38385_WHITE, PAUL & DUNCAN, KATHY_20040512

CAMA / DREDGE & FILL
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GENERAL PERMIT
Previous permit # j
New —.Modification-iComplete 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 15A NCAC
❑ Rules attached.
Applicant Name G vil Yj� it 4 Yu .j4,� Vnr� 4_
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
Cityv Y State VA ZIP
Phone # ( 1', ) ' (q- et qq Fax # ( )
Subdivision
Authorized Agent �c i� "
City_ ZIP r' S % r
i
❑ CW ❑ EW ❑ PTA - ES J PTS
Affected
Phone # (_ ) River Basin
OEA HHF IH UBA _ N/A
ElElEl
AEC(s):
Adj. Wtr. Body fat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
ri
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, 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:
A' 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 / 1-888-4RCOAST
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, 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.nccoastaimanagement.net
Revised 10/05/01

A d r r -e 11 f.- 5 r - it k / n r - J r l n i -1 ,. rj.FO — _ --
RONNIE CHADWICK
CHADWICK CONSTRUCTION COMPANY
207.STEAMSHIP LN. PH. 252-728-4504
NEWPORT, NC 28570-9688
DATE
8792
66-112/531
02302
PAY
TO THE �_
ORDER OF-_ 22
O L L A R S 19
HIM
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTH CAROLINA
FOR
II'00879!; 1:0S3LOL1211:511110093626112

Chadwick Construction Company
327 Steamship Lane
Newport, NC 28570
[phone]
Cell 241-6672
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ADJACENT RIEPARL-�N PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
�4lNC��
I hereby certify that I own property adjacent toPAL4L- 's
(Name of Property caner)
property located at J vf'� C "'v-j.-- z— ,
(Lot. Block, Vad, etc.)
on J]�:W ���f.�� , in ��vv `L C IZa v -�._� , N.C.
(Waterbodv) (Town and/or County)
He has described to me, as shown below, the development he is proposin at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftfboathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wai,,-e the setback requirement.
APR o '-� zoos
e
k I �L wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWLN- G OF PROPOSED DEVELOPNTENT:
(To be filled in by individual Rroposin; development)
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Print or type Name
�Z,Z 4`1 _ R �-1U
Telephone Number
Date: �� ,\ 4 t t<

ADJACENT RIPARLkN PROPERTY OW NTR STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOCSE)
11"R 0 a 2004
AL
I hereby certify that I own property adjacent to PAL'i-is C`'
(Name of Property caner)
Property located at
(Lot. Mod, Road, etc.)
L—
on It 6:w c �LZI , in L--,;;, i< C �Av , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing a: that location,
and, I have no objections to his proposal. I understand that a pier/mooring
piags/boatlifrlboathouse must be se: 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.
I dQ wish to waive t;.at setback requirement.
DE CRIPTION AN-D/OR DRAWENG F PROPOSED EVELOPtiIE.NT:
(To be filled in by individu proposing develo ment)
1�
1� 2/off
Qnature
Print or Type Name
Tel one "umber
Date: