31659_HILL, VAUGHN_20020423

[CAMA / D DREDGE & FILL
GENERAL PERMIT Previous permit # '
rJNew LiModification ❑Complete Reissue DPartial 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
J _
❑ Rules attached.
Applicant Name '(�;, Project Location: County
Address (•; �� (;_c [: yr r Street Address/ State Road/ Lot #(s)
City }?.. a. ;;,; ��C} State ZIP
Phone # Fax # O Subdivision
Authorized Agent City - % , ZIP
Affected Cw [] Ew CIJ PTA iJ ES O PTS Phone # ( ) River Basin E•��.; C
OEA ❑ HHF -] IH i =i USA ❑ N/A
AEC(s): PWS: Adj. Wtr. Body ( c°¢ C _ I C'ek (nit /man /unkn)
D FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body-
Type of Project/ Activity
�•>r;� .rrJ,�! (Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length Z D
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length / Z�
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 #
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning jurisdiction 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 / 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 I0/C

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to VAY01) -r- I�Zl.L. a 's
(Name of Property Owner)
property located at 0tZ L gil-r l Q
(Lot, Block, Road, etc.) f
on �e -�-� �� cle Ems, in 1� Ny��o.USy! 1 �� �iQA� llLy /n , 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)
ril
hnR. b L;x u CR
�y NAk� �5 �►.�y Go��
,IT41 �I1�►� �'e��K �a�5-�
t.. H 2 u AleEz 5 6, k
"%, -T' 510-P- T PT-5 F�(fRZ1J
Signature
✓✓ i Print or Type Name
Telephone Number
Date: C - `/ - G l
511P'11E nkei-�T
-29-

ADJACENT RLPARIA.N PROPERTYOWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATIITylBOATHOUSE)
I hereby certify that I own property adjacent to /,C/oGHIV
(Name of Propei-ty Owner)
property located at o�qS Lcp7a"i i<
(Lot, Blocky Road, etc.) I
onl�
(Waterbody) �~ (Town and/or Co ty)
He hai; described to me, as shown below, the development he is proposing at that
location, arid, I have no objections to his proposal. I understand that a pier/mooring
pi nos/boatliftfboathouse must be set back a minimum distance of fifteen feet (if') from my area
or iparian ccess unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
M
DESCRIPTION ANDIO2 DRAWING OF PROPOSED DEVELOPNIEN -T-
(To be JWed in by individuaI.proposing development)
OWLK KEA
0
�-
y
Signature
vi
Punt or Type Name
-�-^S
Telephone Number
�? Date: ,''

VAUGHN T. HILL, JR.
ANNETTE C. HILL
LIC. 1673115 2323198
245 OLD LUPTON RD. PH. 919-249-1159
MEERRRITT,,NC 28556
PAYTHE E
ORDERER OF � ,!l p--�
➢L
66-7549/2531 3773
DATE &-2-
I $ o
DOLLARS 0M.,
Coastal Federal Credit Uni�n
.�
P,O, BOX 58429, RALEIGH NC 27658
MEMO -
1:253 L754941:0 064330500 2501I 773