36933D - Worrell

erLAMA/4REDGE & FILL --- 3 3. 933-
G E N ER�AL PERMIT Previous permit#
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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 Res° c-s Commii.ion in an area of environmental concern pursuant to 15A NCAC ' -� ' .
J ' y vI l/ `'Ei C�---- E I attached.
Applicant Name 7 - �r +' - ' •� -=- -� Project Location: County N (/A AMiOV A
Address ft t7A{i�-i I(1 Street Address/State Road/Lot #(s)
City Ali SA!kJ 6fi►l State N C. ZIP7'4(t 1I FAC. ►/J
Phone#( ) ii(' 1 t0U Fax # ( ) Subdivision f-16' 6 Jct. •
Authorized Agent 10M WAIT .> City 1/J l LVA ZIP 1 g t
Affected ]CW XTA 7 ES PTS Phone # ( )--------- `` River Basin U
7OEA ❑HHF ❑IH UBA N/A
AEC(s): Adj.Wtr Body CANAL cf4fC '(
nat /matiyunkn)
7 PWS: ❑FC: AP DD LE SOt.
ORW: yes /� PNA yes 'V Grit. Hab. yes / no Closest Maj.Wtr. Body
Type of Project/Activity I el S u - O v k-c4 130<f t'i oxt Ma CA___.
(Scale: N ( )
Pier(dock)length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/Riprap length
avg st offshore MIIIIIPIII
max distance offshore
a sh channel(rx/a X—2-' /� t-. - _. .,�/ /
cubic yards 30 % ,�y�
�/1' ,, �',/'A
, <''u ._ so
Boat ramp / / / �.► r j°564-
LA-Ve
Boathouse/Boatlift
Beach Bulldozing
•
Other
Shoreline Length i /: .
SAV: not sure yes o
Sandbags: not sure yes no
Moratorium: n/a yes ;n '---r
Photos: yes no
A building permit may bt e required by: N ,LA.J +' 0 I I See n
Waiver Attached: no
�/f ,{ �,- n/ note on back regarding River Basin rules.
Notes/Special Conditions ,�-G` Cal^�.-/ a ^'1)- cJ/ 7 1 c o 6
it ,,,,-
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Agent or Applicant Pri Lk; it r r'sSignature
'
Signature "Please read compliance statement on back of pgrmit'"°' Issuing D to ExpirAtionDate
( DDT-- 2 e)e7 0 c- 6- S -- 0 33o'L11..-- 1
Application Feats) C hneir# 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(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
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: 9 I 0-350-2004
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: ��9 O)OW/ •
Lim
ADDITIONAL NAMES: /0/24 W4' e'�
AEC DESIG: 6s Lv / P T DEVELOP AREA c o o / PROJ DESC: P -
(Will only take 6) (Will only take 1)
i , /
WORK: -31, — 1 /D/-z'
(Will only take 4)
MAINT:
(Will only take 4)
IMP: OCv if D D
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: *'3 o c`f -o Ll
CAMA MAJOR DEVEL REQUIRED: 3- 3° -(`f 'o
Y

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YOMUDDA.
T Coastal Earthworks, Inc. .s .
1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: [phone] • Fax: [phone]
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MARINE DREDGING PERMITTING g7U, 0.• SITEWORK

SE 09/19/04 08:14pm P P. 001
Cothran Harr i s Arch 910 798 913 Val/IL/SIAN VO;ID 1114 U.111 ODDIIIIS . A. IM ffakters _. .._... . . .
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. ' nnaSIOSIOF CIUSTALMANAkrzEMOre
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, .Name Of Individual Applying For Permit Te;Peis4 Letietiter 5
• _
Adcress Of Property: if 2 ta.s I Se_41,
Ordie spciii Sit _.E.BzSsistet____Willoffril
(Lot orStreet 6','Street or Road, City&Ceiunty)
*IV(y
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit bas described tolde as shown on the attached drawing the development
they are proposing- A description or drawing, with dimensions, should be provided with this
law-.
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I have no objections to this proposal.
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• I undtrstand that a pier, ' pilings,breakwater,ho tJ lift or sandbags must be
set back a minimum dim=of 15' area of ' ' unless waived by me. (If you .
wish-4)waive the setback, you must - • . " blank below.)
I do wish to waive the 15' setback req " ent.
I 110..not wish to waive the 15' setback requitement. -...,....
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