38483D - Pollert

firoCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
)% New IT 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 I 5A NCAC-7 tY , / 0)/ 7H . //UU , 714 15 vv
ules attached.
Applicant Name E)f,,,Ag ??J I(C-r't Project Location: County 0 M Sid W
Address T r 0 , ..- 7,9,0( /al j 9 Street Address/State Road/ Lot#(s) 110 b 4-73 ST
City C I { AftON State Ne ZIP 73c.I
Phone # 0(0 ) (1/0:� 1.73 Fax# ( ) Subdivision Q/p Serri RS .8EitkH
Authorized Agent AAA-,N 0;1, Mp, .:,Ne City 5kf:t" Cfrfy ZIP jelySr
_Cw I4E4 �;,.P'rA + PTS Phone# ( ) River Basin C Pr-
Affected
AEC(s): OEA 7 HHF C IH UBA N/A Adj.Wtr. Body C A 40k 1 /nat e nan nkn)
❑PWS: FC:
ORW: yes / no PNA / no Crit. Hab. yes / no Closest Maj.Wtr. Body P{W w
Type of Project/Activity 12x.A\ A Q01u Atp Pti.‘ f ii " f t 1 WI t ''!4 l '?-Q X(A-vf+ i i J''"'
t l'YI O l/'e r Xl S`/l ti Cr 7 ffd y (Scale: I t- . O ')
Pier(dock)length
Platform(s) (,
1v,f / A � �1.
Finger pier(s) � ^7 r�Nn
Groin length
n er ��✓✓
� � !l t
/ Bulkhea 'pimp length X o
avg distance offshore 5
max distance offshore
5 '
1
C-3a.--- hannel /.S "1c & jr—3 ca ink"
Ili
cubic yards 30 /el .
Boat ramp r Y I f 4 /
Boathouse/Boatlift /5 �`/3 g CD
u21%1
1
Beach Bulldozing
Other 0
CP
Shoreline Length -7) 31(Pill h/
SAV: not sure yes no
Sandbags: not sure yes no P L.
Moratorium: n/a yes no
Photos: yes no e l►
Waiver Attached: yes no
A building permit may be required by: S(^IQ4 C,'4 y H See note on back regarding River Basin rules.
Notes/Special Conditions 4/( �,4 J'V - / O Cie/ is ..7'u[art'f f' +30/4-7 f7v1.t V
1 )___\_....
�P VQ I-+ )/ N W I
orApplicant Printed dame Permit 6ffic 's Si nature
g
Signatur� **Please read compliance statemen n bac f rmit" Issuing Date Expiration Date
3 - Soie C,-f/ _S 1/0- 17C
Application Fee(s) 1 a 5-0 r L Check# t3 9`I Local Planning Juris iction 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
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: 9I 9 733 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 3
APPLICANT NAME: D,61046te P 1(e✓'
ADDITIONAL NAMES: /i 41L r s Ma v►
AEC DESIG: DEVELOP AREA: a O. 5 If PROJ DESC: - //
(Will only take 6) (Will only take 1)J2
WORK: e(i1 �O r a/ /2 134
(Will only take 4)
9P �, 8,6 l5, 2 '6, -3
MAINT:
(Will only take 4)
•
•
IMP: ov 3 a 3 HG 1 600
(will only take 6) n ��2 D
v • ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

�
� �r- -' -- ----- -- -- `-
�
`
_________ _ ____.___' -----e�+c��-�-- -- -- - -------� ------ '-----� --' '-- ---- - -- --- --- --�
. �
- '
� ~
--- --- '-- ------------- n� -- -----'--' -- '--------------- - --'---
- '
���--' '------' '����� ---------- --' ----'-\`�-'-- '-----'- -' ------'- -
�
�
------'--------- ---� --- ----- --- - ---- ---^r- -- - '-- ---- -- - - --- -'------'--'--' --- -- —

•
BANK OF AMERICA 4 3 9 4
ANTINORI CONSTRUCTION
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530 /
[phone] �( �Z�D b
n
0
IDP It
TC?THE /C / $ '/So
01 DER OF A At/if - — r/
,e‘ ,fit_ DOLLARS
•
•
r-, Z,41_„,,„_......_-- •
... ..,, MEMO / O v //{y/err LUIGNAT
kr
Y0'70 4o.D -3$ /1// 3,f,YYLi 38izB3 -- —
-
11100439411' 1:053000 1. 961: 0006505 2 L99011'
•
ti:;
• .