31568_PERRY, JUDY_20020403

, / ❑ DREDGE & FILL
a 31568 E
,CAIN4A
GENERAL PERMIT
�G+
vious permit # '
:New ❑Modification El Complete Reissue
[!]Partial Reissue ate 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
O Rules attached.
Applicant Name V :1Y 611 V1
Project Location: County. - >i f -f
Address 14; } i,. W, f` f=
Street Address/ State Road/ Lot #(s)
City f� l in0 41e, f State tJi ZIP ?
S!.' t'll F �v;r o 1 �r j C(,4
Phone # (Z:)�� jr'Zrcj Fax # ()
Subdivision
Authorized Agent 1;0 LA c
City ,'`?� p ��4x ,. C ZIP J
❑ CW ❑ EW ❑ PTA E] ES ❑ PTS
Phone # i i. f River Basin is t
( )
Affected
❑ OEA ❑ HHF ❑ IH 1-1UBA El N/A
AEC(s):
Adj. Wtr. Body k.r- Efc'e , k-1man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body '4'ttr urE�
yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) L yt
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\. 1 ��
Other_
+
(Scale: /Vr,rdr
c
1 Y-
Shoreline Length
SAM not sure yes
Sandbags: not sure yes n ! h� f 1
Moratorium: n/a es
Y 9 ` k
� Photos: I no
1a
Waiver Attached: yes io .- --- -- ----- —
A building permit may be required by: I 00n, ❑ See note on back regarding River Basin rules.
.f
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
*'
Issuing Date Expiration Date
f ,
Local Planningf urisdiction 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 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 10/05/01

i UNITED STATES POSTAL SERVICr
• Print your md;-@Wdress,
I-Irst-Mass Iviau
Postage �eas_F
and ZI P Lode in this: bo*. - -
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SENDER:
■ Complete items 1 and/or 2 for additional services.
■ Complete items 3, 4a, and 4b.
■ Print your name and address on the reverse of this form so that we c
card to you.
■ Attach this form to the front of the mailpiece, or on the back if space
permit.
■ Write "Return Receipt Requested" on the mailpiece below the article
■ The Return Receipt will show to whom the article was delivered and
delivered.
3. Article Addressed to:
J
13
drew
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5. Received By: (Print Name)
6. Sig
X
PS R
or
11, Deceml�r 1994
the
I also wish to receive the
following services (for an
an return this
extra fee):
ai
does not
1. El Addressee's Address
it
number.
2. El Restricted Delivery to
date
Consult postmaster for fee. E
4a. Article Number u
o& aoUoa 93 s 33'03 2
4b. Service Type
❑ Registered 'A Certified fr
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD 3
7. Date of Delive
0
8. Addressee's Add f9s (Only if requested Y
and fee is paid)
102595-98-13-0229 uornestic Heturn mecelpt
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n

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY,-gWINTER NOTIFICATION/WAIVER FOR.'W
Name of Individual applying for Permit:
J
Address of Property:y/1
(Lot or Streit #, street or Road, City & County)
I hereby certify that I own property adjacent to the above refe.e;,ce; property. the individual
applying for this permit has 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 objections to what is being proposed, please write the Division of Coastal
Management, Hestron Pla;V II, 151-B, Hwy. 2-4, Morehead Cuv, NC, 28557 855 7 or call (? 52) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 1 5' ii om my area of riparan access unless waived by me. (I you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
—_— -
anatu
I do not wish to waive the 15' setback requirement.
Date
/4— 0
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Te!epho e Number With�A�reaCodeeR