43616_BROWN, CAROLINE_20060118

13616
Previous permit #
LAMA / 1_ ; DREDGE & FILL /�
' GENERAL PERMIT
I -.'New LIModification ❑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 15A NCAC
❑ Rules' attached.
Applicant Name - " e �r ' Project Location: County___ _
Address :� �' ' ✓ Street Address/ State Road/ Lot # s
(> --- --
City J W State ZIP
Phone # ( ) +� ' (' Fax # ()
Authorized Agent YJ�
Affected CW E�'EW ffPTA QtS ❑ PTS
AEC(s):
OEA ElHHF ElIH ElUBA El NIA
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platforms)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length 7
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 (no
Photos:
yes -no
Waiver Attached:
yesno
A building permit may
be required by:
Notes/ Special Conditions
Agent or /[A�pp ii(/c((aan Printed Name
Signature Please read compliance statement on back of permit
J b—
Application Fee(s) Check #
Subdivision
City -- --- -- ZIP' 1 j
Phone # (- ) River Basin ��P
Adj. Wtr. Body % f_"` s' (nat man /unkn)
Closest Maj. Wtr. Body ` �r
1- f
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date +
va
Local Planning Jurisdiction
Lam.,
Expiration Date
Al��r'`1N,i�
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
Iandowner(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 El 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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Jan 11 OG 11:03a Bob & Missy Baskervill 252-249-3537 p.2
- 12/30/2005 11:26 12526377506 THEUPSSTDPE PAGE 02
Dec 29 Or 11:37a Bob & Mi.ss�s Dazkervill 252-249-3537 p.l
JACK Rja>ARUN rROPER y ()VVN `[Z STATnW,.Nr
(;FOR A PiFRIA100RlNG plLWGSM0A7WpTjS0ATR0flSj�)
cur eby certify that I own Droprny 2&
Q=KtQ-CAjU)1Alc- C
O ame dr Property Owner)
proper} - X.1w at 344 c) C Mht 100-A
f, Block, Road
on E t J�[�, is l�i/'n
ai odp) (Town and/or County)
Rid lAs described to me, as sho" bcbw, ibe 4Mvr2opn=( he is proaobng at that
location, ia;ui, I have no objaticons to his proposa3_ I Uadsrstmd that z pKrl
i ; �•G MtaatAouae rattst be set bui a t7,inimma �disianceof fifteen lea (I" j rrnm my M -
of rlpalf.a::.;.xxzss nnlcss wiiYed by me,. .
I do not wish to Waive the sejback requirement.
do wish to wawa that sctbvck requirement.
Ial ::, � IFIIUI� A. WOR DRAWitiG OF PROPOSED DP.YELOPMEN-r:
(To be fi led io by iddirsdad proposing drretopmenq
0> Qig
Q pl f i K �ivr e. F-A 1 eA fj e- e l 1
1 & §L S^ A)
tea, JA,�� b. A keA� uacil �,,�a 4- -�c
R l p - PA p Fey
Signature
}print or Typc Name --
Telephone Number
Z,e 39d•! 3INI-0 190 NM A-INV. S 2149£98609Z LI :II 5a9Z/6Z/ZI

Jan 11 06 11:04a Bob & Missy Baskervill 252-249-3537 p.5
ADJACENT R PAMAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATUpT/BOATI1OUSE)
I hereby certify that I own properly adjacent to CfiiZu I +.vim C. 9A4%dA/' ,s
(Dame (if Property Owner)
property located at 3.q (i C � de- lov
(Lot, Block,
fRoad, etc.)
on _,��w�� , in
(Waterbody)
(Town and/or County)
N.C.
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/boadift/boathouse must beset 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 wish to waive that setback requirement.
DESCRIPTION AL-D/OR DRAtIZtiG OF PROPOSED DEVELOP.-vfEI`'T: �- w
(To be filled in by indiiidual proposing development)
r' -Z
Sig/mature
Print or Type Name
Telephone Number
M

RDB, LLC �' fit/ �%.� l� r I ,^� 1062
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384 BEARDS CREEK RD ��� ��`�.�`f ,i Date4_4
i ARAPAHOE, NC 28510-955401901
Pay to the NC A/AL 1 $ /©� doOrder of
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f�I.: BRANCH BANKING AND TRUST COMPANY BANKING
NEW BERN, NORTH CAROLINA
For
i:0531011211:52903 9119P L062
GUARDIOMSAFETY BLU£DEBL
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