39701D - Smith

/ '3"
0 CAMA / DREDGE & FILL ?:9t,
79
GENERAL PERMIT V Previous permit# r 5
� --'-' New (1odification OComplete Reissue Partial Reissue Date previous permit issued c/3/z,c
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_ 7f/. /.2C0
Rules attached.
Applicant Name .22 i;,e 5 L. • ;;'n 1 /./, ; Project Location: County 5/ , ; _ /-___
Address • '-10 t'l ryJ 1 /i r c, GEC/ R/t-tom' Street Address/State Road/ Lot#(s) '//U,/
City 1--1571 State NG ZIP,c'S-1-/20 /.Ji t tc- /: c T_
Phone # (2/0)2 - zfg-llS Fax# ( ) Subdivision /,./, Tr:r, /( rvr,ir
Authorized Agent L/c j pl at-(«t fz City KE 5/// /. /7' ZIP 2 '4'%2.
Affected ❑CW W XPTA DES C.PTS Phone # ( ) J River Basin 2,S"/ '2
❑OEA 71 HHF ❑IH ❑UBA N/A
AEC(s): Adj.Wtr. Body 5 C->7r, ((c,,i4e k i yr r ;fnat/man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA / no Crit. Hab. yes / no Closest Maj. Wtr. Body ><�� //ma 44 c' /� �<
Type of Project/Activity i)7, / /, t /../7-of J f- ,L ' GC ic_ /
(Scale. / „Z 30 t )
Pier(dock)length <-••/0 e%15
j l
Platform(s) X ; — —_i ' � �ri /,i (37-7 /V c' ci l
1 1 i �wY
Finger pier(s) rX/ 1 �--- -- I_Groin length
number - --
L
, {
Bulkhead/Riprap length --!---1- t
avg distance offshore
I
,
max distance offshore 1 : --_, - r � •
Basin,channel i----•,-1 .? _•7 Zd11
t \
cubic yards S
Boat ramp ! 1-- -- 1- 1. — r -- -
: 1 MI
Boathouse/Boatlift 'Ci 1 1
i I
MN I
I } - ±--r
Beach Bulldozing _rt� -- 1 AA� I ME V
i I _
Other (ii' { ! •
I Vj
T — _! 1 - I
iI ._._—
Shoreline Length _ /' ._ : - j ` f i �� �yJ W
SAY: not sure yes no i / "
Sandbags: not sure yes (no -' I '� ., I i... i — V/�V. i
Moratorium: n/a yes no _ r i . 1 1 �`
Photos: yes no _ __ 1_ i I 4
Waiver Attached: yes no i • �/ U � ' -/ • '� V
A building permit may be required by: i-:J ! "r . E See note on back regarding River Basin rules.
Notes/Special Conditions /i f( (( , �(/-A/c, _,r i. /--", ;>l'S'' t,i 7#
/1/',/ it'IL / of v /S fr // l/ i ei/,, Sr St�JnC k r.- T`/Sqir r" S/t/f.', .
t
Agent or Applicant 'nted Name Permit Officer's Signature
Signature lease read compliance s to ent on back of permit" Issuing Date Expiration Date
` 'ci/ •ii 1.'
Application Fee(s) Check# Local Planningf urisdiction •� 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(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: [phone] 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 10/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1,W2iuZ!'' L•c.-5;r'
ADDITIONAL NAMES:
AEC DESIG: P'T DEVELOP AREA: _. 4 J PROJ DESC: P -/2
(Will only take 6) (Will only take I)
WORK: pE Z901 6 TC /zi/6
(Will only take 4)
MAINT:
(Will only take 4)
IMP: QCO ,320
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • ///i /o y 21//0S
CAMA MAJOR DEVEL REQUIRED: // /,/o 5' z/1/ 5

A/7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Charles S. Jones, Director William G. Ross Jr.,Secretary
November 1, 2004
Lloyd Mintz
2490 Whiteville Road
Ash,NC 28420
Dear Mr. Mintz:
Attached is General Permit # 39701D issued to Mr. James L. Smith for the construction of a
modified pier into the Shallotte River at 3114 Blue Street in the North Tanglewood subdivision near
Supply, Brunswick County.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white copy
for your files and return the yellow and pink signed copies to us in the enclosed, self-addressed
envelope. Your early attention to this matter would be appreciated.
