38013_DAWKINS, EDDIE_20040323

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❑CAMA / L DREDGE &FILL Yr
GENERAL PERMIT Previous permit # Illy
❑New _]Modification 7Complete Reissue CPartial 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
Rules attached.
Applicant Name f %rar"
Address fox 19�j0
City ' ibr � � t t State ZIP 5"7-
Phone # ( 'L} 7?E ?S'N Fax # ( )
Authorized Agent Wr4
Affected ❑ CW I] EW ❑ PTA `I ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH =] UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City !,lot _ ZIP_
Phone # O River Basin
Adj. Wtr. Body n^e 7 a e, f (nat /man /unkn)
Closest Maj. Wtr. Body
amp
a
i
rm(s)
pier(s)
I
length
I
number
ead/ Riprap length
avg distance offshore
max distance offshore
f_.__
_
_
channel
I
cubic yards
ouse/ Boatlift
Bulldozing
I
I
aline Length
not sure no
yes
ags: not sure yes no
torium: n/a yes no
I
-�•
'-
--
i -
_- -
s: yes no
a
I
I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
7 / -
Permit Officer's Signature
Issuing Date
Expiration Date
ApplicationFee(s) Check# Local PianningJurisdiction
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, 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
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 / 1-888-411COAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza It
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

EDDIE OR LINDA DAWKINS C
DL 2016157 PH 229 15 D DR
P.O. BOX 1980, NC 28512
ATUINTIC BEACH, 1
pay to the
Order of_
7 `il � CITIZENS „'
17_ pirsFCitizens�BeN&2851�2 company
l�KH,L,171[` AtlaMlc Boa
irstcitizens
6525
66-30/53, I
Date
ollars
J
26 2537°'
For i.00 L 5 L 5
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OC�a�Ne AnKiKan
06 5

03/24/2004 11:01 9199362130 NATIONAL NETWORK PAGE 02
MAR-21-2664 10:4E FROH;ALAN SHELOR REAL EST 252 247 0754 T0:15199362]3021 P.2
ADJA C-X 1.t'A.ktt �i r- i� ,� 7.�i��~ t } hrli.'E {{'
f hereby certify that 1 ovin property acljaCtirrt to
property lctiat:!d a(___
(Lac, Aioc':c, Rugdr etc.)—
cant(.
{��'ar,el�orly) (Ta rt+--
HC fins ctesc,-ioeti Fo n'tr as ;}town below, i}te lie is propQsu- at U'!ac
lot:..ltrorn, ajid, T no obje:tiorjs try his prow-jl. ,( t.tnd'rst;�rt, r,h�t 2 pie,lotncov,�tcr� i,oat Iit
tTrust be se, back Q rr:'nir� im dim-ncn OF rif'tr ct fe--';t (13') f!-Cm rrry .'u ;a or" riparian aLc", unlGs.,
� Waivedty}' iZ1G.
� Y � I
-Trot wish to wuvzz ch:. setback tear�irc,,�err[.
V l U2 uis,4 to waive that Setback rccl ut ement.
DFSCRITTD)I A- D/CR I3RWLNG 0.17' VROFI.ISH) UU-.VE .U,F'>'L'F—NT.,..�------
('Tv baizl ed frz !J_l' LJZdavlC��ttil r:t fiSl,T - °'.E`�'�'iTie11!}
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a-:icp�ron� N�rrrt�� i•r
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ACENTRO?ARdAN' TY OW j:,R SFATY 1F 4-
'A �'t r
" FOR APIF-RICIN"OV—F.,P,—P'DBOlt7
I hereby certify that I own property adjacent to
141-
oF Property O�,Lier)
property located at C;?
(Lot, Block, Road, etc.)
on N. C.
(Waterbody) (Town aadJorlCounty)
He has desc:-ibed to me, as shown below, the devc!opi-,wnt he is propcsili7 at that
location, and, r have no objections to his proposal. I undersuind dial a pier/uncovered boat lift
must be set back a minimum distance of Fiftee.n fc--,, (15') from my jar,2a or riparian acczss unless
waived by me.
I do not wish to waive the setback reQuiremeni.
I do wish to waive that setback -ccuLr-cmenc.
--------------------------------------------------------------------------------- --------------- — -----------------
DESCRUMON -N-N-D/OR DRAW-PiG OF PROP05ED. DEVELOP-NIENT:
(To be jZUed in b v iadivid-uiz-1 pr�'-Foy'- . 'I'F
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Signature
Print or Type N'.I.ITIC
phone N,Jrnb,� r
Date:

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