40311_TREVATHAN, TONY_20041027

DCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
ETNew ::]Modification L�Complete Reissue OPartial 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
i L i % . ❑ Rules attached.
Applicant Name Project Location: County _
Address " i" t ' " 5 J Street Address/ State Road/ Lot #(s)
City �. :! State ,'�( ZIP '4' , .
_ f 1
Phone # ( ) f f Fax # ( ) Subdivision
Authorized Agent City_ - ZIP
Affected J CW EaEW DPTA OES ❑ PTS Phone # ( ) River Basin
ElOEA 1-1HHF ❑ IH ❑ UBA El N/A AEC(s): Adj. Wtr. Body__ _ (nat /man /unkn)
PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body --
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
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
w. ed
Agent 761ica-nt PrintName
Signature Please read compliance statement on back of permit"
(Scale: )
[See note on back regarding River Basin rules.
is>]
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check #
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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Lj Tar- Pamlico River Basin Buffer Rules _ Other:
Meuse 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

.r.d
TONY W TREVATHAN 6-Pc ilo3l 1129
1676 Kings Landtn Rd 66-211630
Hampstead, NC 28443 O 2 O BRANCH,9,38
Date
Pay to the
Order of _
T
r
Dollars
Wachovia Bank, N.A.
wachovia.com
For `Z"'
,:053000 2 191: 10 100 29149 SS l 29
0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent tG-- A, / �C!/f��f�^� 's
zx'vo(NamefProperty Owner)
�,property located at ;rkl I ©I� r��r" 7 d i� �u 'J1 slaA ,
(Lot, Block, Road, etc.)
on �� S (5in �/�rac �cp l�etrN , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
i/ I dQ wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
�DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
MEAN HIGH WATER Ld LOCA ILU UAMA rLAU -
THIS PROPERTY IS PAR71ALLY LOCATED WITHIN A IS PROPERTY LINE NOT TO S"c;ALr
SPECIAL FLOOD HAZARD AREA (ZONE AE, EL 7)
AS PER FIRM MAP 3720648600J, EFFEC77W
DULY 2. 2004. �O APPROXIMATE LOT 12
�S WATER UNE 26 27' PROPERTY OF
G& JAMES H. STOBIE
\ G> S��aO' D.B. 203, PG 424
Z �a K �R �8 v P S,oOO ¢`�.F EDGEWA TER TAX ID. S1JBD/NS10N /
cam„ cr m 4S 0 7
cor 10
PROPERTY OF
JOHN WOOL
o ()0 SIP w �S Op-
_ o
� `~ Z NE t SIP
.-?-'-�
y ..
ature
�j
Print or Type Name
o2521— Z`� /0
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Djf% LU - ���/ �i� s
/ q (Name f Property Owner) /
property rt located at ,Lo / l�i� /'4/Jz77_ 1,
(Lot, Block, Road, etc.)
on S 6cc, , int Go4Z4N 4, N.C.
( aterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, -I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I
I wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
MEAN HIGH WATER U LOCAILU (;AMA rL.Ao- _„ y
THIS PROPERTY IS PARTIALLY LOCATED WITHIN A /S PROPERTY LINE NOT TO SZ.'ALr_
SPECIAL FLOOD HAZARD AREA (ZONE AE, EL 7)
AS PER FIRM MAP 3720648600J, EFFECTIVE
A(/LY 2, 2004. 00�, APPROXIMATE 1 LOT 12
S WATER LINE 26.27' PROPERTY OF
G) JAMES H. ST061E
D.B. 203, PG. 424
P
TAX ID. J082-7-12
L8 S,o220
;`3. EDGEWATER SUBDIVISION /
Can 71 co
o ri S/P
0
v g 2 t4 SJP
LOT 10..'.".'..".".'.".'.......... ...'.......
w PROPERTY
RRF OHNWOOL.................... '.'.'.'ZQN.....
' ' \
n o 97/) O/. R71 Q) - ......... .
Print or Type Name
Telephone Number
Date:'6t. dq