84906_Gugy F. Cox_20210923

scan ❑LAMA DREDGE & FILL S 1�T° 84906. A a D
y GENERAL PERMIT Previous permit 10/
Date previous permit issued 70/1'
New n Modification ['Complete Reissue ❑Partial Reissue ,
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC UV'fl'OD ®*•i}• 1-3. ® ®Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name G 1. /�/ �. 4-tw_ Authorized Agent 4 1±.
Address /f' 1 5 9 ill 1 Q '��.-1 'De-) '� { Project Location(County):// _ �'f/�y y
City %4Ctrr esuiJU - State
Q 7)6 ZIP ?Tv-go Street Address/Sta e,Rs`o�ad/Lot#(s) 'I/, j�
Phone#(2S1'J 2-1 -S,! Ile J2! �/2e (mask De- �-Y�Y'7
Email Subdivision 14%n e" L j(6' 4
City C•C e w c.1j ZIP .21-q? !
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body Aij1)4 Q 7i-&-1-?•5 as an/unk)
AEC(s): ❑OEA n!HA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 0/ A
ORW:yes/ o/ PNA:yes/CD g� l
Type of Pro' ct/Activity �/6+0d 6/C o� 7Ap/a L 1 Y J^�l- h
-e)( C2Q0 5. va Al - - ' 1U (. {r JD')(J� ��' '�''(9�°,-. (Scale:('/- 0)
-ee
Shoreline Length �'SO _ C11 e.-( .5,_OI G
Access Length _ ' � i ( 1 ir----- 1- " f ----- - --
Pier(dock)length _�_ , 5-.._ -I 1 - I
Fixed Platform(s) 1 i I --
IP
Floating Platform(s) I I ,t119t24:Ae,P J i4
Finger pier(s) 1 i_.. iy °4� d! � ( --..._
I
Total Platform a a 2( / i0 "'
_.-___I -( -�- -9-teli �/ I _a� Q- i
Groin length/#�v�� AO' I -�- b _
Bulkhead/ ipfe'p lengt &5 j — I s 1---! - l� F ' I I\\ I s i-----
r I I 4 ! r—it 17, 1 1
Avg distance'offshore i
Breakwater/Sill I��{id "��� '� I' .
Max distance/length i�" ( {t`�iy,)��si i i4 �,/ `" -i—
Basin,channel 1---� i ry 6. I ���( _� 4iA '
`� 1` � -�- _- J R-Q1 4 � 7 i ✓ �� '� J
Boathouse/Boatlift q� ) l ' i p'
•
Beach Bulldozing i I I i i t f I° r '41" i4Ve "
Other c oI I ( - I 1 ! I
4- --:: ir t
1 t C?../._
SAV observed: yes I , 1 1 {! , p
Moratorium: n/a yes a { -- ` :!r t - 1 i i
Site Photos: yes .. --. -- - --- I
Riparian Waiver Attached: yes et) l [[ 1� , i__ Limn: Nil
I yA,,,, I ,I i(+� i I
A building permit/zoning Permit may be required1 by: LitOfc ?11 _I pe Pet C -,S -c9 i,
Permit Conditions % V a• 7. y)Irk (-e G r i n TAR/PAM/NEUSE/BUFFER(circle one)
ffiZ ,• .4 ►t/x.3 C ,/ 0: , , ,Q, I C®AV,7GC "• n See note on back regarding River Basin rules
0:1 6 elp.-, 62y - s//C Charo/e+ e `I c v/s
bI' k- e 1 ' edJQ r x&�� ,rfr B�� See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND EVIER EpC�OMPLI CE ST TEMENT. (Please Initial) �'F-(;
Cr tvy
Age t A(pplicant PRINTED Name Pe, ' t O[ c-r's�PRINTED e
..._
Sig atur * ase read 2'ompliance statement on back of permit** Si nature i/
,, 5 - e- Apg d' 3 'Dam -'4o
Applicati ee(s) Check#/Money Order Issuing Date 1 Expiration Date

