52657_GODWIN, LOBBIE_20081104

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
EN'ew ❑Modification ❑Complete Reissue El Partial Reis ue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 41 ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Itl
�JRules attached.
Applicant Name
Address
City t,,-3 P r State ZIPS
Phone # (,'7 I ) Z � b`� j Fax # ( )
Authorized Agent
Affected iYCW SEW (BPTA ©ES ❑PTS
AEC(s): ElOEA ElHHF ElIH ❑ UBA ElN/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length j.Li0 x
Platform(s) ;15 X 10 `
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
Project Location: County (—t c4 , c
Street Address/ State Road/ Lot #(s) �j L \,, Je —
to -
Subdivision f -01
City i ( PV*- ZIP ,..:'`C3S6�
Phone # ( ) River Basin NEU4--V—
Adj. Wtr. Bod. 4' � (nat m
Closest Maj. Wtr. Body + ' L Q
II
i
r —L— _ �� _ j —^• r
i
I
i
1i i 3
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no rJ II J ti
1 --- - — ----
Photos: yes no
Waiver Attached: yes no .
A building permit may be required by:
Notes/ Special Conditions 1
(Scale: j"u
I
Cft .41 See note on back regarding River Basin rules.
tf,
Agent or Applicant Printed Name
Signature Please read "compliance statement on back of permit
Application Fee(s) Check #
%r'mitOff cer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

r
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:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
XNeuse 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
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERAIOORING PILINGSBOA TLIFTBOA THO USE)
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at '3(�S
(Street Address, Lot, Block, Road, etc.)
on �G�S�-e t_�� J`� Cr-.LL K , in l .r'GLV� ��-L!'1�" N.C.
(Waterbody) (Town and/or County
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:
I do not agree to waive the 15' setback requirement.
a I do agree to waive the 15' setback requirement.
(in
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
----- ---------------- --- ----- ------------------
� UY`
Sivn tyre
V
Print or Type Name
op,s4'- V 2 Y, 3
Telephone Nunib.-I
Date: 7,0 C

NEW BERN MAIN STATION
NEW BERN, North Carolina
285625210
3613950560 -0096
09/16/2008 [phone] 10:27:15 AM
--- Sales Receipt —
Product Sale Unit Final
Description Oty Price Price
BRIGHTWATERS NY 11718 $1.17
Zone-4 First -Class
Large Env
2.80 oz.
Issue PVI: $1,17
Total: $1.17
Paid by:
Cash $1.17
Order stamps at USPS.com/shop or call
1-800-Stamp24. Go to USPS.com/clicknship
to print shipping labels with postage.
For other information call 1-800-ASK-USPS.
Bill#: 1000402672785
Clerk: 06
All sales final on stamps and postage.
Refunds for guaranteed services only.
Thank you for your business.
�x���xx�xxxx�xxxxxxx�xxxxx�x�x�x�xxx��xx
HELP US SERVE YOU BETTER
Go to: http://gx.gallup.com/pos
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Customer Copy

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERNIOORING PILINGSBOATLIFTBOATHOUSE,)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 2 2 5 A '
(Street Address, Lot, Block, Road, etc.)
on ,�95/t .� �,�G G �� , in a? , N.C.
(Waterbody) (Town and/or Coun )
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:
_ I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(1[1Ii131S) .^
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individreaI propposinz development)
SiUnature
Print or Type Name
Telephone Number
Date:

.� 2
l

PHYLLIS B GODWIN
DBA PR CONSTRUCTION
225 CHATEAU DR.
NEW BERN, NC 28560
PAY
TO THE
ORDER OF
brst South .Bank
NEW BERN, NC 2&562-5228/�
Z77'
FOR �,J
li'0000 194811' 1: 2 5 3 17 16 2 11:
=�rT
DATE 66-7162/2531
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DOLLARS
053 i05163Silo --`—