37987D - Queen

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r0 CAMA/ DREDGE FILL49(
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ENERAL PERMIT Previous permit New ❑Modification �Com fete Reissue CPartial Reissue p
P 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 /N•' o v .
O Rules attached.
Applicant Name r//6riGcrl Project Location: County e;aL./7" L)'e K--
Address /; & I- --tt k/ice vcri La .ii C Street Address/State Road/Lot#(s) 4-oi y 2-
City r 7G r e'S vi//e State A/C ZIP ZS//I `I"'iG 7 /r-c_ //f r�S
Phone # (70,9j 66.11 6,Z/3 Fax# ( ) Subdivision //-)a�lcc crG5
Authorized Agent 71Ad-,-c / --.c /:1,s .- ,' c (r)..5i-. City L'Ce' ' 2 l5 lc 75(:.c c/j ZIP .28 C ri
Affected `CW EW T PTA ❑ES ❑PTS Phone# ( ) River Basin L cf rl.)f e r
AEC(s): ❑OEA HHF Ill UBA ❑N/A Adj.Wtr. Body /`//(--"- (flat /fazan)/unkn)
❑PWS: ❑FC:
ORW: yes / o PNA Closest Maj.Wtr. Body /`'' /cJc`J
(n J yes / no Crit.Hab. yes / no
Type of Project/Activity Co-n 3717'L'(-" if-''') f f 2(- 6,7,5 b,. k- v 0/ h) ,1.//2
(Scale: / "2. zO )
Pier(dock)length /.3 3 g 4,
Platform(s) /�X /3 I. '. F. ._1 --
Finger pier(s) i I _ I
Groin length - I '
_. . I
number t eT I A(WIN
Bulkhead/Riprap length I 11 Ihi !__ L: lb (, '
avg distance offshore 1 I —
Ir--�- t------i- I i + I I I
max distance offshore _ , 1 _I-_ 1, a.
Basin,channel i + �'
1 , j 1 i I i
cubic yards t j r i pc t,� I 1 j -- !
Boat ramp f j --- 1 i __._.
Boathou lift' /3 X /3 1 """ i
k,� I
1 i
I
Beach Bulldozing — — - -- I I I l
Other -
r /�9,.
r i ---- + Vi V j _� N/. �_ `L' :ty( �� I
Shoreline Length _ `'Q _j_ 1 fI-
not sure yes no ''
SAV: U,
Sandbags: not sure yes e I , 55 _.-._--
Moratorium: n/a yes 1_.__. I • .Or- -c I I
Photos: yes no (, 1 • • _ ,
Waiver Attached: i yes;,f fi 1 . �l' _. .
A building permit may be required by: 73'Y1!/75 70/C k dzi 0779 . ❑See note on back regarding River Basin rules.
Notes/Special Conditions f((' rYi Cii7/7e075 4,74 I7/✓/a2co /i' g k ( . Pie(`/I be.,,C 1...- /,57`
J�
h&� ,Q_X4cnd pa5i' ac/ac{/7-1 piec$ . N6, % -c /1i.r7 2 bcri As rr74 j f.
doe ked'r -fled up of 4-h's fa c.
61/tiC.,, AN d 6'1-474,4,--f— -U-C-(.."(_t.:-.4
Agent or Applicant Printed ame Permit Officer's Slgnawre
'2-0• 'c,?,7 7, 20 .Zco5
Signature "Please read compliance statement on back of permit** Issuing Date Expiration Date
.1/( ,I . 419 /fir . ,,.7`„.._„c`,� Leo . A/oy z oi .4
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

6
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(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: 9 19 733 I495 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

GENERAL PERMIT COMPUTER FORM
. APPLICANT NAME: 7// ate
ADDITIONAL NAMES:
AEC DESIG: 7- DEVELOP AREA: .0 ! PROJ DESC: A - Z
(Will only take 6) (Will only take I)
WORK: /31--` / -5J [,- $L /33/3
(Will only take 4)
f1= L.•, /G- EL /41.2 /5
MAINT:
(Will only take 4)
IMP: ci t:t i-t ")
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4/2%y 7/zu/o
CAMA MAJOR DEVEL REQUIRED: y/���/�v 7/2.o%y