Statement of Compliance and Consistency _ - ;
This permit is subject to compliance with this application and permit conditions. Any violation of theseterms 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 ordinance's,and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the'adjacen.t riparian,property owner(s). '
The State of_North Carolina-and-the-Division'of Coastal'Management, in issuing this permit underthe best available
information and belief, certify that this project is consistent with the.North Carolina Coastal Management Program.
River Basin RulesAApplicable To Your�Project: ,. '
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is.subjectto the Enviro,nmental-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 Resources. If you have any questions, please contact the Division of Water Resources at the
Washington'=Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). '
Notes/Additional,P emit Conditions:
N
-
•
/'. -!
. .._ :a _
Please:ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposedof in an:appropriate pland,Iocation.
Division Of Coastal Management Offices
Morehead City Headquarters Washington District .-
400 Commerce Ave Morehead City, NC 28557 _ ,3 ,4943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone]: ` `_-� (1 5 -946-64-81 _ -
(Serves:Carteret,Craven—south of the Neuse River,Onslow .— , _ Faz:252-948-0478., „ ;- ' • ,
Counties) ''' (Serves: Beaufort,Craven—north.of the-Neuse River, Hyde, Pamlico,
• ` Tyrrell and< Washington Counties)
Elizabeth City District _ _ Wilmington District
401 S.Griffin St.Ste.300 - _- - 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City,NC 27909 - r 910-796-7215,..'
252-264-3901 ,- , , - Fax:[phone]
(Serves:Bertie,Camden,Chowan,Currituck,Dare,Gates,.Hertford,_ (Serves: Brunswick, New Hanover and Pender Counties) -
Pasquotank and Perquimans`Counties),- ., ,. .
http://portal.ncdenr.org/web/crn%dcm-home Revised 6/01/2021

as taovw„?y,> rii'et, k,;.-. '', ,.'' :.i.r 'St,',"` ".,,,,k'it"�y'r- .
,�° -,°LAMA p, DREDGE & FILL _ ', 9 84906 A ( C D
a 71D "' ( Previous permit i 4
2 � BEN ERAL .PERMIT .,,v Date preous permit issued S'M
n-New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC(-4 )-1 MD O:1-4 . 1 4C)0 ®Rules attached. ❑ www
.deq.nc.gov/CAMArules
Permit Rules available at the following link:wwdeq.nc.gov/CAMAruIes
Applicant Name (,C..r,, p:'^-., ( t'wr'.. - Authorized Agent .,l A(
p �r r [
Address , A i rt,+^"-!--1 k'r P ?•--'• Project Location(County): ItR d,ii., fiF its ,
City 'IX;r I P 1.r1 /i(" .State 1 „V ZIP t5 910 ' , Street k
Address/Statet Road/Lot#(s) -- -i
: Phone#•(= u), 7 1 "" C I-,to )'2 i tt' 4. f l , 9 ,, ‹,,,,,,i-in
Email Subdivision F-i99 W-‘r)vl e to t A '
' City r.,--,,,- t )(I I ZIP ` -
Affected LiCW ❑EW ❑PTA ❑ES. ❑PTS Adj.Wtr:Body i 4 I/i� {'-�i� 1.-r (n Urrlan/unk)
AEC(s):" ❑OEA ❑IHA ❑uw ❑SPIMA ❑PWS Closest Maj.Wtr.Body I) /j
1
ORW:yes/n, PNA:yes/ r
Type of Project/Activity .2jfl A,4.f) I �-a- (a C n/ d�� !'Gttq L,,G'i" 41)P_ il't,f.
I "F",/77 V 1 f J f <. .F' !V' ?( !' � A�7?ct), :l'evle, A / t-s " s
�X �. P � � t,�r� ta,a'—.� t�..�r �. (Scaler )
Shoreline Length r csr ' , ©fif ` - '7'1T i ; 1 C
Access Length /
Pier(dock),length
Fixed Platform(s) I . mamma ■II. ■. ■4, ��r
t'
:::::::m
1v!Ni. III -)
Total Platform area FN - HIIILi' " i'l iirl
. BulkheadGroin /thip� rap leng h\ 'tt-) HIIIHHHHI! I1H!!P !H1HII I t iilli
Avg distance offsho�e'� `r ■■■ ��■■IIR��I`���,/��� ali i l•����y aiiiis ■ni ••a•
Breakwater/Sill ' tr- 1������li � I"r�'r1 1� � eaui �������ai� --
Breakw ter/Si length t �� �` '
,, Max HHIU!!! : y a" , 111111
Basin,channel dill p Ilr� ■ 1SIMI �.�
is is 3 ,1r�'
;,,Cubic yards ,pr r.
��I Eli I III14 !! 1IIIUII
Boathouse/Boatlift 1 .M ■■..� 1311. 1102 a i■ +
Beach Bulldozing .�c �i'
Other. ) HuuIHIIIIIIIIIiIiiiIIIiiIIiF!!i.
,
�: SAV observed: yes no_ NE� mom �s�iiira t �� i� � �� MINNMIll
" Moratorium: n/a yes nv j H liii I I I 1 fulfil
Site Photos: ' ° - - .yes no?
Riparian Waiver Attached: yes o / 'nit i 1 t
A building permit/zoning permit may be required by: i.!KL 'De L@ r f- Jla M.
t ! n TAR/PAM/NEUSE/BUFFER(circle one)
Permit
Conditions f'ry0 1 I •'s'� ((3 Lin I'1" q•i1 79.Y(�.4?P) { /1" l
N)of�lr . 9 e I< 1 Lt"`-, f a 5 c tp-ci I°�'"- ,t 1/ 6'U•viri,,r'/)-P''V. n See note on back regarding River Basin rules
r•
g��9 ll p� r` C ❑See additional note's/conditions on back
f�5h "i Fs..k rie �f^.,,45 1" ( ) EAC.f 7.0 ` 4CJo�k•�e-,) c,.F- tJ
- I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY.TO THIS PROJECT AND REVIEWE¢COMPLIANCE STATEMENT. (Please Initial) § F�+es' t'
er
(^ )s f•1
Agent or Applicant PRINTED Name , ' 'Pe rt O`fficer's'l RINTED A me" I
Signaiurei**Please read'complian'ce statement on back of permit** , Signature ", k
' - ,...:, ,Q. - S P 1)- A Og) - 3 Zo o •QA))
Application Fee(s) '• Check#/Money Order• Issuing'Date 1 Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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 Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland,location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves:Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick,New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

