37550_PEACOCK, KEITH_20040227

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❑CAMA / -: DREDGE & FILL
'GENERAL
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PERMIT
a
Previous permit#
[INew ❑Modification ❑Complete Reissue CPartial 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 ;r'' �� n""'' k
Project Location: County
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Address; "� j r_� ti,
Street Address/ State Road/ Lot #(s)
City ;'k .�,1�•.� State ziP`�>
Phone # ('S ) ' 71 - t ACC Fax # ( )
Subdivision
Authorized Agent �qF +j !t a t48, ^e
City_ : • - zip
Affected ElCw ElEW X PTA ❑ ES ❑ PTS
Phone # (_ ) River Basin
u re
AEC(s): ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A
Adj. Wtr. Body__ +< v ✓
gnat /man /unkn)
❑ PWS: L-1FC:
Closest Mal. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity-
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(Scale: Akk, )
Pier (dock) length
Platform(s)
Finger pier(s)
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Groin length
f
r•``;�,.
{:.r
,_
number
Bulkhead/ Riprap length
avg distance offshore
T
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-
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max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
/ PE...� �
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- --,
Beach Bulldozing
Other
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Shoreline Length
gt
SAV: not sure yes -no
Sandbags: not sure yes
(no
Moratorium: n/a yes no
Photos: yes tno�_�.
¢
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Waiver Attached: yes no
A building permit maybe required by: ✓.0 v a �,
See note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
t.
Issuing Date Expiration Date
Local Planning,lurisdiction
fA
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 comply with 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)
www.nccoastalmanagement.net
Revised 10/05/01

W E S T E R N I I M O N E Y_ INTEGRATED PAYMENT SYSTEMS INC. • ISSUER
UNION ORDER Greenwood Village. Colorado
06-707114632
ill`l`ti-..:2i`J4 .w'�-,t: ¢_5' 82-40/1021
x ME I
77
061 1� 1 ± ., ;.. lr.I' rr t .I.l ��. l i t�!;,.i..r'� a+L'':J(;3. � „!� };•:;
PAY EXACTLY
PAY TO THE n Q
ORDER OF E 1 , 1 I•��j PAYMENT FOR/ACCT. 4
DSR: S �noJ ►' l� ��VLXJ z l+i-�, / _ CPURCHASER. SIGNER FOR DRAWER
pQr 3 2
r • _ter- C..� ✓�O PURCHASER BY SIGNING YOU AGREE To THE TERMS ON THE REVERSE SIDE.
Western on Money Order and Design is a service mark of Western Union Holdings. Inc./Payable at Wells Fargo Bank Grand Junction - Downtown. N A. Grand Junction, Colorado
h,J"UU"UU1: 4006707L046325ii'

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ADJACENT RIPARLAN PROPERTY OWNER S"TAMNEEN'T'
(FOR A PIER/M00RING PILINGS/BOA7UMBOATHOUSE)
I hereby certify that I own properly adjacent to � 6 P101% roc 4 is
(Name of Property Owner)
�.ot, Bloch, Road, etr4)
an tvf{ ���/tr in �`"ceLro (rv,it N.C.
(Watmtady) (Town and/or County)
He has de=ibed to me, as shown below, the development he is proposing at tfar location,
and, I have no objections eo has propose. I understand that a pie./moorn;
pUinpboarlirtlboatlhouse must be =,. back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I da_Bt wish to waive the setback requirement.
I dg wish to waive &tat setback muirement.
DESCRiP"fiON AND/OR DRA iO OF PROPOSED DEVELOPMENT -
(To be Wid La by iridiv&ual propornz development)
(See the attached drawing)
Si ature s
a i �Q
P: int or Typi Name
_ 7 z7l l �
Telephone Number
late. a — � 3 -- C �

ADJACENT RJPARL-uN PROPERTY OWNER STATE-MENT
(FONT A PIER IMOVMG PILINGSIBOATLIFTiBOATXOUSf)
I hereby certify that I own property adjacent to pee c e e 1 , s
Name of Property Owner) -
propeny locatied at 76"1/ 9 if R � ,
.
(Lot! Block, Road, etc.)
on a-vfc, ;9 itk/er. in UQAce 60, Crv,-.,. N.
(Waterbody) (Town andtor County)
He has dexnbed to me, as shown below, the development he is proposing at &at location,
and, I have no objections to his proposal. I undersmnd that a pie./mooring
pilinpboatiift/boathouse must be se, back a minimum dismnce of fifte~n feet {]S') from my arcs
of riparian access unless waivtd by me.
I do -ad wish to waive the setback requirement.
I da wish to waive &at setback re. Wremenr.
DESCRIPTION AND/OR DR.4Wr4G OF PROPOSED DEVELOP.MIVf:
(To be fzW as by iadividcaal proposing development)
(See the attached drawing)
MA 4 k �, /-11#11 �
Print or Type Name
),� Z 7 5 -( "4 -� q 5---
Telephone Number
Date: �'')-5 0

Riparian Line
- -.- -- P/L
Medford Marine Contractors
P.O. Box 3562
New Bern, N.C. 28564
Phone: [phone]
Fax: [phone]
N.W.L.
133' Waterfront
105
Mr. Keith Peacock
7671 River Rd.
Vanceboro, N.C. 28586
252-522-1888
Neuse River
Proposed 4'x8' Platforml
1 Tie Off Pilin8
6'0
4'x16'
Proposed 15'x40' Boat Ramp
Riparian Line
Anderson
Property
P/L