33628_AUSBAND, PAT_20030414

LAMA / 7 DREDGE & FILL
GENERAL PERMIT Previous permit O�J�
-A — I''
Complete . ew ' Modification I '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 [71, Rules attached.
Applicant Name
Address
City State__ZIP
Phone # Fax #
Authorized Agent
L1 Cw Cl Ew [D PTA
Affected
El OEA El HHF Ll 1H
AEC(s):
L1 PWS: El FC:
ORW:
yes / no PINA yes / no
Project Location: County__
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
F] ES -1 PTS Phone # ( River Basin
L1 UBA —1 N/A Adj. Wtr. Body (nat /man /unkn
Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length Jr
Platform(s
Finger pier(s)
J
—
- --------
I
(Scale: A ITC,
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards —
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
17-
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
'ILL
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
-7—
T
-T
4
See note
4+
T
on back regarding River Basin
rules.
Agent or Applicant Printed Name
Signature ** Please read compli 2ince statement on back of permit
Application Fee(s) Check #
)7
PermitO 1
ffi I �S- 117k,
u
Issuing Date Expiration Date
Z409130 A
Local Plan ningluriscliction 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 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)
www.nccoastalmanagement.net
Revised 10/05/01

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F. PATFJCK AUSBAND
KATHY L. AUSBAND
66-112/531 5472
LIC.3231873 2758133
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PH. 252-225-1055
390 HWY. 70
20 03
E
EA LEVEL, NC 28577
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BRANCH BANKING AND TRUST COMPANY
ELITE CLASSIC
BEAUFORT, NORTH CAROLINA
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Donna D. Moffitt, Director William G. Ross Jr., Secretary
April 14, 2003
Mr. Pat Ausband
390 Hwy 70
Sea Level, N.C. 28577
Dear Mr. Ausband :
Attached is General Permit #C33628- to construct a 4' X 52' pier with a 24' X 8' "L" at your property
located at Lot #5, Middens Creek Rd., in the community of Tusk, North Carolina.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white copy for your
files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the
signed permit copies are not returned to this office before the initiation of development, you will be working
without authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Tere Barrett
Coastal Management Representative
Enclosures
Tb/rcb
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: http://dcm2.enr.state.nc.us
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to & a,.. ".4 14 ,1-/ is
(Name of Propeilty Owner)
property located at 6—
(Lot, Block, Road, etc.)
on �; c11)eA s 61'[zk , in er v . , N.C.
(Waterbody) own and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
S�prc ���lL
a - A
'J
r
Signature r o s
os >_ �1
Print or Type Name
Asa - 9 a�)
Telephone Number
Date: "O �-
-29—

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to "FA*} , / 'm Ah'wis
(Name of P(operty Owner)
property located at �(� �� )%i cl -�t , ('lee —lc rW
(Lot, Block, Road, etc.)
on t �'l/�'I�.i Ly�� IL , in LD . , N.C.
(Waterbody) (To"In and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
A, k1l /Iu_IIr
Signature
San.,A L. VA✓ts
Print or Type Name
tic Me WORD
B-t 7.2 3514
Telephone Number
Date: 200 —
—29—

FEB 19 2003
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