30581_HODGES, J M JR_20020325

CAMA / DREDGE & FILL ,� tXf T Jq:n��♦ _C
al 1
GENERAL PERMIT 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 !
❑ Rules attached.
Applicant Name 1 _ >+ _ -..: ) K' Project Location: County k__: 1
Address l I j ..;, .. f: r�...� k r�l j
City State .iG- ZIPS .3
Phone # (' `,) w .. j 7 I �:) Fax #
Authorized Agent ,.I
Affected CW /EW kPTA V°ES ❑ PTS
AEC(s): OEA ElHHF ElIH ❑ UBA ❑ N/A
PWS: ❑ FC:
ORW: yes / no PNA yes f no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s) ;" l a l
Subdivision
City r .) ltJ ZIP
z
Phone # ( `�� )' =j ..) % a «i. -. 1.
River Basin .,,; :7r--
Adj. Wtr. Body _(nat man unkn
Closest Mal. Wtr. Body t,jf
Type of Project/ Activity>
•t
l
(` f
( ��{j (�i�41e. �V/�
Pier (dock) length i I �
_
Platform(s)
Finger pier(s)
Groin length
-
-
number
----7----
'-
-- - - -- �—
Bulkhead/ Riprap length
I
avg distance offshore
q�-�
f
max distance offshore
Basin, channel
--�� —
- ---- ----- -- ------
cubic yards
Boat ramp
t
Boathouse/Boatlift- -
I — ----
-
- ."l
i r r
-
Beach Bulldozing
I
l
Other
I
Shoreline Length
! '
41 c .
- - - -- - t
; i , , c r-F r :) % NZ I
SAM not sure yes Cno
z
Sandbags: not sure yes no
.- ..._
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes no -
-1--
I
-- - - --- -- - -- — - --`=t" ' - -' -- -
A building permit may be required by:
r dt. ;
C See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applipant Printed Name
Signature Please read compliance statement on back of permit
-) .� ,� � -• Wiz. t��, 1•:iC.�. `.� '� _ � --
Application Fee(s) Check #
j
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
use River Basin Buffer Rules
If indicated onfront 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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

J. M. HODGES JR, D.D.S. 66-85/531 52260393058069
137 BROAD CREEK ROAD
P.O. BOX 901
n NEW BERN, NC 28563 DATE , t c- d "-
PAY TO THE 1'
ORDER OF N {' �+ l�� (rY' "l V �/�jL�%� J
DOLLARS
RBC
Centura
RBC Centura BankNew Bern, NC 28560 /
a MEMO ----({/ _ M,
':053100850':0393058069nl 52 2'ry

12/20/2001 05:21 12526371113
JMHODGESDDSS
PAGE 01
IeG
J , M . IIOUGEB t JR. UUS
2301 GRACE; AVE,
NEW BERN,N,C. 28560
1-252-631-9703
1-252-637-1296 FAX
TO Sco F 7- --J-0N45
R 1; s /%t!
)• RUH : T . A/t
COMMENTS!
TOTAL PAGES: -3
.1-

12/20%2001 05:21 12526371113 JMHODGESDDSS PAGE 02
••+^� •--1_.. «.w.-.� I 1 1
�
tip'_
ITT- I 4 ' � -+ � _.
/.•._. I � - 1 .J I 1 i_. ....Y......-
, Ate_
�--..-.- ...., . I-r----�^--"-wy- �
Ka
� ! � �
.�, .. ,� _- L_ .. .I _T. _. �.._ I i I ..__y. ����-./�� ' i _
a-�:.r-J
_ _ . .. ... ._. � ... _ � � r � w... I -•
1
I
t I
.i . �t..�-..f._... {- . j.. _._ ..{. _ ..'.-- . �.. may. ..-I_• 1--. _.I_• --' - �_ •_
71.
_-'�--._: . u., ..,.+._..� _�.�. _..r+. .. .._�, __ _- •4---+---r----
...
(/,�/�O �..�. �- '_i_. ..,....•.
_-f i'� fir_. I F.. _.. r- '
-
x
\-,N

12/20/2001 05:21 12526371113 JMHODGESDDSS
&ASA41
L4
11 /S-,A - 4 r
L
4- -4
.4
PAGE 03
fit

■EN
e�� �
�o�9ifii ` 'an"i wS'��

'ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOUSE)
I hereby cer`dfy that I own property adjacent to �A PA
(Name of Property Owner)
grope. � located at
(Lot, Block, Road, etc_)
on /L°f� -sL f �r� l;c 't A w � 6 N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposi .-- a_ that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilingsiboatiiftiboathouse must be se: back a minimum distance or fifteen feat (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
4f I Jr wish to waive tr.at setback requirement.
DESCRIPTION AND/OR DRAWrSG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:

=er-
�l�-Li„Iffl�w�■wwiww�

r -.J4N-30-2002 WED 01:53 PM NC DIV OF COASTAL MGMNT FAX NO, 2522473330 P, 01
DIVISION OF ADJACENT RIPARIAN PROPERTYOOSWNER NOTIFICATTAL ION/WAIVER
I ON/ WA I'4 ER r0 R.IVi
Name of Individual applying for Permit:
,address of Prope
(Lot or Street #, Sweet or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit ;gas described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter,
I have no obiections to this proposal.
If you have Abjecriors to wvha1 is being proposed, please tvrile lire Division of Coastal
28 8ugerneru, ds7roa PIa;Q Il, ICI-B, Htvy. 2a, Morehead City, NC, 28557 or call (252) g08-
?8DWithin ID days of receipt of tlzis notice. No response is considered the same as no objection
if you have been notified by Certified Mail,
WAIVER SECTION
I understat d that a pier, dock, mooring pilings, breakwater, boat house,
set back a rlift or sandbags must be
rrinimum distarce or ? �' from my area of riparian access unless waived by me• (If you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the IS'sctback requirement
I do not wish to waive the 15' setback requirement,
Sianatura Date
Pant Name
TefzFh e Number «'ith Area Code