40086_ZURN, GARY_20041020

il(CAMA % - DREDGE & FILL
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GENERAL PERMIT
C
Previous permit #
New LIModification 1 JComplete 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
Applicant Name 4�52 '14Jz Al
T _ ules attached.
Project Location: County
Address
Street Address/ State Road/ Lot #(s) ! ?
City d r"r ,h f"u��', +,/ State flC ZIP -� ,�' .�i'
e'er , •,:s'r s'% j=
Phone # O Fax # ()
Subdivision
Authorized Agent
City " l'''� %ir '«,� (', �f/ ZIP
55 '7
Affected CW > 'Ew ©-PTA E ES ElPTS
Phone # ( _) River Basin—,
k
OEA ❑ HHF ElIH ElUBA 0 N/A
AEC(s):
i
Adj. Wtr. Body .(nat
/man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
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/ Boatiift
Beach Bulldozing
Other;': t <'
Shoreline Length
k
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:
Notes/ Special Conditions
� r
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s)
Check #
_3 y ,
(Scale:
;�.d
�j
'( k
L
❑ See note on back regarding River Basin rules.
v USE .
Permit Officer's ignature
Issuing Date Expiration Date
Local Planningf urisdiction 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, 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 [ f 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 (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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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

GARY J. ZURN PH. 252-240-1372
RUTH J. ZURN &..pCwk)(0
113 FAIRWAY DR. E.
MOREHEAD CrrY, NC 28557-9682
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-.0 /22/,03 0 9: 17 FAX [phone] T D EURE En. 02
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: B)fz.D 51�o&S PPoP1;�flZ LLC (G4Ry ZNgn1)
Address of Property:-� ' 91U. AVE (L0T- 3-r`1)Wta2f",OAP C!T`/, /JC �' 7
0 -� Lp3�� . IS. 63. LIV79
(Lot or Streit i1, 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 c�� eevelopent
description or drawing, with dimensions, show
they are proposing_ Ah tlars
letter. r `
S E P 1 6 2004
7 I have no objections to this proposal. flfl ? 2 �y
If you have objections to what is being proposed, please write 17>' LJi s��i�oJ'''C�as`t� �
Management, Hestron Plaza 11, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pHings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me, (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
> ( I do not wish to waive the 15' setback requirement.
Signature Date
45A 9, —, PA Kli crL, c n,y
Print Name
2S'), 72-6 --r3
--� Telephone Number With Area Code

RIVEC51D9 4VE I'Iiq-
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RET R FDU .5— �
DIYISION'OF'COASTAAL MANAGt�MENT
AJ]JACEl,U RIT ARIAN MOPE;RTY OWNER NOTITiJ.CATIONIWAIVER FOIL'VI
I'qamc•of Individual. apP y� g1 In; foz J'ezmit: 'B� RD S�a�tS _f�op'CE5 • ��c�rrir9RY �u�)
.Address o f Property:
rLoT- I . •mo2ftleR.' t'l?
(Lot or.Sttebt A, Sheet or Road, City & County)
I hereby certify that I own propadjacent to the above referenced pr _ LV u
erty
applying for this permit has described to me. as shown on the attached dry
they are proposing..A, descri.ptibn or drawing,, with dimes ons, should � � � s�
letter: S E P 16 2004
I haveno objections to, this proposal.
�eheACON ®CM
if you have objections to what. is being proposed, please write tlie• rvtston o oast 1
Nxi2nagernev Hes6va PL=11,. 153-B, Hwy: 24, Morehead Oily, NC, 23S57 or call (252) 303-
2808 wfthla 10 days of rrcdpt of this'notice. No.respvrzse is considered the same as no Objection
if yQu have been hi?taed bj!:.Certif¢d Mail.
WAIVER SECTION
I understand that pier, dock,=oring pilings, breakwater, boat house, lift or sandbags must be
set back a miniminn.distance of 15' from my area of riparian access unless waived by rne. (If you
wish to waive the,se.thach, you must initial the appropriate. blank beiuw.)
I do wisil. to waive the I5' satback requirement.
I clo not wish to. waive the 15' Setback requiremen-t,
ey
S' sture � Date.
Prime Name
Telephone Numbtr With;Arca Code
.._ . _.. ___._ — NV 96:6t 16 t?00Z/bl/6 ate0 £tea d ^ ` £bp49Z1L5Z :wad

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T A X Ti11k H A TtiTT
LI-ll V LJ1Vlti1N'N
TO:
FAX 4:
FROM:
FACSIMILE TRANSMITTAL SHEET
a5a - -7
DATE:
RE: I "
Number of pages being transmitted, including this sheet:
��f
SEP 16 2004
Morehead City DChle�
HARD COPY TO FOLLOW: Yes 4/ No
If there is any technical difficulty in receiving this transmission, please call (336) 784-
2000 and ask for Elizabeth or Becky.
SPECIAL INSTRUCTIONS AND/OR NOTES:
LANDMARK 13Ui1,DFRS OF THE TR]AI), INC.
3520 TRIAD COURT • WINSTON-SALEM • NORTH CAROL INA 27107
WINSTON-SALEM - 336.7S4-2000 • FA7i 336-784.2014
CREF.NSBORO • 33"73-1900

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