Sincerely,
Caroline Bellis
Field Representative
Enclosures
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX:•910-350-2004\ Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

IZCAMA/ ❑DREDGE & FILL = 9 3
GENERAL PERMIT Previous permit# Q�l5
❑New Modification ❑Partial Reissue Date previous permit issued 5/5./Z r.,
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 I5A NCAC 71-/1200
ARules attached. ,
`Applicant-Name Cc.m P;S - G c5'rc i�h ?, _ ` i Project Location: County cV%l?5'aJ/CIL,
Address Ai-/-/O (/ir Lrr t 4 ?7a0ed ,`Al e i) Street Address/State Road/Lot#(s) 3//4
City =105 i :State N(' ZIP Gr'/20 /�/fie c5'/?Yee,r
Phone#(g/O)2. '7 `,liege Fax#( ) '. Subdivision Al, 'Yost q/P_Lcx'cd
Authorized Agent ' /oaed 4a City c5Lc�y-/2 1y�/ ZIP XE 28'Z--
Affected ❑Cw W I PTA ❑ES , ❑PTS Phone# ( ) River Basin �46Z
❑OEA ❑HHF ❑IH CIUBA ❑N/A
AEC(s): Body Ne II vet— nat man /unkn)
Adj.Wtr. �GiCc.CCo
_ ❑PWS: ❑FC:
ORW: yes / n� PNA /yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body -Ad.L'o e 'i vet-
Type of Project/Activity 73iz/ /d AC/eu jr) ( orJi -ted.) Pier and bOGk_
. (Scale::/ I t )
Pier(dock)length 2-90' CNrS)
Platform(s) �2.X/la i i i 1 1 I i � �c(!T/ ii lY i ( ( 'f i 1 ,Y/
.L'
Finger pier(s) X 1(p( I , I i 1 1 1 _ 1 , 1 i ' 1 ' i 1 i ' 1 i I i
Groin length I I I I I I I 11 I I I 1 I I I I I I 1 1 ! 111
1 i 1 1 I I I I I I 1111 111 1 I I I 1 1 l 1 1 .7.rsiir q
number i i • i , 1 i
Il i ; , J
Bulkhead/Riprap length 1 1 , ' 1 I 1 i 1_ i ' - i j '
avg distance offshore 1 1 t-I 1 + I ( l_i I �' 1 i .
t , 1 . I I
max distance offshore 1 I I 1 J ' I I J . i i i .�: 1
1 , 1 1 I ( ri ! b C1
Basin,channel i i l I I i
•cubic yards f I G I i • I 1 I i ! !_ c� t1
• Boat ramp, I 1 1 1 I l I j , i - 1- CG i �' I ,
, IL ! Illllfl ' IlfI ili � lll ( 1 1--- 1 1 �
Boathouse/Boatlift ;
i l 11 1 1 l i i l ; 1 1 � j I 1 i i i i
•
Beach Bulldozing i i II 1 1 ' 1/.: I 1 /
I 1 I 1 (pdJ ' I I
Other //
I I 1 11 1 II 1 1 1 i I I i i l 1 1 � � 'I
IIIl ! l Ii ! II Il
1 1 1 i I I i I i 1•V_ I i 1 I 1 1
• l i 1 1 I I ` i I i 1 1 i 1 1 I V i ' l y ! (, i LY I I i i I_
Shoreline Length 660 ( I l 4Z I i 1 Jy'
1 1SAV: 1 I • 1 1 I _f/i
I I • I i 1 91 i_ ( , i j 1 1 N/ ' ! Nil 1 i_
Sandba` : not sure I ' I �xi/LW, r / f/ 1 1 I 1 I I I 1 I
gs YeS �� � I I � � 1 f ! i —I
• Moratorium --n/a .yes ,-&: 1 I I ' I 1 ' 1 1 • I 1 1,(/ 1 ' I I
Photos yes .69'. i L1/ 6 ! �---Qr i Iv—_ �I.7 ''t✓
Waiver Attached yes `©° , 1 1 , I I . 1 I I I I ! 1 I W 1 . 1 —I 1 I ! . '
A building permit may be required by: 4/3r;/75t')/'aL.- cL/z� - . ❑See note on back regarding River Basin rules.
