38988D - Pinehurst

2902Si
0 ,CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
) New Modification —'Complete Reissue OPartial 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///Ze r .
❑Rules attached.
Applicant Name 7' /c/;t,r f /rivC siti.;ci2f h, f,; Project Location: County B//// ,51.,0/C/c
Address /" / f"iie/ii i r.S/ ar,✓C-- - Street Address/ State Road/Lot#(s) (r'
City 'ie /se ( ///// State 'C ZIP ry5/7 /`r'r r J 5/7-Ce /—
Phone # ( ) _ Fax # ( ) - Subdivision
Authorized Agent 7 f/CS / -Iiez/Z City( Ce ,--) _ZS/C @Ccc-h ZIP --2$41/09
Affected ❑cw )EW PTA ❑ES C PTS Phone# ( ) River Basin G.ce r,-)6e-,—
AEC(s): ElOEA Ill HHF ❑IH ❑UBA C N/A Adj. Wtr. Body J`/cie, / /- 7 ./6 /i-7/el nat man /unkn)
❑ PWS: 'AFC: C
ORW: yes / no PNA yes / no ) Crit. Hab. yes / no
Closest Maj.Wtr. Body 7/`«S /„/e f/p/WW
Type of Project/Activity A e/ /- /er- c, / <-/,:li th..y b 6 Ct'
(Scale: /", 20' )
Pier(dock)length /6 'x y ,I: • -' . !1; :1 ,. if /'
�� i
s
Platform(s) ( //0 - T ..... "-I e7 L[.11_ — _._._ TT-._+._._
X 1 , ' .
Finger pier(s) j
Groin length j j
number ---- -'t o j4.0 i _ ' ' I
Bulkhead/Riprap length .. . lit t
-
av distance offshore j 1 -- 1
g .U (, 1_�...___ 1.._...___.._.___.._..I-max distance offshore ti'), _}-: a___f i
Basin,channel -
cubic yards j
J i / /
Boat ramp • /6, _, I ,
Boathouse!Boatlift - ro ,,,
LL
' YZ(YL.-
Beach Bulldozing : _ I '_� /ePJ f e 1 -- i
Other --- _
a
I
1 r� cu
r °vE
Shoreline Length SG)
LI-_-
SAV: not sure yes n I I l I Sandbags: not sure yes j (� µ_-.. .. �'�.�R�� j
L 1-. -..--� P . . -
Moratorium: n/a yes n -t. _ 1.
Photos: yes nto }
Waiver Attached: yes (no) I iI —-- -
A building permit may be required by: 7Cee:7c) /57e. 5CGG.6 . 1 I See note on back regarding River Basin rules.
Notes/Special Conditions ,2(.( Cer)-l d e74 f'%L-d e/7- 7/S/ /2'Je..) /9/,�/y
rr is Z /1c4--c , -t .h. a-- &c-t'-L-c_d
Agent or Applicant Printed Name Permit Officer's Signature
Plea'1t°`Please tre Signature ad compliance statement on back of permit** Issuing Date Expiration Date
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 252-946-648 I
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves: Camden,Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford,Hyde,
2728 Capital Blvd, Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
p Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I9 733 I495 I 5 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)
Revised 10/05/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
•
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APPLICANT NAME: yOirt G /- Pl'fir-,
ADDITIONAL NAMES:
AEC DESIG: ) p f DEVELOP AREA: _.c)L PROJ DESC: P - !(2.
(Will only take 6) — (Will only take 1)
WORK: P2 /6 i`f
(Will only take 4)
g)/1
MAINT:
(Will only take 4)
IMP: ow / 2S
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ( ZR CXf �' Zq •o e-f •
'
CAMA MAJOR DEVEL REQUIRED: 'Zc/ - O Lf- f t Zvi • oL

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECi.TION ON DELIVERY
S J -� 51 N�4i,:,,,S ,� < r ;�A. Si 4"�■ Completeitems 1,2;and 3Also complefe � � '��---= Hp gyent� �F�item 4 if Restricted Dlivery is desired j( ❑Addressee--(
■ Print your name and address on the=reverse ! •
so that•we can return the card to you eceived by(Printed N e) C Date of Deli
4 ■ Attach this cans to the back of the maiipece , '
3 or,on the front d space permits
D Is delivery address different-from item 1? y
,,,,,:::?,-'fil
i KArticle Addre!mfisdpejuissed to li YES;enter delivery address below
s
�Q KoL U�5' C= &
{ ' 1= x
• %'-zr'f� U 3 ServiceType x
V�`� $ . f
K�Certified Mail ❑Express Mail •
i � �5 0 Registe 0 Return Receipt for Merchandise'
red.
0 Insured Mail �0 C.O D
r Restricted Delivery?(Extra-Fee) 0 Yes-- .. .H Y .: t zMv t �,l
2 Article Number 7003 1010 0000 7 0'19 ^467 8
(Transfer from serv/ce tabe� -
PS Form 3811,August 20U1' �� Domestic Return Receipt '� ar ' 102595-02 M 1540
... ... $ .'—..i g 3-..----, ..� ...i-v` w.....a�.�J.w:._.r.+.�..i-_:.�.—a..2 �.y._'▪ ae =s
.
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3 Also▪ complete ign ture 4
iteni 4 if Restricted Delivery',is dewed X 0 Agent i
■ Print your name and address on the reverse t ❑Addressee
so that we can return the cardto you Rece, : rtnted Name) ' C.Date of,Delivery ,1
■ Attach this,card to the back of the rnailpiece,: ra45,�• :� `4 4� �
or on the front if;space permits Q
�" f•� D.Is deliiverya dress differentfrom item 1? ❑Yest w
1 Article Addressed to f if YESreni r deli ry address below ❑No 1
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-y1 „ tile. N eo =(lifit. : 3` S rviceTYpe' t f h
Certified Mail ❑ xpress Mad,
- I0 Registered ❑Return Receipt for Merchandise I
a , .f ❑Insured Mall ' ,0 C.O.D
r �
f }
- 4 Restricted Delivery?(Extra Fee) - *0 Yes▪>
,• 2 ArtioleNumber t 7003 1a1f 0000 7018 8325
(Tia�sfer from senricelabe�
PS Form 38T1,August 2001 F Domestic Return Receipt 1o25s5-o2 M 1540 4

lames C MintzNCDL 2694476 ® 1253
Dba Mintz Construction
• • Ph.910-842-7546 66-7143/2531
2621 Stone Chimney VSW
SuppCy,xC 28462"
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® SECURITY
SAVINGS BANK GcA 3i� It 3g,`56
Sunse[ i,NC 26468 , arC i O,3 mac;t/C>
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