35170D - Thomas

• CAMA/ ❑DREDGE & FILL 3517O D
GENERAL PERMIT Previous permit #
_ 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 94+ I kCU
,Rules attached.
Applicant Name !bobby 1 l O re\c Project Location: County Sf i\r\31,0 IC-1c__
Address PQ sox $9 2, Street Address/State Road/ Lot#(s) - Lai- ct
City 11.4J2rb0 ro State `,C ZIP " 4R-a _ 1316 r1,1--i e J t( Cl i rc (G
Phone#,`p'r ,lri 1v....6 Fax # ( ) Subdivision Bra r,�{CJ PO 1n{-e.-
Authorized Agent 5c-k..,i--r1 r•---,y Va r nc.ry _ City 3h'I t ( ZIP 9,?y 51
Affected [CW ❑EW ❑PTA "�S PTS Phone# ( ) River Basin Li.l r r be r•
11 OEA ❑HHF ❑IH ❑UBA N/A
AEC(s): Adj.Wtr. Body`;lat(c71-i-c- 1 n lc - o/man /unkn)
❑PWS: ❑FC: L
ORW: yes no' PNA yes /t nod Crit. Hab. yes / no Closest Maj.Wtr. Body 5ha(l0l f e I n(c T/A 1 1 U1,o
Type of Project/Activity II,., .t t IA,,,t, L: 1 kf-)cc, cS /'i l '- r)' 1\ << i-vret I Sk(,re 1 tnG
.. (Scale: (/ ZU r )
Pier(dock)length
T.
Platform(s)
Finger pier(s) -
Groin length
/number --• -- —
/ Bulkhead/Riprap length...8Q _ .�f�
`--aVg distance offshore /!'T
max distance offshore
‘ �ri
Basin,channel � •0 ity
cubic yards \ ,r f
Boat ramp v
Boathouse/Boatlift I
f
Beach Bulldozing I
Other 111
Shoreline Length 140 \, f 1
.�� r J
SAV: not sure yes no \-
Sandbags: not sure yes �; ^,�
Moratorium: n/a yes o prekr1 P-..t t— r c. Lc_
Photos: yes � J .
Waiver Attached: yes no)
A building permit may be required by: 1-3ru r,51,u 1 C.k- Col 1 0`1-,..f . E See note on back regarding River Basin rules.
Notes/Special Conditions t\ a C-U Cc-‘ CTI'U r15 cif- '7 14 t iC_ A Pp I t,
/ (11 UC2 r-Ili M - L,C"(L r,C__ C C C c-1/
Agen or Applicant Pri ame Permit Officer's Signature
6t/t4/a44 //Iz.I U 4F Iz�U Ii- •
ignature '"* read compliance statement on back of permit""" Issuing Date 'ration Date
$/OO ' 2Ff 15 a-005/0/c /c.._ ('Q ,v lc. f -•T
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

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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 252-264-390 I 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 I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .c PROJ DESC: I-' — 1 I
(Will only take 6) ———
(Will only take 1)
WORK: 13 H
(Will only take 4)
MAINT:
(Will only take 4)
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IMP: 0.6) 5c%C_> •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: /{ I c;`{

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CERTIFIED MAILTM RECEIPT
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Restricted Detivery Fee
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12/29/2003
Total Postage&Fees $ $4.65
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For delivery information visit our website at www.usps.com9
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Postage !Mil
Certified Fee $2.30 0462
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Restricted Delivery Fee $0.00
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Total Postage&Fees $ $4.42 12/29/2003
Sent To
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or PO Box No.
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