38941D - Shipwash

•LICAMA / LIDREDGEaFILL
T^ 1c94,1
GENERAL PERMIT /v
Previous permit#
:New _Modification —Complete Reissue ❑Partial 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 I 5A NCAC 7#7 Jzz 7/ 15O 7ff,J/4C) .
�j Rules attached.
Applicant Name (.941{ ,f1,w6&04 Project Location: County D�sf,w
Address 9 Z 076 666#6A;re 4✓* Street Address/State Road/Lot#(s)
City Sate rQre'3ttate A ZIP aitIPT G/DG Sf
�y 77577
Phone# ('r f ) 722.-11 7,7 Fax#( ) Subdivision Authorized Agent ' 'p,J j 164 i ii o{I City ,,s-,..,.�7"/�
G r'� ZIP 2 1
Affected ❑Cw $-EW ,i PTA ,ES ❑PTS Phone# (/?) 7/'Z/177 River Basin e!.'�, s. p .--
❑OEA ❑HHF ❑IH ❑UBA ❑N/A ,Q unkn AEC(s): Adj.Wtr. Body .� (nat an /_ kA
❑ PWS: ❑FC:
ORW: yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body �ZCL'�e.�
r
Type of Project/Activity 4ippy P f gu dk 4741 oie / /2- F�4 �T>1 7i Ox2Zfile, 3.i 25'
— ) j, r/Z e '(/$ Coa'ied LCk Z.-a-- A 20 /.reLk+ II )(i1 +. L.:14, 0A X '. rZD
(Scale: /�- )
Pier(dock)length t:K Z Z Z 3 X 20 bO4t a`;h
Platform(s) 2 x- 2 O + j... t ......._1 j - _.._..
I .
II
Finger pier(s) , 1 ` W•Un I rt l } I
Groin length
number — —
'
Bulhead/Riprap length i
t
P P gt 7�� , r t 2 �a fi —.
1—
avg distance offshore } 1.
max distance offshore a. }�"
/DX/Z A. i o, Oils
�'Basi�channel i � ___ ._ III
I_
fi } t241+ , --1 ,
cubic yards AIL 3
3 ,IBoat ramp O , *' O
Boathouse /Z}C/2. ������� } T.
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X
X IIi 111111111.1.....1111 ��i -..I_...... I . '— I 1
Fi
MH11,.111. ■_ /6
Beach Bulldozing - - 4
"� ,� "
Other /B �Q� --
i • ! i
i t_____'
i ,
.1 IN N M� a: — —e---? i
Shoreline Length 76 _ j
I
SAV: not sure yes ro -._. i f ❑ ; 1
i i I
Sandbags: not sure yes // j- , 1
�0 —
tp
Moratorium: n/a yes �'�� �7i '� � �Ai��_ _ 1 i, l I I
Photos: yes s I I l '
Waiver Attached: 4 ; Ili il I i
A building permit may be required by: `J-i)i 4 (__l.:,-4-- . ❑.`See note on back regarding RiverRi� Basin rules.
Notes/Special Conditions 64 64' 1 414 1 y LP dal f1 D dee�✓ /iii*A p CPRn P 421ki l� 6 m I i
.5p0.I Tim b5rin 4 I1 bt �1Gld lit ct/1tiivi l S tex , to n�(�1�i oti 3 Or' /71110 J 7/1,/9M
Ave, 74, /50D 4^Nfi/;
L.:
br ican`t Pr'nt Na ‘ Permit Officer's Signature
71/144kj(-7-
Sign "Please read cbMnpliance statement on back of permit*" Issuing Date Expiration Date
2 0°b_ - ( 2) 4235 i.,F-R l f ,i "G/57
Application Fee(s) Check it 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]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
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 I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLIC.;.N-TNA ': 3tGve „Iti Gvtr,SI�
DDITION aL N CMS:
AEC DE-SIG: DEVELOP AREA 0.5 C2 PRO.I DESC: J� - // / IZ
(Will only Like 6) (Rill only take 1)
WORK: �� G,2g ,L 2, i,3& /0, / 2 '4/
(wm only take 4) 3 ,� �7
10/2 /at/ 45 8 L /2, iZ
L ,,, /1 D T /2/ i'/
(WM only Liks 4)
MD: ow 4/13
(will crn}y take 6)
c ACTIN EXPIRATION
DREDGE&FIT.I REQUiY ED:
CAMA MAJOR DEVEL REQL :

