46221D - Stancil

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑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 I SA NO
Applicant Name
-
Address
City
''--� State _
ZIP
Phone # ( )
Fax #
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no.
PNA yes / no
Crit. Hab.
yes / no
Type of Project/ Activity
Pier (dock) length I
Platform(s) _ X S�J
Finger pier(s)
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
Previous permit #
Date previous permit issued
71 Rules attached.
�- 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
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: J
Notes/ Special Conditions
4.
Agent or Applicant;Pri�nte�d�N,-/
Signature Piease read compliece statement on back of permit
Application Fee(s) Check #
(Scale: 1 )
❑ 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, 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 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 (910-796-7215) 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 City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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

1/ 6142 , 4
CAMA/ ❑DREDGE & FILL "..
IENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑iPartial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
aastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ?H H. 12� Rules attached.
Name F(Lirif-.7.zt �Na 4-'1 4- t 5 I A04T 1- VS- Project Location: County (0 t�S
L.,>c_
1 Ca--- )1Ir i— c-1 C-i ti 7,4 Street Address/State Road/Lot#(s)
?,,rsr--,251 t v State 0 L ZIP 2.34-4(-1 S 1 (:--f-i A))W'i...`I- " r1. :4-r:s rt--
( ) Fax#(711 ) Z—) - .1--13 Z. Subdivision G+1+a t v.ii4-A S 1-1 J 2 e>>
r,
BdAgent City 5;vi-t-An5 +y crirt_ '- ZIP Zyl�
❑CW EEW ,[ TA ❑ES ❑PTS Phone# ( ) River Basin Vi1aZ(.t- S
OEA ❑HHF ElIH ❑UBA IDN/A Adj.Wtr. Body iv"1.4,-1.1.0-D5 (-ft-CC-IL �V►nDr
PWS: ❑FC: Closest Maj.Wtr. Body \VGA/ LXVt4-
yes / no;- PNA yes no Crit.Hab. yes / no
'Project/Activity T tt)S``t'`L-L— 10 X. s ) 'i t-`e W/ S X 30 -1---- V-1 L A..
(Scale: `' —
ck)Iengtht.G: X�4.
1(s) e3 x 3k1 I , — ' ' —
L 0i, _ I . KAM ' r
ier(s)
mmi
ngth ®� �►'�1111111MI 1
mber C " '
d/Riprap length a_r -r- —--- --t
g distance offshore l__..., } 3_a i 1 �_.
sx distance offshore
hannel ' i ���
I_
ibic yards i_..t } i..
Ill--
-,,,fit - 11
use/Boatlift 1111111 1 i i r= illIZION111101111.11&4 '
3ulldozing . ,� 11 I �= �
I r
ne Length ._ i .... --
�. ■ "
not sure yes ■
gs: not sure yes
i i 1 i.........i .
>rium: n/a yes
yes _ ... I
•
Attached: yes .i► W " Mil I 1111111111111M

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Message Confirmation Report JAN-25-2007 09:49 AM THU
Fax Number
Name
Jame/Number 92700432
)age 1
>tart Time JAN-25-2007 09:49AM THU
3lapsed Time 00'36"
lode STD ECM
tesults [O.K]
LAMA/El DREDGE&FILL N? 46221
GENERAL PERMIT
.Newf Prevlotnparmit+R
(Modification Completo Reissue HPartlal Rolssuo Date pre logs 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 I5A NCAC ?I-I r , c
leant Name r EDTA* attached
APP( C V- �1TAll F2 L�`�.�'p��LL (Step, Project Location: County_©�S Loa..?
Address 10'2- 14ZLt__41 Fi IL 7>,4 Street Address/{St�a�te Road/Lot*(s)
city �AtrPVSe State Zip Z9yy$ _3Jn Grrt
. Abrirt.ak �r c3 1It-
Phone#( ) Fax#Pj)o)27p -oyj2_, Subdivision Apv�L'.
Authorized Agent City_ a,rAb5 f63noi ZIP -y490
Affected r Cw j 1 A n es n PTS Phone• (_ _ ) .. .... Rhror Basin Vi 1'f QgaL -.
nOEA f W/F ❑iN ❑URA L wA ,r�-�
AEC(s); n PwS: tFC Adl.Wtr.Body.CWtRgLQS GM1dt-F• up also Jwttkn)
Closest Maj.Wtr.BodyhirMl1�__- -�vt�1_+.__.. -----_ -.-
onw: yes/® Nu no CAL Neb. yes/no
Type of Project/Activity Z 011-AL.L (n X S L.)/ Pz X 30 -1 4-1 L a1,,,
(Swig v - ' )
Pier(dock)lengthl4 7' t •
elatfomt(I) g X.Q I__ I { ! . I T ; I�' I .. I _.-- -'-
Finger pkw(s)_ I i 1 1 . i llfl—I ' I ` I �F``���
Groin I I
number _4— - I
Basd�e.dl apr.p length I (I i- .1► �f+1 IV ["
svg distance offshore _ i I 4 �3° . - I
nsut&once offshore
I
{{ _ }} iII _.e 1:_ ,
Bash,,channel---... -A '- c4. ._._ �_ +__ l.� V _
1 i
iA to*
Beet ramp i 1 __ e 'P CH
Boathouse/Boatafc + - , - ."..j--� _.._ .
Beech BJldoziry 1 , y� ,N - 41 1 1 v,' 1 J' t. 04
Other
_. jf. . _ .. _—
)
41 {J) • '
shoreline Length.z' - 1.. }.' i i I I /e� -I ;.
I t
SA' not sure yes It r I i'.R. T...y..�. .._} } I I • i
Sandbags: not sun yea , 4 y I I ~.• I I : •�• t Moratorium: Na yes { t I I 1
Photos: y. . I 1 . ' i _ ,...
waver Attached: I }} I 8 JlI .. j yea �..-L.,G ' '..L.. _ I.-1�.!�_t--.�_s..I ZyI 1. I :_ .;..i_�i I _ � l

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si re
item 4 if Restrictedam Deliveryaddr is desired. X/� cz____ ❑Agent
■ Print your name and address on the reverse Le., Addressee
so that we can return the card to you. Received by(Printed Name) D e of very
• Attach this card to the back of the mailpiece,
or on the front if space permits. L,1Q N p
✓�
D. Is delivery add rilferent from item 1? ❑ s 1"—1. Article Addressed to: If YES,enter ' ry address below: El No
.._ c._ , ) ''
f- 0 .. : ,Sv } 9'6o ( DEC19 2006
i
3. Service T
Sc/eu 4,ei-' i.e./L.'? ,Ai 0 Certified M .2 Express Mail
0 Registered 0 Return Receipt for Merchandise
Z d'yC- 0
0 Insured Mall 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Tiansferfrom service label) 7005 3110 0000 0504 0361Ai
PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sign ,,,
item 4 if Restricted Delivery is desired. ,�/ 4 Agent
• Print your name and address on the reverse , 1/a /4 ` 0 Addressee
so that we can return the card to you. B. ' ed by(Printed Name) C. Ditj of De very
• 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: 0 No
A c_ k CA i'ti/►t 1L 1 a/o
IrL ' ,,)0y 1i; _
3. Service Type
C, 0 Certified Mail El Express Mall
/� �� •�J r J- 0 Registered 0 Return Receipt for Merchandise
a ? <
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 0504 f 1 g 7 A