30625_BURKS, JAMES F JR_20020108

�C
GENERAL IT
Previous permit #
iNewModification e Reissue ElPartial 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 I SA NCAC r-1
Cj Rules attached.
Applicant Name
Address
City State ZIP
Phone # Fax #
Authorized Agent
Affected D Cw FD EW KPTA ETIES El PTS
AEC(s): D OEA i HHF 01H Cl UBA El N/A
L' PWS: 7— FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County ­
Street Address/ State Road/ Lot #(s)
Subdivision
City A ZIP :5
Phone # 06-2 River Basin k1ii"!ir (=vlie-
Adj. Wtr. Body 44 (6i a /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
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 ----
- not sure yes no
SAV.
Sandbags: not sure yes no
VC;
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no,
------ -
----------
A building permit may be required by:
------------- ----------
See note
on back regarding River Basin rules.
Notes/ Special Conditions
----------
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check#
Permit Officer's iinature
Issuing, Date Expiration Date
Local Planning Jurisdiction Rover File Name

°T,!
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 complywith 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)
Revised 10/C

STATE EMPLOYEES' CREDIT UNION
Gr3c(UZs
06264
MOREHEAD CITY BRANCH
MONEY ORDER
REMITTER
DATE �
66-7704/2531
PAY OR THE P�
ORDER OF n
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DOLLARS
State Employees' Credit Union
n 062 More sea A City, North Carolina
VOID AFTE YS
II' 0 0 6 2 6 4 II' 1: 2 S 3 1 7 7 d 4 9 1: 0 8 6 0 4 3 0 0 3 8 5 II'
AUTHORIZED SIGNATUR

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01/03/2002 02:29 9192437595 JIM BURKS BBMC
PAGE 01
N.C. Division of Coastal Management Jan.3,2001
Att: Ms. Terry Barrett
The following three pages have the signatures on the form necessary for a
boat lift in Slip 10 at Harkers Village Marina.
I will make every effort to meet you at the site Friday at 4:15 pm. My
contractor, Alton Best will be there to meet you, even if I am unable to get
there, due to the weather we are experiencing.
Th ou,
James F. Burks, Jr.
My phone: [phone]
Alton's phone [phone]
I, o 0-?�104

01/03/2002 02:29 9192437595 JIM BURKS BBMC
2!.'i 2891 Ef3: 3: :52:3�_9�3 HAFT3I5 & aS5C±CIA-ESPAGE
01
PAN
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bow
GEC-f0-20 ' "EI! 12'J, F", HI O;v DF '%ASTA6 00V FAX Kc. lyr�a�:sit+
wAcom RwARL4N PRo?LRTY 0"Im atATENJxN�i
(foa A pr,<aMoopmc pizimops0AnifriaoAYW0454
I hereby cerul) that I twe property 1 1mamt is s �4Ra
?iwm
of �ertr .re:)
ll-= � Stvcly Rood, ttc.)
ateMady) (icwn artd/er GavntT•)
He hN deeciioed W me, m a.';cwn below, the 4evt!opmert he !i prwlC r.i s: that Lofton.
ana, r Raw no Objttsdors SA h;j pMjK&d. I Un&T1ja.4 eta' a pie.'*tootu+(,
p;:in=o!boallftrboe:t x►rie m%;st be ee; Wk a trinimvm 111MV8 Of !1' G� !eC (.` i her my arcs
of riparian leteu omen waned by mt.
I Ap." wish t� wab t u'te N*uk Irwism"'
I An w:o to wai"e d u sMttdcY';yvirtae+t
DLSCIJFTIoN A.*Nl)/na DXAW9N0 or NI0POSID DEV'E10FNa"T:
(TO b 1)W4d iA 1y` iAeiridWdi )pryVXR9 40410reent) 0 1 4,,,A, �AA5 q i(411 L /K4 J1 tiM�0.%
Print os Type Nome
')C1 - 1j 7.47a 1
Te!ep`ov,a Number
but, 1 )'ZO 1
PAGE 02

01/03/2002 02:29 9192437595 JIM BURKS BBMC PAGE 03
DEC-14-2001 WO 12:01 FM NC DIV OF COASTAL MUNT FAX NO. 2522473330 r, 0
ADJACENT R.IPAR.WN PROPERTY 0WN-ER STAMNfENT
(FOR A PIER/MOORING P[LINGSIBOATZIpTIBOATHOGSE)
I hereby ee7ify that I awn property adsacent to �.--SydRa. Z vehh
(Flame of Property Owner)
(La . Block, LIU Roaad, etc.)�an �'i, io6r/ ers I.-S/ 'd , � �' 0—,, 0•, N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, 6e de•%e',opment he is proposini ai ttiet location,
and, I have no oh}ections to his proposal. I underntand tl a: z pie;Imoorine
pdinp/boacl?ft/boathouse must be se; back a rrinirnum distance of fine_n feet (': } horn my area
of riparian access unless waived by me.
__„____ � I d not wish to waive the setback requirement.
T S 2 wish to wave teat setback'iequire-; ent.-
DESCRIPTION AND/OR DRAWL'tiG OF PROPOSED DEVELOME,147: ^µ_�
(To be felled in by individual proposin; development)
sr�d7.� � �i s w � E..��✓
or Type Nance
G r. 9 — -?-3 s- —.?-14"
ic:aphone Numbe;
Date: 0!� L ;-w Aoo

01/03/2002 02,29 9192437595 JIM BURKS BBMC PAGE 04
FR0M : FFX NC. : 860345%0 Ce _ I6 2001 z3: 23PM F2
I2�1fi/.09t O't:06 919�a375s5 JIN Bt�acS �h1C PAS 01
Utz'-?4-20Cf �R: !Z;�I ?fit W, DIV OF COASTK %%7 FAY NO. M47M
'' DlAcxn R wAi LAN ?RgpEx-ry OWNER 6 m-,,irmr
r'oK A P'Z-VMoaRlYC PflJbVSlt 0A 7XIM'SOA rNoc SE?
i hereby ttrefy thu f awn DrvQarty ad;aCfnt to,.1A on r�s �..i,adoa vrAii,
(Name o! P oaecty OMner)
]oared4c�• s /e
an 1Ti .dt�.r.,, ��rJ►��.���-, N,C,
• �71 (Torn aad%r Couotyl
Na bw daClcoed RtE, aS 11Cw+'+ b&w, trs dm!opercu ht',t propoj:-j ti iii: krcidon,
and, : have np of ja ofu to III propoW. I arsdersaad that f piwmooriv
i% 4vbaa� /boisboVic Most be se: bauck a mr,n urn di;cajct of fifr—.j fart (' �'J ff+om ray am
v{ r:paliac, rtstcss w�iesy wwvtd by rao,
I A 4C wish to "41 t.r# utback raqui cmru.
DESCRYPrON AND/OR D"WriG OF 1ROP05ED DEMOV It'N?:
(Tv 4f;Wfd IA by fadi►pdae' pnspo ,t; dt►tl�y arnt)
o ex-4
g s'i°'rsre nn
Print or Tyyc Nsmme
Te:rJhune Nembo;
Dort: La,f f6(o!

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: J S PERMIT
LOCATION:
FIELD REP.
PHONE:Ce DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) Do the easured dime sions of the development differ from those indicated in the permit and workplat?
YES/ O circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES O ircle one].
COMMENT: