40054_PAGELS, RUSSELL_20041007

❑CAMA / !_1 DREDGE & FILL
GENERAL PERMIT
EINew `Modification Li 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 enuiConj eptal concern pursuant to 15A NCAC
F �I
j� 4
�4F s, /%' �
Previous permit #
Date previous permit issued
[Z�Rules attached.
Applicant Name %'��� _ C. Project Location: County Co "
Address / r� v' U 1 Street Address/ State Road/ Lot #(s)
City I i State NC ZIP ,/� . .
Phone # (S�) �j ��1 Fax # ( _) Subdivision '� �''��' 1 `} �`` "1
Authorized Agent City I k., t` + -r)' ) �� �_ ZIP
❑ CW [�Ww C9"PTA ❑ ES ❑ PTS Phone # ( ) River Basin I ✓
Affected
OEA ❑ HHF ❑ IH ❑ UBA El N/A
,
AEC(s): Adj. Wtr. Body I �" nat man unkn)
ElPWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length h 0
Platform(s) b 'r
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_r------
Boat ramp P
Boathouse/ Boatlift 6
Beach Bulldozing 7-7
Other V t''
Shoreline Length
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no.
Photos: yes
po
Waiver Attached: yes
nog
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name ] ,%
Signature ** Please read compliance statement on back of permit
o v J
Application Fee(s) Check #
(Scale:' )
See note on back regarding River Basin rules.
P" it Ofrjcer's Signature
Issuing Date Expiration Date
Local Planning) urisdietion 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:
_I 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-41RCOAST
Fax: [phone]
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

RUSSELL F. PAGELS 08-04 108
BARBARA J. PAGELS date �JC 66-19/53ZNC
300 PINE KNOLL CIR. O
ATLANTIC BEACH, NC 28512-6812
Pay to the ,^�
order of 1/
BankofAmerica Bank of me ca Advantage®
ACH RJT 053000196
For
I:0 S 3000 L 9 61: 000 6 S 2 4 380 7 S►i' 0 L

■ 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 permfts.
1. Article Addressed to:
14-A/�'i1 S c CC<, NfnyLLItt? A2
.2 7kc Y
A. Sjor+attbe 40
X �Y ❑ Agent
❑ Addressee
$. } ceiv ✓ y ('Ynted Name)�9 Df`elivery
D. Is delivery address different from item 1?O�0% Yes
If YES, enter delivery address below: ❑ No
3. 3 ice Type
Certified Mail ❑ Express Mail
registered ❑ Return Receipt for Merchandise
�❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 1160 0003 1040 3471
(transfer from service
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

IGNITED STATES POSTAL SERVI F� lP ff
a[P c
ir
�?I
-- P ees- Fra?d
Permit No. G-10
Please print your name, address, and ZIP+4 in this box •
© cJ 00rzr--ve `-/,/-Cli,"
<< 2. 1??i?iitt�?tttitttt{it?ittt�4?t4Etittt?!�?t1?tttt?tlttt?title!

■ 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:
-2 %G/3
2. Article Number
(transfer from service label)
PS Form 3811, August 2001
X situse
Ad El e2nt
ressee
B. Received by (Printed Name) C. Date of Delivery
IA .s
D. Is delive add diiNne item 1? El Yes
If YE=; t6* very a � w: ❑ No
O
ISEP
3. Se e�Fj
Ce �jt�p I
Regist. j 3f
❑ Insured Mail
,Tess Mail
irn Receipt for Merchandise
.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7004 1160 0003 1040 3464
Domestic Return Receipt
102595-02-M-1540

s� .' ..
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 •
12 '��6"ir
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= ���~ � �1 li <�.. I''�Inolut� l-'il.i.ie's Its �?7• rtt:lTt*•,r � ,
here
R1pa11an conl�lor
to R�`��is1L �idcn
T T.-.nn it Low 'PVT ter L T?1�1] ettxPlSt
D1Tttensloit:3 of"T"ot"L"
nor Other I �1:11f��i�rL•ifut.^et
piers -
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9 ,:,
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tll: t »qaY I.i idol :xib t
?isl.yltce tioin P':Ia1sh or
`+'titer Level n= Mch ever
I phew or Moth
Su'nple Noilli iiIT w!
1
Spot lrl'ater
Depths
"~
k R.ipaliali Corliclor
t� Distance UveT I'ifaish
--
Lnt dtIt t
Propeittt c,"viter ,
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1'18.ITt8 - Iniik��<'.t' )OhOye li,.O 11'21 a'iii'c'• �+!e' �'.'� µ 1
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Property Owner Name, Addiess, Location
Flc�helh�Line Ll.9tYr.T!;I'-iti1}t,Tt•i=,r. �;"�-:yttPl.,t ��•,= T't,.:,�--., >-... ?� �`

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/«'RIVER FORINI
Name_of Individual applying for Perm
�itr
ert Pr `I 7 l ` ���
fi
Address of op y
l RE
/C�RES CAP��i
-
(Lot or Street H, street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, flestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 )vithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Alai!.
WAIVER SECTION'
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift o, sandbags must be
sct back a minimum distance of 15' from my area of riparian access unless wa'ved by me. (If you
%vish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
69.w.ti—do not wish to waive the 15' setback requirement.
'oc/
Sig re Date
4c_ N
Print Name
9� 17 - k- 7
Telephone Number With Area Code