Notes/Special Conditions Z C a.74- l fns o 9/S(/ZOO iEij; i + /ias' en �' Ti074
4f7C wit. 4 4v J6-s rL/")a.rcttn Gs�5-1742ek. cm •/S I7er. 5/de,
•
I- i ":1.47. y-'''. el- '''-17'.77-1:::i;i2:-. 7;iZ-je4: :±--#•:IIN. k'-:''':t.jr:,:la!:z:'i.'{ :-,T1'777.-.7_?e7:::;?c1:c_,';.:7'. g.e_egt'''- -...,- _ •
Agent or App nt Printed Name Permit Officer's Signature `'.�
tom'' _ .. - i. -4 . .e.r - ,.. i '- t _ _ L .`1" `_�
-31- 'x.`4. "ai% *t2 V041::: L . /.Lei o! Z�. ( r.,£
Signature * Please read compliance statement on back of permit Issuing Date j r Expiration Date "j
Application Fee(s) -_ =...Check# - Local Planning Jurisdiction _ ,-,;.J .- Rover File Name

A/7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley, Governor Charles S. Jones, Director William G.Ross Jr.,Secretary
November 1,2004
•
•
Lloyd Mintz
2490 Whiteville Road
Ash,NC 28420
•
Dear Mr. Mintz:
Attached is General Permit # 39701D issued to Mr. James L. Smith for the construction of a
modified pier into the Shallotte River at 3114 Blue Street in the North Tanglewood subdivision near
Supply,Brunswick County.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white copy
for your files and return the yellow and pink signed copies to us in the enclosed, self-addressed
envelope. Your early attention to this matter would be appreciated. .
Sincerely, •
Caroline Bellis
Field Representative
Enclosures
•
•
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone],001 FAX; 910-350-20041 Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

NTO Previous permit# 3q q 5-6
397011
[71cAmA/ a D-7 E & FILL
___GENERA . ' ERMIT. ..-, , -. .
oNew Olodificati:, — -=--- .-----• :__.:-.. 0 Partial Reissue .2_1 .
6,
Date previous permit issued 5/3/zooit
As authorized by the State of Nort C. lina,Department of Environment and Natural Resources
and the Coastal Resources Commissi• in an area of environmental concern pursuant to I 5A NCAC 7/4/200 •
Rules attached.
,ztz.,, ... . _ „.....-s- ,.,.,,,,,,,v-y.,.,...-1---4-•,,:k.---'7;.,-, --,..,...,.-,,-.',i-r,;.•F,.•...;,_,."••••-,?:,`,7-‘,& :,,:-,--;.57--1,1-. 7-7.:•3
'Applicant'ISlame-z---:,...v -e--6'.'.',=`.1..:-i';'.0 tel-istri-;-.1 ::,...-,,-: ,..:, ---'7.': Project Location: County Oat/2,540/"0.,k)
Address.„-:,,..,,i,.:7.w4/0 i Ittegi ri..ti:L='!.147 ,6-e....--elf.ii-s-i*-'2.,411:4,..;.'.,:rilsit:il Street Address/State Road/Lot#(s) 3//1/
.:--,--<,;--‘,„,'--,: W'z,`...-...--
!.trii:"4:-:-?7e..4).41'5;k.,..-.-7,r',?,:g7..? ,,.._-.,---', :::-.Siii .,',NC;2115.;tkii o 0 ... , 5/ue Stree:t
Phone#(19/0)-2F-Pi-- •=f-g.e-75. Fax#( ) Subdivision Ai' Tizciiie i..c.,coci
;;----,-1...',,e,r42,..',.:•-• .-;"--;5Lf:-."!-..,'1,s.,•••,•j.----•/ --'..,- i -,---1 I: -_.L......-., , „i..•• .,.-. .,... . .,:-.--..,! -,....-
Aultiorized:Agent-f•:-',.:-.41h-....41O:y.ct,N.,4 .44!,,-1-.4-',,,z_V't1E-;_:::..'-:`',.I...-:!1.-'-':.,fi.-:-',.1 City Stc.frpt,ty ZIP 08"47:&2- - ..
