42920_HAWKINS, JOHN_20051017

0CAMA / D. DREDGE &FILL
GENERAL PERMIT Previous permit #
El New [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is:
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
❑Rul
Applicant Name Project Location: County
Address - -L O Street Address/ State Road/ Lot #(s)
City ,� 1 -� hJ State VIL ZIP -�) 1
Phone # ( ) Fax # O Subdivision
Authorized Agent ! r �r"f City ` ZIP
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
El ES ❑PTS Phone # ( ) sin ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Crit. Hab. yes / no Closest Maj. Wtr. Body
Agent or Applicant Printed tZme
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration
Local Planning Jurisdiction Rover ile ame

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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

03,; 5/00 21:16 FAX
la 02
ADJACENT RIPARIAN pROrPERTY OWNER STATEMENT 7.. a
(FOR A FILcRBl00Rfi►`G PMJNGSIBOATUFT/BOATHOME)
`
I hereby certify that I own Property adjacent to —J6— 4 rJ r _'s
Q� (Name of property owner)
property located at
0-,ot, block, road, etc.)
QEw L'��1 in 1.1 testa /�K++� CG9wJ 3 ,, N.C.
on n --
(Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that
locaban, and, I have no objections to his proposal. I understated that a pierlmoos-ing
pilings(boatlifVboathouse must be set back a minimum distance of fifteen feet (l 5') from
my arca of riparian access unless waived by me.
Xi do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCitWTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
3:.-.l fro be ftUed in by lndi ridual proposing development)
r- {
.14
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#.[phone]
Sfz �C_
A �t nf t PJC e
Print o Type Name
-% tApw`� of
3 8 -3 STy /o /y ;�
TelephontNuAmbepr and Date
w*_ U 7 1 `' "cIK
I - d oesaeE9ZSZ puea ..Ian t b ,gyp umol d8I : Z T so � T '4cC

SEP-29-2005 09:18 ERRC ARS USDA 215 233 b'r'!'r
,AAJACENT HJ[PARIAN pROPPRTY OWNER STATEMENT
(FOR A PIU MOMNG Pii17VGSIBOA7UPTIBOATHOUSP
Y.UUG
' I hereby certify that I own property adjacent to,�'I.� t 's
(Name of property owner)
property located at 16 6Rn
CW4 block, goad, etc.)
onwEnCa (�gwwl., in &&2 1; C�'AcS4� >3r.., . N.C.
(Water body) (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/boatiift/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wlsb to waive that setback requirement.
DF,SCRXPnON AND/oR DRAWING OF PROPOSED DEVELOPMENT:
.;sue iltl;- A � (io be jMeai in by individual t)
proposing development)
t
A
l414
zwk.'�
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#-, [phone]
.A
N
A
P I -
Signature
C. 6
11 CV(-,
v
Print or Type Name
Telephone Number and Date
TOTAL P.002

view 242-,J� ,
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