42506_COSTAS, PATSY_20050816

CAMA / _1 DREDGE & FILL i
GENERAL PERMIT
� Previous permit #
L!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 5
Rules attached.
Applicant Name i�1 S✓ 5 / .115 Project Location: County
Address /+ / t, Street Address/ State Road/ Lot #(s)
>
City /�') P- Stated ZIP 'r� '� ..�� / . i :: `- C ( L
Phone # () f _. -ZV% ? Fax # () Subdivision 0�:�t (�t<."irs.v �(..�,.,; ✓'i_ti? (.'
Authorized Agent /f-, %� City ),) j A ZIP
,...,/ i
❑ CW LJ EW �XPTA )JrES El Phone # ( ) River Basin
Affected
❑ OEA -1 HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): El PWS: ❑FC: Adj. Wtr. Body (7/1/y Ate. (nat 0. /unkn)
—�"—
ORW: yes / no PNA yes kTT9 Crit. Hab. yes no ' Closest Maj. Wtr. Body' • I'F=��•+ -'' " (. L �����
Type of Project/ Activity
r::> i✓ 1. / ► /J E (Scale: �l T )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length `
_number
Bulkhead/ Riprap length L.; 7
avg distance offshore�t
max distance offshore'(, i
` - Basin, channel
E� ►' PJC
cubic yards - ?
Boat ramp
Boathouse/ Boatlift -- - - _- - -
Beach Bulldozing
Other
Shoreline Length
LI '•.7
SAM not sure
yes �i`gli - ---
Sandbags: not sure
yes
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
yes no
A building permit may
be required by:
Notes/ Special Conditions
.,� u I i1 F 14v4 4./F
Agent or Applicant Printed Name ,
-"."_��
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
N V(__ i
C See note on back regarding River Basin rules.
41
Permit Officer's Signature
Issuing Date
Expiratio Date
��?
Plan Local nu isdiction
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
I Tar - Pamlico River Basin Buffer Rules L] 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

DEC-9-2005 11:37A FROM:TRENT WOODS 637-7088 TO:96372412 P.2/3
' 7cy..i`afx r'�''►�RC:, . I tu. /- l Culp b N `•' :: '355
Previous Permit #
i_.'Modif,cat{on X-ornpiete Reissue Partial Reissue pate previous permit issued_
As authorized by the State of Nord, Carolina, Department of Environment and Natural Resources
znd the Coastal Resources Corn,misS)on in an area of environmrntal concern pursuant to I SA NCAC - —
L- 11ules aradic - -- -
Applicant NarneL. I IIJ /)A_ _ei) ✓ 0A.1
Address-- U 7-
City- --N�kJ 8erA) ---- State. hk-ZIP
Phone # , LFax #—
Authorized Agent
Affected U CW ktW PTA S- G PTS
AEC{:}:
C iOEA �-I HHF IJIH ' UBA -F-N/A
r I PWS: —FC:
ORW: yes /& PNA yes / no Crit. Hab. yes / no
Project. Location: Coun0,.-_—.C.f2�9t
StrLLA Ad ss/ State Road/ Lot
Suhdivisla -_ - -- --- ..�--- ---
w
— -- ZIP
Ciry_ -'-c- �2r,tl
,l
Pho4 2y a'j-j.-1q"fZJ River Basin Nt=4-���
(_.._ _- _
A Bj,i�/�
Closest Mai, WLi-. Body —1 ��✓ � ----
Type of Project/ Activity
(Scale:
Pier (dock) length_____. _—
Finger pler(s)
Groin length J
number
Cl u khea ipnp length
avg distance offshore
max distance offshcr ;7--5---7-- '
Basin, channel y
cubic yards
Boat ramp ---.-_ ICJ �T 4-
Boathouse/ Boat ift
Beach Bulldozing _ �-
Other
I
1 %V
Shoreline Length
%
SAV: notsure
yes
® VY - .._.—.
- - _
-- - --- _.. _ • _.- _ �i- - -- _....
Sandbags: not sure
Moratorlum:
Photos:
ye,
yes
.
® I
®
_ _ 1 i _. I
yak � �
yes
_L - -
WaNer Attached:
A building permit may be required by: C��/'� '7y (�fJ ❑ Spa note on back regarding River Basin rules.
Notes/ Special Conditions I� f> u I � h" qt, -z
7") rd 1 4v be e-- I•e, L., A eL-Pv-z�,..,-
Agent or Applicant o►irrted (dame
Slananro., *"Pleas comphancestatemen backofpermit-
!ate 0�3
,:2 'A ,U4Lxj ,
Prr L C/ S dv r ,
--I/IHtI4 Ak-A--r-�
Penult Oftleer's Signature
-405
Issuing Date Expiration Date
&ra4.�e�de 01 Ulag/38 --