53391_GURBA, STEVE_20090330

❑C40A / ❑ DREDGE & FILL
G15NERAL PERMIT Previous permit #�
[A New ❑Modification ❑Complete Reissue El Partial Reissue ' Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
i. and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
E3Rules attached.
- Applicant Name , E r r `'�,; Project Location: County - - _
f AddressC3 Street Address/ State Road/ Lot #(s)
City \1yR
F— State ,'r ZIP
Phone #(`;_-�) ��o'tl(?;Fax#( )
Authorized Agent
D`CW
E EW Q PTA —ES ❑ PTS
Affected
ElOEA
AEC(s):
ElHHF ❑ IH ElUBA ❑ N/A
!, ❑ PWS:
LL FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin \N r,,T P L
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body �� s
Type of Project/ Activity`..i'``'�'_:
(Scale: � )
Pier dock length
Platform(s) Zt x F T
Finger pier(s)
Groin length --- -- — .--- ., -- — - --y
number__
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel }
cubic yards
Boat ramp .-
Boathouse/ Boatlift
J
l I
Beach Bulldozing
Other_ Vp
_
- The time period requirement for this
SAV: not sure yes no - authorized development is suspende
Sandbags: not sure yes no �_ I _ _ — t I 1_ _-_ until December 31, 2010, pursuant tc
Moratorium: n/a yes no the "Permit Extension Act of 2005.''
Photos: yes no —
Waiver Attached: yes no
1
A buildingpermit may be required b ' t! �� ❑ See note on back regarding River Basin rules.
Y 9 Y
r �J � 1
Notes/ Special Conditions , f�
A�oicantPrinted
Signature Please read compliance statement on back of permit
Application Fee(s) - Check #
PermitOfficer's Signature
Issuing Date ExoiratioA Date
Local Planning Jurisdiction Rover File Name

s
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:
❑ 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 (9 l 0-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-28'18/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

ACAMA / DREDGE & FILL N° 53391C.
GEI ERAL ` PERM iT Previous permit #
.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 %!"
Rules attached.
Applicant Name Z C:� „t
Address 1 PC, 1 3 -177
City Stater ZIP
Phone # �� ` %3& Fax # (_)
Authorized Agent
Affected CW ') ,EW ( .PTA DES ❑ PTS
AEC(s): C OEA HHF D IH D UBA [IN/A
PWS: DFQ
ORW: yes / (a) PNA es (/no Crit.Hab. yes / no o
Type of Project/ Activity t oC"\K
Pier (dock) length 1-7 S x L
Platform(s) Zp;x 10
i
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore -
i
Basin, channel _
cubic yards
Boat ramp E
•
Boathouse/ Boatlift
i
Beach Bulldozing - - - - - -
Other \\
- - S IN
Shoreline Length Sb� Y
,
SAV: not sure es
Sandbags: not sure yes .10
1- - - --
Moratorium: n/a yes f<� 1
Photos: yes
Waiver Attached: es no
A building permit may be required by: ry� \ �n 310 X4
Notes/ Special Conditions _ 1' \ ,,A VNG-' 9 c P P d / q vJ � CITrt o t v S X, 7S I • •%JA �
cw%te Sxl ­4 r
Project Location: County__tt
Street Addre_ss/ State Road/ Lot #(s)
r
Subdivision
City 'A A,,, ,. -- ZIP_'2�, 35
Phone # O _ River Basin . �;°� �'T'
Adj. Wtr. Body Pacsn-C Swc at /man /unkn)
Closest Mal. Wtr. Body �c
(Scale: V _ GO )
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
2o0 = ii 532
Application Fee(s) Check #
A_
_ See note on back regarding River Basin rules.
I -
Permit Offi s Signature
Issuing Date Ex iratioA Date
Local Planning Jurisdiction Rover File Name

Allon
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
March 30, 2009
Steve Gurba
PO Box 377
Hubert, NC 28539
Dear Mr. Gurba:
Attached is General Permit #53391C to install a 175x6 Pier or Dock and a 20x10 Platform at 160
Wilburne Dr., Hubert, NC
In order to validate this pen -nit, please sign the permit 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,
Barry Guthrie
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity t Affirmative Action Employer — 50% Recycled l 10% Post Consumer Paper

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All IAC'ENT RIP ARTAN PROP F 9.111 OWNER S A a'E!'A!I.F.NI T
i bereby certit that I own property adjacent
(Name of PropeitvcQftoyL;dU Qt1 DCAA
located aturoC�-/ � 'G 9' � ."..�..".._rcr/A,''/f.
(Lot, Blocks, Road, etc.) `
on Ct� t� r ` t" E' lC Off S/�
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(Waterbody) mi r Comity)
Applicant's Phone M.,jiting Address-
Ile has described tome, as shown below, the dcvciopmctit he is F.raposing at that location, eisid, I
have no objections to his proposal. I understand that a (3ie-hTtL)nr'in , pilinb s J boc .i lift i boc,tholisc
must bo setback a minoiztnum dista=e of PZfteen &Llt. (15) fr"oM M; area o f ripai'ian ;tscav:> au1l1�a
waived by me. (If your wlab to waive the setbOdk, yua aAI"A j"Itlal t1Ac aWapriate t 1a1A3i"
belowv.)
✓ I dv not wish to waive
I do wish to waive that actbaC,l< rcauircmcnt.
1DESCRMTION AAA/0RDRAWJVCr OF 9'ROPI)SVP DEVE€,O➢'iVii+'.i4I' :
(T'a be,�filtd In by a�drvic(iAul �srrD�snsrtz� ��r: ►tcfoj�m�rrl,D �
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(1-oformation for Property Owner Applying
forPerrmit)
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[Madiag Address
city/staii/zip 9r0 .sy ? 6 5/
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Telc a Numbet
Signature Date
(Ripa.i,an Proptrty (whir 1nforxwxa4.ion)
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MONITORING & COMPLET ON R"
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: 512 ; q G 0 r 1') G PERMIT # 1S -?'G j C
LOCATION: w, I L; tie U,� �� Lp 4 FIELD REP. Rk
PHONE: '1I d ` �)2G --q 6l
DATE OF INSPECTION i -3U 61�
1)
MONITORED BY Ad
DATE REPORTEDLY COMPLETE: ,N 7
D he measured dimensions of the development differ from those indicated in the permit and workplat?
YQ�O/NO [circle one] .
2) SEDIMENTATION & OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES [circle one]
COMMENT:
3) FUTURE UONJTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? E [circle one].
COMMENT: PL,A� I O,\CQ "t cQ ne \Ne