39024D - Seaside

t, 1f19
CAMA / DREDGE & FILL / 64/
GENERAL PERMIT Previous permit#
>Z . _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 "//1/5 OC
Rules attached.
Applicant Name S t?
5/Q / ' /i7C�- ICJ/i 7Cf X//1 /P/VPP Project Location: County r:.__
Address /we/ Zl Uk. Z/rd J Street Address/State Road/ Lot#(s) 'e�i w
City 011 Y!a - State 1V C ZIP ZSITZZ L4 'la i G T- /`4-i t...v LtJ J
Phone # (9/0) tlfZ iICX f Fax# ( ) Subdivision_ 5CCr 5;Cie ti -i-<11-6--.
Authorized Agent (en evakt.5 City / ,
I c -/c.., zIP 2 1-(vo2.
Affected E CW W $ TA DES ❑PTS Phone# ( ) River Basin Lim >`er-
❑OEA D HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body - (nat man /unkn)
❑ PWS: ❑FC:
/LcJ/`")
ORW: yes / no i PNA yes ii Crit. Hab. yes / no
Closest Maj.Wtr. Body
•
Type of Project/Activity f"y) , n7;c /SCc, -- 7 i✓) cr- Civa r G,-i.:,;r;
(Scale: /' so i )
Pier(dock)length tioe ./75
IFPlatform(s)
_. - n r
ins) ] I firi' I i I L
Groin length Lii��ft_-k_ 1N. I i
number T
j j - 1
Bulkhead/Riprap length l
avg distance offshore I
_max distance offshore
I ` v
Basin,channel - �� - — V
aU`�G i \1 v
y
'.--------- !-{,X/G U X//�a 4, 'W . .�
I 1—cubic yards
;,_f, L , „
Boat ramp
__
Boathouse/Boatlift ! I
Beach Bulldozing
Other --t . ,
; I ! t -
`i ._ I
Shoreline Length //-4 t)oLlf i• — 1i1,.�y 111
SAV: not sure yes 0 - - --- — — { 1 I 6... - i__...__ , ---
Sandbags: not sure yes i \ ,.` - . . i-� . /L'/.? i c:'( -�- 'c—
Moratorium: n/a yes0 _/c;G. ar)9.zzu jf• ,•
Photos: yes • r
Waiver Attached: yes no ---- = — - -
Larca I'r7Spee- 1e-i)i r ti,
A buildingpermit maybe required b : /G/c/Cr"1 1�C&C/_. note n k r din River basin ru��
9 Y / ` / S
Notes/Special Conditions ( (/�Y)C7(I76-rnS G. '71�/SC 0 /� �,f /) !" ,(L(- c<.%i//%e 0'.&
;,;50USCC/G f �`r/ /i/cj'4570//L/rid 5/V-��tF-( l/7 . NG CCLf t/C �Jl/_i7'11.f,/ G.f.
/)76 CT' /4Cl . ///� c',iic/cha r"rJG fc4.—c �.-�i7Li I r iopf C'C<�,//e / 065er/�
J i
Agent or Applicant Printed Name Permit Officer's Signature
, .-�� .,,,C." ; e,--z..-^.,---" ,. 7,2'7, 054 /0 ‘.77.05/-
Signature ""Please read compliance statement on back of permit 1* Issuing Date Expiration Date
, /00 G o //0 9/ 0/r-r�. C3Ccl�-- A/0 727/�
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(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] I5 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: Sys;C�c% /t/LLit-t
ADDITIONAL NAMES: ^^
AEC DESIG: ZcJ / P T DEVELOP AREA: C.,Z PROJ DESC: /— - /S
(will only take 6) (Will only take I)
WORK: . 1470cy
(Will only tale .
MAINT:
(Will only take 4)
IMP: pC :)5-!'
(will only take 6)
ACTION EXPIRATION
DREDGER FILL REQUIRED: '7•Z?• 0* /O •Z7•U 5t
CAMA MAJOR DEVEL REQUIRED: 7' 27 0 /a • Z 7 .01/-

