31667_TESSIER, JACK_20020502

"CAMA / DREDGE & FILL^ y/ "'
GENERAL PERMIT 'S 31337 C
Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit issued r
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 f ? i 1 17 G C
C Rules attached.
Applicant Name )Grk I < SS t' Project Location: County reri 1 /. r -1
Address X ��3Pb Street Address/ State Road/ Lot #(s)
City 1 Mio li (sfc State ZIP
Phone # (�S/) rb ? t� Fax # ( ) Subdivision (..do,
Authorized Agent S,pW
❑ CW
EW R1 PTA
Affected
AEC(s): ❑ OEA
HHF ❑ IH
❑ PWS:
❑FC:
ORW: yes / no
PNA g / no
City w f
ZIP 76 S'7 o
El ES ❑PTS Phone # ( ) River Basin 1J
❑ UBA N/A
Adj. Wtr. Body (: r i f ' . ` 0 a}/man /unkn)
Crit. Hab. yes / no
Closest Mai. Wtr. Bodyysti r Sou M
Type of Project/ Activity i 2 ' 12 Vv' v�' ' a �LD� l% fir
�y
(Scale: 14 Nr )
Pier (dock) length Platform(s) 11 X1 b!L, a 4$A,
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length i' . ' J !. )
avg distance offshore
max distance offshore
Basin, channel --
cubic yards
Boat ramp
Boathouse/.Boatlift
Beach Bulldozing
Other
Shoreline Length
IZkl�Sittl,o► t. _I
II �I
Lj J '�t CNP'
SAV: not sure yes 00 1
—}---------- ---�I
Sandbags: not sure yes o � ? � YW,✓ f �
—.
Moratorium: fno
um: n/a yes no
(�1L
Waiver Attached: yes no ----
A building permit may be required by: (I �c . q; l C , L See note on back regarding River Basin rules.
i r jj
Notes/ Special Conditions s %FaY: p �� :`^t \/ l i f T ! �.♦� C r �� a t ' /f r� �^ �"�l $ i,
P 4t�.:�� PC. �.. r./p. t/� k�� / ' 1 •`t, ',� pt' �.
roc No�S� ar�r 4t t'A.
. dF
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
G 6
Application Fee(s) Check #
Permit Officer's Signature
'^ l ( Z. 5� - j Z
Issuing Date Expiration Date
t o r. J (" I tJif(t, - ) J 1 1 /1
Local PlanningJurisdiction 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 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 10/C

4
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3440
66-30/531
DATE " o� ` O.�Z 131
PAY
TO THE
ORDER
DOLLARS 8 a
RRST CITIZENS t31
DAjuju First�Ci.d Zl Bank. Trust Company
j�u �i` Morehead aBan.C. 28557
Trust
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Nis
FOR� -----...------------------------------ -- ---- -- ---
II'00344011 �:�00001312 519611'
- Yl3®ar L• � -
e Securi l yS nha n ccd d o c u ment. Scc back jar d
J TESSIER CONSTRUCTION INC. C(a?� 31(067)
P.O. BOX 4386
EMERALD ISLE, NC 28594

i
4119 Sheep Pasture Rd.
= Spring Hope, NC 27882
EDWARD �..� [phone]
I
Inc. Fax [phone]
Please call if there is Website: www.edwardsinc.com
an error in transmission email: [e-mail]
DATE. # of pages (including this page)
�� r
TO:i_LL FROM:rDr
CC. RE:
FAX:
4
TA ' d L I �1S�t c.�' fJ I S I�Hi i�I� b : 6,0

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04/17/2002 14.1 7 34337se5 ZAX PAW- 01
INAIPARUN PROPERTY OVR�Eg iW. Lmutw;
6EKIMO PfLINGSIR OA MYTIBCANOW
outT-y 4iv I awii property ;adj;wtn,, to
'y"; I , IA,�,..
4M2)
(Town ancvu county)
0i'me, u shown below, th.
;*o objfttiorlmt to hi3 prcpamL I understknd - thu
M,2.
LQ Wa� �rla WbaCk TqT-MIM
U NVOR CAAWMG OF PROPOSED DEN�Ei�, Ml<t
bq ffIU0 tit, he LsdWdua: prvqonxg *ve!vpmevf'
A
Ak
Signature
—2-1 _V4X
I*Inc or Tyrt Nzr"e'

ADJACENT RIPAR.LaN PROPERTY OWNER, ST'A.TENLE; I"T
(I'OR A PIERIA100RING PILINGSIBOATLIITIBOATIIOUSE)
I hereby certify that I own property adjacent to ,1/.. (�,L. /pu- 's
(Narrie of Property Omer)
property loc,-:rtrjJ at
(Lot, Block, Road, etc.)
rr /;/
on /D�sr_- CA�-k , in il'i` Pe . CiA AI/r A-/ , N.C.
(Waterbody) (Town anti/or County)
He has described to me, as shown below, the devehpment he is proposing at that location,
and, I have no objections to his proposal. ' I understand that a pier/mooring
pi.lings/boatlifUboadiouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ I .&o ut wish to waive the setback requirement.
D
/I J1 !) -4 n)
Ple"o cOpF
I aQ wish to waive that setback requirement.
'ION AN-D/OR Dk'iAWE G OF PROPOSED DEVELOP`TE:.T:
(To be filled in by indiridual proposing development)
T
Signature
ZA.e,
Print or 'Type Name
Telephone Number
Date: ���5��0 �—