0 cw NEw BETA 0 ES OPTS Phone# ( ) River Basin .2877142
Affected
- -El 0EA 0 HHF O IH 0 UBA 7 N/A ca,
AEC(s): Adj.Wtr. Body ,"5--(-7 a_Ceo, , e 1 .1ver-- r6ailman /unkn)
E]PWS: El FC:
-AO_L -
c
ORW: yes / r-CD PNA ( A/t/ no Crit.Hab. yes / no Closest Maj.Wtr. Body o`l-/ /
u
(' i r "i,
Type of Project/Activity 731z.i i c..6 j 4 I e ta...) rri o al,-Ad) Perali
ct ack
• • (Scale: /il--t,30 ' )
Pier(dock)length 2.90/ II.A/i.--5..)
Platform(s) /2-X/a
, ...-1 , , , , , , , , ,
Finger pier(s) g'ic 1 w . , . ,
; ,_ ; ! ; ; : ' ! ! . ! ' ii. ,
I II 1 II I1 i I 1
Groin length III
1I I II I11 1111 11- 111 '.itii.)1,
number ,
111 111I 1111 1 '
Bulkhead/Riprap length
avg distance offshore , 1 I 1 . 111 . ; . 1----! • 1111111
_ --- 1171
max distance offshore I , 1 I 1 il 7:
Basin,channel I 1 i 1 I I 1 11111111 11 ' 11 - \l-Nli Il
• ,
I
1._____ ! ! i • . _ !...,' •*-4-1_,
cubic yards i I i L.' I. . I I iIIIi ' ll 1 ,q; j ' i 11 ! iv
. Boat ramp 111 1111 11 liP 1•-fril I Nfr 1 1
• 1 . 1 1 1 II I 1 I 1 I . III 11 1 , 11 . ' 1111. 1
Boathouse/Boatlift : 1 , 1 I 1 1 1 i ,1 1 1 1 I I1 ! 111
I' ,, I, '• i- ' . ____i__!i t ..;
. I
1. 1 -. , -
W-
Beach Bulldozing - t--- i
1•01/ *
II
' I
.0I ,...,/[
Other 1 , , , . 1 , ,
1 1 1111 /
11111 k1-11111 ,_1 . .1. I
• III 111 IIIII . ; 1 1 1 , I Ni/ lil 1111111
I I ii - 1-1 ; 11 . 1 . 1 ! .
• Iii ".1 illiiii
li 11 '1 .1 "d , 11 ; / II , ' 11 kyi k.V ‘.1/ 11111i
- i .
Shoreline Length ‘00 - --i,r-/-J I L- II II LIFtvLL_LI_YZ 11 ! 1 , 1111111
—., ,
"SAV: - ,not sure ' yes . -: .6 il ikli . ir 1 _.11 Ti 1 , 1-lillii ! li
11 ilil 1119111,,, Hill ' i . ', Nt/ 1111 ill !
