40309_STAWDT, JAMES_20041027

-CAMA / G DREDGE & FILL b 4,
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued I
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
--]Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
----- ---
City State _ ZIP —
Phone # ( ) _7 Fax # ( ) Subdivision
Authorized Agent City .' '� ' " ZIP
Affected E Cw DEW (PTA El ES �i PTS Phone # ( ) River Basin — —
❑ OEA ElHHF ❑ IH ElUBA � N/A
AEC(s): ❑ PWS: ❑FC: Adj. Wtr. Body % (nat /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body --
Type of Project/ Activity
Pier (dock) length
Platform(s) _
Finger pier(s) —
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes noIL-ii
Sandbags: not sure yes no yf
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent
Signature P
Application Fee(s)
compliance statement on back of permit
r
(Scale: )
f-
Pee note on back regarding River Basin rules
Permit Officer's Signature
Issuing Date Expiration Date
Check# Local Plan ningJurisdiction
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 1 Other:
�_-�We use 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 / 1-888ARCOAST
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

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
OFE
WACHOvra
Wachovia Bank, N.A.
wachovia.com
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1:0 5 3000 2 191: 200 78 3000
1537
6 30
BRANCH NCH 77512
DATE
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DOLLARS t
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ADJACENT RIPARIAN PROPERTY OWNER STAT M-ENY
(POR .A iPXERIMOORdNG PILINGSIBOAn"TIBOAZHOUSE)
I liereby certify that I own property adjacent to F� IYi _ �'s
(Name of Property Owner)
Property located at�5 T
(T.ot, Bloc, Road, etc.)
in
(Waterbody) (Town and/or County)
He h s described to ine, 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/boadifllboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
i do rant wish to waive the setbac k requirement.
I Slo wish to waive that setback requirement.
DESCItXP'I ON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(o be filled in by individual proposing development)
'T -r_r P L� "ter 5
Signature
Print or Type Name
Telephone Number
° 1
Bate:
V 1
I

0:.. OJ9 _.. A"1 FFPnM: r=1.' 25t ^99 .._. Fh3E: '02 �'F �ilg
ADJACIENT RIPARUN PROPERTY OWNTR $TATEWENT
(FOR A PIE RIMOO]UNGPILINGS)BOA7T.W'BQATROL',YE)
il.1tby certify flint I ovva property a4jaceatt to filri EF
(Name of Prope'tly Owner
,?rgxrty located at _ - *,eir<7� fr 6e, fS -757��.,__._..__._ _
(i�rat, Block, Road, etc.}
Etc has described to me, a_s shown below, the development he is pmposirig at that
oc,u: iou, aild! I have no obteetions to his Proposal, I twderstand brat a fft-;.intoxii)g
piarigsiboathfiboathcuse must be set back a kninimurn distance of fdte:rt feet (lS') frouri r;ry area
, unles � dma ived l-YY me.
I do not wish to waive the setback requirement.
r de wist^ to waive that setbacl» re-quirerneAt.
ids_ SCRIl'"iION Attil`9 OR DRA,W1.NG t)1{`PROPOSED DEVELOPIMENT-
(To b filled in by fidividrsul proposing development)
r
sI
v=o plot -t SCALE
(5(4
.•a nl. cf Type pe Name -
Te1eDhone Number