38912D - Winner

';.,T(' 3 S Q 1 2.
40 CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit # ...
New Modification Complete Reissue Partial R 's a Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources `� /.f 'L p00
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC T 1 •
{-� ❑Rules attached.
Applicant Name S' '€43 1 # fr)1i Sr. Project Location: County �e f�1'sipdr/
Address S.-in J L 1�J L'p'Af let- IO7 . Street Address/State Road/Lot#(s)
City - fr1// 'Ali^
__ h State !Uf ZIP 2*i//2 ? G /
Phone # ( ) ill? Fax# ( ) Subdivision
Authorized Agent J1 T 're/'7 City l'J//4.07/y "1 ZIP 21'//2'
E CW (xW )(PTA DES E PTS Phone# ( __) , ?.frif'" River Basin C/• 4✓e,-
Affected ❑OEA ❑HHF ❑IN ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Capee erlsfr man /unkn)
❑ PWS: ❑FC:
ORW: yes PNA yes / 06 Crit.Hab. yes / no Closest Maj.Wtr. Body nr
Type of Project/Activity h54# /3>C 1 G' b dJ 1Y Y..., ' °' 4 C- A/S)/'.'j
-)OP dt�4'' G 4 JC /q /%+�r //0i el-. (Scale: =20 )
Pier(dock)length T_ _
Platform(s) 1 - +
Finger pier(s) Co IC /1/• memi 6• /( / / c"r /!/'4
Groin length J
-
t� l
number PriYas 6 x /4 /;" /t)/?'/'
Bulkhead/Riprap lengthI
avg distance offshore ..-
i
max distance offshore 4 _. .
Basin,channel �_-_- -
I '
T
cubic yards fi t
Boat ramp • _�/� -_...� '
Boathous atli /3x/L f
i
,frer
.
Beach Bulldozing
1'etl4__ el I r 1?Other
J / e
i
I . i i I
Shoreline Length /1)00 d
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SAV: not sure yes ®_ r • J
Sandbags: not sure yes ® X/ / xi • t\• 54 l r //�*
Moratorium: n/a yes ® 1 f /�� .
Tr
Photos: yes ero— �� r . 1- _ _
,' :',Waiver Attached: yes no . . i
A building permit may be required by: ///h1 (Q _ . E See note on back regarding River Basin rules.
Notes/Special Conditions /1Gt4,5 .9 H . 24dD 1 , /200 ��<j
7. 1' /(l'Z2--e-i--;
�nt or Applicant-Print- Permit icer s Signature
/,/ /r 9-9 oi/ /2- -d i
Signature ' PI Al- .d co''liance state ent on back of permit*" Issuing Date Expiration Date
► �/ °/ 29ffC 4/f/ (' . (72)qo9N/If
Applicati•n Fee(s) Check# Local Planning Jurisdiction Rover File Name

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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 I)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(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie,Hertford, Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I 0-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick,New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/01

GENERAL FERMI COMPUTER FORM .
APPLICANT N A?NE: 5 te Mil f 7✓ .
ADDITIONAL aL N NES:
AEC DESIG: DEVELOP AREA: 0 12_C PROJ DESC: - 12
. (ate o.':11=s) (Val only t,x=1)
WORK:, 13 L 13, !.4
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MALX T:
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Oval onlytake 6)
ACTION D:PIRkTION
DREDGE&FIT.i,REQUIRED:
CAMA IvI J OR DE VE REQL T):

Top Beam Walk Boards
ql
• . ..... .
III I
r +-
New Finger Pier
Existing lift and new Winner lift shown with 24 foot boats

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r -r
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ate. - r

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
NPImP Of Individual Applying For Permit: ;672, 4iG(71 1 0y0
c/� J`
Address Of Property: to 7 O `yG-IA iv 4
• (Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
ysILOL I have no objections to this proposal .
If you have objections to what is being proposed; ulease write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilmincrton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be setback a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below. )
y Ii I do wish to waive the 15' setback requirement.
I do not wish to waive the 15 'setback requirement .
k S '-/ii- r-,2,) d V
Si at r i,Sign
at
'1 Date
Prin Name tom.' ` �,� 1 _ c�
Tele one .er With Area Code

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
JI
Name Of Individual Applying For Permit: Jt/c.'frk4
Address Of Property: GO1' YO j 4 pia
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
• 742_ I have no objections to this proposal.
If you have objections to what is being proposed please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wjami.naton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no obiection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below. )
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15 'setback requirement.
Signa ur `� , u� Date
nef
Print Name
c� 75 5 Zvi a
Telephone Number With Area Code

't_ • ` . . Page 1 of 1
F Jeff:Terry.: . .
From j "Dr Skip=Tyson°'<drskipnc@charter het>
To :'Jeff Terry"<[e-mail]> . ' ;'
Sent Tuesday,;August 24,-2004 9.40 PM_
Subject Shipwatch Village Homeowners Association-Inc Pier Changes thanks Jeff, tell--me if you need .
• more than this::PS-i wish i was r"eady'for liiti,have'not sold•big°boat yet .
•� � rr d� ' YJ- ry _
{ Sh pwatchr Vill
a •e Homeow�nersAssocation Inc. -==
Dock Management and,Repair Committee
4
_`For• Slip•#40 Mr\and Mrs: Winner f " n;.
To Whom It J 4ay':Concern: ;
We have evaluated the drawingsand doaumentationjor the proposed fnger pier and-boat lift
Everything looks great and we=would'ask you to proceed as planned:.
y,
.=Chester J Tyson TV"Skip" =
Chairman,Dock-Management and'Repair Committee-
•Phone-793 4137
_ 0/25/2004 r.

JEFFREY EDWARD TERRY PH.910-790-3117 2988 4
NCDL 5868718
7105 LIPSCOMB DR
WILMINGTON,NC 28412Y'r
Date
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a P Yl( ►ill I!7�� �� I $. order of �� y`� (�
g Dollars El
BB&T
BRANCH BANKING AND TRUST COMPANY
WILMINGTON,NORT CAROLINA ,
1:053L0LL2ii: 5L- 17 7 24 2 100 7 '
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