Saridbags:,yknot sure,..,....5yes;,,,';,:&.i il *ILIALW I 17-7_-,/\1if Ufl 11/4011 -1, 111
MoratoriumT n/a yes iSi 1 1 1 1 '-I.T -1,/%--' 1 --i-", '---H- :' i I I ! ! 71-7, . y 1 i 1‘1,/ I 1
. 1 I ._
.._.... .. . .... _
Photos: • . . I yes &'1 . ' I k . - i __Ni__ 1 14k i i i) ----- 7 ! ki'.. i W: tib' 1-7.kr7—
,._
Waiver itttitchejd::.'.7.];f.,.-."yes-- "4-6 1 " .Vi iCi! 1 ---,I;j7-7\47 ;
A building permit may be required by: (3,-7 if7,51(21e?-4.,- (.7 01:-.z/2" . El See note on back regarding River Basin rules.
Notes/Special Conditions Alt-G 6,e-ndeV-z-0---ns 0-,14 9/1/2 oe; . / -/ei"" t-i7e4.51‘
•,;,_?-'nc 4t. 1/Pti2 /5 1 Ir"L 1)42."-zail 6e.H.7ak... ern •t/51-h ,..- 5-/de, .
. •_ . _, 7, -,,-'•--r-''',"7.---77-,------ 77T-7-::.??,i7-7,17.,77,17?7,17:72,77,17,'.;:•:;•:75:':f-=:-1-, ' ' e.Z p; •L•,,:L,";„''''.4'-`•-•,,,',.----.•-:--Z:,f. _::-.17-7.7.,-.3:—-
-,_.,..,.,,..L' , ,. :tli-;; -' ' - -. •- ':-ea../Z-17(e. ' gc:.-eez..(_)
A g--_en t orAp."pft Printed Name‘; -;-;• c . ---r:-.,--.:;.".7'.-t.--t..:.,:•.:f-,.-;;.4-•i..:l'-';-..f.-,,:g-.:-•.':.,-::'-•'f.,:'..,.-.- e.-:•._,r f-An...it Oa•,ffi•''...."c'.-'-e,....1.r's,.S..,ig...r.-a.t ur_e--:;.;,'„:-. ",.- :.‘,;....:.-,,-.-L_.A-:6,-. -
itfc, : - lr1 , 2002/
e-.-,-',:.-•,-.",1.;'i_'•i'Z0
-!:-0
iiia-iW " 04aiereid compliance statement on back Of peimit** -if:: Issuing -•'5•7:"--:-'',--...-
Date .,,•:-;...:,-.i..•.;,,,•-,1,-,g..Z•Y,;-;-:•t,:;.;: •:' Expiration..•.,:,- -4ftiafen'M---A
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Aiiplication`Fee(s) "-- -, -- -.:'-•:.-!. '..J-_--:,-,j_r-,--5.._ ',:.:!:.'-' .,:.,;'..k .-:-i::A-:.:--T',-r-. fo &tk.,:_,i,,..1,t.:;T.:.,,,za7;_:S;.:r. Local PlanningJurisdictiorf,inV--: r'7.:-.-Y.-;••,:;,,-i:.,: ;.:. -.,,,!toyer File Name&l:2-,:-;:'-!:::::,':14

10/29/2004 09:04 910-754-7457 THE SHIPPING STATION PAGE 01
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DIVISION'OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual Applying For Permit: J Aim es _ S h,i L
Address of Property: [L u.Q ST 5
(Lot or Street#, Street or Road)
AL t . � .Web R . 2M. L . € Co.
(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.
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
you have been notified by Certified Mail.
i
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' setback requirement.
V I do not wish to waive the 15' setback requirement.
a
Sign N I'fe Date
Print Name AigrA
Nr
D 473 NCDENR
Telephone Number with Area Code NoNtn GITIOLJNA Dwn,Fxr Or
LMVINONNCNY AND NarUNAL RLsounce:
S:\cama\shells\riparianproperty.fim
•
60 39tid NOI1d1S 9NIddIHS 3H1 L9bL-179L-016 170:60 b00Z/6Z/0t

{ ,
DIVISION'OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: t]Am, L _
Address of Property: [3 'T w.
