43186_MATTHEWS, JET_20051007

/ �
i-' CA*A / I ,DREDGE &FILL
- ENERAL PERMIT
(/ P
r v; u permit#
e o s
New _JModification El Complete Reissue
Partial 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
F L �✓ f
T
❑ Rules attached.
Applicant Name C®•{"
Project Location: County _
Address `� �c "'��
Street Address/ State Road/ Lot #(s)
City4A` -` ° ` State NC ZIP --
Phone # (� ' Fax # (—)
Subdivision
Authorized Agent "�
r
City �" " `_ ZIPJ }
Affected CW ❑ EW ❑ PTA IX5 ❑ PTS
Phone # (,) River Basin
OEA HHF ❑ IH ElUBA ❑ N/A
AEC(s):
Adj. Wtr. Body nat man unkn
PWS: ❑FC:
�✓R jJe/
ORW: yes / no PNA yes / no) Crit. Hab.
yes / no Closest Maj. Wtr. Body —
Type of Project/ Activity
(Scale: )
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 '
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes (no ---
Sandbags: not sure yes 0
Moratorium: n/a yes o
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
M a i Arws � �y
Agent or Applicant Printed Name
Signature Please U 1 read compliance statement on back of permit V
i
See note on back regarding River Basin rules.
Perrinit Off ce�F/'f Signatu
Issuing Date Expiration Date
b
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

D
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
D 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 (252-946-648 [)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

10/05/2005 09:49 2524443262 MATTHEWS POINT PAGE 01
2646 Temples Point Road
Havelock, N.C. 28532
[phone] (MARINA)
[phone] (FAX)
77,
5< - 2� -1" �� 16 /410t�
96704 a"e-�
Qn Clubfoot Creek in the Heart of Neuse River Saifi"q Coun"

10/05/2005 09:49 2524443262 MATTHEWS POINT PAGE 02
ADJACENT RIPARIAN PROPERTY O`VNER STATEMENT
(FOR A F1ER/ti.I00R1yVGPILINGSIBOATLIFT/BOATHOUSE)
hereby certify that I own property adjacent to is
property located at
'7 /
(Name of Property Owner)
(Lo , Brock, Road,
etc.
�
onJ,04/-VUI!y �� �,in )
11U N.C.
,
(Waterbody) (Town and/or County)
He has described to nee, as shown below, the development lie is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilinestoatlift/boathocise
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
-waived by me.
I do not «-ish to waive the setback requirement.
I do wish to waive that setback requirement.
pESCRIIPTION ANWOR DR LAVING OF PROPOSED DEVELOPMENT:
J/( (To be jelled in hV iudil'idUal proposin; developilcent)
1
1
14,)19 0401K.
SIQt�a ure
Print or Type Name
)I�sba f, —
;�-54 Zfy7- /3�l
Telephone Number
Date: — r4 �"

10/05/2005 09:49 2524443262 MATTHEWS POINT PAGE 03
),03/13/00 22:03 FAX �O1
ADJACENT RIPARIA'NPROPERTY OWNER STATEMENT
(FO)tA PIERA, ,tOORIIVGPILIiVGS/BOATLIFT/BOA HOME)
I hereby certify that I own property adjacent to , '
(Name of roperty O��ner)
property located at—
(Lot, B19 'Road, etc.)
on N.C•
ZSC11ribed
(Townandior Counh)
ale has to n,t, as shom.'n below, the development he is proposing at that location,
and, T h;kve no objections to his proposal, I understand that a
must be set hack a minimum distance of fiRten feet (15) from my area of riparian access unless
waived by nee.
x I do not wish to mait•r the setback requirement.
I c►o Ncis'1 to %votive that setback requirement.
DESCRIPTION ANDIOR DRANK ING OF PROPOSED DEVELMNIENT;
(To be filled in by individual proposing derelopmew)
�P-Y
d
------------------------------------------- .......... ......__..................---------------..-.
-�T ha'JE .�,S,� D —TL , (
rOcu1 1-' ) FX
t�tB9t erg ►7ec l� . H 6-r
19
5ignatkire
Pant OFCype A`urt1t
Telephone A'umbcr
Date; 0!!g�/i -2" S'

r
4
9
4229
DATE �v 7� 66-30/531
278
1 $
DOLLARS B
VIRST CITIZENS 27e
R e Njj First -Citizens Bank &Trust Company,
17` " , a� Havelock, N.C. 28532
FOR Jv/�
i�—
110004 2 29ii■ i:0 S 3 L00 300j:01 2 78 2 296 56 21i'
— aocu men f.
�\ I
MATTHEWS POINT MARINA DOCKS
<<
2645 TEMPLES PT. RD. 252-444-1805
HAVELOCK, NC 28532
PAY
TO THE
ORDER OP—_
�(J
/

r
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME:
LOCATION:
)- C '0— 7,—z,�r L fW
PHONE: ()-r)-) YYy 1
DATE OF INSPECTION
� -)-11of"
PERMIT #
FIELD REP. f
DATE REPORTEDLY COMPLETE: r ¢
1) DW4emeasured dimensions of the development differ from those indicated in the permit and workplat?
M191[circle one].
COMMENT:
2) SEDIMENTATION -& EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? /NO [circle one]
COMMENT:
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YFS NO ircle one].
COMMENT: