33385_GOBER, GARY_20030404

[ACAMA / C DREDGE & FILL 33,18 D
GENERAL PERMIT Previous permit #
QNew OModification ❑Complete Reissue ❑Partial Reissue Dale 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
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IA
Address 0o
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State—r�IZIP 372 V`��
Phone#
Fax#((_,I
Authorized Agent
Affected ❑ CW
❑ EW
❑ PTA ❑ ES ❑ PTS
AEC(s): A0EA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes /; no) Crit. Hab. yes / no
Project Location: County 1 j r to t �i.- J i c 1—
Street Address/ State Road/ Lot #(s) ! b j U a
T,r,�,6 -VIc ACj �JUt C
Subdivision
CityL;;'��C.I 0, tl j zip
Phone # ( ) River Basin .—OV L �- t1
Adj. Wtr. Body r, i , C ( { rt-� (bat'/man /unkn)
Closest Maj. Wtr. Body A A. i c- Lk- ` to-n
Type of Project/ Activity C' `� ra ," SY �k Cys f C
(Scale: No T T )
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
Boathouse/ Boatlift
Beach Bulldozing
Other ; Pyc I"
Shoreline Length if)(
SAM 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: 'I I I A
Notes/ Special Conditions o � ( 0 r-A
f.._:�
Agent or Applicant. Printed Nam
Signature Please read,compliance statement on back of permit
Application Fee(s) Check #
7
4,t.- ❑ See note on back regarding River Basin rules.
Permit icer'sSignature A J i J UU 3
U
Issuing Date E piration Date
s
Local Planningjurisdiction Rover File Name
I

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
Neuse River Basin Buffer Rules
[ Other:
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 / 1-888ARCOAST
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
15 I -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

RECEIVED
U.S. ARMY CORPS OF ENGINEERS APR 0 5 2004
WILMINGTON DISTRICT
*'�I.OF COAG'�
Action Id. �bQ3�'L�S`' County 8 ,
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner
Address
Telephone No
Av1P.V1Ll�p
Applicable Law: X Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) _Section 10 (River and Harbor Act of 1899).
Authorization: 6PI960P00 Z/�Regional General Permit Number.
Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is checked), before beginning work you must also receive a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone].
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date
Corps Regulatory Official Telephone No.
V Lz� I
Expiration Date of Verification �%-1�6 -OZ-(
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Revised July 1995