36997D - Petolis

r cry
0 CAMA / DREDGE & FILL -5 • 3 i997—�
GENERAL PERMIT
)G 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 ISA NCAC 7/( MO
•^ O� les attached.
p
Applicant Name /r r / 5 Project Location: County C..)(t.-5 / -As
Address 1 r 1 C9/AtiD,), €4#_i Street Address/State Road/Lot#(s) SirYs P A-? (-
City S +toc TerN State NC ZIP ..)$Y(,G
Phone # (9R) 751- 9)' ) Fax#( ) - Subdivision ('k/i}j)„^C(C A(Ill c
Authorized Agent City cA,,L4 DS FP rr`/ ZIP avyGo
Affected !CW ❑EW +MTA� ❑ES PTS Phone# ( ) River Basin OAi`
AEC s : ]OEA ❑HHF ❑IH D UBA N/A a,< an /unkn)
Wtr. Body j�.W�'.1 v
❑PWS: ❑FC:
ORW: yes /E9) PNA yes / V Crit. Hab. yes / no Closest Maj.Wtr. Body (
Type of Project/Activity 84.A.‘k 144%)\j4,4?.l\ or tokciAt i t/og r' ei-O -A ' ',Kg'I
(Scale: / /r ,J O # )
Pier(dock)length
Platform(s) Oz CAfOr e4(9S ((v[t<-V A I her)AN% i-i nte)
Finger pier(s) r�
Groin length l V AI i
1 OW fiike-f
Bulkhead/ prap length 7 - L �..�
distance offshore 1/3 t ia l'
max distance offshore 1 i
t �� Do)�
1// a
Basin,channel n )i.
4
cubic yards I
Boat ramp 11...
Boathouse/Boatlift
tJ'hl`Jtl ,S ` 1 �_N
Beach Bulldozing A Di% , /'jI Mil
Other b r /��1
Shoreline Length �'7/ (C the N n 4( . I
SAV: not sure yes no (*� l7/� ,
Sandbags: not sure yes no - le
Moratorium: n/a yes no
IPhotos: yes no
Waiver Attached: yes no "}r - - ---i of$- Pik'e iS o w-
A building permit may be required by: QIV.S/Uw CO. . See note on back regarding River Basin rules.
Notes/Special Conditions
•
i
Agent or Applican ' y=. ame Perm' cer's Signature
gio
b) --a —° If Or- 03 -0Y
Signature 'I Al read compliance statement on back of permit Issuing Date gyration Date
/, *"OI/ UPS/ok! too •
-ApplicationFee(s) /dO • r--"— Check# 0/)15 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(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 252-946-6481
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
919-733-2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 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 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: A.c-+ PeivLc-S
ADDITIONAL NAMES:
AEC DESIG: P fi DEVELOP AREA: 0 _0 1 l
(Will only take 6) —__ PROD DESC: -
(Will only take 1)
WORK: ( 4 7
(Will only take 4)
MAINT:
(Will only take 4) _
IMP: C (S(-/v
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 0)-'6}°`-1 c 5 -O irate(

F .
DIVI ION aF GOASTAI, MANAGEMENT
ADJACENT RIPARIAN PROPERTY,OWNER NOTIFICATION/WAIVER FORM
/yvLT i47w.i
Name Of Individ 1 Applying For Permit =
�� �urrtis .
Address Of Arope ty: _�4i :•
___t-v
• SA(4 fig � " (0
Lot or Street #, Stre or Road, City & :County)
•
I hereby certif that I own property adjacent to the ; above-
referenced property. The individual applying for this permit has
described to me -s shown on the attached drawing the development
they are proposi g. A description or drawing, with dimensions,
should bey providad with this letter.
s
lI ha e no objections to this proposal .
'• y - er - • •io, _ tt wha is ein ro o ed le se write the
'v .on of Do tal Management. 12? Cardinal Drive Extensi-oD
Wilminato . North Carolina. 2S405 or call 910 .395-3900 within 10
says of receipt of _his notice. No response is considered the same
as no obiection ' f. you_ have- been notified by Certified Maid.
WAIVER SECTION
.X I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or s-- dbags must be set back a minimum distance' of 15'
from my area of iparian access unless waived by me. (If you wish
to waive the se back, you mist initial the appropriate blank
below. )
•
i •o wish to waive the 15'setback requirement.
I do n t wish to waive the 15' setback requirement.
AIII -—'
or .••••••••••.......,....... .
. .
. .
4 . c2,...„,„„,,,i) /2 7 7..- I .
Y e
S
_ _ . e
Pr /41/ATLI• � 6(eeit/ Date ,'�,�,1 3 1il
int Name / nEtru`
77?' 2� ���S�j Onstow County
Telephone Number With Area Code —'
Onslow County Planning Department.
604 College Street
Jaoksonville, NC 28540

LAP '
4
a
a'
fiL del
(D/L

•
s-.
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si nature (�
item 4 if Restricted Delivery is desired. if ❑Agent
• Print your name and-address on the reverse -Y ®.Addressee
so that we can return the cardto you. r Received by(Printed ame) C. Pate of Deli e. •
III Attach this card to the back of the mailpiece, 1 U
/G �� •
or on the front if space permits., $ �-'
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
•
If YES,enter delivery address below: ❑ No
•
3. Service Type
❑ Certified Mail El Express Mail
❑ Registered ❑ Return Receipt for Merchandise
• ❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
Transfer from
PS Form 3811 s Auge label) ?clue
❑0 2 3 Dorne❑sticaRe❑t❑f1 Receipt
8 7505 102595-02-M-0835
- -

ePI
l,
r LINGS AND MORE
late o.a
JOON cAsStosi 3128 L3
PH: [phone]
107 01/411-0 sl* 6) 66-301531
SNEADS FERRY,NC 28460 I 457
/0
t%
s order oI
co
'5',.
'" -------- "'"-------------------iloors el 55...:
,-,-,,,
VilIST CITYLENS 457
101( VZ1Cdtro7:1,11 8204.611 C"*.rn
wWW.tir slcitizens.com
.•0 5300 3001:001457 113 27 13 Is 0 A I. 28 VODC,
•
•
•
'•••-- I