(Lot or Street#, Street or Road)
N_ nsi.r 1. Pa Oci SR tail C 1k C O.
(City and CounTy)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
are proposing. A description or drawing, with,dimensions; should be provided with this letter.
t/ 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
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.)
FY
I do wish to waive the 15' setback requirement.
L/ I do not wish to waive the 15' setback requirement.
•
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Sign Name 2 Date
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Print Nam Arc,
91 a - 2 91- 2/ 1 4 NCDENR
Telephone Number with Area Code ENORM CA/IOLMA DerAPITMeNT OF
S:\cama\shells\riparianproperty.frm
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CA►MA/p DRE?''GE Et FILLak
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L PERMIT ' • Previous permit#
GE11rRA
XNevr ' DModification DComplete Reissue ' DPartial Reissue Date previous permit issued
1s authorized by the State of North Carolina,Department of Environment and Natural Resources f} r� �
ind
the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑Rules attached. •
kpplleant Name . .�e .Y2y s S1. f.:f, Project Location: County ,L`fir I e el 5 x 3.T'
• Street Address/State Road/Lot#(s) e
address" `�ifi/d �ir� [r)/ z lC.:c.:.�:d Nt.'c�'` ,
State A/C ZIP 92 v 14•. t' e ts,a
•
Subdivision Jtr/i r N7yfe �c,1es'es
& Pax#(_-_) 4'11 `di-. / e
hone# /e�) k"7 �lkrf • , ' ZIP (PJ,�
City ��•'
Authorized Agent ,�.�i�r/i''ti �L� .4 -• River Basin LI rr-����
lD CW try PTA O ES OPTS Phone#
Affected Cl OEA C1 HHF tH ❑UBA ❑NIA Adj,Wtr Body >' 7�� /e:�� I` I a L� f nat an unkn)
AEC(s):
Closest Maj.Wtr.Body-
ORW: yes /C::.o • PNA yes / Crit.Hab. yes / noy, a �-^/
°, �' i E A` /.• �C'3f7$L.tJ3L+ f (Je�, :i /^ /G�Ca' l.r`y )r.J�'+4`-
Type of Project/Activity f t��� r'+'<t °
(Scale: /riy 20/
Pier(dock)length! ,?CIO I ° P- ---,..be_ /u1
Platform(s) •
9x //,- j ._._ _J., _ �.1 . -t--__• —._____----------_________ _-_ _ _-_ ,
Finger pler(s) $' A —!- 1 - _ — _ ' .---- _
Groin length —
number — — --�-_ - . -..--• 1 _ --- Ir ~ _._1-. - `s ' r:y .
Bulkhead/Riprap length 11 -
avg distance offshore -'-
max distance offshore -- --- -f— _ "" f
Basin,•channel
\ - - - _--- •- — ----r-'--
cubicyards . - -- .- f -I- _ . _ _I-�
Boat ramp - . ...._ . _j_._.... I �-�' .— -` �t .._ - - -- .1-_ _ - .
Boathouse/Boatllft _•_ f® - -• ;;;- _ - -_
,0 o ► .gm_--- =-- —
.)4.-- _,_-.._'_,_ 11g,I -_i_1 ss
Beach Bulldozing ; ".,._ 1__ .,1 - _ __._.--._ _i a1. 1_'t ' ' Xtz. 1/
'Other _.._ --__ _ _ -.� ^i--•---._.... _.__._ •
Shoreline Length l—--
SAV; •not sure yes no- •
Sandbags; -.pot sure yes n __ 1:::
—..._. __-._ _ fir'-;-`:'_`:?C- - _-- —. -
Moratorium; n/a yes ; ... __... t. ^p.z t,�"s
•Photos: yes - —j
- . •• -�- j' _.._.__T_...__ --• — - _ -- _ - —
Waiver Attached: ' yes (.41~I
��ry�4 �/y, ❑See note on back regarding River Basin rules.
