39638_MILSTEAD, RUBY_20040727

❑CAMA / O DREDGE & FILL
GENERAL PERMIT
6.
Previouspe #
CJNew ElModification EiComplete Reissue _iPartial 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
-
Applicant Name r �'X P f `fr1�
Project Location:
© Rules attached.
County
Address VJo to
Street Address/
State Road/ Lot #(s)
City L-,e i' 3 State ZIP r f
Phone # c+
( ) 3 d �^ ` � # � Fax # O
Subdivision
_
Authorized Agent 5, L ,- r A
City (•WA lr i k.
c ZIP
ElCW RI EW Na PTA El ES ❑ PTS
I`
Phone # (
) River Basin ' `� A k
Affected O OEA [I❑ HHF IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body
P;r - - /i. v i^ ri fi at. /man /unkn)
❑ PWS: OFC:
l "
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr.
Body 4r v wa --
Type of Project/ Activity
4 � r : � • 4L C (Scale: NCIV f'
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 c Jr,
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: r yes no
r
A building permit may be required by:
Notes/ Special Conditions 4f
tom__ See note on back regarding River Basin rules.
Y-C,
(tn.fi r• �`� �r(1
yq
ru1t(� n ,C
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
_1 I? % Y I L 1? G t1
Issuing Date Expiration Date
t s
ft'tf„ C. �_jt�prlt'c )t!-Ii4%yA
Local Planning jurisdiction Rover File Name

r�
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 I) 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
Neuse River Basin Buffer Rules
Other:
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 / 1-888-4RCOAST
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)
www.nccoastalmanagement.net
Revised 10/05/01

SHORELINE MARINE CONST,
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
99 CENTURY COURT
PAY SWANSBORO, NC 28584
TO THE Ajll'� r%
ORDER OF (-/Uco
DOLLARS 8 a on
WACHOVIA
Wachovia Bank, N.A.
www.wachovJa.corn
FOR P60VIr— !
0 1& S 2 1 iin 1:0 S 3000 2 191: 20 St46. 6 7 02SS
28011521
6s-21/530
DATEZ BRANCH 77614
e

ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATZ. MBOA,THOUSE)
I hereby certify that I own property adjacent to GG ,c S ,s
(Marne of roperty Owner)
property located at 31
(Lot, Black, Road, etc.)
�- mot/
O n in LLf 60Y�
, N. C.
(Waterbody) (Town and/or County)
Ile has describers 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
piiin2s/boadift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I jdo not wish to waive the setback requirement.
_ I dq wish to waive ti,ar setback requirement.
--------------------
DESCRIPTION AND/OR DRAWETiG OF PROPOSED DEVELOP.%IEN-T:
(To be filled in by individual proposing development)
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Print or Ty e Name
J! �/2 2 4 Al 9,-2 Z
Telephone Number
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07/26/2004 10:49 FAX [phone] JOHN PETTEWAY COMPANY Z002
Jul 26 04 08:00a Ashlem Brooks 910-326-8523 P.2

07/26/2004 10:49 FAX [phone] JOHN PETTEWAY COMPANY
z001
THE JOHN P. PETTEWAY COMPANY COdc`�cJ�ief' � -
JACKSONVILLE, N. C. 26540 �/
Phone Number 910 45&1104
Fax Number 910 455-1106
FACSIMILIE COVER SHEET
SEND TO
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FROM /
ATTENTION
DATE
FAX NUMBER
PHONE
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)OHN PETTEWAY HOMES