31512_SPEISER, STEVE_20020320

'CAMA / DREDGE & FILL /� 3 1 ICi
-� iJ 2C
GENERAL PERMIT Previous permit It
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /r/
Rules attached.
Applicant Name_ ..f:Ur J C.
Address �' i.•QX �/`�(�
City -Cj ;e'JGzl State 4. ZIP
Phone # (�) Jq "I-•CC5EF Fax # ( )
Authorized Agent _
Affected ❑ CW CHEW ®-PTA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF ElIH ❑ UBA CI N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County `C1 rT i I
Street Address/ State Road/ Lot # s +
Subdivision
City ZIP
Phone # ( )_ River Basin0 1-5c
Adj. Wtr. Body Nlrase-2-1 ie- _ �na /man /unkn)
Closest Maj. Wtr. Body
Type of Project/Activity cy x i t �,`C�+IPt�ri �,r ' r. E:X `Jlnr
(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 t
Boathousri Boatlift t �i,x t ;
Beach Bulldozing
Other
t
Shoreline Length )ao
SAM not sure yes
Sandb s t
ag no sure yes no ii
Moratorium: n/a yes no Tc:l�t�Lr i
Photos: yes (no
Waiver Attached: yes no =--=---- -
A building permit may be required by: tom' 1(C' CC) Sege note on back regarding River Basin rules.
Notes/Special Conditions Tf'-l�i�„Y,'tlPLIP YaLL'['Llik, t7lli)rrf l L �y :Y,. + C*.' iLtlt� OLti�
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
i
1 -�D
ApplicationiFee(s) Check#
I
C-'Permit Officer's Signature
Issuing Date /r Expiration Date
�"t 17.1.11rJ
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 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza 11
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

S Speiser
p.O. fax 950
OdesrW ,Ve 28571
66-30/531 580
472
DATE
PAY TO THE
ORDER OF
DOLIARS
e
Look tor:: Micro Print signature line. gray lype and linework, First Gllzns Bank Ingo on back If not present, do not call'.
o RST
CITIZENS 472
First-CRizens Bank &Trust Company
BANKOriental, N.C.28571
FOR
1:053L003001:D047i7553732��' 0580

ADJACEIN R ARIAN PROPERTY Oar —N� ST.AI-E-11VM
certify That Z own prope y adjacent to 5TAFuE S PE2 5�5i2 's
-'Name of Property Owner)
proper y iccaL'zd at---?P sATe O.e _
(Lot, BIocb, Road, etc.)
ou _ _/(fEu s� /2zyE� , in
(Waterb ody)
Qom° ZEK� TP[_
(Town andior County)
N. C.
He h;:s descrioed to me as shown below, the development he is proposing at that loca-, or.,
lix- c i;o ILQ Isis proposal.
OE'SCRMION ANDIOR DRANVENG OF PROPOSED DEVELOPNIENT
(To be filled in by individual proposing development)
0 01
G-
-- i •
0
1
j
Signature
Pint or T�, ve Nano
Telephone N ;inbc.-
Date_ A114/Z- /F 2&q;z'

ADJAC EIN IPARLAN PROPERTY 0�"'_NSTA I-EA/fE1
'[ t:e: � � Y certify that I own property adjacent to 6 S!�g:r f64 's
,'Name of Property Owner)
prone. �y iocu!ed at 5,6lSlfZL '04
(Got, Block, Road, etc.)
(Waterbody) (Town and/or County)
Ho has descrioed to me as shown below, the deve?op;nert he is prorosira at that loca6_or.,
and- l: I x-ic um objections to ids proposal_
DESCRIP'FION AND/OR DR.- NVL-..NG OF PROPOSED DEVELOPNLENiT
('o be filled in by individual proposing development)
•
4
_ - -
Signature
Pint or Trine Nana --
Telephone ltic;<io�.
Date: _6"< d- ?i-
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