DMAXON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: 5+4.Ve: SvtipAras54
Address Of Property:: (0 I'o t" C1 Tin sr
(Lot or Street #Street or 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 .me-ail-shown on—the-attached—drawing- the-development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
A `'7.J1' I have no objections to this proposal.
If you have objectigg� .to what is beina proposed. Please write the
Division of Coa.?t1 Milzaaement. 127 Cardinal Drive Extension.
Wilmincrton. North 'Carolina- 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, 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. )
/0i I do.:wish .to waive the 15'setback requirement..
do: .not:..:wish .to waive the 15'setback requirement.
S ignvure Date
Print Name
X Telephone Number With Area Code

DI- IS=ON OF CO? % `= � -
• z;,JAC m RI_RAP.I PROPERTY OWNER
Name Of Individual Applying For Permit: . $.e Stt,ZptiOet'._5"4
Andress Of Property: 6(0 ' s•
urF C-i,i iv,c_ , ..
(Lot or Street -#, Str 'L- or Road, City County)
Y a Cou�_�
. I hereby certify that I . own property adjacent to the -
abDve
raFPrenced property. The individual applying
Y g for. this permit has
described to me as shown on the -attacned:__ara ripg:tne_de - - - - - -
-- they -are proDosiAJ_ A^description or drawing., ``v nsions
should be with dimensions,
Provided with this letter_
jN $ c-4J I have no objections to this proposal-:
•
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Wi tmingtcn, North rarnl-ina, 28409 nr ra'l 97 n 9 .-..“)n l wi t-b;r 1 Q
davc .of r acniDt •of this notes cA No -r-Qannnse ,.,;.,.
• f 1S COIlS1dr-Ad the sama
r1.G no ohjec. -i on 'i von have haon -no if- e 'hv •-
{'prt�;r i od Mai l
� e -W?_fl1 SECTION
,Q 1 nde=-s"a d _that .a pier., .dock, :IIiooring pit 4
'?jf"` � . gs, :brear�2:ter, �o_t
l _StoL'se _O� oat J -ft must . .set :back 'a .3:airz-linum distance of '5 ' from
(V'7'j I' area of .—.i'ar?:an .access - -utless -waived -by :me. (If
COL wish to
.waive the .setback, you .,must ".in1:ti. the appropriate blank below.)
- _ -'�� X -�>- - -- "1-!do v.i sr to waive the 1�•'_s�y".�n ��� --� ._
l nac re quicement--
.do -not wish to :waive the .15 .setback ?equi--ramenr_
, X. ViAPA4:#411tfrivoiot, X 5.- /-
Sign .Name4D
AhhCGN � ca6) SbfJ Date p
Print 'Name .e.•. .•t ' :€�.
4Ql9-='7cq.- o/5 .-
TeR:
lenhone Number 'With .yea Code
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
Complete items 1,2,acid 3 Also complete = A.,Signature -` =
t, item 4 if Restricted Delivery is;desired X-W, - 0 Agent=
,I Print yo�urname and address on.the reverse / ❑Addressee
so that we can return the card to you '� B. Received by(Pn ed Name) C. Date of Delivery
Attach this earl to the back of the mailpiece, / l• .V
or on the front if space:permits •-/ i ail
D. Is delivery addr ss di different from:item 1? ❑Yes_
i 1. Article Addressed to `7 If YES enter delivery,address below x O No
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2 Article Number 7003 2260 0202 2371 7565 i l
(Transfer from seivlce label) s ..i. e _ x __'
4 PS Form 3811,August 2001 Domestic:Return Receipt 102595-02-M 1540.
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SENDER:,COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
xI`Complete items 1,2,and 3 Also complete ` A Sign '
` item•4 if Restricted Delivery rs desired ` = X ,;`/ �/� '0 Agent
Print your name and address on the reverse _ E,i� ; .f + Addressee
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`so that;we can return the card'to you B. Re= wed by(Pn ted ` C. Date of Delivery
•-Attach this card:to the back of the mailprece,
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.�or on the front rf-space Permits- ``x � � •®� �, � •
D. Is de very address differentfrom item 1? ❑Yes
1_Article Addressed fo a • If YES,enter:delivery address below 0 No ?:
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`PS Fit
102595-02M1540`

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ANTINORI CONSTRUCTION BANK OF AMERICA 4 2 3 5
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530 /�, /`��d� x
[phone] lY
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TO THE j C PAY /� x�/ /, elO
ORDER OF L I �' "! $ 179`' J/ g
4UA) L / DOLLARS E
61 )s ---------------- a
MEMO l estue_L 1 W+b 3 J 1 AUTHO'ZED SIGNATURE M'
!_" Hanoi. 2351 1:053000 L961: 0006505 2 199011