47545D - Jordan

'DCAMA / ❑ DREDGE & FILL 4 r' 15
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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 I SA NCAC
❑ Rules attached.
Applicant Name_
Address
City
State ZIP
Phone # O
Fax # (� )
Authorized Agent
[ICW
[IEW ❑ PTA ❑ ES [IPTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ElUBA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: 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: ,Z
Notes/ Special Conditions
Agent or Ap9licTt Printed Name
Signature Please read compliance statement on back of permit
r-
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ 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 (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

1 % • F
i.CAMA/ ❑DREDGE & FILL
3EN ERAL PERMIT Previous permit#
3New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources ,Z J`5
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / 14
XRules attached.
t Name (_. E n) r: �='9-7 tC\Ni Project Location: County IN} .1r. L..J
L 17- ( -1 )'-t S‹ Street Address/State Road/Lot#(s)
.0 2F Gr r'j State N L ZIP Ze y 13 (r ) Z cm:. (z7 H j T
( ) Fax#( ) Subdivision
edAgent ON) 1 z N D 1-- J City sLAiZ C- rT\IZIP Z.3'/'
ElCW W C TA ❑ES ❑PTS Phone# ( ) River�Bassin�_,Y'1' t'
❑ ❑OEA ❑HHF ❑IH UBA ❑N/A N Adj.Wtr. Body S?In r^ a 5 v.N+` 7- (nat`�/r
❑Z
❑FC: /
yes C PNA yes L n— Crit.Hab. yes / no Closest Maj.Wtr. Body IA Z '`�
.,
'Project/Activity nS L
, HL__ 24' 2-t `.-N&C ii, Pt C L_ ., 12 2-1-1X ?IOW /4044.)
(Scale:
3'
:k)length
(s) -
ier s Z L
ngt
nber A
1/Riprap length I
-- i----'' - - ___..1....\, _,
distance offshore
x distance offshore ;
cannel I � \\ i
ttilA sic yards
�'
dBoatlift I L 2 L j
ii
A
} •a ,
illdozing — �J•/
j
p
Length 1`J'O"t" ///
not sure yes --
11
r: not sure yes nd r._ ,
cum: n/a yes I
Yes
lttached: yes ns I I _li_— — _ —_- ' _ ---- —.___-----
ig permit may be required by: SLA(Lc Cti y I I See note on back regarding River Basin n

44
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COI OF COASTAL f,11- ��
AWACENT RIPARIAN IIi I P
lone aflod'e dApp For G J ono
adds ofPf city. (L' Cc T
-67
(Lot crated i,Street a lload)
(City asd weer) .
sweby cat* t I oust property arrjacatt to the ab
Theinerreklui
pl ford spetmm[basd thcdhumeasshawaaa d property..
eddaminatheclecaeio�mieotii�e
:� A crdosw�g should be � :
ammo this proposal. _
-
Fos have objedissi to what bbeing proposed, please wits tIblebsipsa
f Conti
127Cardinal Bibs basssiss, NC2i405or sail 9li
Ids Hi days afreeeipt Odds mike. 9s response br d-1somwalso
objeefroall
WA.ER SECON
Sat*piers dock,asocarrig becalms/en or boatillt mist be
&saw MaumeeofI5'fry ray area ofrl ariaa mess-iti waf ed b r toe. (If
crish to waive the setback,yea must Mid$e apprepriate bleak .)
It<S - I elswiltisisailetbe LT setback terporesiest.
Ids to wake the 19`sei6rdtsey , -

I, , give authorization to
Anti Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
My permanent address is:
9.0 , Qox. 92

SENDER: COMPLETE THIS SECTION COMPLETE THIS SEr'TION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature ,r
item 4 if Restricted Delivery is desired. 1D El Agent
• Print your name and address on the reverse X
so that we can return the card to you. Addressee
■ Attach this card to the back of the mailpiece,
or on the front if space permits. Arrinted
ame) �C. Date of Delivery
� / . I' .2/_4.
1. Article Addressed to: D. Is dill. address different from item 1? El Yes
If YES,enter delivery address below: 0 No
LOC)LLAC,- CREECN,
3 a t z i (-)1.1.u.-5 pD..
a En15OM I N..C. a7soy 3. �Servi�Type
ILWGertified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 0502 7 713
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-154o
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatur
item 4 if Restricted Delivery is desired. X El Agent
• Print your name and address on the reverse �' / r El Addressee
so that we can return the card to you. B. llleceived by(Printed N-'e) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
to? PR.e i oo,1 Ro
• 3. Sery Type
Cal IT-4
T- -1 F N r Certified Mail 0 Express Mail
I C, El Registered El Return Receipt for Merchandise
^�J��� El Insured Mail El C.O.D.
OLD 4. Restricted Delivery'?(Extra Fee) ❑ Yes
2. Article Number