35098D - Purvis

J' `.AMA/ ❑DREDGE & FILL h 35°98D
GENERAL PERMIT Previous permit#
�` I'.New Modification Complete Reissue LIPartial 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 14 I 1 UG .
Rules attached.
Applicant Name .3-�C-k- -Pc-kJ V i Project Location: County 130z,)n5LA_;Ic Imo_
Address (s.5r] Ca r r .,G,,e_ P(CcGe 5I, ) Street Address/State Road/Lot#(s) - c'+ f
City 'cesr,__1Z j‹(c,BPtc-I State (C. ZIP,:4Fl Co6-i :_t3r.'4 C4/e sl <'( rG1
Phone # (7 7,5q 36,75 Fax# ( _) Subdivision 3 ra rl 4 I ej !gip t w--{-�
Authorized Agent "ck.rYm m NJ \In t r M City Ccc( i� ±9_..{ — ZIP Z 4 rj 9
Affected Li CV/ L EW I PTA / ;ES OPTS Phone# ( ) River Basin Li_c rnl 0 e r
s 7 OEA HHF ❑IH UBA N/A
AEC : Adj.Wtr. Body5 ((c,-f-e, j i ,i 1
l7 PINS: r FC: I ha c:. (�/man /unkn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 5hcc (( OL4-c (t�(ef j altti(At)
Type of Project/Activity C.vr7 574-z i c 74. A/eu) be.,/i.-fiGc et...rr,,--yi`S r)le tvy i 5 /7r rY L,#.1A,_
J (Scale: )
Pier(dock)length
Platform(s)
5 e,1.(Ci4r._ItA- (c.• -
Finger pier(s) r_y>,
. . '' A I MA)
Groin length
number rat?r .
Bulkhead/Riprap length I n V
•'"- ---avg distance offshore
max distance offshore
Basin,channel
cubic yards
Boat ramp
-t.
Boathouse/Boatlift -- -- i- ;
Beach Bulldozing (
Other 1".
!3�
( 00
i
Shoreline Length I C.)C.) ,
SAV: not sure yes no L.c - c]
Sandbags: not sure yes n PL TJ I (--j-t C. 6 r- _( :e_. ��
Moratorium: n/a yes no
Photos: yes n
Waiver Attached: yes 60 ----- --.1__
A building permit may be required by: 3 rt t r-)St.VMC ic_ ( C.t_t rv.k.j E See note on back regarding River Basin rules.
Notes/Special Conditions r• i 1 ,-t.-{tii, j-r).S r - '7 N I (UCU .Apply
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7 rY7 L V. via pit._ ({, r:-(e-,--c- Ti^. :.(.�v
Agent r Applicant nted a e Permit Officer's Signature
CiAtt-4 a10- '' /�/G'41 /AIL
S gnature **Plene read compliance statement on back of permit'�"�` Issuing Date Expiration Date •
IC,)� '1 <'0-,7"- T T
- Anolication Fees) 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(252-946-648 I)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 252-264-390 I 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
3 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 91
Fax: 9I 9 733 1495 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

I
• GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Jc c k R c r v S
ADDITIONAL NAMES:
AEC DESIG: L.3 DEVELOP AREA: (; PROJ DESC: p -
(Will only take 6) ———
(Will only take 1)
WORK: 614 l v v
(Will only take 4)
MAINT:
(Will onlytake 4)
IMP: i-4,O
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ` ( / v`t g(01
CAMA MAJOR DEVEL REQUIRED: 1" /bL Lf % (U�j

•
: DIVISIOIJOE cfASTAI, MANAGEMENT •
• ADJACENT..RIPARIA►N_PROPERTYwti'NER NOTIFI -ATION[WAiVFR FOR1�V
Name Of Individual Applying For Permit: l!• IQ..clA Phis
/ '' ff
Address Of Property: f3 (an+leg cj rc I
6ric �l Cu.
. ._ , g�sc�ccl�
(Lot or Street#, Street.kbr Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to The as shown on the attached drawing the development
they-are-proposing. A description or drawing, with dimensions;should be provided With this -
letter.
Itif•fl have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,_127 North Cardinal Drive, Wilmington, North Carolina, 28405 or call 910 395
3900 within 10 days of receipt of this no i e_ 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, lift or sandbags must be
set back 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 of wish to waive the 15' setback requirement.
e),-Y AA.
Sin re Date V
Print Nam
74e,641 ,5-02/d2 NCDENR
Telephone Number With Area Code NORTH CAROLINA DEPARTMENT or
ENVIRONMENT AND NATURAL RESOURCES

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DER: COMPLETE THIS SECTION COMP«7E THIS SECTION ON DELIVERY
,orrrplete items 1,2„and 3#Also complete A SI ;s i y
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'rift your name andaddress on the reverse ❑Addressee
to that we Can return the card toyou ' B. , f•`� (printed N C Date of Deliverry 7 .
(ttach this,card to the back of the madpiece; � t- � _ � "�• �e* :�.3
iron tine front ifspace permits .
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Farm 3$11,Augus▪ t 2001 Domestio¢Retum Receipt `- 102595-02-M.154o}
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ompieteitems 1,2,and 3 Also complete A_Signature `` �G
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'rint your name-and address on the reverse _-. 0 Addressee
o fthat we camreturn the card tolyou,= s' B,_$eceived by(P Name) • C Date of Delivery• .
.ttach this card to the back of the madpece, /p 3•, •�r j▪ Z 3
r on the:front pace permits D.Is delivery a different item 1? ❑Yes
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