40310_GILFORD, BILL_20041028

DREDGE & FILL
I
`�,r Anito
,. GENERAL PERMIT
Previous permit #
❑Nevv - !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
Project Location: County
i
Address
Street Address/ State Road/ Lot #(s)_ s
City StateZIP
r.•
Phone # ( )1 Fax # (,)
Subdivision
Authorized Agent f�%' ' ' C. = �`
City_ J ZIP: 6
W EWN ['PTA ❑ ES ❑ PTS
Affected
Phone # ( ) River Basin
—I OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s):
;i� /
Adj. Wtr. Body =" (,jai)/man /unkn) i
� PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab,
yes / no Closest Maj. Wtr. Body -
a
Type of Project/ Activity
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/ Boadift
Beach Bulldozing
Other_ a , cQ.�
Shoreline Length ' 3 4 0
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no;
A building permit may be required by:
Notes/ Special Conditions
T
i
or
4 4 1
(Scale: )
ESee note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Pfease read compliance statement on back of permits Issuing Date Expiration Date
J
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name

.4&
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 [)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 1 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 11
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

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
WACHOVIA
Wachovia Bank, N.A.
waohoWa.com
FO 2t //�%E5 7,Zftr/IT-
l:0 S 3000 2 191: 200 78 3000
1537
66-21/530
BRANCH 77512
5—*
DATE
I $ C5;206 '
S�:uriy
DOLLARS !
a.�3.
NP
188Si�' 1S 7

ADJACENT WA] L46N PROPERTY OWNER ST.A►TEMEEN ['
(FOR A PIERIMOORING PIL.tNGSIBUMLIMBOATHOUSE)
l hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 4l- Ku e-As2:T u::)ym� �� 5ti
(L,ot, Slack, Road, etc.)
on'V omI C-9E'K , in fhEELi —1`` I N.C.
(Waterbody) (Town and/or County)
He has described 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
pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
-� 00Tt y
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCIMON AND/OR DRAWING OF PROPOSED DEVELOPNIFENT:
(To be filled in by indiv ,p%posirg development)
--�
OuT io sn
err �url
Print or ype Name
25`7- - a49- I l90
Telephone Number
Date: / 0 — l 3- p $

A. JAMsTr RIPARIAN PROPERTY OWNER STA'i,�
(FOR A PIER✓MCORINC; P`TL17VGS1B0ATZJFT1B0ATH0ry5E)
I hereby certify that I fawn property adjacent to BrIf_._C T-644D �is
(Name of Property Owner)
prgpt;rty located at _ } z� 4 (v DIEE, C?'q -t tag
(Lot, Block, Road' etc.)
(W-Aterbody) (Town and/or County)
lie has described to me, as shown below, the development he is proposing at that
location,, amid, 3 have no objections to his ,proWsal. I understand that a pierhi'tooring
p1mgs/'Wattiri/boathouse must be set back a rninirrum distance of fifteen feet (15') from my area
of riparian acc: ss unless waived by me.
1 4Q wish to waive the setback requirement.
I deb wish to waive that setback requirement.
DESC-"RIP'ITON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indfv r1 p%ppsir� development)
lie -
I�
/qo,
J qv
f-------------- __ _ ----- - i _ __-- ----- -- _--------- ----
Sits tune -
Print or Type Nam&
'�� 9 -
Telephone Number
Date: (q :A18`-