38896_DIXON, OLLIE_20040624

CAMA DREDGE & FILL
GENERAL PERMIT Previous permit #
'New ❑Moclification F❑Complete Reissue ElPartial 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
Applicant Name
Address f 411 L
�-s L
City t;lz, vj 1 0 4
(11 k'4g,
State "I ZIP
Phone#
Fax #
Authorized Agent
I1pi tit e
Affected — CW
ff EW
X PTA El ES El PTS
AEC(s): E OEA
El HHIF
El IH EJ UBA [I N/A
111 PWS:
El FQ
ORW: yes / no
PNA
yes / &6 Crit. Hab. yes no
Project Location: County__
Street Address/ State Road/ Lot #(s)
E-1 Rules attached.
Subdivision 611 t e, "I , ".5
City kPa it, 4 ZIP
Phone# (—) River Basin w�A
Adj. Wtr. Body 6,k (ab /man /unkn
Closest Maj. Wtr. Body
r pier(s)
length
number
ead/ Riprap length_,
avg distance offshore
max distance offshore_
,channel
cubic yards_
ramp
ouse/ Boatlift
-1 Bulldozing
r
Length
not sure yes no
notsure yes no
torium: n/a yes no
-,S: yes no
ON
M
0
M
M
1111MMEMN
MOMMEMEM
No
No
mum—MMEM
MEN
ME
ME
MEN
EMEEE
MOMMEM
ME
M
ff,
ME
ME
ME
0
ME
NOME
0
NOME
SWEEM
ME
wall
-!,wd
OMAN
MUNE
0
MEN
MEMNON
MEN
MEMNON
MEME
EMEMEMMEN
M
MEMMEMEMMEMEN
ME
MONO
MENEM
MEN
MEMEMMEMEMMEMOM
MENEM
MEN
�JMIVJ6.27md
Permit O
■
Agent or Applicant Printed Name
ffi
- 4L
Issuing Date Expiration Date
.0
—1405111iRw
Local
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
Planning Jurisdiction 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, certifythatthis project is consistentwith 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 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

OLLIE W. DIXON
NANCY J. DIXON
429 DRAKESBOROUGH DRIVE 270-843-6356
BOWLING GREEN, KY 42103
PAY TO THE
ORDER OF
Cobank. wwwusbank.com
FiveSw Scrvic Gv=ntrJ *�
MESA
Checking
MEMC�XOQ-/-x
1:0839003['31: L,9L, 27 27B�,ii
7373=36
839158 4632
494272784
DATE �� C•
' 04632
I $��lc��
_LARS
a

--------------------
IN TRA COASTAL WATERWAY
NORTH
& uNCOOVER PIER,
BOAi I GAZEBO
------------- ------------------
---- ---------,---- --- 80'_CORPS SETBACK
1 ------------
45'
6' Aprox . mean high water fin
i
i
JUN 2 21 7004
ore head City CIS s
Maynard Dixon Nelson
Property Property Property
19 20 21
Sight Plan
Dixon Property
Lot # 20 Gatsey Lane
Stanton Landing
GAZEBO F. Beaufort Township
Notes: Scale: 1 "=50'
8 1. Soundings taken from map prepared by Atlantic
Coast Professional Surveyors of Harkers Island
2. Channel location taken from map prepared by
the Core of Engineers
Proposed 6'x45' max. access to a 45'x8' "L"
running with gazebo and two uncovered boat lifts
on either side of the proposed plat form

FFOM : GPOUI,ID C:OrITRCiL FA:-" PJO. : 410-592-4002 Jun. . e 2004 v17: 41P i P1
JUN-17-2064 1-0:49 RM U.F_S. LLC
1 252 'r2B 7576 P. dZ
ADJACENT PARIAN PROPERTY OWNER STATEMENT
(FOR A .P'Z)Z/ 00JZtNC P11IIVaV,6 i, 7L1FT1B0,4 rjrOUSE)
I hereby mortify that I own property adjacent to ��f` �o'�� h is
(Name of Property Owner)
property located at �-1(-'Ap� b
(Lot, Biorfc, Roa r etc..)
(iWaterbody)
('Town and/or
1V.0
14e hu dtscribed to me, ea Shown below, the development be is proMing at that location, an4,1
have no Objections tori fib propoaei. I underatand that a pierlmooring plll3t$a/boat7ii ethayse
�w4i�ved by mc,
must 6e get ba�;k a minimum distance of I{fteest feat (l S) flcam nay p'ea c>f'r>ipari$r! aocesa unless
I A tit wish to waive the setbaok requirement.
da w; - to waive the wtback requirement,
--_!!r -lr._- - !r__ _d
DESCRION AND/OR DRAWING OF PROPOSED DEVELOPMENT � _ .
(TOBE FILLED 1N BY nVDIWDD UAL FROPOS'1NG DEVELOpJV
ZAM
JUN 2 2 7004
WrOhead C6
ty OCM
1 . A 1� • .� r _ �q . ! w. ! n ! ! _ - - r _ 1 "A.--
Signs ;
Print or Type N e
Telephone Number
Date: / r p

Kidtech, Inc.
[phone] p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOB A P1ER/M00RING pl'LINGS1S10ATLIFT1BJ'1TNOUSE)
i hereby Cea�* that I own property adjacent to //! �,'X
s
(Name of property owner)
propertx located at 1—c to Ga 143e4A Jot.A-, cj,._ t_ r _ ,
(Waterbody)
(Lot Block, Road, etc..)
tea- c,an+ ,NZ,
(Town and/tr County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections tom his propose!. I understand that a pier/mooring pilings/boatlift/boathouse
must bt set back a minimum distance of fifteen feet (15) from my area of riparian access urdess
waived by tree.
►'_ 1 do not wish to waive the setback requirement.
I a wi to waive the setback requirement.
--- ---`____________________.
DESCRIPTION AND/OR
(70 BE FILLED I.NBYINblYl1?U4L FROP0SNO PROPOSED
EV.7)
«:
t
JUN 2 2 7004
Morehead City DCM
- - - - - - - - - - - - - - - - - - - - - - - - -
Signature 11
I ✓i � o, L� ' �' � �r"? fit, �
print or Tvpe Name
lCephonC Nuluber
Date:
`.•�`-.£0 '-d 9L�2 6ZZZ. LSZ S �1`t "5'�'fl We! Zb: ZL b�IOZ-6L—J,CW