45742_BUCKHOLD, KEITH_20060615

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❑CAMA /,❑ DREDGE & FILL /�
GENERAL PERMIT Previous permi
❑New ❑Modification ❑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 NameProject Location: County
Address t�C. I Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # ( ) '
/�� ;�' ''
Fax # ( )
Authorized Agent
❑ CW
❑ EW
❑ PTA E5 ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore T
Basin, channel
cubic yards
Boat ramp r
_/
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length l
SAM 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
9
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: ( )
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name julN2 Q efmit Officer's Signature
Signature Please read compliance statement on bac jgira a Cjt�sMioM Expiration Date
2 M%.::.
ApplicationFee(s) Check# 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 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, certifythatthis 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 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
Fax: [phone]
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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIIFFTIBOATIIOUSE)
I hereby certify that I own property adjacent to 4�&l �l�G fl©CQ 's
(Name of Property Owner)
property located at p�l %z� CSC l�1 14 ,
(Street Address, Lot, Block, Road, etc.)
on �u/ in �G�Jffit�fi
(Waterbody)
(Town and/or County)
❑r
N.C.
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
fro I do not agree to waive the 15' setback requirement.
(miti
I do agree to waive the 15' setback requirement.
(initials)
----------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
wrtox
iv!AY 2 5 2006
A04'rk#"1)-
g
4'�;N
Morehead City DCM
-xt"r
Signature
oelaMlkb OL
Print or Type Name
z S- z- 3?-7- PU�O
Telephone Number
Date: i- / 4-' 6

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MD. 29, Pq 184
MD. 24, Pq. 97
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Note: This leap Is Not Intended For Recording!
I, CHARLES A. RAWLS, PROFESSIONAi
LAND SURVEYOR do hereby certify
that I have surveyed the property
as shown hereon in accordance
with THE STANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH
CAROLINA.
\N C ARO
n ;,ylj SUR/�`�• �,
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L5 JS
79'56'27'W
37,47'
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S 77'0I'00'W
39.08'
L7
IS 60'32'05'W
I3.74'
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IS 05'46'38'E
5.16'
Aj
Carla F. Buckhold and
Keith C. Buckhold
Individual Lot as per DB. 2018, Pg. 643, Onslow County Registry
218 Deer Island Road
Swansboro Township
Onslow County, North Carolina
Charles A. Rawls CAR
and Associates PLAMVDVG
1117 HAMMOCK BEACH RD., P.O. BOX 1126 MAPPING
SWANSBORO, N.C. 28584 SURVEYING [phone] FAY- (8"326-1400

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Keith C i3ueklrold 66-M531341 1583
Carla 7 ,Yuekhold
218 .Deer Jslagrd 1Zd 910-326-3845
Swamsboro, NC28584 DATE �--- - .
PAY TO THE %�tn
ORDER OF
-- DOLLARS
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BANK Frst-0itimns Dank &Trust Compen�e�—
Swansboro,N.C- 28
www.flts584
tdtfxens.wm
FOR _._r�/
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Keith e Ruekhold ss-soi53
341 1567
Carla 7 N3ue%hold
21 s Deer Maid Rd 910-326-3845 O�
SwaHsboro, vYU28584 DATE
13AY TO THE
� ORDER OF
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,�° lark flrr: Micro Print signature line, gray4, . ,,k s Rank logo on back. If not present, do no(cash.
FIRST CITIZENS 341
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j��u � tom' Srarnboro, N.C. 28584
FOR
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