37837D - North

0 CAMA / DREDGE & FILL `V
GENERAL PERMIT Previous permit#
>C• : .New Modification EComplete 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 (I'j • 14'Qc1 .
A ,,QRules attached.
Applicant Name Lo ) S Ce4 I Jef4L Project Location: County Pe h.( `-
Address 3 2-3 L.,+T e e i • Street Address/State Road/Lot#(s)
P
"q/ L E' Redd /S G in.e
City _-J,!Mh[,'
.• f o✓1 State N C. ZIP ZB I I l3A �f C
Phone # MO)O)4 I Z- 01 Fax# ( ) Subdivision
Authorized Agent -Kaki ill 9t -ke-/3 ; j 4 e k tie"Noll i City /4 a '^"kr d 4 edd ZIP
Affected ) (CW .K'tW 't1PTA ,?I'ES ❑PTS Phone# 0/0) 6/2..-0/I g River Basin Cgioe Fe-a
❑OEA IHHF CIH ❑UBA [1 N/A /�iA
AEC(s): Adj.Wtr. Body 1/t /9 ticrek an /unknj
ORW: yes / no PNA yes / no Crit.Nab. yes / no Closest Maj.Wtr. Body V
Type of Project/Activity New { i e r' <t✓1 4 (100.4 ,r...) ,, 6 ck
(Scale:/1 ,jd ' )
Pier(dock)length t^at 3D'X L'
Platform(s) I I- ' X II C 1641.2 e4'0 ! ._- - • '
Finger piers) &, B Y 16' FI e r! -1 ~ _+_ ; ( - ; -~-- i ' ix 16 I FIy
4,at
Groin length , j , i i '
number Al.. : '1 `
Bulkhead/Riprap length rt t I '��
,_... .
avg distance offshore tie I
s 1 '
of �1f30,
t
Basin,channel max distance offshore 4-- ,__' � ,.
cubic yards i
E 1 44
Boat ramp , I 1 +1 _ _-._.._
Boathouse/Boatlift
iII
Beach Bulldozing 1.j '
Other i I 2'��.
' i I A_4 ---V-r------ ;',.''7,--g/ 1 ,
Shoreline Length —
SAV: not sureyes no N o'
rV1f -- ----- e t
�M ,k fc ,c
Sandbags: not sure yes no � —- '
Moratorium: n/a yes no r t I
Photos: yes no — 0_ - _ . _i-1._ _, �t I I--H--i `
Waiver Attached: no I r = i
A building permit may be required by: Fer1dcr Co,,,A 4 Li . E See note on back regarding River Basin rules.
Notes/Special Conditions
Agent or Applicant P ted Name Permit Officer's Signature
Signature "�e read compliance statement on back of permit" Issuing Date Expiration Date
`1n 0. c2 2 Z-2... "Pe rdc,r Covet-t-ti Po3302 A
Application Fee(s) Check# 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 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(252-946-6481)or the Wilmington
Regional Office(9 I 0-395-3900)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 252-946-6481
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9-733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 151-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: 9 I 0-350-2004
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

3c1839
. GE{ 'ER,kL PERMIT COME TER FORM ir r
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A2PLICANi NA_'vE: 0
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ADDITIONAL NAMES:. • p r ..
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ACTION E•x?IRATION •
•
_ DREDGE 8 FILL REQUZR.ED: • •
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CA1vL4 MAJOR D� �'"D REQUIR : !:

4 DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit: LL>1 S de4 irg Aa7122,7_ Nizcin.
Address of property: gad, Z eC 141Va /6‘775.1i,a Ave.
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.) •
XI have no objections to this proposal. /
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 •
(Does not apply to bulkheads or rip rap)
I understand that a pier, dock, mooring pilings, 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.)
X I do wish to waive the 15' setback requirement
\•t I do not wish to waive the 15' setback requirement.
fi%C12 b4- •
Signature I llate
efli 4'rn .s
Print Nam
•
lie 070 934e.
Telephone number with area code

411116,
, •

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit: ley
Address of property: Perk. g,pyv, le
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.) -
I have no objections to this proposal.
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
(Does not apply to bulkheads or rip rap)
I understand that a pier, dock, mooring pilings, 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
•
Print Name
Telephone number with area code

•
or.*
•

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ROY W MATHEWS ....e
PATSY R MATHEWS 2822
298 REDD BANKS LN PH 910-270-9346
HAMPSTEAD,NC 28443
66-763/531 CC
3n---T'�Date
Pay lb The / ���
Order 0 $ Le�O
Dollars
Wachovia Bank,N.A.
Wilmington,NC 28401-3921
Memo 3��3�
1:053 1076331: 861 1 5 2743 11/.
2B/22