41966_HAYWOOD, TERRI_20050708

AJ,
YCAM/A / DREDGE & FILL
.. ENERAL PERMIT Previous permit #
l ; Modification - Complete Reissue Partial Reissue Date previous permit issu d
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
IRules attached.
Applicant Name T'r - r ' ( _ Project Location: County_
Address E - Y �r Street Address/ State Road/ Lot #(s)
City ; r � ,, � � ,� State iya ZIP `; ..l G C., , < ) 4
Phone # O
Fax # ( )
Authorized Agent
Affected 4JppNVE�
EW )B PTA `_B ES ❑ PTS
AEC(s): ❑ OEA
LJ HHF ElIH ❑ USA ❑ N/A
L) PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Subdivision
City
Phone # ( )
-- ZIP_
River Basin
Adj. Wtr. Body____ --nat [man _/unkn)
Closest Maj. Wtr. Body -- -- —.
(Scale:
Pier (dock) length
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/Riprap length
avg distance offshore (' i
max distance offshore
Basin, channel'
cubic yards
Boat ramp -- `
Boathouse/ Boatlift
Beach Bulldozing
Other
- 64 X `7u
Shoreline Length
///
SAV: not sure yes n- 11� -.--�- -
Sandbags: not sure yes 1ng f
Moratorium: n/a yes (no
Photos: yes no
Waiver Attached: yes; no
A building permit may be required by:
Notes/ Special Conditions
- el, L , Y/-�
Agent or Applicant�rinted Name
1,i/'e,
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
PermiitQ ficer'sSignature ` --
Issuing Dak Expiration Date
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 [)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:
_-1 Tar - Pamlico River Basin Buffer Rules 1 Other:
j _j 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 / 1-888-4RCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��4P_/ 's
(Name of Property caner)
property located at 313 �y� /� rr
(Lot, Block, Road, etc.)
/7
on in lid% re - N.C.
(Waterbody) own 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
p&pcC4
(To be filled in by individual proposing development) 1i4,Qjx;r- i rjeof Kyit,
c/L & 1_
f of (' &J l3vw6�'
E lSr/A16
r Af-41f
Y
p1wPoti 3041
PIri^.2 C_ .
W �x
t
g ature
Print or Type Name
Zo3 - 22-2 - Sr�3�
Telephone Number
Date: q' 5-I.2 00 5

5 �1 7 0 6 176
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l c.'/ is
(Name of PropertyOwner)
property located at y 'rw /-/ )7-- ,
(Lot, Block, Road, etc.)
on in (7 A �,� (f N.C.
(Waterbody) own 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) M INr 63eOl mil► sL,.
eKifr,1'
I ,
r � f hP
Is6'
Lt vIr- 441- J`F
�'Qd�oIE� (3Ari� �l•o, /a io ' St "'d etc 1���, A604z PICd
Signature
,x /I ,n4_7_
Print or Type Name
Telephone Number
Date:

N
,LS -;AVO4n1- CIO
grrn d�)
cq 15V9 QW-9d � 1
-►-► vrk %Rxg
q�3nvovd,
ILL

SALTWATER MARINE CONSTRUCTION CO., INC.
PH. 252-939-5204
3340 CHARLES BRAXTON RD.
GRIFTON, NC 28530
PAY
TO THE
ORDER OF
DATE a
$ 206' Ld=-�
Oil e little bank C � 1 ��
Mthe _
Kinston, NC
FOR r r sf9zvcv�� l ----- --
II100 30801I' 1:0 5 3 L 7 40 48': 20 100060 50iI'
3080
66-7404/531
DOLLARS