o�°``°`�''` I 1 CAMA �: DREDGE 8c FILL j r� ' _ Ir j A =B C D
5 r
.ii:c ' _. l l i Ll Previous permit �) :!
m : GENERAL PERMIT Date previous permit issued :�� ,%t.
31
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As'authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC(.'4 1-1- I 1 C'D 0 Z-1-1 " I;:'.0'-- ❑V Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
,r'� I 1 r4
Applicant Name <_...,/ i'' . t t-,11.+ Authorized Agent NJ t i-'& t
Address d} i j ill 3 r1 f" -' •
Project Location(County): vP :y t'4'fr.— :"v'It
City .:5 :. Al.(<k.+) I i( State A)!� ZIP ? Street Address/State Road/Lot#(s) 1
Phone#( SI) %' i'7 - : "° tcs 1 1 11 ()r\'_ /.—:i t✓s"" , 1"11
Email Subdivision 1 ,,\, , I 2. !'
I
City - ---5't��(/ ) ZIP (4. . c'S
Affected ❑cw ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body .! 1 '.1 (; '"i-./ r-<- t_ < (nat/rian/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body U' i i 1
•
ORW:yes/nod PNA:yes/n'o").
Type of Project/Activity Tr-lit 4,4 l / 7 6.2 C >> •, u ('-1:..2 :_ i L., 1 ,-s^.? -t-z,
- =x (�-' c- w.c-fr- EA o- ,,) f. e./ Ai Gt ( -.�- I( ` ,x )c' i .6, ,vi�:-j I/ /. ..› r'^. (Scale:l` . 4',-,)
Shoreline Length C517)J 2I'/ (-...*L'I(, �; ,I CI
j
Access Length A`r
Pier(dock)length J
- Fixed Platform(s) r �.:■■■ '■ 1 .■r ■,■. 1■ ■
R$R��UN ���$ ��U• $ t2$UII�Umi
Floating Platform(s) ) ■■ r■..■■�■ .■. II 1116'. �11■, _
Finger pier(s)
IIH II IIHH II iui
Total Platform area
Groin length/# .+(� -\l
Bulkheadfigrap length'- =t (.1-----
Avg distant offshoreec I
`
Breakwater/Sill
Max distance/length (i 111111211111111 1111111/4--11/1 f
111
Basin,channel • - r- •wu I•■�IIMIIIMIINIIIIIIIIII ■■•■■•
C011111111111111111
Cubicyards r 11111111
Iul �� � �II ;` 7. � ����
Boat ram'3j /4'' X i r) ilifit .val
Boathouse/Boatlift / IIli 1 1
Beach Bulldozing ii
Other I I ' , Y
1--". i_
- SAVobserved: yes Cho-
Moratorium: n/a yes Cho
Site Photos: yes {no -
Riparian Waiver Attached: yes no 1 I_ •
A buildingr/: 1'4 r � f� 'f
permit/zoning permit may be required by: I !-i I' :' lr' I i i't�i r
•y , r / ,',r� ElTAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions �-- ivy t,T 5"�? ,1"-V.:,, ,1 = 'r ',t-� `1":".y(„G'�`t � r"7�< .'�
")IA i." . rifle)6 <�?'1tr C*•C°' 1)/X_ :.(i'O'l j L) CO p _'!?>^J'pf(//7 1
P•V• n See note on back regarding River Basin rules
t 1 4. ifi ) ,,9 ,,.1 - <; r ---" t_ i) ,.• iF`t.+j T✓.._,✓/ S See additional notes/conditions on back
}
P-,=,,zi r. 1-v-,;° 1...,.'sC:I- lb i--A CF-f'L) L ' L •-'fir r-d c-0- c,n iv-4-1 t.
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWE COMPLIANCE STATEMENT. (Please Initial) - 7 -
• Agent or Applicant PRINTED Name Per it O cer's'PRINTED Name` /
-Signature*I*Please read compliance statement on back of permit** Signature ' - y) '
Application Fee(s) Check#/Money Order Issuing Date r Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of-delivery of certified mail notification of the adjacent riparian property owner(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 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 Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate uplandlocation.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City,NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
i } .
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

