38865_WICKSTEAD, JOHN_20040616

' CAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit #
-- New Modification lComplete 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 _ ti� r Fd ro �� Project Location: County
Address
City, , > F i- . - State ZIP
Phone # () i C 1 6 Fax # (_)
Authorized Agent her ° (s
Affected CW L; EW 0 PTA ❑ ES ❑ PTS
AEC(s): L OEA L; HHF ❑ IH G UBA ❑ N/A
__1 PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision 16
City- f'� ��' ZIP 11 4
Phone # ( ) River Basin
Adj. Wtr. Body L N (fiat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s)
Issuing Date
Check # Local PlanningJurisdiction
Expiration Date
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 / I-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.nccoastalmanagement.net
Revised 10/05/01

WICKSTEAD
FOREIGN CAR sales
EXCHANGE
John J. Wickstead
2008 W. Vandalia Rd. Bus. [phone]
Greensboro, NC 27407 Res. [phone]
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Still The Wisest Choice Around.
510 N. Spring St. Email: 420 N. Third St.
Greensboro, NC 27401 [e-mail] Wilmington, NC 28401
[phone] [phone]
(866) 4WS-GLASS Web Site: [phone]
497-4527 www.windshieldglass.com Fax [phone]
Fax [phone]
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CARS -TRUCKS -HOMES -BUSINESSES 4WIPROSTARS
Serving Your Replacement Needs Since 1961 PARTICIPANT

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JOHN J. WIC':STEAD
DONNA H. WICKSTEAD
SPECIAL ACCOUNT
5502 ROCKINGHAM RD EAST 299-3804
GREENSBORO, NC 27407
PAY
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P�(il r�i�;t.Grao�borro. N C. 27407
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Jun 01 04 07:53p Clarence Daniels 2527267480 p.l
ADJACENT RIPARIAN PROPERTY OWNER STATE'
(FOR A PIERIM001 ING PILINGSIBOA7ZIMBOATHOUSE)
I hereby certify that I own property adjacent to K bu ; W'cks1eHJ _'s
(Name of Property Owner)
property loci at � ��( Pen e"3z"i CC• Qc.-4--f-,.
(Lot, Block, Road, etc..)
on in A tt -� rZ• `C`" , 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 pierlmooring
pfingv'boatiiit/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.
I dl wish to waive that setback requirement.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature -
Print or Type Name
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Telephone Number
Date: 6 / — O /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA7ZIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �S�� N W ' c K!�—' e0 j ' s
(Name of Property Owner)
property located at Pei CC, zo—e ,
(Lot, Block, Road, etc..)
on F)4;A-C- S c« N ` , in C-:A 2i -�r2 `� , 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
pilings/baataiftlboathouse must be set back a minimum distance of fifteen feet (15') frem my area
of riparian access unless waived by me.
I do no wish to waive the setback requirement.
Ida wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be JUIEd in by individual proposing development)
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Signature
Print or Type Name
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Telephone Number
Date: