40326_LOFTIS, RON & GURGANUS, HAROLD_20041102

-�-'CAMA / -' DREDGE & FILL v
GENERAL PERMIT revious permit #
2New '[-!Modification F]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 I SA NCAC
QRules attached.
Applicant Name /� . k' L/� i % 1 j /��r /'� % ?G'','1.4•.v Project Location: County_
Address Set ,V Street Address/ State Road/ Lot #(s)
City State- �/C ZIP S j;'
- ----- - - -- r
Phone # Fax # () Subdivision
Authorized Agent City_ %"' �, r ' =� S�Cr �-�� ZIP
Affected J CW SEW ©-PTA ES ❑ PTS Phone # () River Basin
i OEA ❑ HHF ❑ IH -1 USA ❑ N/A PWS: 1-1 FC: V L_ t / .( c
AEC(s): Adj. Wtr. Body (nat /man /unkn)
Body
y
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. — - - — --
[Type of Project/ Activity
Pier (dock) length
Platform(s)_ '
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength '
avg distance offshore
max distance offshore
Basin, channel
cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by
Notes/ Special Conditions
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
f� �.Iroar�A
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, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-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)
www.nccoastaimanagement.net
Revised 10/05/01

CAPE LOOKOUT R.V. PARK
252-504-3400
1491 ISLAND RD.
HARKERS ISLAND, NC 28531
PAY
TO THE
ORDER O
1436
66-112/531
DATE ! �dy °� 7- 02201
�$��o.
DOLLARS 19
BBB// ELITE III
BRANCH BANKING AND TRUST COMPANY c-?c
�
-IC+
BEAUFORT, NORTH CAROLINq,.ll
FOR J00C,1Kc..�., rrr<�.-
11500143611' 1:05310112&1:5195 7532u'

11/01/2004 10:00 319-784-3039 REXI PHARMACY OFFICE PAGE 22/'02
Ub/1�/2Ld4 20:40 19197325951 GURCIANUS BUILDERS PAGE 0i
-..—...r
Ae .aee# Rlmr6a Prolwny car saw
! ►ovby t&g t I *wig pr0rty adjoemt to 's jszs-Z�a 5
it
tamm of r,M"ft Ow="
pf IN lid at
I" I tlwerib1 to We d ftawu WWP, tN +wbbpa.at be r propowst of that
bw*16 aad I love av ablafta to big prapataL
DWe IP loa 4"Or i cr r% —
(7b dr.AJtow AN 1y 11i►00000 A
or now ._.
7t i 90;2 9
,arlav�o�e �wrMAa
d�
,Z�,Z-- s-"')v- 3�zaa

Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent toEcaC21 S
1 a�Jcc S
(s of TerMrer Owner)
party located at )14D
(Lot, ShIL14 Rani, su.)
on 9'e-1 el*el i. (20#4 tW.0-f—
(why) (TO" miler C WWY)
He has described to ate as skews below, the development be is proposing at that
location, and I have no objections to bit proposal.
Description And/or Drawing of propaed Development
(To beftIt*d tM by rnaWk6olpropw* drMA*wWW)
5, T,ffA c /�
St
G 61 J 019Lleid �✓
PrW or type pkvw
ass
telephone Mamber
date