43683_DICKERSON, JOE_20060113

-�CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
C New LIModification EComplete Reissue ClPartial 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
J` � Y% ❑Rules attached.
Applicant Name Project Location: County
Address / e' OX Street Address/ State Road/ Lot #(s)
City c 1 State/ ZIPS
Phone # ( ) ` lY�� `%� Fax # ( ) Subdivision J� C
Authorized Agent City ZIPf
C. CW ❑ EW ❑ PTA El ES ElPTS Phone # ( ) River Basin
Affected OEA ❑ HHF ❑ IH ElUBA El N/A 8
AEC(s): Adj. Wtr. Body ` ' _ _ (nat /man /unkn
PWS: i—FC: �,f��
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body °y `
Type of Project/ Activity
(Scale: )
Pier (dock) length -
9
Platform(s)_• _
Finger pier(s)
Groin length• —'
number
Bulkhead/ Ripraplength l
avg distance offshore
max distance offshore
' - - — — -
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlifi)
Beach Bulldozing
Other
Shoreline Length
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
Agent or Applicant Printed Name _
Signature Olease read compliance statement on back of permit
Application Fee(s) Check #
!1'c,;o1�
E See note on back regarding River Basin rules.
Permit Officer's Signature _
Issuing Date Expiration Date /
Local Planningf urisdiction 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:
Tar- Pamlico River Basin Buffer Rules j 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

_ 1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT -
(FOR A PIERAVOORING PILINGSIBOATLIFT/BOATHOUSE)
� t/'Es
L N /G�CE/2.�0� ,f
�
acent to J ,III
I hereby certify that I own property adj%
(Name of Property Owner)
property located at a 7 3 -5RXcE,Q,5 -DQJd&r-- ,
(Lot, Block, Road, etc.)
on SP1CL tR5 i� 3RotAW GR&725K,5, in 6J2l ENTf1LZFH/y/G/Ca , N. C.
(Waterbody) (Town and/or County)
He has described to me, as sho%,,n below, the development he is proposing a< dIUL iUC4L1Ui,,
and, I have no objections to his 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 do not wish to waive the setback requirement.
I d.Q wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AN-D/OR DRAWL`G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
V
�30
--------------------------------------------------------
Signature
Print or Type Name
302� � 5 5 - 18 b I
Telephone Number
Date: ,i%aJ- / 9 , '� oQ5

r
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 73�F451 Eiy��ic 's
(Name of Property Owner)
property located at a.. 73 �PICEZ CJz6Efc -DR t
(Lot, Block, Road, etc.)
on S P/CEP-5 � BRa UJAJ C QEEk,-s , in R I E�1T741-/24ML10-0 , N.C.
(Waterbody) (Town a d/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/boatlift/boathouse must be set back a minimum distance of fifteen feet (l5') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
AIA I dQ wish to waive that setback requirement.
DESCRIPTION AN-D/OR DRAWLtiG OF PROPOSED DEVELOPMENT:
(To be famed in by iqcfividual proposing development)
0
Signature
Print or Type Name
C��J - d-y- V - y � L/JL
Telephone Number
Date: / I "� d �`

YARD BARBER MOWING
MILES C S13OREY
IV 25224s254s
NCLIC. 2886772
P O BOX 118
ORIENTAL, NC 28571
1616
Yto the Date
——� 66-30/531
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Firs(-Citi N,C. Bank Trust Company
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EVE�LYN L. DICKE R
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P.O. BOX 464
ORIENTAL, NC 28571
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