41990_WILKINSON, LUISITO_20050712

LCAMA / C'DREDGE & FILL
GENERAL PERMIT
Previous permit # %a
EI
New Modification JComplete Reissue ❑Partial Reissue Date previous permit issued /i
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 L lA 1l h1,�1&, Project Location: County
PP 1 ty
Address J �• r e �-2 2l Street Address/ State Road/ Lot #(s)
City StateZIP��'��r�-
Phone # (! ') i; �' F)- b "Fax # ( ) Subdivision
Authorized Agent -S}y�' i ��� ` "� f. City (- ' y ' l�✓ ZIP
ElCW ElEW ElCA[-IPTA S PTS Phone # ( ) River Basin Y lam`'
Affected I OEA ❑ HHF ❑ IH ❑ UBA n N/A f
AEC(s): Adj. Wtr. Body V ' 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 L =
max distance offshore '
Basin, channel
cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other_
Shoreline Length
SAM 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 L7.
Notes/ Special Conditions
Agent'or Applicant Print4d Name
./" -rr ,I I /r
(Scale:
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date
U
Local Planning Jurisdiction
Expiration Date
Rover File Name

41
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:
1, Tar- Pamlico River Basin Buffer Rules L! 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

n
STAII-L .NIEN-r
AWACTINI'RIVARLkN PROpjjtjy
ctrtify that I own Property adjacent to -F
Name of Property Owner'
propcnyjocaL:�Jat_
(Lot, Block, Road, etc,)
�C" aterbody)
(Town and/or County)
flio has descn'bed to me as shown below, the developmert he IS - I)TOOOSI-
ns! at U)at loc-a -i o T,
;Ifl � - 1 h lio "Aij k.ai Orks to his PIOI)Qszd -
OESCIUPTIOIN AND/OR DRAWLN-G OF PROPOSED DEVELOP.11yrENT
(To be filled in by indhidual proposin - developm e7z4)
tie
+/- 1w, --8('LKHe-6t"
5 '- Y 'OLD - �DccA-T '�"-T kAMP
zzz-
Telephont N;--,-,ibe-
Date:
- .1

. T he:ebverb that I own property adiacent to - ::y ,, ``�(✓ r $ ' y ' �y P P '�' _�U —S !
(NVame of Property Owner)
prop,eny lcca(?a at l 3qJ KOO'9 S CVCV-- LA-pr
(Lot, Block, Road, etc.) --
oil _ A ) i f��� , - �A V < <c� �'b _ N.C.
( h'aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that loca"on;
and. I lixic no objections to his proposal.
DL-SCRIPTION' A.NND/OR DRAR-r G OF PROPOSED DEVELOP'NIENT
(To be filled in by indiv&ual proposing development)
r 1
+I- 10' '-8ckLK NCAfl
4 'Ire
Sianatur
Punt or Tv e Nane
�23--L sZz _ 03s,
Telephone
Date: _4= z_l

0,2(�

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
c-- IJ-r_—
WACHOvia
Wachovia Bank, N.A.
`\^w/al/chh1'o,Aa.coom FOIi0M' \ / 4qqn
I:0 5 3000 2 L 91: 200 78 3000
J
1911
66-21/530
BRANCH 77512
DATE
I $�C)
Tom
0