37866D - Oak

CAMA / DREDGE & FILL siN
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GENERAL PERMIT iM \ Previous permit #
• _"New Modification Complete Reissue '\,\�, Partial Reissue j- -;!i Date previous permit issued
As authorized by the State of North Carolina, Department of Envir nmen�Fiit,Natural Resources
and the Coastal Resources Commission in an area of environmentancern pursuant to I 5A NCAC -;I r
Ok\I ``` ��1 Rules attached.
Applicant Name /vt- -. e:L c l k- ZS i<< `-,��kCC:i,h=1- Project Location: County ,,i, i, , _,.•_ ` --
Address /c,/%/ C—a.5 U<< k_ 75/4 ,-)0/ ter i vG Street Address/State Road/Lot #(s) E F'l c% C T•
City /c- /5 7- . - % (r State N L- ZIP :'e Y&5 1 w ./ '
Phone# (?/0) 2,7$ 50J1 Fax#( ) Subdivision —
Authorized Agent - City t?i k:_ / I C•,,d ZIP a kyL- S
Affected CW EW ,�PTA ES PTS Phone# ( ) - River Basin talyglinkiflA
,
OEA HHF !-'IH UBA N/A
AEC(s): Adj.Wtr. Body <" ,/,:5 CA,-, I (nat IInan`/unkn)
PWS: O FC: -�
ORW: yes / no PNA yes no Crit. Hab. yes / no Closest Maj. Wtr. Body i'') l C cJ C�
Type of Project/Activity
(Scale: )
Pier(dock)length
I i I
-
Platform(s) . ..--. Liet.d r i i .: 1.'ti..0
' ... -
Finger pier(s) , .
Groin length '-
i
number 1
1 ,
Bulkhead/Riprap length L c)
andistance offshore
. 1
max distance offshore r
Basin,channel i
•
cubic yards_ L.._ _
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Boat ramp &L't 1}-1 e UJ a!-A� ki'1rP.G"¢ I �. i.--.. i i'
Boathouse/Boatlift
r
Beach Bulldozing 1 12uil K __ j 1 j — I 1 I
I T
Other I- i-
Shoreline Length . i -
SAV. not sureyes no
__._ i I 4
< < � t II t i
Sandbags: not sure yes no — * — I f I
._.. ---�_. .--}---- j ..
Moratorium: n/a yes no -- ' l'1'(a i -`• 1-1 6" ' :- . 1 r t .
I !
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Photos: yes no + : % 4-_ ' at e...
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.i.2 ,..- „....1_1_._,
Waiver Attached: yes �� L____i_A building permit may be required by: 7.-- . . . See note on back regarding River Basin rules.
Notes/Special Conditions /-)// LG 0 .i: /% /7 c ,i,..:
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Agent or plicant Printed Name Permit Officer's Signature
d y,/Z•Zany '7. /2•Zel-1-
Signature '"*Please read c pliance statement on back of permit"* Issuing Date Expiration Date
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

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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 I)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:
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(252-946-648 I)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 Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: %G -)-1 /Erlcv,-2c�
ADDITIONAL NAMES:
AEC DESIG: LJS e7-1-2 ,'% DEVELOP AREA: .C2. PROJ DESC: Ir -• ( I
(Will only take 6) ———— (Will only take 1)
WORK: 0 14 (p O
(Will only take 4)
• MA1NT:
(Will only take 4)
• IMP: I:+G3 (60 •
(will only take 6)
56 iZo
ACTION EXPIRATION
DREDGE&FILL REQUIRED: Val°y '71/ /0'�
CAMA MAJOR DEVEL REQUIRED: 42101 ��Z/7f

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: -1-bW(0 CD ESL.An1D
Address Of Property: ST(2 - 12js ) POr •
(Lot or Street #, 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.
94' I have no objections to this proposal. •
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If You have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington , North Carolina , 28405 or call 910 395-3900 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 pilings, breakwater, boat
house, lift 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.
lfElcr
S ' na ure D to . A
Print ame 1.�•�
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Telephone Number With Area Code H

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY -OWNER NOTIFICATION/WAIVER. FORM .
Name Of Individual Applying For Permit: �0(A)/0 0 0412- J .SLAnl D
Address Of Property: -\--- r -\- SW 2 -:
(Lot or Street #, 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
beprprovided with this letter.
v I have no objections to this proposal. •
•
If you have objections to what is beina proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington , North Carolina, 28405 or call 910 395-3900 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 pilings, breakwater, boat
house, lift 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. )
tZ I do wish to waive the 15'setback requirement.
I do not wish to waive the 15 'setback requirement.
r . .
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Telephone Number With Area Code

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K j5U WWI' 66.112
:: ^o TOWN OF OAK ISLAND SOUTIIPORT,NC 28461 53i
4601 E. OAK ISLAND DRIVE
,`'="•~+"� OAK ISLAND, N.C. 28465
\\ 61 -2 [phone] No. 018533
\. i DATE CHECK NO-.1. CHECK AMOUNT f
MAR 24, .i r04 1 533 $400,00
PAY ± **40O DOLLARS AND NO CENTS****
VOID AFTER 60 DAYS
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
PAY THE LOCAi OVERNMENI BUDGET AND FISCAL C NTROL ACT.
70 THE NC DEPARTMENT OF ENVIRONMENT
ORDER >:: NATURAL RESOURCES -
127 CARDINAL LANE
OF WILMINGTON, NC 28405 -__ - ._. --___-_ _- AUTHORIIEpSI(iNATURE
7��e 37 65 !•ci "'
(3 31$�O7 746�
/�� AUTHORIZED SIGNATURE/
II 0la53311 1.053LOLL211■ 52L680LB7511