37903D - Tripp

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0 '(AMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
'New Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �'7�, r /)
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /hf. 1100
Rules attached.
Applicant Name p/i/L40`0 f D/4A. c (lv) Project Location: County 8r20,V j rG4'
Address l l G 3 A2f al:, 5G(1 Street Address/State Road/Lot #(s) 4,6, F5,o21A1C2&uT-
City //DULr Stated ZIP
Phone # ( l 1 7,5_/ " 5 lax#( ) Subdivision
Authorized Agent 4)1 -- City Cego,- 7 /5 g ZIP y6 7
Affected FCW EW RiTA ❑ES ❑PTS Phone # (90)$57 //$ River Basin
AEC(s): ❑OEA HHF IH UBA N/A Adj. Wtr. Body 4'n e + i (natab unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body 4/tv
no
Type of Project/Activity
(Scale: )
��X20 } ems _
Pier(dock)length Fron►- !/L/Cfj�
Platform(s) I `-- A4 & g L
Finger pier(s)�'`1t V'Yid, �Ti j `
Groin length . i11\
number — - r
------------------
.„,
Bulkhead/Riprap length _
avg distance offshore /` pro f4$ d /m --- t 0�
14
max distance offshore '6 EWA- �wv . —_. _...._.-1_ I I____ .
Basin,channel ,._
,
cubic yards H
._....._ _ L^
Boathouse/Boatlift �\ ! �, f ....
Beach Bulldozing I
l I
Other i j
1j/ 1� rf _ a--_
f ,
Shoreline Length 50I / I rjCO 5
b2 0 I — / OLiC k-H
—
SAV: not sure yes ?
Sandbags: not sure yes d • • ex'S►
Moratorium: n/a yes ® Lwo''' c ,, -0 �M fi Q�1 �} r �Photos: Qr✓1 _ t/ �V
fir° _�
r.
Waiver Attached: yes pA °t �-- —- aJ�1�
A building permit may be required by: I I See note n back regarding River Basin r�lfes.
l Special0 f /Dolt ra Exc�,es�,.4su s I/( low yy - l�Notes Conditions E+Q �T
k/5 Game. eP 7. 0-7..75 51/4L4 i or b 4 2O fil /Al - Its E.lis be-r."
lru-fP T21
Age,f or plican Printed a Permit Office 's Signat
ei
Signature ease I' statement on back of permit** Issuing D F_xpi on to
$ fO 2 Hid, () /SCE yo4 m i l A
Application Fee(s) Check# Local PlanningJurisdiction Rover FI a 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 252-946-648 I
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
9I 9 733 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)
Revised 10/05/01
www.nccoastalmanagement.net

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SENDER: COMPLETE THIS SEC' 3Nna.ucalva�od'
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7003 2260 0004 7881 1528
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Complete items 1,2 and 3 Also complete A Signa re .
item 4 if Restricted Delivery is desired",_' r
• Print your name and address on the reverse X t4 A Addressee
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D. Is delivery address different from item 1?- 0 Yes #
1. Articie Address([ed�fto��� Q� h It_YES enter delivery;address below 0 No ° i
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70-03 2260 0004 7 W`
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PHILLIP G TRIPP NCDL#5202632 1186
DIANNE S TRIPP NCDL#5716556 910 754-5467 RENTAL ACCOUNT _ /2 - �� 66-1215/531
53
4163 WOOD ST SW Date
SHALLOTTE, NC 28470
Pay to the WC d ccNI. A I $ 100•
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