A building permit may be required by: �erGr•`a /,e�� /C.k ` r` ` °��
Notes/Special Conditions . r''fr�`Lr�/ '-r`?�M cy" / / 41p •r/
.�l,.,.�f;,� t'J r.:G�:_ c.r )`u z.. �/!•arc^` �-'� rr,:"r� �r�F'?' ,� "k-/;� ��.� w° •
:t f•`7?:.E( r.?,, . ele•ezer/ quz? �rf
p,;: '� 11 /�`i - �;� L. permifts0filcer'sStgnature - r _°
Agent or Applicant Printed Name •• j
• f i Y l .1 ' *e, 13gGing 13ai b Expiration Date On erTrilt ` .�,-
signature. '�Please read.compllancastatam@ns z P �. ;' '.�r �.,�� �1'S i�
,, / OP;, a j L ianni urlsdlcdon :,,Ra erFJleNarr(e
• �e Chect# ate, :..: catP v
,'AppllcationFee(s) � '`

0 CAMA / DREDGE & FILL 3 995 b
GENERAL PERMIT Previouspermit#
XNew il Modification EComplete Reissue CPartial 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 I5A NCAC 7N /zc o
'' *Rules attached.
Applicant Name l tl'ie5Li r-1 t - Project Location: County a,zt'n cU1e�L
Address WO VI Y(,l 1 n l a_ UCH A/to- Street Address/State Road/Lot#(s) 3 I I"C
Cif'— 'h State A ZIP 2$1/26 Ph . .altte Sfre-re
one # (_ 0)4 1-
{I �4 . Fax# (- ' _) _ Subdivision • Nj. TQ:J'1 MCL00CC----d r ?
Authorized Agent LI0. '/ City iiitsiwoiseis /�,_ _
Affected 3W XEW PTA If:ES E PTS Phone# ( ) River:Basin ____
s OEA - HHF C IH ❑UBA N/A - -
AEC : [] PWS: FC: Adj.Wtr. Body_ C5hg?1U/ £/Ld�/"• (n /man /unkn)
F ORW: yes / no PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body 5-44--a ) 6W�
•
Type of Project/Activity C_,,,:infj2. 0 r /UCCv `I e r ?ram k_ sr /— vim- e, 6olI_
Pier(dock)length X. ---— �t V 1...." Scale (ram Z d )
..Platform(s) '' I
Finger pier(s) • 1 X l I J - I 4 ' — .• — 1L
Groin length i-- -a f ) {
numberra ' j I� Alt .I j �• l/�tom` i
Bulkhead/Riprap length' • , — 1 r— — } i-
:11_
l)IYj
av distance offshore I. 1_ I ' _ - 1- 1 I
max distance offshore . ®�®�®�®��®® ' f I- • ',1i11a_i / {,^Aa
!-
Basin,channel • i � , r ,�+;r.
�i�!'12,®®®®Iiu a 1
F
- IIIiIVaIIIii _ ! ,s '
cubic yards # , Y.' ' � .: a
Boat ramp �� �� I _, Y
# mi I
yogic!
Boathouse/Boatlift I
IIlkiii
• _.T rr "1
-
arBeach Bulldozing `j j - I i /• i 1 Impr. . "®I ' - , : i _ 'ii,.•
Other — - ! W `S I 1 ` r.
. V ' \/ I n� �C/-�(/ I 1
If I -.''
ef ; • ERMIIIII, k-' • . I. - 91111111iliEe. AVIT .••.
Shoreline Length I°75 ��®' ��®�® � M�
I
SAY: not sure yes �__ 7j I � �_
Sandbags: not sure yes: l I f I _ p1./ 1 {
i e - I. I 1 ' I f 1 ,
Min � 1
Moratorium: n/a yes no .•_++ Min.•--i• 1 —, - ((( /if'(f1 •
Photos: yes o _ � � 1I. I.. _ l i, u I� � '. ! ' pL
�
Waiver Attached: yes dipI ! i I t I . I, '- I 1 O'T l I I. I
A building permit may be required by: arUr)5UJ)Ck.. ClDU r) . ❑See note on back regarding River Basin rules.
