36995D - Smith

74CAMA/ ❑DREDGE & FILL 3/3995 i
ENERAL PERMIT Previous permit #
��% New JModification 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 7H /200 .
� II y,Rules attached.
Applicant Name ZIGMP5L-+5rl i4h - Project Location: County /3fL?I)�[c)/t_/
Address LittO VI r(j i(1 l a kockof Ai 1 Street Address/State Road/Lot #(s) 3 1114
City P5 h State NC ZIP 2$420 blue J-r-re `
Phone #(CMM) �k� $G$ Fax# ( ) Subdivision M -7a/)9:•I_C1.OGC.c
�I
Authorized Agent LI d(jc ,C i I A,1 2 City AA re ZIP .(8itt7
Affected R.CW XeW ,PTA ES PTS Phone# ( ) River Basin L(trn
;1 OEA ❑HHF ❑IH U BA N/A S i �//
AEC(s): PWS: FC: Adj. Wtr. Body cJ v t!c- rtt k;iE,f (na /man /unkn)
11ORW: yes /, r o PNA es no Crit.Hab. yes / no
Closest Maj.Wtr. Body 5-4al(OFC ki/�/-
Type of Project/Activity CIr), -/r ,C A/c t.c> /-'/e r 6c . 4_ v i /a<< '� e,� jc.) .k_
-tt t� ,� (Scale: /' Z C )
Pier(dock)length AOC)1 f-' i I'
Platform(s) It) )(I(o
Finger pier(s) 13 X I(p Ho
Groin length ',_.__�' .r
number 8 r wa
Bulkhead/Riprap length
avg distance offshore _
max distance offshore
Basin,channel D
J /
/G
cubic yards _ _ I
Boat ramp
Boathouse/Boatlift 4/ + - _
Beach Bulldozing i(/
Other U J/ l.'
\li .\ V,, �. `:
v V i \l/
-Shoreline Length I 06 j '�
Ui 1 ",
SAV: not sure yes a _
Sandbags: not sure yes J G/kia 0
IMoratorium: n/a yes no
Photos: yes oit ,LA./tv _l
__
Waiver Attached: yes no 4'-_-__ __ - _ l
A building permit may be required by: 6rzirztoiCk. 0GLt ril j . ❑See note on back regarding River Basin rules.
Notes/Special Conditions bVC L- K 1t e c- /Yu[.'S 7' i ie f GYe._c d /Ae a.) dI4 rf 0U6ile-!,l1e•V y
c°J'1CJJ!{Glt. C►i /s/ /' /)11r,a.1 ,e//Xii 4_5 i
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Agent or Applift Printed Name Permit Officer's Signature
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
a �
�U(.tw /001 a2,,r)art//< 6u,1/1 .
Application Fe4(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]
(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
919-733-2293 / 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 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Jlt rites L. c5/ "-1
ADDITIONAL NAMES:-
AEC DESIG: SI.J C.(A) PI- DEVELOP AREA:_ 0.O.2 PROJ DESC: -/a.
(Will only take 6) (Will only take 1)
WORK: PR ,
(Will only take 4)
TE %O)/!�
MAINT:
(Will only take 4)
IMP: (X & 188
(will only take 6)
c B®o
ACTION EXPIRATION
DREDGE&FILL REQUIRED: p 513 f 65.4
CAMA MAJOR DEVEL REQUIRED: W3/616" 5/3/O -

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DIVISION OF COASTAL MANAGEMENT
ADJACENT iRIPARIAN. PROPERTY OWNER NOTLVICATION
Applicant's Name: 3 A m E S L - yv,112
�� '�
Address Of Property: t � jc S' N ,,v5ie vet,oci
Street#, Street Name, City & County
Applicant's Telephone Number q I O-'g 17- g g q g
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a idrawing of the the proposed development. Please initial the
. • . statement below if you haveno objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required setback from the riparian corridor
lines.
�r C' I have no objections to this proposal.
•
W/i, v—P // 2/0z-{
Signatie Date
Print Name and Mailing Address
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Telephone: -'
•
i ,

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO fIP'ICATION
Applicant's Name: TA lryl ES Z S,.,•,i_ h
Address Of Property: 1I J u g S i.. N, T � t '©0d ER a.it/S(ti jc
Street#, Street Name, Cify & County
Applicant's Telephone Number g to— .2 r ? •- gS'gq
• I hereby certify that I own waterfront property adjacent to the above-referenced property. The •
applicant has provided me a drawing of the the proposed.development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
x rY I have no objections to this proposal.
E
Signature Si Date
7a :S 'e 13 . L /acrerytwa.. Rci S.LJ-
Print Name and Mailing Address .0. 4/6.2-
90 5y2- 351gZ
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
•
• Telephone: t
•

66 30/86
a.
•
865 `
James L Smith
NCDL 2073128 Ph 910-287-4898 �— D3 — �,�(
4440 Virginia 28 2 NW DATE© /
Ash,N.C. 28420 I $ /��w- �I
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