39698_FUTRAL, PHILLIP S_20040909

['CAMA / ❑ DREDGE & FILL YV
GENERAL PERMIT
Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial 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 I SA NCAC
Rules attached.
Applicant Name I± � Iwfl (j rvi y l Project Location: County
Address =' lUopoc,ve Street Address/ State Road/ Lot #(s)
City 1 'fe State ZIP 1t>Sq`� tt icv cir
Phone # Fax # O Subdivision
Authorized Agent City %; f („, le, r 4 ZIP 7G�
Affected ElCW ElEW El PTA El ES ElPTS Phone # ( ) River Basin �a �� k
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body k- (nat /Fran /unkn)
ORW: yes / no PNA yes /,no Crit. Hab. yes / no Closest Maj. Wtr. Body
• -
11
14
a
� ( r
rm(s)
r pier(s)
length
number
ead/ Riprap length
avg distance offshore
I
max distance offshore
-
T
�
channel
'
cubic yards
ramp
ouse/ Boatlift
�
I
I
-- --
Bulldozing
i
i
r
I
�
line Length
rio
not sure yes
ags: not sure yes ono:
torium: n/a yes nn:
.^
j
I
Agent or Applicant Printed Name
SignaturePlease read compliance statement on back of permit • ••
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s)
Check #
Local PlanningJurisdiction
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules El Other:
F I 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 complywith 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 / 1-888ARCOAST
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

66-30/531 102 7
Sherrellulral
207 jknyrxe ;Vr o
6arerald ,Isle, W 8594
DATE
PAY TO THE OJ
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ORDER OF _ -- - --- -
DOLLARS
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1�at7u�rej line. gray type and linmork. First citizens Rank logo xk. If not pre nt, do nut cash.
l� CMZENl7 341
r ,ti 1t.7�r First-Citizcna Bank 6 Trust Company
BANK Sranat—, N.C. 29584
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FOR
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SANDRA MATTERN GILES
NCDL 6206365
332 DIVOT COURT PH. 252-393-3643
P.O. BOX 5181
EMERALD ISLE, NC 28594
PAY
66-7489/2531 n O p
1090000359007 G O
DATE
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Marine
Federal Credit Union
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
_
I hereby certify that_I own property adjacent to hP �s
(Name of Property Owner
Q0
property located at Z' 2 %eo:e -
- (Lot, Block, Road, etc.).
n A N.C.
in
on.�cR, l K-
_ (Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. 11
I 1& wish to waive that setback requirement.
- - - - - -------- ---
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPiNIENT:
(To be filled in by inrliridual proposiii; development)
-----------------------------------------------------
s-
Signature
- a k—Al 2J'P)fnnY
Print or Type Name
,, ——3�3-39 P
Telephone Number
Date: k 9z' —eo-y

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VICINITY ff-4P
NOT TO SCALE
LEGEND
So}b t\---
E.I.P. EXISTING IRON PIPE
S.I.P. SET IRON PIPE
R/W RIGHT OF WAY
M.B.S.L. MINIMUM BUILDING SETBACK LINE
M, B. MAP BOOK
PG. PAGE
S.F. SQUARE FEET
q CENTERLINE
E.C.M. EXISTING CONCRETE MONUMENT
EI.S EXISTING IRON STAKE
E.M.N. EXISTING MAC NAIL
S.M.N. SET MAG NAIL
NO TES
1.) AREA = ZG,=l %BY G-oo.¢DIVlTt
2.) CLOSURE = 1: 10, 000+ -- N,4 JTA T,'ON)
3.) REFERENCE : M.B. 2 y PG. 7d3
4.) P.I.N. "zt- 535:1 Z7
5.) FLOOD ZONE : ZOVA7 A�l.FG9) PFE c /•/'.�R,
5720 53t144( aJJ D/-!
6.) FINAL MAP RECORDED : 01 ✓u�y za�o
7.) THIS PROPERTY IS SUBJECT TO ALL
EASEMENTS, AGREEMENTS, AND RIGHTS
OF WAY OF RECORD PRIOR TO THE DATE
OF THIS PLAT.
SEAL
e.
IPp�B��p 5�9��3•y0
hereby certify that this map is correct Ada
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survey, 'thyrAey-dti� e7yoToc h�reents
OIti-.3a'�d�S1i2`Il:�/M:�4?`p � ,sh;azm
THIS
%MAP IS NOT FOR RECORDING,
Professional Land Surveyor License No.
SURVEYED BY DATE IVIX
FIELD BOOK nI/A DRAIYN BY
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COUNTY CITY TONWSHIP
C� 2TE�ET �AF'E C�i %E�Er w�1irE osr
SCALE DATE PROJECT NO.
/" �0 1viv� io Zoo Za03 /z5
IP t i�
Land Surveyin�, P.A.
501 W.B. Mclean Blvd. ape Carteret
Swansboro, North Carolina 28584

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
y L
A. Sign ure
X ❑ Agent
❑ Addressee
ec iv d by (Printe e) gate of elivery
mil, A 12- 9014
D. Is delivery address different om item i? ❑ As
if YES, enter delivery add ess below: ❑ No
3. Serve .P Type
<11 Certified Mail �❑ EEx-dress Mail
❑ Registered L� Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) rl ypq
2. Article Number
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt J `7 2ACPRI-03-P-4081
a Complete items 1, 2, and 3. Also complete
item 4 if Restricted Deliveryisdesired.
s Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
LL
C;�7 0 S00
A. i nature
X
❑ Agent
Addressee
B. Received by (Printed Name)
C.
Date of Delive .
5 l 1 (h
-?�
D. Is delivery address bifferent from item 1?
❑ Yes
if YES, enter delivery address below:
❑ No
3. Servic e
Certified Mail ❑ Express Mail
❑ Registered etum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from service label) 700a --;,- V/ © O d (O294 �--7^Q
15-
PS Form 3811, August 2001 Domestic Return Receipt / 7 F PACPPRI-03-P-4081