45871D - Mack

❑'CAMA / ❑ DREDGE & FILL
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 j'
and the Coastal Resources Commission in an area of environmental concern
pursuant to I SA NCAC r `f `�
Applicant Name
❑ Rules attached.
Project Location: County
Address^�� isl: �., ��4, •/
Street Address/ State Road/ Lot #(s)
City I ;-ti!r-75 State ZIP = d l
Phone # ( t�) � 30(o ax #
Subdivision
Authorized Agents-,%
City <<i ; c• ZIP
t-, -
El Cw 4�A ❑ ES ❑ PTS
Affected
Phone # O �'-r< ,' River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): ❑ PWS: ❑FC:
Adj. Wtr. Body t,... ram/ - �Gr �.� r i nat InIan unkn
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
1 . /
h �4
Pier (dock) length or
•' Platform(s)
G i(
Finger pier(s) j
Groin length
I � j
number
Bulkhead/ Riprap length �I ! J - -- — ❑ t-
avg distance offshore
_ ....._
max distance offshore
_.._ _ _ 1.
Basin. channel _
cubic yards
Boat ramp
Beach Bulldozing
Other
Shoreline Length�'-
a i.
SAV: not sure yes rio < >
Sandbags: not sure yes-
{ .._
Moratorium: n/a yes 1
Photos: yes OD r
_._
.- Waiver Attached: yes o, t
A building permit may be required by:
Notes/ Special Conditions /,
T
Agent orPplicant P inted NaWk
Signature Please read compliance statement on back of permit
Application Fee(s) — Check #
(Scale: N' � 5 )
❑ See note on back regarding River Basin rules.
E�rrt
c� i i u��om�c� � mgnaiuB
Issuing/ D� a/te %
Expiration Date J
' V % F ez / -/ /1fj
411
(/C �I �/ g
Local Planning Jurisdiction
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:
F. Tar - Pamlico River Basin Buffer Rules ] Other:
El 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 comply with these buffer 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
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 Cif District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

t
'AMA/ DREDGE & FILL i
3ENERAL-,�!N PERMIT Previous permit#
?Kew ❑Modification (Complete Reissue `Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 714/ i 2006
❑Rules attached.
it Name -7©4y C 4 Project Location: County N / .0‘,y/
J 3 ReAe /2 1• 504 Street Address/State Road/Lot#(s)
Vi/n /i State /VC ZIP 2 s-4// s'lt s.yt
(PO) c b, 30 '2Fax#( ) Subdivision �/� , (5,, ..2-5- .
:ed Agent <s�AI/ City T P$2 ZIP ..e..gi,,
❑CW [ :PTA ❑ES ❑PTS Phone# ( ) C1.44.1/ River Basin C. p,
❑OEA ❑HHF ❑IH ❑UBA III N/A /
Adj.Wtr. Body #5 .*,fs /ry.�/(nat /
❑ PWS: ❑I F�C:y ,�/� ' / /
yes no PNA yes -sue' Crit.Hab. yes / no Closest Maj.Wtr. Body K/!a' ' s ' 1Iice/
f Project/Activity f;, '7/� 7/ 0/ 1? P f (Z� Gt c _e
a0 p 7 Ol�1 49€ r/1 �J.v/'J'�li i!, ��CY s 1ri,q $'�/pA S/- (Scale: Air,
ick)length / / '" I
_
$ier(s) J T
-+_ - — - I-
ber I 1 i i ~ i.
'd/Riprap length r
g distance offshore r l �L7)t, _ —4-
ax distance offshore o4 G✓
hannel
bic yards I. t _.....-I r f/
rip 1 -v i €X/.5 tf"/ 5 4
ise :oath /• / . ! $ air 541y`/tl N {
Povitveras(1 1 ___._._�_ -r ----
lulldozing ‘` ►_I a I•_ � _._.. .. ,
, I �, y
l-
U 1r
ie Length ��.� __ � ---�=— -:F7 .
not sure yest--- ,1 I N /,4 i t-t fps' / . .
s: not sure yes lI
rium: n/a yes 1 ( 4(! 4 15 1 / i `i
2 }
Yes I
Attached: yes o +� r �.1G'��11� ,
1 $$ . 1 w

35156
j F AND S MARINE CONTRACTORS, INC.
I P.O. BOX 868, TEL. [phone] i
o
WRIGHTSVILLE BEACH, NC 28480
/ Q 66-85/531
_ DATE ._
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To OR
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DOLLARS el ....
� FOR /n RBCli
RBC Con
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ura
tura Bank 61 kCe
W rgIle ,NC 28480
S? 9 S3 3e,s:
'00035 L56u 1:053 L00850u:0 2 7 200 5809 '
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1

MWSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT AMimes TION a tfhh/Fa FORM
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- 11iER SECTION /V/A
I�Ad a bier, er,, mooring p ,boat house"or
sendwesimidda bed back a minimum of 15' from my see of*arias
eed by me-Or to i s :y*mustkir*the
w blank tom.)
. I DOwwb*waive the 15 setback requirement
1 DO NOT wish to waive the 15'Win&requirement
RECEIV
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