36962D - Pfaff

LAMA / DREDGE & FILL L'•. 31962D
EI�IERAL PERMIT Previous permit#
ew -"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 15A NCAC 7N I Zoc' .
�- Rules attached.
Applicant Name //7 ,P7a' Project Location: County 31, Skv/C',k_
Address // 6-a 6—a 5,‘ / • ( _- a b yi vC Street Address/State Road/Lot#(s)
City ��r4101w•-,cY State/de- ZIP Z.F,S _ twit I'31 a✓ld re-
Phone# ( ) Fax # ( ) Subdivision
Authorized Agent City ;` 1.fsbld ZIP Z8 S
Affected CW I TA . ES PTS Phone # ( ) River Basin L1,4(Y)be r
❑OEA CIHHF ❑IH I UBA N/A
AEC s : Ad'I.Wtr. Body a u 15 �� (nat(Trnan�unkn)
❑ PWS: J FC: �p, I �ll
ORW: yes / no no PNA yes Grit.Hab. yes / no Closest Mal.Wtr. Body /�'LA)Kl
Type of Project/Activity 6-a7-7 -7SZ./C74 /(/ec.t..i %--,/C- Jd k v-- 4j/�) C.fr
(Scale: / = 20 )
Pier(dock)length
Platform(s) 10 Aid
Finger pier(s) k•'Q )( 10' ,
6t/I Ltd
Groin length i -
number
Bulkhead/Riprap length _
avg distance offshore __ _
max distance offshore
Basin,channel
,g ' 115" =
cubic yards ��f` V
, f c eii 7-
, l G.. .Boat ramp - /0 2 (., �J
Boathouse/Boatlift ,C It �i f /).k/ S1(,�
,Beach Bulldozing
Other
/6
I
's L' ___L
Shoreline Length i
SAV: not sure yes 2 ! - t!O O
Sandbags: not sure yes no `` , /..ti L/"I e tc r'✓P_
Moratorium: n/a yes o I Tom% ! r
Photos: yes n
Waiver Attached: yes n — -----------
A building permit may be required by: -�d17U'DaA. /j�Cc s7 d . i See note on back regarding River Basin rules.
Notes/Special Conditions rl( ('p-r/c//';/-; r 75 of 7H /ZCU ii.V.)(c
Agent or Applicant Printed Name Permit Officer's Signature
J /`'co Jan is o >' Is ail
Signature **Pleasere i ncestatementonbackofpermit** Issuing Date 7 t xpiration bate
jioo 179� th(a#1o(. /vb/ii74 ISM Mr
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(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]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare, Gates,Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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: c%4'7 ,4//
ADDITIONAL NAMES:
AEC DESIG: T DEVELOP AREA: . / PROJ DESC: /-
(Will only take 6) (Will only take I)
WORK: PR 1-6 i /O
(Will only take 4)
Tc !0, /U
MAINT:
(Will only take 4)
IMP: O1 ) 36 "
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ////5/U'2/-
CAMA MAJOR DEVEL REQUIRED: /�61171- /5,//�
1

CERTIFICATION OF EXEMPTION • 11
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, y;�'
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project _
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE: )
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Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there . y „ .
is a subsequent determination that a permit was required for the
development. CAMA Official's signature v\X .\
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203

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• DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NO 111-ICATION/WAIVER FORM
•
Name of Individual Applying For Permit: ,To I/efri) P/2/1
Address of Property:pe 8 6 Zigs i ems, /,,6 i9R i e,
(Lot or Street r. Street or Road)
QAi< �7sLA,vD 8RchvswlG
(City end Countyj-,- l
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 theattached
drawing the development they
. are proposing. A description or drawing. with dimensions, should,he 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, NC 28405 or call 910-39C-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, brealwater,'boat house or boat lift must be set
•
bck 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 vaive the 15' setback requirement.
•
•
Sign Name Date
. . .- - 7:2911: .
. wilfr . .
Print Name _ NCDENR
NO off GROIJNA DEM' TH Nr OF
' ENNROMMEMT•l!D N4TlAAL RE!fOIIRCES
Telephone Number with Area Code S:lcamalshellslriparianproperty.fnii

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: p y/V PF19 F
Address of Property: . //( E./1S i ._LsZ AIIun DR l Vim'
(Lot or Street#,,Street or Road)
.zsk17-", ' 1JR wv_s w1G/C
(City and Couii T 1
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, NC 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 or boat lift must be set :
bck 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.
•
Sign Name - Date•
Print-NameNCD� � � -
. Norma CAROUNA.DEPARTMENT OF
E iRONMENT AND NATURAL RESOURCES
- . - Telephone Number with Area Code S:\cama\shells\riparianproperty.f un.

23,4iF007 GILLUM GREGORY S
13604 BEDFORD RD NE
CUMBERLAND, MD 21502-0000
03- 4660 R 35004980 GILLUM GREGORY S
302 . 88 0.00 0.00 0.00 0.00
0 .00 0. 00 0.00 0.00 0 .00 302 . 88
REAL VAL: 82980 PERSONAL: TOTAL VALUE: 82980
CENTRAL COLLECT TODAY: 0.00 ADJUSTED CC BALANCE: 302 .88
** * * NET TAX 302 .88 INTEREST 0.00 PAID 0.00 DUE 302 .88
TT1 I P /l 0 CTIT TT
CCiDr+i U .0v� L.L,u� 302 .88
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234JF009 GRANT CHERRY & DAVID VALK
120 E OAK ISLAND DR
' - OAK ISLAND, NC 28465-0000
03- 4801 R 35140270 GRANT CHERRY & DAVID VALK
296 .09 0.00 0. 00 0.00 0 .00
0. 00 0. 00 0.00 0.00 0.00 296 . 09
REAL VAL: 81120 PERSONAL: TOTAL VALUE: 81120
CENTRAL COLLECT TODAY: 0.00 ADJUSTED CC BALANCE: 296 .09
* * ** Nrm TAX ')Qg rnQ TNTrp.p.GT rn rnrn AATT1 rn rnrn flTTTa'. 7Qti rn4
.. . rrv . v ..rr�.rr� • ry ^^TTT fT A •1%lA /TTIT TT� 296 .09•
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SENDER: COMPLETE THIS SECTION COMPLETE THIS'SECTION ON DELIVERY
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■ Gomptet items 1,2,and 3 Atso c mplete--. g -. i
Item 4 d Restricted Delive,,is desired `X w- gent
s■•`Print your name and address on the reverse 0 Addressee
so that we can return$the.card fo you , fig`Received by(Printed Name) CyDate of Delivery I
■`Attach this card to the back of the maitpiece, " De E� � 'r µ..
or on the front If space permits
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SENDER:'COMPETE THIS SECT ION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1 2,and 3 Also complete A Sig tur
item 4 tf Restricted®slivery is desired - ❑Agent a1
■ Print your(lame and address on the reverse �1 . � ❑Addressee"1
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4..':.iiJOHN C. PFAFF
GALE PFAFF 1794
116 E. ISLAND DR. 910-278-5777• OAK ISLAND, NC 28465 /'`/S^ 0 0 4/ 66-112/531
ale
03003
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BB&T ADVANTAGE
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BRANCH BANKING ANDTRUST COMPANY OAK
NY OROLINq O /�
.1 1:05310i 1211: 521682263511 1794