36634_WOOLARD, RAYMOND_20031023

.. . ,,..;., ,...- � : :.....»� . _, . ;. gE?+-"tom' a.=^^si`�,� f�`yac"�-e'sa - �r:��==�. _ �"" /•� _ t •c_
a � I
R
CAMA / ❑ DREDGE & FILL_ —CJ
GENERAL PERMIT v
Previous permit #
❑New ❑Modification [:]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 15A NCAC.� • '� ' `
r [11 Rules attached.
�.
Applicant Name pp Project Location: County _ `°eA i i. ;
Address. t '._.j J. ` ' %'- r`'•;?iI :/,-'%! i� �(` % Street Address/ State Road/ Lot #(s) j j r j zT
City ``rr r i k r I[ State v r ZIP
Phone # (* �.) ► ; '" �� i Fax # O 5 l'� _ `3 ( _) Subdivision
Authorized Agent�� ,�i t'' i C �T{ !`�L� r: ' c. City ';'�.f c_ ZIP
Affected [ Cw ElEW ElPTA �S ElPTS Phone # ( ) River Basin
s ❑ OEA ElHHF ElIH El1-1UBA
AEC: N/A Ad'. Wtr. Bod
a PWS: ❑FC: I y - (nat /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body—r �--
Type of Project/ Activity
r
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
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
❑ See note on back regarding River Basin rules.
piratioh Date
i
Rover File

. A.
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
landowners).
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 ❑ 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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

r_ _Ir r i l 4__ , Ir n n c r d d n c n in e n f. S r r Ir n c k (n r__ A r I n i_ 1 Ij,�TT' "".^..^^^ -�� "•��� .�^.. _�•r•• ""'
RONNIE CHADWICK 8292
CHADWICK CONSTRUCTION COMPANY PH.252-728-6878
207 STEAMSHIP LN
66-1121531
NEWPORT, NC 28570-9688 ° 1' t.) 02 02
DATE 0
PAY c9 U
TO THE
ORDER OF�_�
_� d.w..,....
�Q �� G -l.•t. �G_ � 11 C'L � DOLLARS 8 nM,.m�..• t
BB&T
BRANCH BANKING AND TRUST COMPANY
(�OREHEAD CITY, NORTH CAROLINA
FOR K'-� ��i% "P
1130082920 i:0 5 3 10 1 1 2 0: 5 1 100 9 3 6 2 Gil'

� � r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Nam f Property Owner)
property located at
(Lot, Block, Road,'etc.)
i
on , in , N.C.
(Waterbody) (Town an/or County)
He has described to me as shown below, the development he is proposing at that location,
and, ? haste no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To he filled in by individual proposing development)
Ou'j
�y
Signature
l I ,, D 7N / /- .
Print or Type Name
33 � -3-Z C2, - �17w y
Telephone Number
Date: I ;' / 6)3

7
r'-5- 4 -r ) -11�
Y
700-3 16800002
PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT
I THE RETURN ADDRESS. FOLD AT DL
OTTED IN
CERTIFIED MAIL,,,
7003 1682 0222 5823 255 L�.���
—rA -4
"Q o , -6�
1111111r1111tt till Hill{'"/ 'llI "I I11f111 II �I111'r i1r 11�t (ll1
Datl-19tlNn
mao�p13
❑❑ �JON OnNHOnS ON
Ia39WO31dW11tlS S
NH 31013da3H100OJON
3a00tl 1NnSNI ❑ d
rA
/ ?V ( ��
oA
c
S
❑ INSUFFICIENT ADDRESS OTHER
❑ ATTEMPTED NOT KNOWN
❑ NO SUCH NUMBER/ STREET
❑ NOT
UNABLE TO FORWARDDDRESSED

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to - 's
( a e Property Owner)
property located at
on �u' , in , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
J
Signature
Print or Type Name
Telephone Number
Date:

Improver it Permit
PAGE OF _ PAGI? OF
SITE PLAN

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(i a e 4 Property Owner)
property located at
/1
on in lo.t' r✓ , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
-- --------- -------- �f ----------------------------------------------------------------
Signature
Print or Type Name
Telephone Number
Date:

Improve 7t Permit
SITE PLAN
w- �, A, d� 7
1 A6,�
�i
.t
i
�5
je2
00

THIS ENVELOPE 1S RECYCLABLEAND MADE
WITH 30% POST CONSUMER CONTENT.