34576_HAGOOD, JOHN_20030722

XCAMA / ❑ DREDGE & FILL
4 9
GENERAL PERMIT Previous permit #
❑rgew 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
Al Rules attached.
Applicant Name-
Address 'p 96 SC)rtr � Cl c `4-
City- 61"" /'/ -r l'e- State J C ZIP
Phone # ( ? t �) V ? % Fax # ( )
Authorized Agent
Affected ❑ GW MEW j2-PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: AFC:
ORW: ,z!s / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) P-�
Subdivision ----
Ci x �'cr �. ZIP C
Phone # River Basin c �),C_
Adj. Wtr. Body,__ "C ,.�Uw^ 0 (, (nat /man /unkn)
Closest Maj. Wtr. Body --
Type of Project/ Activity / // "/,3' X
i
(Scale: )
Pier (dock) length " -
Platfo
Finger
Groin
Bulkh
Basin,
Boat
Boath
Beac
Other
Shore
SAY:
Sandi
Mora
Photo
Waiv
h
rm(s)�_ I
pier(s) I_
1
I I i
length - I
I i I I I
number Plength
eadf -i - -
maxddistance offshore
_ _
P
g 8t
. D . - - - 3 —
channel
—r— — - -- - 0
cubic yards
�o
ramp
I
L'
Bulldozing
line Length
i
I
I
not sure � no
,ags: not sure yes Ano
s
t-- I
:orium: n/a yes { u . r�
6: yes
!r Attached: yes
A building permit may be required by: n .-44 (d —4: /4—
Notes/ Special Conditions ) &-n / /-, / -/ y¢.
.,-
%A4 y
Agent ooir�Applic t-P.rinted Name Q
4�
Signature Please read compliance statement on back of permit
/UO
Application Fee(s) Check #
/ ❑ See note on back regarding River Basin rules.
h roc.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
A building permit may be required by: n .-44 (d —4: /4—
Notes/ Special Conditions ) &-n / /-, / -/ y¢.
.,-
%A4 y
Agent ooir�Applic t-P.rinted Name Q
4�
Signature Please read compliance statement on back of permit
/UO
Application Fee(s) Check #
/ ❑ See note on back regarding River Basin rules.
h roc.
Permit Officer's Signature
Issuing Date Expiration Date
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, 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 E] 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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
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

- 1183
66-19/530 NC
M. JOHNSON HAGOOD II l a -3 2002
BETTY L. HAGOOD 2 Z oIv
SOUND DR. Date
7226
EMERALD ISLE, NC 28594-3029
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ADJACENT RIPARL-�N PROPERTY OWNER STATEMEN—r
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby ceriify that I own property adjacent to M, Z' l ct"
(Name of Property Owner)
prope..7 located at 7 7(;1 c-'e� j o f
I
(Lot, Block, Road, etc.)
on o �' v� , in grv-e N.C.
(Waterbody) (Town and/or County)
He has described to me, as si^hown below, the development he is proposi-_ at that location,
and, I have no objections to his proposal. I understand that a pier/moorina
piiingstoath t/boathouse must be se; back a minimum distance cf fii�een feet (5 ) from my area
of rpariian access unless waived by me.
I do not wish to wai%-e the setback requirement.
I do wish to waive t ..at setback recuirement.
DESCRIPTION Ati'D/OR DRAWENG OF PROPOSED DEVELOPMEN-T:
(To be filled in by individual proposing development)
(KC4 rs c y
Cad
Signature
C— M"j-, �oX
Print or Type Name
l e'.zpnone itiumoc: �
Date:

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ADJACENT RIPARUN PROPERTY OWINTR STATEMENT
(FOR A PIER/MOORING PILINGSIBOATZIFT/BOATHOUSE)
I hereby certify that I own property adjacent to K q—. " I+9 Ooc
(Name of Property Owner)
propery Iocated at —7 22Co Sf�"j r'4 -0C -
(Lot. Block, Road, etc.;
on C<3 pot No0y\A1 in
(Waterbodv) (Town and/or County)
czr",ra.k -rs (C-
0
. N.C.
He has described to me, as shown below, the development he is proposir=7 a_ that location,
and, I have no objections to his proposal. I understand tha_ a pier; mooring
pi.lir,s:slaoatliru'boathouse must be se: back a minimum distance cf fifteen feet (5*) from my area
or riparian access unless waiver by me.
00-4,C Q X,
x I do nnt wish to wane the setback requirement.
I d_q wish to waive t�.at setback recuirement.
DESCRrPTION AND/OR DRAWEI G OF PROPOSED DEVELOF�[E`T:
(To be filled in by individual proposin; development)
rc7— N G
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Signature
rig
Print or Type Name
144 G rsc5
2 57_2 -- 3
Telephone Number- f� Al
Date : �j f' o� 7/ Zd/6t3