32566D - Wagstaff

0 CAMA / DREDGE & FILL N 32566
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GENERAL PERMIT Previous permit#
.)1 % r_INew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �J
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC-gig //QD
;,Rules attached.
Applicant Name 5, L/EOE U)A 3TAFT Project Location: County Rg {C w1 C
Address -�iO q � S4f 6)R2l)6 r- ea Street Address/State Road/Lot# s)
City X bO R 0 State Ne ZIP 7s / Y7 inA g. f/tJ Pa Lo i il /847
Phone#(33tv).5 //'"cleVO Fax#(J ) ��3 - 57,57' Subdivision rr 1y,gizbor A C t S
Authorized Agent .SOE Iif / 8* 4 r 70%5 City NO(� &ACY' ZIP_ y,
Affected Li CW El EW ❑PTA XES C PTS Phone # ( ) River Basin Z.£1 b6/2-
s ❑OEA ❑HHF ❑IH IDUBA E N/A
AEC : Adj.Wtr. BodyGANG 1-
PWS: ❑FC: I (nat /unkn)
ORW: yes / PNA yes / no Crit. Flab. yes r no
Closest Maj.Wtr. Body _ /q�W
no
Type of Project/Activity gli t K f-kA7)
(Scale: /��' - ZU )
Pier(dock)length Y
Platform(s) - j . . _h_ i - } .
Finger pier(s)
n
•
I I . t‘j^ �7____-—
Groin length i /_7 ,I
number + E , i ,
Bulkhead/Riprap length I ST ,
avg distance offshore T �u41^ tf #�
max distance offshore i j _-_._._ ;___
Basin,channel I i 4 I I ( 1 l f
t • I
— I I f.._ I 1- - 1 _ I
cubic yards •
Boat ramp_ ,
' c 920 t 6" - —.._.... . _
Boathouse/Boatlift � ,
Beach Bulldozing + l I i L/,yy ma fZ De pi `
1 _
Other -- - } I � i 1 -_-_
1 i II
J—_
mmT I I {
Shoreline Length -5V I '
{
SAV: not sure yes n) f
Sandbags: not sure yes a -i l- - 1- '-.----_---1.__.-
Moratorium: n/a yes h� i ,
Photos: yes tY r�-_... 1�. , } , ,_ _ -....-
1—
Waiver Attached: yes 6 --.- -.. - I t I
A building permit may be required by: fiekieN 8E44/1 I I See note on back regarding River Basin rules.
Notes/Special Conditions SU t K Ne A tt /4 70 $E Bo)L T AT f3/SE of E x/37/N& soA/Z fJ
.I- ,wv.ivQ TO THE.. �3A- OF 7 E wi tJ UJ 1L 2 /L/02 n4A-1Z jpj 17r
Pee h ill . i(la_ s
Agent or Applicant Printed Name Per t fficer's Signature -
A \_ it', t"-,441-4( /Z.- i --0 -z 3- iz -03
nature **Please read co liance statement on back of permit** Issuing Date Expiration Date
/0080O ^ '`' I) /- ,/ri Aa(i 77/Z/Z154
Application Fee(s) Check# Local Plarningjurisdiction Rover File Name
r._A_ __ -•yj'Lr31ic.....�.,t�._r_.. ..0...._ '--.-- '-._l4.a-,.-_. _..�f.. ..i..lr'

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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(252-946-6481)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 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 252-264-390 I 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 / 1 888 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 910-395-3900
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)
Revised 10/05;01
www.ncnoastalmanagement.net

- CODES FOR AEC DESIGNATIONS - - •
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands •
"ES" - Estuarine Shoreline _ _"FC" - Fragile Coastal Natural/Cultural •
"PW'' Public wafer Supply _ "OR" - Outstanding Resource water__-_
- - i
CODES FOR PROJECT
"P"- Private-usually an individual "F" - Federal
"C" - Commercial "L" - Local Government
"U"- Utility "H"- Housing Development `
S - - State -• "0"-« " 0 Other __ _-.-
# CODES FOR PROJ DESCRIPTION
"11"- Bulkheads,Riprap "16" - Utility Lines
"12"- Piers,Docks Boathouses "17" - Emergency Repairs •
"13"- Boat Ramps "18" - Beach Bulldozing
"14"- Wooden Groins "19" - Temporary Structures
"15"- Maintenance of Basins, Channels,Ditches, - - , .-- -- - - i;
GENERAL PERMIT COMPUTER FORM•
APPLICANT NAME: cL (3 JgU6 5 114-r, •
•
ADDITIONAL NAh S: _ cQ'l 1�I ems, �- T -f
AEC DESIG _ • DEVELOP AREA: # .�3 PROJ DES C: -
-7—
(Will only take 6) — (Will only take 1)
WORK: $U - 3-6 _ - -_ -
(WM onlyiake 4) •
(WIll only take 4)
� •
/50 !take
UL7 S-co ! .
.l .
ACTION EXPIRATION
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DREDGE&FILL REQUIRE): l Z ^/Z O z /Z—O
CANL4 MAJOR.D REQUIRED: 2`-6 2 --(2—03