Notes/Special Conditions ' (?vcL A C"- i-iuS r n4f �,d �� cc), d,LG, L �ti, ,°
�. Gd for ere,,JgG1t. Olt /S' ri f)ari a IT 16)167G k.,5
4 zo . m t it/71-2,. - --..... ,,,r,,,i,,., e i7.6....
L�c„,
Agent Qr t Printed Name Permit Officer's Signature
il3 G ___ 5-3 O
Signature *I' ease read compliance statement n back of permit** - Issuing Date • Expi�on Date
p.
..1...-'ff — /40 f/�St y/C ���i/t it' • i(/cf/Jriy,/-
_plicationFej(s) _ Check# Local Planning.'urisdiction •-�-• - RoverFile Name.:
-" 's'•Y sei�a% ,i§1.4,—;•`i;:?Y,i'S."1 `"1.. .uti':an� .':tfii'l,i'.i .' ai-1r ' b<'',..s .. ., 1.� 1 .. t.Ls, :.
�x>! --_• - ..:�_:a r.•_J.Y`%:.d:$ui F: .,'ffiv .3L...sra'",_k? ,«�^�iKe'3r'¢Y�-.f".aht�...K.i�i,.•�......--.-

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FUNCTION=> C NEXT PERMIT=> , GENERAL PERMIT ENTRY/UPDATE RRD160
PERMIT NO: GPD36995 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: EW CW PT APP FEE: 100 . 00 REGIONAL REP : BELLIS
APPLICANT NAME: SMITH, JAMES L **
MAILING ADDRESS : 440 VIRGINIA ROAD NW
CITY: ASH STATE: NC ZIP: 28420
LOCATION: 3114 BLUE STREET WATER BODY: SHALLOTTE RIVER
LOCATION ADDRESS : N TANGLEWOOD (WHEN DIFFERENT FROM MAILING)
CITY: SUPPLY STATE: NC ZIP: 28462
DEV AREA: 0 . 02 PROJECT DESC: P-12 STATE- PLANE COORD X: Y:
WORK: PR 200 4 00 0 TE 8 16 00 0 TE 10 16 00 0
MNT:
IMP: OW 288 OW 600
ACTION EXPIRATION
DREDGE AND FILL: 02 03 04 05 03 04
CAMA MAJOR DEVELOPMENT: 02 03 04 05 03 04
MESSAGE : ENTER DATA YOU WISH TO CHANGE
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES

FUNCTION=> C NEXT PERMIT=> . GENERAL PERMIT ENTRY/UPDATE RRD160
PERMIT NO: GPD37839 DISTRICT: I COUNTY: BRUNSWICK
AEC DESIG: EW PT APP FEE: 100 . 00 REGIONAL REP: BELLIS
APPLICANT NAME: SMITH, JAMES L **
MAILING ADDRESS : 9440 VIRGINIA ROAD NEW
CITY: ASH STATE: NC ZIP: 28420
LOCATION: 3114 BLUE DRIVE WATER BODY: SHALLOTTE RIVER
LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING)
CITY: SUPPY STATE: NC ZIP: 28462
DEV AREA: 0 . 03 PROJECT DESC: P-12 STATE PLANE COORD X: Y:
WORK: PR 300 4 00 0 TE 8 16 00 0 TE 12 16 00 0
MNT:
IMP: OW 1520
ACTION EXPIRATION
DREDGE AND FILL: 03 24 04 06 24 04
CAMA MAJOR DEVELOPMENT: 03 24 04 06 24 04
MESSAGE: ENTER DATA YOU WISH TO CHANGE
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES

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R3C3r72D
OCT o 5 2004
DIVISION OF
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OCT 0 5 2004
DIVISION OF
COASTAL MANAGEMENT