36944D - Smith

6
sir"CALVIA / DREDGE & FILL .� i � 36914
BEN ERAL PERMIT Previous permit#
New Modification Complete Reissue DPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources 7
and the Coastal Resources Commjssipn in an area of environmental concern pursuant to I 5A NCAC _/ F i l i 6 V 4 , !Lo 0 .
�}'�� Rules attached.
Applicant Name 1 0 I I Project Location: County
Address Ali gNYlO " v47 , Street Address/State Roa Lot#(s)
City `VV I liAr`_• Stated L ZIP r s`� 01 �� t �{ ✓l A ►�.. ,
p. i
Phone # ( 52-5'5—Z 7 6 Faxx# ( ) Subdivision ,{/�/� (�� `�
I l/r \J11.t ` I
Authorized Agent �l/1n /�fL_ City ZIP
ff _7 �•
Affected CW A S PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH TUBA ❑N/A 1 \A/� s
AEC(s): Adj.Wtr. Body y v (nat e /u kn)
7 PWS:_ III FC:
ORW: yes I no P • 41:5/ no Crit. Flab. yes / no Closest Maj.Wtr. Body Mr 1--te (°rr D �� •
Type of Project/Activity r', , . 0 ' f f_ j1�'i to -�' —,—
•
4- ' I b�"t ( a,!c ri� l (Scale: ///�// )
T ff��
Pier(dock)ler'gth W 7` 7 C •
Platform(s) X i 4
/ f
Finger pier(s) �Q / • • (To ros-a rj 'y [F?
Groin length f*s-�.--� , // { 4-1
l .11�!','tA4-number qq 1� K(ti
Bulkhe�Riprap length U l l
avg distance offshore ..-- �he �
max distance offshore l �'
�
Basin,channel v t, f t /+ /
ropctat•
cubic yards I
Boat ramp / ji
11
Boathou Boatlift {�/r I - \'r1
U
Beach Bulldozing V
Otherti, 7A T Z ' Sl X (4 /
�✓'k
- �' • Ild � _ W
Shoreline Length Le
SAV: not sure yes no \ /
Sandbags: not sure yes ,:`` / /k
Moratorium: n/a yes 5 �_
- "-.- -- -i'.:\: -.1 i5 .
Photos: no 5 C c
Waiver Attached: yes rtb 1' Cif.)E,
A building permit may be required by: ,01.IQ! . �'SFi�F1 'iT tt2 C See note on back regarding River Basin rules.
Notes/Special Conditions ,s C A 11 Ct9tt4(�C t"( 1 F F ' w woo I H- r ( zoo as ✓` i if a S 4//
i �-L I a� s f a 'e-� tle—t 1 re S s!. ('I)IIIS4 c.1( )1 DI l'Iij eA [ l i- a tip cut.
• h✓I CVh Co rr, e1,7's , 655 Co.-1 ri . r , c S t cJv fi.- EIl vim CV, ,),; k
A
rom PZ /
Agent or Applicant Printed Nameic 'sSignature
Signature read c pliance t ba 6permit' Issuin�Da Expiration ate
qtoo - 17 No119
a- . 0- 0/30,7 E--
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(252-946-648 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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
919-733-2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 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: Te nA 5 0/ ( •
ADDITIONAL NAMES: Ten/ c-op •
AEC DESIG: (S / F 1r DEVELOP AREA:( . 0 . ' PROJ DESC: P _ /( )2_ E
(Will only take 6) (1k ill only take 1) •
WORK: 1214 ' 61 ZO"? �', 4 - tog F•5 — i l. s` •
(Will only take 4)
— 12. + 12 u J (ZIIZ
MAINT:
•
• (Will only talc 4)
141111 T a c.J 96 p .
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: _2 O�f S Z-
CAMA MAJOR DE'VEL REQUIRED:
F

ROBERT E CLARK AIA ARCHITECT 910 295 4683
February 6, 2004
COPY OF WAIVER FORM RETURNED TO APPLICANT
(PLANTATION INC.) FEBRUARY 6, 2004 BY
CERTIFIED MAIL.
COPY OF SURVEY
R 'bert E. Clark, AIA
1 I{ .!7 ' YL \ \\
I CEIV El. 1�E 1
DIVISION OF
OASTAL MANAGEMENT
JIVlSION OF
"ETA► M -kNAGEM&:.NT
65 COMMUNITY ROAD P 0 BOX 205 PINEHURST NORTH CAROLINA 28370

DIVISION OF COASTAL MANAGEly NT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: (Ca4 .•�•�\ r #1/41
(Lot or Street#, Street or Road) ,� t
(942-4-
(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.
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.
I do not wish to waive the 15' setback requirement.
r
(SM
Sign Name Date
Print Name
�j� NCDENR
9 1 U sG 11 C. 3 NORTH Cwnouw Dor mMeNr or
ENHRON.ENT AND NATURAL RcsouRces
Telephone Number with Area Code
S:lcamalshellslriparianproperty.fine

