37568_SPEER, KEVIN_20040315

❑ LAMA /'--]DREDGE & FILL
GENERAL PERMIT
[]New L-Modification - 'Complete Reissue -Partial Reissue
QY . tip.
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources a
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and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC fi(;
�] Rules attached
Applicant Name
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Address
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City -f-,r\i
-I State.L
ZIP "�F ✓._'
Phone # (4, ) `:_ k '" i ' Fax # (� )
Authorized Agent
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Affected KCW
O EW '14 PTA ❑ ES
ElPTS
AEC(s): ❑ OEA
D HHF ❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA yes / no Grit. Hab. yes / no
Project Location: County , :,(i `� j _ _ I
Street Address/ State Road/ Lot #(s)
Subdivision)E `, 1! t
City ( ;� e ZIP�)�i
Phone # (_ ) �"""^ River Basin
Adj. Wtr. Body Al, Af s�?r; j 7• t ma' unkn
Closest Maj. Wtr. Body"
Type of Project/ Activity
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(Scale:
Pier(dock)length (' X
I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature !
Issuing Da*
� Expiration Date
Local 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, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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, Onsiow -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

SHORELINE MARINE CONST.
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
99 CENTURY COURT
SWANSBORO, NC 28584
PAY
TO THE
ORDER OF G1�
WACHOvIA
Wachovia Bank, N.A.
www.wachovia.corp- 3 75-0T —p
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FROM: BARTLEY INSURANCE FAX NO. : 9103472662 Feb. 18 2004 01:56PM P1
Feb 16 04 09:55a Fshley Brooks 910-326-8S23 p.2
ADJACENT RIPARLAN PROPERTY OWNER STAM EIN7
(FOR A PIER/MOORING PILINGS/30,477-InIB04Th(OVS,�) i ZuG4
I hereby certify that I own property adjacent to he-Vii dpEsk S
(Name of Property Owner)
property locahEd at 1 W A>
(Lot, Block, Road, etc.)
an 1 G W Nma epr-
(Waterbody) flown andlor County)
He has desmbed to me, as shown below, the development he is prepcsirg at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pdingslboat(iftAxathouse must be se: hack a minimum distance of fifteen i'eat (lj') from my area
of ripErian access unless waived by me.
-42-`
I da not wiSh to waive the setback mquirement.
I lja, wish to waive tt:at setback requirement_
DESCRIPTION AND/OR DR.AWPgG OF PROPOSED DEVELOF�[EN'I:
(TO be ftUcd in by individual proposing development)
S'gnatu
Print or 'Type [Fame
(h) -�3ao �m�
Telephone Numbcs j
Date: 1:� (,C.-{

FROM
BARTLEY INSURANCE FAX NO. : 9103472662 Feb. 18 2004 01:57PM P2
Feb 16 04 09:55a Rshley Brooks 310-326-9523 p_3
ADJACENT RLPARL-NN PROPERTY OWNER STATEXL T
(FOR A PIERIMOORING PIL11VGS1B0A71jf-FIgOATMOUSE)
I hereby certify that I own pmperty adjacent to KSVIJ spe6dZ S
p p (Name of Property owner)
property located at 1 i! p T E;J-J(+35 W LA A40WJ a #L rye
(Lot, Block, Road,je_t_c.)
on 1 C W in $
N. C.
(Watwbody) (Town and/or County)
He has des=I)ed tame, as shown below, the development he is proposing at that location,
and, I have no objections to his propcsal. i understand that a pierlmool-ing
PLlJ1nPjboV19Vboath0tue must be se: back a nunimum distance of fifteen feel (1j') from my area
Of riparian access unless waived by me.
-42-j
I d not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIMON AN-DIOR DRAWING OF PROPOSED DEVEWPNfENT:
(To be filled in by individual proposina deveroprnens)
5:gnature
��►->•4 b
I'tint ar Type Name
Tekphone Number
Date: f

ADJACENT RIPAR LA.N PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATUFT/BOA THOUSE) 2 2004
I hereby certify that I own property adjacent to Kaflo Sps6k ,s
(Name of Property Owner)
property located at I ce 0p Pe�t-)WS W LA MAri o p -
(Lot, Block, Road, etc.)
on G1�i , in V63ePi--- , N.C.
(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
pdin as/boatlift/boathouse must be se: back a minimum distance of fifteen feet (I5`) from my area
of riparian access unless waived by me.
Y I do not wish to waive the setback requirement.
-42-/
I & wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
Date:

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