32950_BAILEY, BILL_20021106

J 329 2®-C
• -CAMA / C � DREDGE &FILL f
ENERAL PERMIT Previous permit #
n"New ❑Modification L jComplete 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 I SA NCAC ,-
❑ Rules attached.
Applicant Name}
Address
State _ ZIPL),<�
Phone # (__) _ Fax # O
Authorized Agi ntq �7 - SQr
Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): OEA Cl HHF [] IH USA ❑ N/A
❑ PWS: D FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County .-I
+ <"�
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (_ )_ i _ River Basin
Adj. Wtr. Body_ (nat /man /unkn)
Closest Maj. Wtr. Body
--------------
Type of Project/ Activity
Pier (dock) length
Platform(s) _'lllNlfv/�Ji!►.��'ir7P,iw'.
!►1!lrlAf!!![Mtl1
1
i _ . Rll��1'il�� !!!!!!!�!!!
WORMrlilr
-
..
�l
Mi-
r''i�. IMUM210
•L.�%!!
!!!!!!!!!!!No
MEMO,
!!!!!!!!!!
�!
►/ME
!!!!!!W!!!!
OEM
�JI�
ME
NIIrlNlr
i
1
!l
ON
W,�I
li1lll►�!!!!!!
1l��lWWOM!
►!!MEN
!!!!!!!!!
111rW
MIN
=MME
!I�=�IMILllN!►1
!!1S!!!!!!!!!!
!l ei!!■
,..��Mliil!!!!!!
!!MM
!!!!!!!I/!!!!!!
/.7 !!!!!M IMEN!!!!!!IMME MORE ME
!!!ME
!!!!!!
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's
Issuing Dade Expiration Date
Local Planningjurisdiction 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, 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 (910-395-3900) 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 / 1-8884RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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)
www.nccoastalmanagement.net
Revised 10/05/01

WILLIAM L BAILY ....�
NANCY S BAILY 55(52
PH 252-726-5542
5210 MIDYETTE CRT 66-152/531 CC
MOREHEAD CITY, NC 28557 )/
f Date
Pay To The
Order Of if C1 ��N�r�'C; F,vi ,� �(%i7%Gti✓�
i
_ ACHOVIA
Wachovia Bank, N.A,
Morehead City, NC 28557-WS
Mcnro '11 &A,4LV r!y� 3Z2T() �✓
1:053 10 15 291: 5465 18888 211■ 5 6
O HARD ND 2000
Dollars

10/30/2002 13:10 697-9236 MFC 4550 PAGE 01
pL 39-20®2 6S:S2 PM M4rwhGac4PilccAroec. 1 52 726 9044 P.01
AU3,kCEN'T FART..AN PROPERTY OWNER STATE-NIE' +N r
(FOR A PIERlMC+ORINC FILINGSIBOATZIFTIBOAT110CM
r
I hereby certify that I awn property adjacent to —g—t s
(Name or Propert'v Own i
pmpe..y 1=ted at
(Lot. tloc1t, Road, etc.)
r , I.C.
an n --. in
atarbndy) (Town and/or Coun v
He has desc► cad to me, as s� own below• tlhe deve'.opment he is propos:�.r at that Iocadon,
and, I hive no objections tc his p:opo;al. I undersm-nd that a pierlmoerng
pilin;s,'boadiNboathouse must be se: back a minimum distance of Efteen fe:. {i{') from my area
of r'paris access unless waived by me.
I cIn nnY wish to wE� ve &e setback requirement.
I S�t1 wish to waive t�.at setback requirement.
DES C� IOti ANVOR DRA1�"�G OF PROPOSED DEN -ELCPNIVI'T:
(To be filled it by in vid"41 propoa ng aevaloprnent)
b®� 8una�d Wes'
�j�5l�i J
1
----------
Signature
Prjnt or Typt N2me
Ta'ephone Number

ADJACENT RIPARL�N PROPERTY OWNER STATENIEN7
(FOR A PIER/MOORING PILINGS/BOA7ZIFT/BOATHOCSE)
I hereby certify that I own property adjacent to iL
Ud"
is
A —(Name of Property Ow )
property located at
a
(Lot, Block, Road, etc.)
on , in , N.C.
-fWaterbody) (Town and/or Coun jV
He has described to me, as shiown below, the deve'.opmen: he is proposi-_ Z7 that location,
and, I have no objections to his proposal. I unde.stL-!d tha: a pier/mooning
pidras; aoatlift/boathouse must be set back a minimum distance off, iteea fee: (i 5.) from my area
of riparian access unless waived by me.
y I do nnt wish to wai%-e the setback requirement.
I Si_n wish to waive t�at setback recuirement.
DESCRIPTIO,N AN-D/OR DRA
(To be filled in by in
M619
LNG OF PROPOSED DEVELOP`IENT:
victual proposing aevelopmerzt)
BetY�ard Veber'
�a Ze60
do&,,
--- -- -- ,----------- -
• -"Y.,
S ianature
Print or Type Name
-7 - s- j
Te!ephone Dumber
�oAU� Sam n ..l

1,714
Q-
�r
m
-Z'/ ,ON OT
,;10,,. M I 1 ag8
O� p�' 'w'vz
ool
rN W�
s8ro7 � -
ha-vevs
--- --`_"I
-7- ''�Zl k

!'ylo U
G; ,