12/02/2002 04:55 9106497198 PAGE 01
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Locality Permit Number
GENERAL INFORMATION
LAND OWNER I 1
Name , C2L1. w Cl , ,
' 11 n
Mailing Address ?(�C/ l,U 011,
ys.
i A, hO A jVi)I
City State 40 Zip,2 j 73 Phone
AUTHORIZED AGENT
/� n
Name it C ��1,C) ,17.�17Ary
Address T:7 00 ati,51S . 1/L s
City/AJ ,4( , State 17 ( ZipO - ,D Phone 9/( cQ -3 0,
LOCATION OF PROJECT ,{beach address) 1 - %c'ii,')KA 4f1 j !( 4 f
Lot It 1 7 q Subdivision: WO" X • 4-PALA
(If not oceanfront,is waterbody natural or manmade.) ,_/)2Cuy)/yyl_e9L Q+LQ
DESCRIPTION OF PROJECT K- . - LA/a till/. .,.,t-abi{ ki
AREAS OF ENVIRONMENT CONCERN(AEC)CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
-� Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES(such as
driveways,etc.)within 75 feet of the shoreline(575 feet of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning,Drinking Water Well, Septic Tank(or other sanitary
Waste treatment system),Burning,Electrical,Plumbing,
The activity you are planning may require permits other than Heating and Air Conditioning,Insulation and Energy
the CAMA minor development permit.As a service we have Conservation,FIA Certification, Sand Dune, Sediment
compiled a listing of the kinds of permits that might be Control, Subdivision Approval,Mobile Home Park Approval
required.We suggest you check over the list with your LPO Highway Connection,and others
to determine if any of these apply to your project.

I
TRANSMISSION VERIFICATION REPORT
- . _. ._ __ _., _ ."- __ .__ -•- -- --TIME- : 1-1/29/2002 12:-59 - -
DATE,TIME 11/29 12:57
FAX NO./NAME 1910649719e
DURATION 00:02:13
PAGE(S) 04
RESULT OK
MODE STANDARD
ECM '
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STATEMENT OF OWNERSHIP __,�
I,the undersigned,an applicant for a CAMA minor development permit,begin either the owner of property in
an area of environmental concern or a person authonzed to act as an agent for purposes of applying for a z
CAMA minor development permit,certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title,Title is vested in ,see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
• probate was in County.
if other interest,such as written contact or lease,explain below or use a separate sheet and attach to this
application.
r
O
n
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
- (Name) (Address)
•
(I) • o �, �I ( n/qq
(2) A___0,76e/j LID / 1(l L( o co_k /1�J V65;6,s�'� &a, �1 y-g34J
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information(this form),a site drawing as described on the back of this ap-
plication,the ownership statement,the AEC hazard notice where necessary,a check for$50.00 made payable to
the locality,and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil,criminal and administrative action.
This the day of rkpr 4.664 ,
iUMZ
6/M L ,e1_144—
and owner or-personfauthori to act as his agent
for purposes of filing a CAMA permit application.

11/2.0/02 10:00 JIM YOUNG STATE FARM 3 9108463360 N0.778 D01
11/18/2002 15:34 9108463360 JOEL E KLA55 PAGE 92
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Dams Of :ndividual applying For Pamir.: ( /
Address of Property:
� . , .
Piiik
4 e_ r(Let dr Straiterest ear Road, City 44 -Cauntyl
7 hereby certif'7• ' tbst I owr, property adjacent to the above-
referenced property. :?ha individual a y
far this ermit has
dsncribad to me es shbwr on the attached draw ing the development
they are pry o�aih :s description or drawing,should be rbvided.with this letter. with dsmens�ons,
3 have no
_ �. objections to this proposal .
Odra. ' t r ' V, •;+ '
RM
w ®,.r
nun asa 91
t understand that a pier, dock, mooring pilings, breakwater, beat
house, lift or •andbegs :m4et be Net back a teire.:mum distance of 15'
trds ry area of riparian •caws unless waived by me. (If you, wish
to wb;.ve the setback, you ua initial the appropriate blank
below. )
•
__ I do wish to waive the 15'$Ct'back requirement.
1 go not W110. to Waive the 15'$Stbsck requirement.
na use Date
rr;nt Rama' Adillgiat
�g.iwghcn!► I�u •0, ___ _®e Aroma Cvda

B. & J. CONSTRUCTION 08-00 3123
t``4 910-846-3228 ii7ei
/
;,,. 998 CYPRESS LAKE CIRCLE S.E. Date [ .1 d..L.6-19/530 NC
�.:
BOLIVIA, NC 28422 2306
Pay to the J/1 j'� (r I �—L�
or•.
/d�e1rf I l rJ�//, p�;�� !r I 4 I L2Q ..i
I v�� ,L/1' /� l/ /Q� -�'U6ttars
Bank of America.
ACH R/T 053000196 '.6p p 3a5"'
For / l Cl / ltJ1LI, - I. —-- s k`� "",a,�'•_n_.
1:053000 L961: 00068 349037OP 3 L 23