34069_HAWLEY, STEVEN_20030623

•❑CAMA/ El DREDGE & FILL
GENERAL PERMIT
Previous permit #
6iENevv ❑Modification ❑Complete Reissue El 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 �( t
Address S i Irk
CiState ZIP `I 5QiQ
Phone # ( ) :. ` CI- '7) Fax # ( )
Authorized Agent
Affected L CW ❑ EW a PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
iJ PWS: ❑FC:
ORW: yes / no PNA yes /(no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
J
Subdivision
City
ZIP
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Phone # River Basin i t',
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Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature *e Please readEompliance statement on back of permit"
Application Fee(s) Check #
�-- Permit Officer's Signature
C�)-, s-J.�rx23
Issuing Date Expirati Date
-18
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
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 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 (910-395-3900) 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 / 1-888-4RCOAST
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

STEVEN C HAWLEY 2529
AUDREY J HAWLEY PH. 513-530-9367
OHDL 12345687 OHDL 123658
10616 THISTLEWOOD CT 7 66-11
CINCINATTI, OH 45242--�� �`�- 74550
1
BB&T IIIII�
BRANCH BANKING AND TRUST COMPANY 11 — o
G-R�E}ENVILr_E, NORTH CAROLINA
G05310 L 12 0:5 1984 1,63301I' 25 2

ADJACENT R1PARL�Nv PROPERTY OWNER STATE--IEN T
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby cendfy that I own property adjacent to S;9=--v F-Z) 's
(Name of Property Owner)
Property located at / / ,? 1z1=4 WA A14y
(Lot. Block, Road, etc.)
on ,Uu��U' iv�h , in �� /Z�r Zr" �_i;� Dl / � `% , N. C.
(Waterbody) (Town and/or County)
He has described to me, as s;:own below, the development he is proposir.= at th t location,
and, I have no objections to his proposal. I understand that a pier/mooring
pdin gsiboadiftlboathouse must be se- 'back a minimum distance of fifteen feet (i5') from my area
of riparian access unless waived by me.
'J I do not wish to ware the setback requirement.
I !L wish to waive t`at setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNrENT:
(To be filled ir by individual proposing development)
�J
(4a
Print or Type Name
Telephone Number
Date:
r--

ADJACENT RIPARL- i PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby c--7� y that I own property adjacent to C. (4&k- -t 1 's
(Larne of Property 0%rier )
prom.. �y locates at 1 k � Ck, Cj
(Lot; Block, Road, el
on � C)CA je— �50 V ti , in C-�-kr %e_r5-= t/mod( geN.C.
aterbody) (Town and/or County)
F.e has descnbced to me, as s<<own below, the deve'.opi—n-- ,i he is proposi-_ ai t`:ai location,
and, I have no objections to his proposal. I Lnde.=d a pier/moorin2
pLLLnzsiboaLiuboaLhouse- must be sz-; back a mL:ntr -num distance or Flle--n f-- (_5) Foul my are
or rioa-,arl access unless waived by me.
I dn nnt wish to wa %-e Che setback reauirerneni.
t/ I sin_ wish to wive s--Cback r.=cuirem.-ni.
DESCRIPTIOti AND/OR DRAWD G OF PROPOSED DEVEL0P%1E\7:
(To be f-zlled ir. by irzdiv&ucl propos,r.; c_reloprzenr)
Si natu,.
Print or Type Name
oZ5`a 35 S l S �S�'
Te!eohone 1"ulmber
Dace: �� 5� d 5

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