We, Guy Davenport and Kay Davenport, give Guy Franklin Cox
permission to adjoin the edge of our existing bulkhead at 5601 Shore
Drive, Creswell NC 27928 with their bulkhead.
Date:
Guy Davenport
(i'LD „—
Kay Davenport
//a1-), /0a11`-'4`)'°'°
Guy Franklin Cox ij---(47. C5.?r

We, Ricky Stotesberry and Jan Stotesberry, give Guy Franklin Cox permission to
adjoin the edge of our existing ulkhead at Hidden Lake Drive South, Creswell NC
27928 with their bulkhead.
Date:
Ric y Sto es rry
JaneSt erry
y Franklin Cox /* -1 'tp C,If "--

, y
Parks and Recreation
Application and Initial Permit-State Lakes Construction -
What Activities Require This Permit?Property owner construction of a pier,_buoy,boat ramp or seawall on White
Lake,Baytree,Waccamaw and Lake Phelps.
What Is The Purpose of This Permit?To ensure the conservation and care of the state lakes and natural resources of
North Carolina for the perpetual benefit of the people of the state.
Who Issues This Permit?The district superintendent for Singletary Lake State Park,Lake Waccamaw State Park and
Pettigrew State Park.
How Much Will This Permit Cost?
New fee for Owner Permits: $60.
Annual fee for Owner Permits: $15 is due by May 1 each year.
Where Can I Get The Application For This Permit? Contact Singletary Lake State Park superintendent,Lake
Waccamaw State Park superintendent or Pettigrew State Park superintendent, for a copy of the Subchapter C rules,
regulations and an application for initial permit(see below).
..__!For White Lake and Baytree Lake contact: Singletary Lake State Park, 6707 NC Hwy. 53,East Kelly,NC 28448 .
Telephone:[phone]
•For Lake Waccamaw contact: Lake Waccamaw State Park, 1866 State Park Drive, Lake Waccamaw,NC 28450
Telephone: [phone]
•For Lake Phelps contact:Pettigrew State Park,2252 Lake Shore Drive, Creswell,NC 27928 Telephone: [phone]
How Long Will It Take To Review My Application? The Park Superintendent will sign off on the permit and then a
signature is needed from the South District Superintendent in Raleigh. This process will vary with time depending on
staffing, scheduling and workloads.
Where Do I Submit My Application? See the contact information listed above for Singletary Lake State Park,Lake
Waccamaw State Park or Pettigrew State Park or visit the Web site:http://ncparks.gov for more information.
How Long Is My Permit or License or Certificate Valid? 1 year from the date of issue.
Notes/Comments:The application must be accompanied with the permit fee and the following information.
1. A written description of the structure(length,width,height, material, steps,etc.).
2.A drawing or other illustration adequately depicting the structure for which the application is desired and how the
structure is located relative to the waterfront property which gives rise to the right to apply for the application sufficient to
meet the requirements of Regulation No. 16.
3. A statement identifying the waterfront lands to which the structure is to be attached, or if the structure is not to be
attached to the waterfront property at the water line,the waterfront property which gives rise to the right to apply for a
permit. A map or plot will suffice and such maps are highly desirable.
Legal Authority/Statute Reference: Chapter 113 Section 8, 34 and 35.
Link: http://ncparks.gov .
•
•
•
NC Environmental Permit Guide
.m.

