33613_KIM, JOHN_20030213

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y—AMA / _I DREDGE & FILL
GENERAL PERMIT Previous permfE #
LlNew L 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 !1� /(.'t1
❑ Rules attached.
Applicant Name %Jo Project Location: County yr%;
_ j_ r'
Address _/ , G "% lr cry ,, ✓ , v�✓'
City--- 14, `141/s't"- / State_ ZIP
Phone # ( 70'4 S i3 - S 6 3 7 Fax # (____ )
Authorized Agent
Affected [J CW MEW 25PTA ES J PTS
AEC(s): ❑ OEA ElHHF ❑ IH UBA C N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s) 1, Z 2
Subdivision
City -11�n—lellj zip ,-r._KylL'
Phone # ( ) River Basin
Adj. Wtr. Body t1-fI'- 'IX r`1 _.- (nat Oman /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity (� c".• /L. _ k a6 iS• 32�
a S�i c7, • �% Gt� /� > /6 6 �rr.� rM�5v (Scale:
Pier (dock) length)
Platform(s) i it A 1,61t
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
1
i F
P
-
r
!
r
� I
cubic yards
Boat ramp
Boathouse/ Boatlift
I
;iJ.
Beach Bulldozing
Other
I
i
I
j-
I
Shoreline Length _ y V
SAM not sure
yes
Cno
Sandbags: not sure
yes
/no
Moratorium: n/a
yes
(no
Photos:
yes
no
Waiver Attached:
yes
io
A building permit may be required by: i / ri . ❑ See note on back regarding River Basin rules.
(
Notes/ Special Conditions l —11, -,, Iron 3
,
1 /
��. /✓1 ,U J tr
Agent or
Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
�i
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:
n 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 / 1-888ARCOAST
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
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

ANTINORI CONSTRUCTION BANK OFAMERICA
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530
[phone]
I _
TO THE
ORDER OF
3614
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MEMO -736/3—C
AUTHORIZED SIGNA URE IM
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Name Of Individual,
Apr YAng For Permit:
kl, V"
Address Of Pronert.y:
tLlRD K,(T
..Vr 4,,,zreet #1 Str—e-
7e t or City & 'County)
hereby certify - th4t T own Property adjace,-j�--
refErenced procerty,,, 'T-40. individual apt to the aboye-
described to me Ing for this permit has
as the attached drawirg
they are proposing-., the d
evelopment
shou'Ld be provided kith i his letter. or drawing, with dimensions,
x have n . _0 ablections to this proposal.
;�AI"JER ACTION
I understand
'I'lt a Mooring Pilings, breakwater,
rig �t be, set back a minimum distance of 15,
house, lift or Sand-b- boat
01 X; M-44.
A
from Mv area of Ace$$ unless waived by me.
to waive the set b initial (If You wish
below.) n i the appr
opriate blank
JT:t waive the 15'setback requirement.
do n
Waive the 415" setback requirement.
signature
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10 )
• Sender: Please print your name, address, and ZIP+4 in this box •
i M PS- i 4i e � N s r,
kl y K,49f, ti.c,, 2 yes

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery -is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
DON�e�,;ca 55e�
-ZO)b FeYN Dr,
r-UN v;1f- / Me-
a<d5�
A. Signature
X // 5
❑ Agent ?
B. R eived by ( Printed Name) C. Date of Delivery
,doh
D. Is delivery address different from item 1? ❑ Yes h
If YES, enter delivery adds ❑ No r
Np .. 44
aL s
3. SepaaeType =
Certified Mail
❑ Registered a rn
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee,
Receipt for Merchandise i
❑ Yes
2. Article Number f
(Transfer from service label)
I
PS Form 3811, August 2001 Domestic Return Receipt 102595-01

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
N o r 1i 0) )W; N L 6t_ %
y

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
-7Z7 t-A)
V��I�
l
3 z7�0
A. Sig
X �A
B. 19tiageived_by n, d Nam. Date of Delivery
b. Is delivery address diffe( ' 'from item 1? . ❑ Yes
If YES, enter delive a re below:
Q ,No
43
G
00
0
3. SServ%i Type
Certified Mail C3 Exp s Mail
❑ Registered L�eturn Receipt for
Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Aransk 1C'Tjivfojfjt jj) f 00 0 9 01 io 00 ] 1 I18I6 6 e 410 1 ! ! I
(Transl�r
PS Form 3811, August 2001 Domestic Return Receipt -- — — 1102M-011-M•25

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