E N DER:CU,,,,PLETE THIS SECTION COMPLETE TNJS SECTION ON OELIVPP. SENDER:COMPLETE THIS SECTION - COLIPLETE THIS SecTION ON.ELIVEPY
I Complete items 1,2,and 3.Also complete A 'It atom • Complete items 1,2,and 3.Also complete A.Signature r
item 4 if Restricted Delivery is desired. t item 4 it Restricted Delivery Is desired. CI Agent aI Print your name and address cn the reverse _ `/ &Qui/0.4A
Addressee II Print your.name and address on the reverse l d . 1 ■Addressee-71
so that we can return the card to you. +� by(f eintedN me) C.Date of Delivery the we caji return the card d to you. 0.Received by(printed Marne) / C.Date of Delivery o
I Attach this card to the back of the maifpiece, ` tk ■ Attach this card to the back of the maifplece, . o
or on the front if space permits. � � / or on the front if space permits. _ a'
Articls Addressed to: D.b d.sverY�a-0 from�r 1? Cl Yes 0.Is delivery address different from item 17 ❑Yee
If y1)3', iteasd- ryl below: a No 1.Article Addn�sedto If YES,enter delivery address below: 0 No a
.. ( " )34°) - 0-,
28 1`
:y �Q� -•
STEVEN AND JAMESPANTELAKOS C.1
Tyra- davards Via' ��f 505 LEVENfiALL DRIVE _
9 My wood Drive ^3. Service T " - - FAYETTEVILIE NC 23314 3. Sege Type
PI
Savannah, GA 31405 tit ar�rred Mail CI Express Mail .: 0 Certified Mall 0.°rpreSS Man m
❑Registered l�2••r'Retum Receipt for Merchandise . 0 Registered Cl Return Receipt Tor Merchandise F..
-- _- - - -- ❑Insured Mal CI C.O.D., _# ___ _---_ 0 Insured Mall ❑COX. o
4. Restricted Delivery?Para Fee) Cl Yes 4. Restricted Dc nety? a Fee) by c'n
CA
•. Article Member . _. .•
7002 3150 0604 0321 3382 2. Amide number
7002 3150 0004 0321 3412 N
(Transfer(torrreivrce Mender fromseryrcelebep i i Iv
,S Form 3811,August 2001 Domestic Return Receipt 102195-02 4-Isko; PS Form 3811,August 200i ' ' ' • •Domestic Return Receipt fozsssozirmsao�
M
z
• rt SENDER:COMPLETE THIS SECTION COMPLETE TIIIS SECTION OPN DELIVERY • . PJ
DER:COI1?PLETE_THIS SECTION COMPLETE THIS'SECCTION ON15ELIVERY , complete barns 1,2,and 3.Afsocomplete A.Si ure
- c
- • item 4 If Restricted-Delivery is desired. /� '"
�P� e • • xi
complete items 1,2,and 3.Also complete A.Signature , ■ Print your name end address on the reverse x�� u dJ !i' 0 Arid. -
tern 4 if Resirfcted Delivery is desired. 0 Agent I so that we can return the card to you. _
X • Attach thls card to the back of the mail ece, PiNgligigigl t
fintyour name and address on the reverse O AddresseePt +l '(
Kt that we can return the card to you B.Received I or on The front If space permits. . c:
by C.Date deGltiryaddressddreze dthor'rl
utach this card to the back of the maiipieoe, l 1. Article Addressed to: D. 1? CI Yes
wen the front ff space permits. - If YES,enterdebeer/address • US
WcteAddressedte: D.Isdelvery address dllfelnttrom item l? 0Yes • i - - - --- - --. -<<
If YES,enter delivery address below: 0 no- I
- 1 Dr James R.Stone .
THEODORE ROUPASIDOLORES ENIGELL
I J 300 Terrell Road,West
113 Golden Dune Way pe
I Charlottesville,VA 22901 a.sti�; Id ell 0 Express Mail -
BOLIVIA NC 28422 9. Service Type I _ _ - - _ 0 Registered Return Recegltter Morchsndse
CI Gained Mall 0 Express Mel 1 — 0 Insured Mali COD.
0 Regis eared ❑Return Recetpt tor Mercnandrse ; f 4. Restricted Delivery?(Ertre Fee) 0 Yes
0 insured Mall 0 C.O.D. I _ _
--- 2: Article Number
4. ed�i�M( Feel 0Yes I �, 7002 3150 0004 0321 3375
rmcleNumber 7arfartfam san9oa label 7002 3150 0004 0321 3399 l i PS Form; :3811,August 2001 i' : Domestic Return Receipt
, I i 1o2sss�z rh lsae
a i_i r_ .. r.
-orm 3811 August 2001 i i I Domestic Return Receipt tozasseeavahsao - - _- _
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AIUG.19.2003 3:16PM BRUNSWICK BUSINESS SERVICE NO.359 P.3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Individual Applying For Permit: e �l1A1►rS C E v E
Name of pp Ymg ��
Address of Propert} t `k I<�L 1 3 2004
(Lot or Street#, Street or Road) • DIVISION OF
Y � /(_ ^ Ij✓ .O STA I MANAGEMENT
(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. •
wAfltRt 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.
M=WWf
4(LW �jog
Sign Nabine s Date
d ol AMA
Print Name2) 1-1 —0 5 (P �••••�
NCDENR
DerAliettleer Or
Telephone Number with Area Code
S:\cama\shells\riparianproperty.fun

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor William G. Ross Jr., Secretary
FAX COVER SHEET
Date: . get aoo No. Of Pages: I
To: exnp_ E-v-anS From: Ce[lis
CO: • CO:
FAX #: t o 42 9 (vy- FAX#: [phone]
REMARKS: Q 0.- Pew c±-
•
127 Cardinal Drive Extension,Wilmington,N.C.28405-3845 Telephone[phone] Fax[phone]
An Equal Opportunity Affirmative Action Employer

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