38481D - Pollert

../CAMA / DREDGE & FILL � 3 481
eG ERAL PERMIT Previous permit# Mc) —D
> ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources If L.)"
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and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?4. /..) UU/ -fit/
lF ulesattached.
Applicant Name Ui j M`_ PO 1/'P/Q t. Project Location: County -
Address Pr D 1 B QX ',D.) ! Street Address/State Road/Lot#(s) UOb b 521-'
City L L1 NtON StateN4 ZIP 73
Phone # (It())n) 99')- a I D Fax # ( ) Subdivision 0 Lb Sb11h°R 1 3 ('F
Authorized Agent Ars,-kMla. M ‘-'1 Ni( City Si,o2-f CHt( ZIP Ocff/ys
cw 2EW lIPTA y.E( -PTS Phone# ( ) - River Basin C PAt
Affected
OEA :HHF IH _UBA _N/A
AEC(s): Adj.Wtr. Body r.„4-A,A4 I (nat man nkn)
PWS: FC:
Closest Maj.' Wtr. Body >�
'1 Wi1A.1
ORW: yes / no. PNA yes /<no) Crit. Hab. yes / no
Type of Project/Activity f g1\) �Q Doc IL '3 u\ .-4-1.-u---1 U f.:---Q N/4-ce VYk P4.,
,,(Scale: / =a 1 p )
Pier(dock)length t v
X.Platform(s) R9 t A t1\/
Finger piers)( )e) £%X(Lo (�& , ,t t
Groin length - ) .
j-nu r �U ' l� f
Bulkhead/ rap length (r7s , �! D� r
distance offshore i
max distance offshore 5 1
Basin,channel /
cubic yards _._------ --_
Boat ramp r /� 2�4+¢ P &�(j 6
Boathous Boatlift 4:4 10 f x�d l��
Beach Bulldozing
Other
Shoreline Length .
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no 1
A building permit may be required by: 50,) C; if( . See note on back regarding River Basin rules.
Notes/Special Conditions Ai( L'j/t7:5-6&, DJ cr S^7`)j0 c 7i11,44,1i /h A rf ,�M o V€i'
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Agent Ii t Print tame i p.icer's Signature
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Signatur "Please readdmpliance statement ack of it" Issuing Date Expiration Date
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SWH Cti/ S /10.) /�3
Application Fee(s) 0 QU, .� Check# y'3 7L/ Local Planning' 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 252-946-648 I
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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 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: [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 3se/ p-P
APPLICANT NAME: De la-1 6,- ///'
ADDITIONAL NAMES: / '1 7 fjdf^i Ma/4149
AEC DESIG: DEVELOP AREA: .o 0. PROJ DESC: - //
(Will only take 6) (Will only take 1)
WORK: U 7 g, l b 64 1 0/ 0 . r7 I4
(Will only take 4) 62 2./ l� , 13(-I GS 131_, io, 10
MAINT:
(Will only take 4)
Da: v✓ 3 qz.
(will only take 6) G4.6
1.?&
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

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BANK OF AMERICA
ANTINORI CONSTRUCTION 4 3 g 4
896 HWY. 210
HOLLY RIDGE, NC 28445 i,6-19/530 //_Z_a t1
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MEMO / 0 U/ v //►y/�Yr AUTHORIZED SIGNATURE
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11'00439411' 1:053000 L961: 00065O5 2 L99011'
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