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INC .ATLANTIC FENCE
Specializing in Custom Wood and Vinyl Fencing
"Quality Fencing Guaranteed"
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Call for FREE estimates! !
Greg Hall Stephen Conway
[phone] [phone]
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Mar 18 04 12: 09p RMERICAN DATA PRODUCTS 9195108882 p. 2
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Name Or: Individual Applying For Permit: /r /
Al
Adarss '� �uL�Address !Of Property: IO1,' ; /)j C
M- Nc4'
(Le or reet , S ree or Roe- , =ty County)
3
Z here rf cattily that I
re lie . ad property. own property adjacent i o the a referib The inf�ividual applying for tt is permit
tc me as shown on i the attached drawing tx . a rlop Rea
they er : proposing, A desckiptinn •or drawing, dsmensio_e:�t
should • provided with thislletter.
wit dimeZ$iors,
• X have no objections to this proposal.,
you b s
v ,. o w be a o_ o es d c-
a �• p
Rr oy •
c e g r • •
y 1 _ m-
y
1 Q
iI" underseamd that a pier, doc , mooring pilings, brae. pater, boat
l a
from m _ must set back a minimum dis ante of 25'
tr naive a of riparian aeceq unless waived by me. :If
below. ) he setback, you at< initial the you wish
Ii approp late blank
•
do wish to waive the 15'setback requi:. Rent.
1 Ag_h.ot wish to 4ive the 15+setback re t .
q rQ�+ent.
s _ •
10, two 3 1. l��f_
� � z ' , Date A' 4
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�' epresne • to er Witt; Area Code . ED E I' IV
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f�-�"1 _ 4 ',' ,..-.▪.. .. ..,> aana+ Cis'-S'�n _ .r 'i'.s.,r .. ... �. .. _'^s'
SEN DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
i Complete items 1 k2,and 3 Also com fete .S'`natur " ` "item 4 if Restcted Delivery Idesiredp ",;17-
3 ▪:` ®'" 0 Agent
1- Print your name and address on'the�re▪verse ddressee
• so that we can return t ie card to you ar - B. Receive y 4.:nted'Nam F C Date of Delive
f Attach this card to the back of the mailpiece, :- X �-'� - t L �,
�.� 1 3 � ¢,E ,.T ` S '� 3 `f C
} v or on the frontif space permits 3s
r dress drfferent from dent t? ❑Yes -::'
1 Art34
icle Addressed to y iit -� � roery address belon 0 No
a - :.- c"T £ 1 B pjwpp ,ri x fir. {' .r.
4 f a'- fr 3 - _ t+,
`teFa -"� s - ' ▪ .:" 1 AYE I _ all -c Expressrllall :
t 4, eglstered 0 Return Recelptfor Merchandise
Insured Mall ▪0.0 Q D • ' '-'
4.-Restricted Delivery?(Extra Fee) ❑Yes
2 Artl_Number 7002 �860 0025 3218v 3173
(Transfer from s▪emee labs
Ps Form-3811,�4ugust 2t)o1 Domestic Return Receipt • 102595-02 M 1540
d ▪ £ it $ --a-.,_.'.9.-n..c..X
1 ro-_ma.�u�� ..v._u.... �.ut-- � s�.�...b - ,ice � .�._

1.
-_ 66-85/531 2419
0272174266
S. B. CONWAY CONSTRUCTION CO. 6
P.O. BOX 7363 910-790-9737 DATE
WILMINGTON, NC 28403
1 D PAY TO THE -J $ �°O
'
ORDER OF p, Some,d 8 p DOLLARS ' bp.LL g RBC '371.gb yg
a Century 3V1 i
i
. S C RBC Century Bank
12 I
Wrightsville Beach,NC 28480 -- _
MEMO
I:053L0013501:0272L7426606 4L9