39789D - Shipwash

Mt') 31:17p9
0 CAMA / DREDGE & FILL ' `�
GENERAL PERMIT -) Previous permit#
)1C New 'Modification Complete Reissue li1Pa i eissue 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 /'' •//°" , 7L/, /-'v`
pRules attached.
Applicant Name S v e Sh, ley A-S µ Project Location: County Q''c'�i v.,-
Address (4, SA1 f wASN :)1)R - Street Address/State Road/Lot#(s) 9/f 3 77' 57
City _24r?ve(t, State VC ZIP 2V D c7
Phone # ('r/`/)'7 72 - f j 77 Fax# ( ) Subdivision 0/0 S 7t'e S •3� 14
Authorized Agent 4,4 NCR _v.!!<r, i e -- City 5V f' f 6 �f ' ZIP 3 ey y5�
Affected cw CAW ETA ES ❑PTS Phone# ( ) River Basin C PF
AEC(s): OEA HHF ❑IH UBA ❑N/A Adj. Wtr. Body CA VA (nat zn.nkn)
❑PWS: ❑FC: •
.,no) PNA yes / no) Grit. Hab. yes / no Closest Maj.Wtr. Body �U 1 S6✓t�'\�
ORW: yes /
Type of Project/Activity CLA/A,44 N K.D p)4}(.p ni f'n- ( / t f (: A
�/I
�� (Scale: _ .) O ' )
Pier(dock)length - XL'/ ,
y r
Platform(s) / 0 //X� r n0 Cs>•. -- ,-.. _ I + ! s _ I '.__.-
Finger pier(s) I �I I
_ ,t
Groin length . :r If ,.� •t
number — — — f 4'
Bulkhead/Riprap length 70 I I
- avg distance offshore p� F _._ r_...._
max distance offshore ;) I_ _ .: t
Basin,channel
I
cubic yards j i
I I
Boat ramp -r
Boathouse/Boatlift I �/' T t r 1 4�,J
- I 7
Beach Bulldozing I -_-� c
�Y�
Other 4 -+ 4 & +`/t t"ti i
1 1 ! 1 )t +1 1 411
f 4—,
}
Shoreline Length i i i _ k
I "}.. 1 1 -tom
SAV. not sure yes no I I HI I 1 i i I `- ,
Sandbags: not sure yes no `-- ± g t ' "" 1 1 —' —
Moratorium: n/a yes no
_-j.... l..... . h. _..._.._I -...._I 1 —�
Photos: yes no -----__
Waiver Attached: yes no 1 I
A building permit may be required by: no", ,o/c SWRi Cif'( . H See note on back regarding River Basin rules.
Notes/Special Conditions
(-9-r) -^
. , / -r 1 i
Agent or Applicant Printed Name P it cer's Signature
/�-//ov Or b3 - iv-os-
Signature "Please read compliance statement on back of permit** Issuing Date Expiration Date
/ S w,ef Cr7/y 5 J it-0 bA--
Application Fee(s) 4 d UU �v Check# VN5 Local PlanningJurisdiction 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 252-946-6481
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: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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
APPLICANT NAME: Tr A; 8 74-
•
ADDITIONAL NAMES: 4(v�l v d' V\AA-C N-e ;
AEC DESIG: >✓to) p! ES DEVELOP AREA:_Q.0 PROJ DESC: C-
(Will only take 6) (Will only take 1)
WORK: , tt -7 U •
I/6Lr
(Will only take 4) `tf v
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-rE /0 , 1(o 1go0
MAINT: �
�-
(Will only take 4) ? �/ •
IMP: o W 11, 0 5 3
(will only take )
1yo°
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: -, �� ( O �-� y�f
CAMA MAJOR DEVEL REQUIRED: i

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY 0 R NO 11.1.ICATION/WAIVER FORM
Name of Individual Applying For Permit: AA, 57-' otS✓`L,
Address of Property: //,3 9 T 5/' - -
(Lot or Street#, Street or Road)
•
5t/i/C
(City and County)
I hereby certify that I own property 'adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
:rk I have no objections to.this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,'127 Cardinal Drive Extension, Wilmington, NC 28405. or call 910-395-3900
within 10 days of receipt of this notice. 'No response is considered the same as no objection if
d
you have been notified by Certified Mail. •
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,=boat house or boat lift must be
set bck 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' setbackrequireinent.
I do not wish towain_ethel5�setbnck_requirement -
Ch. -e L e� �N�T� •
Sign Name Date t(-3 o2 c a 5L
AIMPrint Name
�- _ g�- /� �/. NCDENR
3
V 3 4 g' L { NCani GARcUNA DrpIRTMEK OF
E•nnRci+MEKr AND N TLFUL R ZOURC.ES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.f rn

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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete itemsi,:2,and.3.Also complete• A. Signature -7 Egr'
itenl 4 if Restricted Delivery is desired. . , `❑Agent
MI Print your name and address on the reverse X e k ;� ,.�; -- El Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date o Delivery,
■ Attach this card to the back of the mailpiece, _ - -924 ram/
or on the front if space permits. -= •
D.Is delivery address different from item 1? El Yes
1.. Article Addressed to: 'ifYES,enter delivery address below: ❑No
ma. 1AN K A. .3ivivirS
400s Ah0.j71-Dig
r 3.;Se eType
C, 0 Certified Marl El-Express Mail
_ El Registered ❑ Return Receipt for Merchandise
75/ ❑Insured Mail ❑ C.O.D.
4..Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7��4 135�. �002 2089 2427
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-Z-0985.
-SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X 0 Agent I
IN Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to..11 back of the mailpiece,
or on the front if spairppermits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
vlr chipde
if YES,enter delivery address below: El No
ry w. �..71917L
(e Zo ?lirrwrw01-,f(,P• \ . `
r 3. gee Type
2 7()VD Ni Certified Mail ❑Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑Insured Mail ❑ C.O.D.
•
• 4. Restricted Delivery?(Extra Fee) ❑ Yes
•
2. Article Number - - -- _
(Transfer from service la 7024 1352 0002 2089 2410
PS'Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-Z•0985I

ANTINORI CONSTRUCTION
BANK OF AMERICA 4 4 4 5
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530 l/
[phone] /Z
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PAY _,{
TO THE A/6 $ Z c, v
ORDER OF
/t"v DOLLARS z.
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Ge-D3°r7C6CJ40111:41!
MEMO S-1 ` KAWSl,t � �� AUTHORIZED SIGNATURE A7'
v wA ( 000444511' 1:053000 L961: 0006505 2 L99OII