34004_NELSON, KENT_20030519

_7 CAMA / !_ DREDGE & FILL ;1 -; ` 'q '
GENERAL PERMIT17 Previous permit #
New f Modification C,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 7 t ! `
❑ Rules attached.
Applicant Name V r o 4 N0 if,, k
Address � ��
r{� . �
011 i�.� . b ( 1C J
City PrKA, Gv G
State %i/ ZIP 17 S 73
Phone # (36)� ` 'ASS i' Fax # ( )
Authorized Agent
i rC,
Affected , CW
L�fW
A PTA ❑ ES ❑ PTS
AEC(s): OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
C' PWS:
❑FC:
ORW: yes / no
PNA
yes / ©o Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
�2 LId 41011�,,,111I - —
Subdivision
City- "W'J, A. t--C e I _ZIP '� 7/ 2
Phone # O River Basin l✓G� !vk
Adj. Wtr. Body �- a ( 0 P l C vN cl (riat lman /unkn)
Closest Maj. Wtr. Body �14 e J c u &
Type of Project/ Activity J c/cr
Pier (dock) length
Platform(s)
Finger pier(s)
t4' Nr'l�ltf,r(f
�.cU(�� t 1✓�J i d•, /)yir;f Z•//
(Scale: Nc-1E
i
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ ILoafitiit I ? Y 1 i
�IPIcy,I''
Beach Bulldozing
Other_
I
-
—
T
_ _
—
—
�y
I
4
Shoreline Length 4k
SAV: not sure yes
l j
Sandbags: not sure yes `no
Moratorium: n/a yes Cno ' I i-
Photos: yes lbo 1— —j�
Waiver Attached: yes no f
A building permit may be required by: A(IQ A +1c �FuI C. See note on back regarding River Basin rules.
Notes/ Special Conditions
fjt.� , r j� {i MrMs
l'✓ -rill(''' ILL, !.) Y'-I hL, ►y6 I/ r —hp�c L F%/r I, CG'i
�
fGr tv. 11.
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Agen or pp[�Ulf'1eantt Pri ,)�dyJ�N�afine
Signatire Pj/ease read compliance statement on back of permit
Application Fee(s) Check #
' 44A
Permit Officer's Signature
c, 3
Issuing Date Expiration Date
/? 1 It,, ,,, 9,,-, 1 ; C5tI /114
Local Planning Jurisdiction Rover File Name
a

s
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:
❑ 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 / I-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 11
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

SHORELINE MARINE CONST 28010414
ASHLEY BROOKS NCDL-7666496
PH (252)-646-3212 1 66152/531
99 CENTURY CT DATE 4S Z/ 3
SWANSBORO, NC 28584
PAY
TO THE ^1 �+ i1Q I $
ORDER OF
DOLLARS
WACHOyu
Wachov(a Bank, N.A.
Pine knrll S,h�olm , NC 28557
FOR PP-Il l tjFL-SON
ul280L04LL,l" i:053L0L5291: 5467 0025 7no

Kent Nelsons Auction 9365994551 P.
I
ADJACENII RIPARLAN PROPERTY QwNER STATENxLNT
(FORA �lLR/MOORING PILINGS/BOArL.IFIYBOA,THOUSE)
I hereby certify that I own propertyadjacent to
(Name of Property Owner)
i Property Icl at 3 D CDC l�v1SE�J!!
i (Lot, Block, Road, etc.)
;on C�{ N.C.
t' (Waterbody)
(Town and/or County)
He has described me, as shown below, the development he is proposing at. that location,
and; I > ave no objections to his proposal. I understand that a. pier/mooring
:pilin�/i oa lifdboathOuse must be se: back a minimum distance of fifteen feet (15') from my area
j of nparianiacc, S unless (waived by me.
Ida-
ttQt is to waive the setback requirement-
i • � � T 4D wish o waive that setback [e;luirement.
I i I i
I ii i I i
r ! blikRIPTIONIAND/OR DRAWING OF PROPOSED DEVELOPJIE:\'I':
(To e filled in by individual proposzn* development)
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Signature;
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Print or Type Name
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Telephone' Number
Date: C� J
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Kent Nelson's Auction 3365994551 P.01
J
HY
OWNER STATENMNT
(FOR APIERIMOONNGPILIN SIBOTLIFTIBOATHOVSE)
Fher' J�Ct, /QEL-5'6iJ
8y �erdo. that I own property adjacent S
(N;lrn*e of Property Owner)
0 (--DI rope4y .5CLJA
located at
(Lot
Block, Road, etc.)
in -A C4
N.C.
M,
iterbody) (Town andfor County)
I
1H has desdribed Ito me, as shown
below, the development he is proposing it that location,
andj X have no objections to his prbposal- I understand that a, pierl
mooring
'1PiU�SftkhMoathousq must be set back a minimum dis Cc of fifteen feat f I V) frnrn my 2 rr- . z
V1 T1 allaii access unie waived by me.
1 J do --not Ish to waive the setb: ck requirement.
I AQ wish to waive that setback
) -R J�SC TYr
-J. t
OA I -
10N; AND/OR DRAWIr
(To Pe filled in by indi;;L
PPOPOSE-t>
W
1-1
OF MPOSPn nPVrT opvrx-r.
proposing, development)
K
?nnt or Type Name
Number
Date-
S"100.jig! r. a I L4 5 U
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