41956_RHODES, TIMOTHY & SUZANNE_20050701

F] C.4'AMA / 1--7 DREDGE & FILL I'X Cf
GENERAL PERMIT Previous permit #
-]New _(Modification LComplete Reissue L IPartial 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
E:1 Rules attached.
Applicant Name Project Location: County
Address— l C""T.1 Street Address/ State Road/ Lot #(s)
City State ZIP 4 a.-1;4
Phone # Fax # Subdivision
Authorized Agent City---- ZIP
-�] CW r-i EW ----
' ]PTA JES ❑ PTS
Affected , L -1 Phone River Basin_
AEC(s): 1 -1 OEA -1 HHIF F-1 lH UBA E N/A Adj. Wtr. Body-- (nat /man /unkn
F-1. PWS: E FC:
ORW: yes / no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body
I Type of Project/ Activity
Pier (dock) length
Platform(s)__
Finger pier(s)____
Groin length
number
Bulkhead/ Riprap length q 5
avg distance offshore f.
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV. not sure
yes &"o
Sandbags: not sure
yes (no
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale:
(11" 7- See note on back regarding River Basin rules.
­c
Agent or Applicant Printed Name
Signature Please read compliance
statement on back of permit"
Application Fee(s)
Check #
Permit Offic'ee's Signat4re
V
Issuing Date Expifati6n 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 F-1 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

FEES-11- 11: 41 FRUM : WP ROSE SLFPLY 919 7 341607 T0: IF5PSOAQWa P.2
f
ADJACENT R"AMAN PROPERTY OWNER STATES
(FOR A PlMAI(7OJtING PILINGS180ATI.,f14TlBOAT`HOUM
I hereby certify that I own property adjacent to fYl,�L� �S
(Nome of ope Owner)
.property located at u0 Q (Arf, 6m,
Lot, Blade, Load, etc.)
on in
aEerlfodyj(Toown Apd/or County) .
He has desmibed to m, as shown below, the develapnvat he is proposing at that location,
and, I have no objections to his proposal_ I understand that a pierlowring
pihngs/boatliftA=ffio= must be set back a minimum distuce of fifteen feet (151) from my area
ofripariaq Less unins waived by me.
V I t wish to waive the setback requirement,
I dQ wish to waive that setback requirement.
DI SCPJMON ANDIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be,itPed? in by ind'i ucl pmpaying development)
Print or'1I Dame
Telephone Number
�r
Date:

rTJ3-11-2005 11: 41 FPJDM: WP ROSE SLVPLY 919734IW7 TO! 12525M
ADJACENT RxPAR' N PROPERTY OWNER STATEMENT
(FOR A PIERtMC7 O ING PILINGSIBOA1UMBOATHOUSE)
1 hereby certify that I own property adja=t to i I k QOJU, � 's
(Name of opp�erty Owner)
FAY k►cated at � l� .Q - t,C� S �t l,�.0 {�.> Z�I.I.UI.�lt3
L.ot, Slack, Rcald, etc.)
on u u n d , in �'t w ,
sterhody) ('Town and/or County) .
He has dm ited to me, as shown below, ft development he is proposing at flsat Iomtion,
and, I have no objections to his proposal I understutd that a piertmooring
pilingYbQadiftibaadxmw must be set back a minimum.distancJe of i fftn feet (15') from my area
ofriparlart aac=s unless waived by me.
I dolt wish to waive the setback requirement.
I do wish to waive thai suck "uimment.
DESCRIMON AND/OR DRAWING OF PROPOSM I)EVELOPMENT:
(To he filled is by iM#VgUal pr,Rpn$i, 4&v*10pmte4t)
feet w(de.,
Print or Type Name
Teiepbone Number

77MINY RHODES
SUZgNNE J. ANODES
1459 OLD SMITHPIELD RD PH 919-735
GOLDSBORO, NC 27530 9219
PR DER O �E /1 �—
ORDEROF
State Ern ]o ees' v v
,,�',,,� Credit Union
168 Goldsboro,
Norlb Coro!!wa
5406
66-7704/2531
DATE
770491;0
86060088631I■
S406� -