4
21 SITE NOW OR FORMERLY
Vz°' SUOCS & HARRELS❑N CONSTRUCTION CO.
r & rckcc / 60.00'
vS y �, _l% ,y'_ N28?O6'00'Eog
„° P PGF-
$60-
OCEAN
LOCATION MAP
NOT TO SCALE
O O
LEGEND O
oru
0 EXISTING IRON -
0 'PK' NAIL SET O
EXISTING MONUMENT
(CONTROL POINTS
Upland lot area 3285.79 SqFt
3
0
Buildable tot area including decks v Litn
stairs and porches 1314.16 SqFt BULKHEADS /
:Tc: v
• Z al SET 'PK' NAI in
CU ON BULK HE N
lT ELEV. 6.45OI
In Co
M
0-)
W
>
Q 3 105.00® 60.D� 60.00' 45,00 60.00' 60.03
Q O o ---' Es0.00" o O O
Z S28?06'00"W 225.00' a S28-)06'00'W
l.3
L1'
CANAL DRIVE (40' R/W)
SURVEY
EXCLUSIVELY FOR
PLANTATION, INC.
LOT 3 NORTHERN EXTENSION No. I CAROLINA BEACH
AS RECORDED IN MAP BOOK 18, PAGE 103 OF THE NEW HANOVER COUNTY REGISTRY
CAROLINA BEACH TOWNSHIP NEW HANOVER COUNTY NORTH `CAR❑LINA
SCALE l' = 20' JANUARY 27. 2004
JM/TR
L T 3 tlrg 50' 25' 0 25' 50'
1

DTVIRTON OF' CO-kSTAT,M 4N4GE1VIENT
A T).T CFN'T RIP kRI kN PROPERTY O W'1\TER NO "IC 4TIONDLY A TVTIR FOR
•
•
Name Of Individual Applying For Permit , IA 114 < -
Address Of Property: 1 G ul Ov ; ✓
(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 tome 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 vrn� have ohiecticnc tc what is heinQ nrcposed please wri e t11P I iyicinn of Coastal
Manama .m .nt, 127 North Cardinal T)rive,Wiirninotnn, North C'arniina S40 or call 910 S9>--
1900 within 10 days of receipt of this notices Na response is cancidered the same as nn objection
if von have'peen nnrmert_hv Certified Mail
WgTVF R SECTION
I understand that a pier, dock, mooring pilings, brPal,-water, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian ar-r ss unless waived by me.. (If you
wish to waive the setback, you mrst initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
)e I sin not wish to waive the 15' setback requirement.
//14/1 AlC16112fril
Si tur' pate
icicl Q//l�' (d/
Print Name NcDENR
9/a- 39 9- Zolo
NORTH CAROLINA D�ATM=m-ofTa otenona Number With Area Code
GNVIRDNMF'NrAND NAaURAL R:souR;ws

-DIVISION OF COASTAL M4N4GEMENT
A fT A CENT RIP ART AN PROPERTY OWNER NOTIFIC A TIONIW AWRY FORM
Name Of Individual Applying For Permit 7r) L'f/}, F,---)111 L
Address Of Property: �/.� �
• / e -
(Lot or Street #, Street or J.oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the 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 von have nhiectinns to what is being proposed please wri e h . Division of Coastal
Management, 1'77 Nn h C?ar final Drive, Wilrnin�tnn, North Carolina, ?_R4fl5 nr call o in zo:
�9(1Cl arithin 14 days ofrecejnt nfthic notice No espnnse is nnnsiciererl the eam as nn obje tine
if von have been nnti-ie v Certified Mail
•
W A TVER SECTION
I understand that a pier, dock, mooring pilings, break-water, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of rarian a:r22s unless waived by me_ (If you
wish to waive the setback, you mnst initial the appropriate blank below.)
•
I d. wish to waive the 15' setback requirement. •
I sin not wish to waive the 15' setback requirement.
<v-
A:761171
Sim fey Date
izy
Print Dame l
D N— `�`��
Telephone Number With Area Code caRouNA Dma►rr,E,rr of
ENviRONMEN7 AND NaruRAL.R`SouR:S

F ,
i
~ PLANTATION,INC. 7666
�..,-�- COOPERATIVE
,. P.O.Box 2473 BANK
lantation Wilmington,NC 28402
cYn•Fine Humes••• , [phone] WILMINGTON,NC of
7666
66-7172/2531
x
i
*** One Hundred & 00/100 Dollars
8
DATE AMOUNT i
1
PAY NCDENR 01/30/04 $ 100.00 It
TO THE NC Environmental&Natural Res.
ORDER
OF 127 N. Cardinal Drive
Wilmington, NC 28405 •
CF369119
AUTHORIZED SIGNATURE a
POO766611' 1: 253L7L7281: 0 1900 3480 5u' � A
N
PLANTATION,INC.
P.O.Box , 7667
=�..,-�• COOPERATIVE
; BANK
lantation Wilmington,NC 28402
••Fine Humes• A [phone]
8760 WILMINGTON,NC of
7667
66-7172/2531
I
*** One Hundred & 00/100 Dollars 1
1
DATE AMOUNT 5
PAY NCDENR (L ►d-Q> fyt 01/30/04 $ 100.00 -
TO THE NC Environmental&Natural Res.
ORDER ,
OF 127 N. Cardinal Drive
Wilmington, NC 28405
GF369y 'l
— --- AUTHORIZED SIGNATURE ,.
11600 7 6 6 ?III 1: 2 5 3 1 7 1 7 281: 0 L90031,13050