36957D - Thigpen

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..CAMA/ ;.DREDGE & FILL 3fi957D
GENERAL PERMIT Previous permit#
)C r ew ❑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 I OD q H• /3 0 b .
ecRules attached.
Applicant Name vl TL` If e 'er ` 5 Project Location: County
Address ' --' -3 Pa Pell-S N+ I I L°o r Ito( Street Address/State Road/Lot#(s)
City 1 I"\k Hill State NC ZIP2-P51/ 2.. '7 6'7 11-h s4
(�
Phone # L l a 3 /0-19-1 Z Fax# Subdivision
Authorized Agent CI.V i 5 G e/i t t City -Sue C' },7 ZIP 2,84 7 5
Affected CW EW >ePTA >.-.ES 'PTS Phone# ( (4 )3 40 I'I Z River Basin Cy E Feel--
7 OEA n HHF 7 IH U BA N/A M G� (' CeI" 1 5►y
AEC(s): Adj.Wtr. Body ✓t / ar /unkn)
PWS: ❑FC:
ORW: yes /r o. PNA yes / no; Crit. Hab. yes / no Closest Maj.Wtr. Body w
Type of Project/Activity New b v 11c i e d , het,✓ bp a1 r IC 4 !-` (f;' e.4.1„ ert/ t(e e X i.ri i r.r�, ),
ii 3-4 ; AU c k w,c,y be rc f c,tx r J (Scale:/1/,20 )
Pierrock)length I'! ' )( � ' /
Platform(s)
Finger pier(s)
Groin length
number •
ulkhead Riprap length 60 `
distance offshore ' 1 Ty
max distance offshore Z r �} 1's l y{i .f'. 31 /� 10(�eC, ( I I , e k
Basin,channel D o h A✓fS 1t,()A 0"-n l Ae f r° . ,e
0
;3Alei
cubic yards
oatramr
IZ k' 261 �"° i
1 .z1/7 c(;)(ri;il'il
Boathouse/Boatlik jtt/t'(n/ +
i
Beach Bulldozing Z 0 ), ,/ ----,,I.,j 1,L,, keaA
Other Z� 1". LIQ-,,
r
Shoreline Length 'S li T.4 L' �, p L
SAV: not sure yes !no/ _
I
Sandbags: not sure yes no/ s •
Moratorium: n/a yes G
Photos: yes ft.." i
I
Waiver Attached: yes no - - J
A building permit may be required by:.$' ° "r C t 4`.( . See note on back regarding River Basin rules.
Notes/Special Conditions
C h, ; 3 6-CV) 1 E 4 9
Agent or Applicant Printed Name I Permit Officer's Signature
�_ �� /. 1 I /64 4/ 0/o 4
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
(200 ."- I424 _rurr C)'-I , Pn.31 12o14
Application Fee(s) • Check# Local Planning)urisdi n Rover File Name

4
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 252-946-648 I
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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 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.nccoasstalmanagement.net Revised I0/05/0I

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aUNITED SUITES
POSTAL SERVICE
Date: 02/20/2004
SLOAN THIGPEN
2471 TIMBERLANE PL
BISMARCK, ND 58504-8918
IllililiiiiiIllrlltiiilirlliiIIIIlttttl111..IIlrlt1i
Dear SLOAN THIGPEN:
The following is in response to your 02/20/2004 request for delivery information on your
Certified item number 70031680000123365423. The delivery record shows that this item
was delivered on 02/06/2004 at 11 :46 AM in GOLDSBORO, NC 27534. The scanned
image of the recipient information is provided below.
Delivery Section
Signature of Recipient: .,‘/;44,04i.yvien____
Address of Recipient: A , / v O
Thank you for selecting the Postal Service for your mailing needs. If you require
additional assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service U.S. Postal Service,.
rn CERTIFIED MAILTM RECEIPT
tU (Domestic Mail Only;No Insurance Coverage Provided)
- /At,141
/,5,/J S . For delivery Information visit our website at www.usps.com:
-014-7
m & DaE'ChiO It i ' I L
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— / 0 ru Postage $ il).'e7ra ,
rn—���� Certified Fee :.3 l .;ill
D is -..
/I w. ._o - D Return Reciept Fee $l 75 C +ere
l/(� r D (Endorsement Required) o
ac_jig(T,_._
D Restricted Delivery Fee 11•I I co rT x
(Endorsement Required) $- �J (D CcillTJ
r-R Total Postage&Fees $ $4.42 I -r-i31`il
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PS Form 3800.June 2002 See Reverse for Instructions

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DIVISION OF COASTAL MANAGEMENT
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 5-L.04,0 Thy/(,p )
Address of Property: 91,7(0 7 S TICE.£T
(Lot or Street#, Street or Road)
vt .F L' 1r/ DNSc.014.) COv,k, ,
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
—=applying-fo thi perm has-cles r'.1,'„^r 3 te-rne. sy.Shown-nn the at aGhe_ .draw nL 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 responseis considered the same as no objection if
you have been notified by Certified Mail.
WAIVER ER 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. V
'Rat",mit 0
Sign Name Date
Nymovo R cAsE.7 A71191A
Print Name
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.fuu

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