32952_HUBBARD, BILL_20021121

L� CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previouspermi
❑New CModification 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
❑ Rules attached.
Applicant Name - Project Location: County
Address 1 I I, , 1 5 Street Address/ State Road/ Lot #(s) r r ie j 14 rT
City State ZIP `
Phone #
( ) Fax # ( ) Subdivision h
Authorized Agent City_ ZIP
Affected ElCW C EW ElPTA ❑ ES ElPTS Phone #
(._— ) River Basin
AEC(s): OEA ❑ HHF O IH ❑ UBA ❑ N/A
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
I Type of Project/ Activity
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body --
■ilq�■ ■I ■ III
�l■N W■�■Il■■I■ll■■a■■■■■1�■■
. • ... - : arm\\;; ■� �■■■�■i■ ■■■■■
cubic yards_
Boat ramp _
Boathouse/ Boatlift
Beach Bul
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no -
Moratorium: n/a yes no
Photos: yes no -T ..... _ (_.....
Waiver Attached: yes no -
A building permit may be required by:
Notes/ Special Conditions
i
A
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale:
r
C See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing,Date Expiration Date
L Planningjurisdiction �- 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
landowner(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 consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

WILLIAM F. HUBBARD
JACQUELINE B. HUBBARD
PH. 919-728-6687
2401 FRONT ST.
BEAUFORT, NC 28516
2076
66-112/531
02201
a�
BB&T 11111?46e�
BRANCH BANKING AND TRUST COMPANY ..... G G n
BEAUFORT, NORTH CAROLINA
i:05310L1,20:L223063477115 2076

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ADJACE"`rT RIPARL�N PROPERTY OWNER STATE-LE�-
(FOR A PIER/MOORING PILINGS/BOATTIFTIBOATHOUS.E)
1�3r�p s
I hereby cer-dfy that I own property adjacent to�W LilAm 's
(Name of Property Owner)
prope.-ry located at 44 % %8 PZ A-Kf<7�(ZS 4(AY ,
(Lott', Block, Road, etc_)
on r� 1�Ic CP i���K. , in'� ' UF' (
(Waterbody) (Town and/or County)
He has described to me, as s<<own below, the deve'.opmen: he is propos:-_ a: that location,
and; I have no objections to his proposal. I unde=.—d t,a: a pie:/moor�nQ
piiLi^sJ oadifT/boathouse must be se: back a minimum distance of fiiLeen fee.: from my area
of r-ipa='ian access unless waived by me.
I dn not wish to ware the setback requirement.
1� G I do wish to waive t.at setback re-zuirement.
DESCRIPTION A_ND/OR DRAWENG OF PROPOSED DEVELOPMEXT:
(To be filled in by individual propos izg development)
P 2AW / iU4 I (A-cf-i el)
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Pr1nt or Type Name*1C*, 00,Jdw5 u
Telephone Number
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ADJACENT RLPARL-�N PROPERTY OWNER STATENIENT
(FOR A PIER/MOORING PILINGSIBOA71IFTIBOATHOUSE)
��Q s
I hereby certity that I own property adjacent tolc)iLLil�m
(Name of Property Omer)
pror�_-.-y located at ,1-6% jSFLA-Kffr,-`'S &J&Y
(Lot. Block, Road, etc_)
i
o�—�0( , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shlown below, the development he is proposi-= z: that location,
and; I have no objections to his proposal. I unde:s�-J.d tra_ a pi-7/mooring
pdirt 2s; boatliiT/boathouse must be K-, back a minimum distance of f.iieen fee. (I Fom my area
of r-,*:=an access unless waived by me.
/y
I dn rint wish to wale_- the setback requirement.
j I �Ln wish to waive t :at setbac` recuirement.
DESCRIPTION A.+-D/OR DRAWr G OF PROPOSED DEtiELOP Et _T:
(To be filled in by individual proposing development)
-----------------
- --- --- - - --------
Signature
cir. J- li1Avo�.S
Y-� ►, l i lt,
Print or Type Name
%.5 `- )!-'� 3?e/v C/
Telephone Number
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