42908_PETEVIK, MATHEW_20050922

❑CAAAA / ❑ DREDGE & FILL 90,
GENERAL PERMIT �- --
Previous pe-ermit #
DNew ❑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
❑ Rules attached.
Applicant Name % ' ///� r `/li [� / G le- ✓l f /k Project Location: County
Address Street Address/ State Road/ Lot #(s)
City ilJt.''dy/�l i- if.' State klC Zip_;7S,a40 /'� C,
Phone # (��2) ��� rG �% Fax # () Subdivision
Authorized Agent Ciry A�),�I 6 u e5e s Aj ZIP
❑ CW L� tw [�TA El ES ❑ PTS Phone # (`�?._) Co 71 J ` �� /j River Basin ) 4"' c
Affected ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body 41i 4-' S %' (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
'l 7 /i' (Scale:
Pier (dock) length S � �-�- LT �c
ti rr
Platform(s) %
Groin lengthr
FingerP� O
-
number
Bulkhead/ Riprap length^i ` -
- - l_rJ- 1-
�_
avg distance offshore _ I I _
max distance offshore
Basin, channel Tw� I
— —---
cubic yards I T—�-
�_ Boat ram -
Boathouse/ Boatlift 13 i ! i
T�
Beach Bulldozing
Other
Shoreline Length/56
i
SAM not sure yes
Sandbags: not sure Yes 4 fn,;;'
. __. -. ._ i.�L% __• -- _ I
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes< 00- --- - ��
A building permit may be required by:/ V� ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
or
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date pExpiration Date
L 0 ! �v2 � 9,4
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 [)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:
D 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

J UN-JU-eWn 1 hU 1 U; n4 Hrl NU U 1 V Uh UUHb I HL I"IUMN I t' HA NU, 4 r, U 1
ADJACENT R1PAi•'JAN PROPERTY OWNER STATINMENT
(P-OR A i'Il:RI,VOORING Plt [iN'GSIRO,-tTLIFI'IBO 1THOUSE)
i her,, -!by ce.tify that I o%vn property adjacent to _�rr,e� � J-rftr"K S
(Mme of nroperty Owner)
piCypoc"y at ...-1QU .w Q�N 50,�I 1`j
(Lot, block, Road, etc.)
U jl
e�s� e2 in /6C-.� &rn/ N.C.
--- -(��'s�l��.f�L• acly) .____.�,........_--� (Gown and/or County) .
He hm (Icscril)ad to mc, as shown below, the development he is proposing at that location,
?nci, 1 have no. objections to his proposal. I understand than a pier/mooring
pili.E��;s/ho Mitt/bo?thouse Must be set back a minimum distance of fifteen feet (15') from my area
of riflai-ian a(:cess unless waived by rule.
i ib-11.0t Wish Co walve the setback requir0111e11t.
_-_.....-__ I tl) Wish to waive that setback requircinent.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
M'SCUTIMON APv'T3I R DIZAA-VINNG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signzlur- � .--�-�--
Print or Typc Name
.---
Telephone NUmber
Date: G i —X-- 51!5—

NA N c y -� � F4
G11Q0�-

AD A CE.N,r RrPAIRYAN PROPERTY ONNNER STATEN IETN'T
(1%OR A PIEitAVOORING PII.Ii\'GSIRO,�t7TLIF'I*IBO iTHOUSE)
1 heroby cc.tity that I w&-n property adjizen!
(Name of kroperty Owner)
1}1C1pcf,,y 10,14itcj at_.,�O ��NScN_T.PC 't. .0_
(Lot., Block, Road, etc.)
n -
{�'ra1��.abacly} (Town and/or County) .
He }ins descril.)ad to mc, as shown below, the development he is proposing at that location.
and, 1 havo no objections to his proposal. I understand that a pier/moorin,-!
l�ili.nr;s/t�oa�lifrJboathousc must be set back a minimum dist_-mce of fiftein feet (15') from nay are,
of rirl�ri :ra ,wress unless waived by me.
- I di). not wish to waive the setback requirement.
I did wish to waiv. that sr:tback requirement.
1}l?SC.RIPTION Al-flYOR DRAIV1.NG OF PROPOSED DEV:_I,0PAIF,tiT:
("Co he filled is by individual proposing development)
Si-nawre
1,47*/c Ida _a wEvs
Print or Typc Name — ----__�.
Telephone NUMbCT
Date: _[—�.� Z 4 6 —

•
2059
V ®o�66-t 12/531 A,
02201
BRANCH BANKING AND TRUST BB&T COMPANY
BEAUFORT, NORTH CAROLINA
49--'--�
fiJri�alirro
1:053101 21l:51100619l0u' 2059
i �V
.. . . ♦'.v yt:.�A
WILLIAM P 4PEED
MARIOX904
SPEED
NCDL
160THURMAN RD
BEAUFORT, NC 28516-6602
�ieordu•.°�'
AJ
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PH. 252-728-3602