33687_MEADOWS, SARAH_20030318

CAMA / 4 DREDGE & FILL
GENERAL PERMIT
DNew ❑Modification '-Complete Reissue !-Partial Reissue
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
Applicant Name
Address 1( )
City y(`• 1�.�( " 1 - State.i�� ZIP
Phone # ('..) `'_ Fax # O
Authorized Agent (,( i4l�_.
Affected F I Cw YEW VPTA ❑ ES ❑ PTS
AEC(s): j OEA i❑ HHF b IH ❑ UBA El N/A
PWS: ❑ FC:
ORW: yes / no PNA 'yes / no Crit. Hab. yes / no
Type of Project/ Activity
i 9 cis
Pier (dock) length
Platf
Finge
Groin
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAM
Sand
Mor
Phot
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County -
Street Address/ State Road/ Lot #(s) U
Subdivision "�^� j•• 1,
City_- —
ZIP
Phone # (_— -) River Basin
Adj. Wtr. Body i v t (fiat/man unkn
Closest Maj. Wtr. Rudy %.
(Scale: f
o
i
rm(s)_ --f--� — —= -- _
I J ' f
r pier(s)
length !
! I I
number, �' I
i
head/ Riprap length
avg distance offshore ..._ I I _.. — _ f _ _
' _
max distance offshore_
channel t i } t,' �/ �[
_
Zi
- ! -
cubic yards
ramp04
house/ Boatlift_ !
Mix
I IV
h Bulldozing__-
I
eline Length
not sure yes no _
bags: not sure yes no 1- -- — �'`� t
atorium: n/a yes no
os: yes no dl ! r r - -
i
Waiver Attached. yes no
A building permit may be required by: (�.t� ,in' , {�L� . ❑ See note on back regarding River Basin rules.
t
Notes/ Special Conditions I 4 0 s��!'t '(�r lif+-L,) • f �) `l j
Agent or �piicant Printed Name
Signature * Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Dat j Expiration Date /
Local Planning Jurisdiction^ Rover File Name—T—
Waiver Attached. yes no
A building permit may be required by: (�.t� ,in' , {�L� . ❑ See note on back regarding River Basin rules.
t
Notes/ Special Conditions I 4 0 s��!'t '(�r lif+-L,) • f �) `l j
Agent or �piicant Printed Name
Signature * Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Dat j Expiration Date /
Local Planning Jurisdiction^ Rover File Name—T—

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:
0 Tar - Pamlico River Basin Buffer Rules [ Other:
U 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 / 1-888-4RCOAST
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

BROWN DIGGING COMPANY
JULIAN M. BROWN, JR.
NCDL 1936475 PH 252-729-1973
221 DAVIS LN
SMYRNA, NC 28579-9509
Pay to the %� J kj1
Order off /—V
V`- 61/�'
BB&T
BRANCH BANKING AND TRUST COMPANY
BEAUFORT, NORTH CAROLINA
For67e"w
':OS3 LOL 120:SL9S31,7982
m
�5 4u_o� 66-112/ 0
Date lll��� ����"'IIII ozzol
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All `n&ler-, c,( -to be, J is poscj
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WACENT RLK iV PROPERTY OWNTR STAT a;,q
I hereby rc,•zify that X own property adjacent to
{ivame of p��� s
Pro erty Owner?
(Lot, dock, Road,
iTovrn 2ndlor CC.
-
Hf� has d°* tO me a,S
Shown below, tie deve:op'renr he fs o
P" posirg at that ie<:ation,
('� �rtd, I h ae ro 4b�tu4aris to his prnpCsi,
DE.SCRIPTIO ANVOR DRA W2% ©F- PRO P0aD DEVELpPjE)'T
{To be fi did in by tizrti:i�'uulprppQsin� aei.� �ment)
Y-" s
�Cl p
Pr;fit Gr'i vpe �:ame

ruJJtJ-Gl'J 1 itlrt1X%J211'1 rjMvrZAN1 1 %J rrL\JiXX LJtLi1J'1r11-41I1
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at I I t ZO'f f1DWftl I)(X U
(Lot, Block, Road, etc.)
on 1 C.,c 4� f C�� , in &r-1 .rP-4 aun' " / , N.C.
(Water ody) (Town andlor Cou )
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 DEVELOP'VIE:N,'T
(To be filled in by individual proposing development)
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Telephone N=ber
Date: �0 0
lam-f-b-a 011-f e-
Print or Type Name

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: PERMIT # `
LOCATION:
�C�'- �- �--
`,
FIELD REP. _(
PHONE: ( — 3 7 DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) Do thrrleasured dimensi ns ofL development differ from those indicated in the permit and workplat?
1) Do th"easured dimensiLs of
YESt�b [circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL:
disturbed areas?
71, /NO [circle one]
COMMENT:
3)
Has Permittee seeded, grassed, or otherwise stabilized all
FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/NO [circle one].
J
COMMENT: