -VTR SECTION
I _nderstand that a pier, ck, mooring piiings, break7xa:e-, boat house. or sandbags mus: 'De
se: back a minimum distance o� from my area of riipanan acce mess waived by me. (r you
C.'a,i to waive the setback, you must t i the appropr;ate below.)��
I do wish to waive the 15' set r -ement.
I do not wish to ive the 1 d' setback requirement.
�/w7/0 ,-
v - -
i_n�,ture Date
Print Name
qii- 5S3- 33So
T eieohone Number With Area Code
M

W: MINO M
DIVISION OF COASTAL tti- ANAGEN ENT
ADJACENT RIPARIAN PROPERTY OWNER -NiOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:— PIllu' l lo
r,
.ddress of Property: °�U(2 I/1 /W 1�24 ID 1655A5;Pp �--
�' �;
(Lot or Street or Road, City & County)
I hereby cer-dfy that I own pro e �; �'�. + L_ -
P perry aura. znt to the above rererenced grope. LyThe applying for this permit has described to me as shown on the attached draw*
ng the dove oipme;at t :ey are proposing. A desc=ption or drawing, with d :pensions, should be provided with this
I have no obiections to this Proposal. - 1 1 2002
If you have objections to what is being proposed, please wr�ie the Division of Coastal
:ilanagemenl, Hestron Plata II, ICI-B, Hwy. �, Morehead City, .�'C,
2808 within 10 days o rece: - 855 or call (?52) 808-
E pt of this notice. No response is considered the same as no ooecnon
it you have been notijied by Certified Mail. i
I �:1derstand that a pier, k, moorir
s : pack a minimum distance of -';
v� �h to waive the setback, you must t
I do wish to waive the I 5' s
Teiepnone Number With Area Code
nouse. 1�— r sandbags must be
less waived by me. (I you
below.)

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