-I
Fonn PR-14A
Rev: 4/14
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF PARKS &RECREATION
QQ Application for Initial Permit
•
Pier or Buoy Number: .J Lake_'�
In accordance with the rules and regulations of the North Carolina Department of Environment and Natural
Resources made and enforced under the authority of the General Statutes of North Carolina 113, Section 8,34 and
35:
I(We)hereby apply for rmit to construct/place,maintain and operate a bad ¢hteKer, Seawall,
Buoy,Ramp,etc.)in Lake.
This application must include the following information:
1. A written description of the structure: length,width,height,material,steps,etc.
2. A drawing or other illustration adequately depicting the structure for which the application is desired and
how the structure is located relative to the waterfront property which gives rise to the right to apply for the
application sufficient to meet the requirements of regulations. .
3. A statement identifying the waterfront lands to which the structure is to be attached,of if the structure is
not to be attached to the waterfront property at the water line,the waterfront property which gives rise to
the right to apply for a permit. A map or plot will suffice and such maps are highly desirable.
cdniki5+00 County Register of Deeds Book No. n a Page No. q 3/7(2
The owner of this property is GA.L.A3Fran 4i i 1) e lA
The structure is for 'Privy (Private,Commercial,Public)use.
In view of the privilege of using the State of North Carolina's property for such purposes, I hereby transmit an
application fee of$ 6'J s09subject to the terms upon which the permit will be issued.
Failure to comply with the conditions of this permit and the State Lakes Regulations will result in revocation of the
permit.
The permit shall be valid for 1 year from the date of issue and the annual fee of$ 1rj shall be due May 1st
of each year. Non-payment of this fee shall result in revocation of the permit.
I have read and agree to comply with the State Lakes Regulations and to the best of my knowledge and belief,all of
the statements contained in the application are true and in accordance with these regulations. I further agree that the
Department of Environment and Natural Resources or its authorized State Lake agent shall have the right to enter
upon the structure described above at reasonable times'to make inspections as deemed necessary for compliance Sal
;" � � t
with all rules and regulations. ,�/; KIlYISlth1 'tih
• Lake Address 12_I N dd& L .5U t i (t 't tFeelleephone#2SA: o�jT�Cj (bQ�A )
Permanent Address k1s� to c m , S( 111Q �eel�ephone# a�ja—p�1l-g�g�p uy�
Sohni
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Park Superintendent Date
Coastal Region Superintendent Date

