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GENERAL PERMIT ✓ �`�
�� Y n._M Previous permit# -y
New odification ❑Complete Reissue LiPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources / Ob
•
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC . .
LD Rules attached.
Applicant Name// 42/�/i c,IfSF+'7 Project Location: County 4 ' -- i ila+re ri c '
Address tic s-Ao ? er • Street Address/State Road/Lot #(s)
City l f/i9i ///'//1 4(�r State NL ZIP -f li8i/ /�p S-4`+�/ -or .
Phone # ( )/) 6 iG, DU Fax# ( ) Subdivision /`/?✓//f fr" ..i.-S�+l
Authorized Agent �d/NN$� �.474A/.1 City be,:/ /*A9//." de • ZIP 2 F1'/.
cw r>'€w VPTA DES PTS Phone# ( ) 54444 W River Basin C r/Z'/s✓
Affected IDEA ❑HHF ❑IH ❑UBA ❑N/A �� `
AEC(s): Adj. Wtr. Body /I/C0 1/5 C Hive / (nat i )/unkn)
PWS ❑FC: �F /
ORW: yes / no PNA yes / no, Crit.Hab. yes / Closest Maj.Wtr. Body CJ' ee s4 44///{ s t' ?i.
Type of Project/Activity f"'l AliA /' 7`/- 4 71 i dG
l �Oe //,' (Scale: N''r$ )
Pier(dock)length
Platform(s)
Finger pier(s) /1 <4 Ofe T
1
Groin length �i ��1
number , / ..�
~— XiS / 4, r��/'/t t—
Bulkhead/Riprap length ( 1. j
avg distance offshore 1 t— I l C/-f • , ._
max distance offshore / 1
Basin,channel 70 X/�X 1 / /� •
cubic yards'„5-? ey I + , . .._ _ .k_►
Boat ramp i 111211iii/ ,
fr- aS
Boathouse/Boatlift _
Beach Bulldozing _ ��.� �
■■� ►� 111111�
Other i
-may"` s --
Shoreline Length >,/�/� , T•.w.., T\III IV LILL Lik VI '
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SAV: not sure yes j J ._ �'�
Sandbags: not sure yes ` _
4 fJ r, /dy 4P ;� . ..
Moratorium: n/a yes ® 1 .�._.� r�� . ' 141
Photos: yes _ A Ti I /.
Waiver Attached: yes
i I � ■ / A / AFECIIII
A building permit may be required by: "��
P See note on back regarding River Basin rules.
Notes/Special Conditions � -i 1•� (7/f/fr Y/ 4' P /..e. j/v�y 4r/ /i /�ey0/7�
/^// , /52 9 � (, // a rr del // S,4 ',� . Q-�e-�./
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Y74 /� /7 v / s Agent or Applicant Pri Name Perm' Officer's//4 ( h _Signature
A,.., --..A 2- /9-0 `/ //- /9-a V
Sign re ** lea,e read compliance statement on back of permit*"` Issuing Date Expiration Date
'`do d aF5� /lift'` (7' O-a�'/9..?oA
Application Fee(s) 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(252-946-6481)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]
Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
P 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: 9 I 0-350-2004
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 3 g9i. —
PLI CA'NT NA?NE: Altit
ADDITIONAL NAB ES:
AEC DESIG: DEVELOP AREA: 0 / y PROJ DrSC: A 6.
(Will only take o) (Will only lake 1)
woRR 813 1/, /-Z
(Val only 4) /5 _
MAIN:
MP: 55 (DO
(all only tare 6)
ACTION EXPIRATION
DREDGE€r iT J,REQUE'.ED:
C M A MAJOR DEVEL REQUIRED:

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YO MUDDE. T Coastal Earthworks, Inc.
1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: [phone] • Fax: [phone]
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MARINE DREDGING • PERMITTING • SITEWORK

AUG-11-2004 21:53 FROM:ALTERNATIUE HEALTH C 910-313-6711 TO:6861170 P.3
U.S. Postal Service,
a CERTIFIED MAIL, RECEIPT
.,a {Domestic Mail Only;No Insurance Coverage Provided)
N For delivery information visit our weDsito at www.usps.corr
M1 tO FF3C1 : L USE
mow $ .33
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Reran Reciept Fee ..1
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PS Form 3800,June 2002 See Reverse for Instrudlong.
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08/04/2004 21:25 912231159'4 LAWRENCE LEE PAGE 01
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...TODDLE SOUND LOOP ROAD PHONE(990)'666-?555,..
WILIVIMTON•,NC 26411 -
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COASTAL EARTH WORKS INC. 2858
1955 MIDDLE SOUND LOOP RD
WILMINGTON,NC 28405 66-7172/2531
•
8-ti-' 4
DATE
m PAY TO THE
I ORDER OF Ri $ On 0
U
ld DOLLARS (3 g:" :
COOPERATIVE
BANK
WILMINGTON,NC
FOR 5,55 0, ) P('t" 1
I: 2531717 281: 16900 1030 211' 0 2'858