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= PI:C.DIVISION OF COASTAL • _ _
__��_- _'� : - ..: MANAGEMENT:'' . - ,`: .,1
, ' - '-ADJACENT'RIPARIAN PROPERTY:OWNER NOTIFICATION(WAWER-FORM
' " -, ' ,;: CERTIFIED`MAIL: RECEIPT.REQUEST D or HAND DELIVERY :'' = - " 'I
i (Top portion'to,be.com leted ,, ,,, , . .,;t.'i
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•:i ,; . _ tatNNERS'CER1Ir`1GA7fON` ;:;`
i, ,'t' ;x - ;, (Bottoin:portioq•tobe•completed-bvlhe Adiacerit Property:Owner ,',.�•�4'° ;,`. `'.i,.:r'
_'` `I•he, certifythatb -
• y I own prop adjacent to,the above referenced ,• ,l . _,::;,.'�"-•°.•
�� ! e cad properly.Theliidivittual ap�(yjrag fof;.ttris' �_, ,-- ;�
,permit-has described„to,me,as shown'on The attacted drawing„the'devetgpment;they are',9rapasrng ;.-+`; ,;.',,,, °''�';
- . • description or drawirrq;with•dimensions,must be txovided•with:this letter ` , 3 r
r it " r Y •
`r;, • • a bjections to-this'proposal. 1'.DO have otijections to this propose,(: . 4 =r
,`' ;; If you;haveobjectio t whatis ``i"`;':
1, _ ns_-to being proposed,yio4~must`notity theYhf.G:-Dhrlsldir-,of Coastal. ;��{,,,<,.fi,,,.+,�. r'-'; .
'y- "Management.(DCki) gdays '`' •
hi',wrltin writhfn'1tt of receipt�of:this'notice;.,ZCbrre'sponderi%e.s/rouf¢•fze;' ;,,_. ,<„tA,• _
i y '` ,-.''mailed-to,943 Washington.Square:pa1J,'Washington,•NC,,27889.'DCMrepresentetives'can.'also;be- ' �`'.":-'
. •.contacted at:[phone].No response Is considered.the same:as"no objection if;you have`heeeir'- •`,,
irotlBee by CerSfFegPl4farx. • • • 'i"3.`' '.c ;i',?,�ii• 1',0''
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.. •I understand that'any.;proposed.pier;dock,;niooringpiltngs,boat ramp;breakwater;`boathouse;lift,,or ;�,'k `;
grgiri must be;set back a;minirpu`m distance of".15'from;my,area`of riparlanaccess'unless•Waived by,me . ��.• `'-,;ter''
'(this;does,not'apply`to,bulkheads or ripra•p•r'e4etments);(If=you'wish to's give,the setback;,you uSt sign' _r1 ti.w'' ,'
(tie app[opriate blank below') :1 ;" }:"' ' , c• Pr'
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN_PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Pro erty Owner: �y Cox
P `fC
Address of Property: /_Z1 / i e`` (-et
Mailing Address of Owner:
Owner's email:6 Lawn," ‘i b-.\<NyKle Owner's Phone#: Z 5 2 r Z-t
Agents Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S.CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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, must be provided with this letter.
��
ti(.�/�ip I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set backa minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian_Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: J
AW/
TypedlPrinted name of ARPO: !< < :L?G�rtt i/V ►_S>' 75 t4f
Mailing.Address of ARPO: A5 '$ 7 c "�
ARPO's email: ARPO's Phone#: r 7-'549 0
Date: ?,/c.1 /40a/waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

9/22/2021 permit hidden lake DR.docx-Google Docs
Following is a description of the structure we want to install at 121 Hidden
Lake Drive South,Creswell NC 27928.We have written permission from Guy
and Kay Davenport at 5601 Shore Drive,Creswell NC 27928 and Richard and
Jan Stotesberry of Hidden Lake Drive South,Creswell NC 27928,both
adjacent landowners to give Guy Cox permission to adjoin the edge of their
bulkhead.The reason we would like to get permission to install the bulkhead
is to prevent any more of the embankment from being eroded into the lake.
We acknowledge all CAMA and State Park regulations and plan to install
Riprap and boat ramp per specifications given.
For the Riprap Bulkhead
1. After meeting with CAMA and State Park Representatives,we will
follow the boundary line that is given to us.
2. We plan to straighten up the bank per plans if we need to cut back into
-the land to do so,we will ensure a proper slope and solid foundation.
3. We plan to cut down into the toe of the lake 1.0'minimum with the
Riprap to ensure undermining does not happen.
4. After cutting down into the toe of the lake,we will install a geotextile
fabric to help with soil stabilization.The fabric will be stapled down
along the perimeter and throughout the fabric.The fabric will be tied
into the shoreline to keep the bank from eroding.
5. We will install Class B riprap on top of the fabric,maintaining a 2:1
slope,and tie-in into the adjacent landowners bulkhead.
6. All riprap will be installed and placed properly and compactedto help
with the wave intensity hitting the bank
For Boat Ramp •
1. We plan to place Geotextile fabric and staple down along the
perimeter and throughout the roll.
2. We plan to place#57 stone on top of the fabric then install prefab
concrete slabs.The slabs are 4'x 10,we are installing four of these
slabs for a total of 10 x 16 square feet of slabs.
3. We will install anchors around the perimeter of the slabs to ensure
the movement of the slab is as minimal as possible.
. The bulkhead will tie into the boat ramp so no soil is lost around the tie-in.
https l/docs.google.com/document/d/1LWYivnnlWUUgmjCnEEZBdPT7rMEp9FA/edit 1/2

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