37892D - Webster

.4.5i..._ 1":7, 9.(34c)
0 CAMA / DREDGE & FILL
GENERAL PERMIT D
Previous permit#
)G _;New Modification _Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC T 4 , /2 UD
❑Rules attached.
Applicant Name ,4/ we 451 '7 Project Location: County LC w /7 1 dile
Address P/ r5 /?/eC f / ' • Street Address/State Road/Lot#(s) i /0 1 fro/S Nefk go
City G1/i 4,h1 4.11 State NC ZIP 2 g 9// I/✓/ //yi,�r�✓r--/ vfre
f/i.-,
Phone # ( ) // Fax#( ) Subdivision �,�-'4 7- 1-S
Authorized Agent Ala / Fc m1,,7 City t/V1 Py /-, ZIP 7 g 9 '/
CW t NfTA CES ❑PTS Phone# ( ) River Basin C C/1,vI'i
Affected OEA -]HHF ❑IH ❑UBA ❑N/A �r
AEC(s): Adj.Wtr. Body L. �'i'l / eal/man /unkn)
F. PWS: ❑FC:
ORW: yes / no PNA yes /G) Crit.Hab. yes / no .(1',Closest Maj.Wtr. Body �l''��Sfye. �
eof
Type of Project/Activity /Ce / l f, Ci7 //'/ e�i ii //4l' ' " 'f �,C ,
YP 1 � � �' `j' G f
(Scale: A)75 )
Pier(dock)length--Sa 'JL/h
I I I I l + I I Ti
Finger pier(s) i-T � I +
` ,—
Groin length i .. ' _
number } - d
Bulkhead/Riprap length I �I i/, G' / ,�,�
avg distance offshore T L
max distance offshore p;� st S`.��J, ...
11
Basin.channel — �- . — I / — -.
..,4 " --H.1 I
cubic yards I /`ie 4 t
Boat ramp . •• �(
Boathouse /2)' /3 p oatli
-- I + it
i i i I
y
D 1 i
Beac`huWdo . , pi . .! . j ; I
then' y!t ,�,or
1 i
t ' � I
4
1 ' . --
T
t � +
. — I +
Shoreline Length _>/' — t
SAY: not sure yes ® + ...-..... �_...—__— ` /���ul' —` �_�
nc j / _sr�� ,
Sandbags: not sure yes Z x 1C 1
hs Z
Moratorium: n/a yes no �� � ..,
Photos: yes dio } j L / i it tiv-- LL
Waiver Attached: yes Lfio
A building permit may be required by: /(/(cy //0.7, vf/ ("O . . I See note on back regarding River Basin rules.
Notes/Special Conditions
f
.//'
l � f 7ggtP'VI 4'�
Agent or Applicant Print�djName ermit Officer's Signature
Signature *rr Please read cb pliance statement on back of permit Issuing Date Expiration Date
f;it f re f(/I C% /l .' (4H0/W/ Co . 005705-731V
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(252-946-648 I)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 27699-1 638 252-264-3901 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)
Revised 10/05/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: - P 1 Wt C S t-f!'
• ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: D o 0 2- PROJ DESC: fl -
(Wi7l only take 6) (Will only take 1)
•
WORK: T- 5 / -I, •
(Will only take 4)
13 L IZ 1 •
MAINT:
(Will only take 4)
IMP: OW BUD
(will only take 6) •
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete •(A ature
item 4 if Restricted Delivery is desired. ID
• Print your name and address on the reverse /;.' 0aL .//L 0 Addresse
so that we can return the card to you. . -= eived by(Printed Name) C. ate of eliv r
• Attach this card to the back of the mailpiece, 7�'i
or on the front if space permits. • a,— IE.!/ C•(,i+ .rL 4 �
D. Is delivery address different from item ? Yes
1. Article Addressed to: If YES,enter delivery address below. ❑ No
11 r. (Mr.!). joe M, r
,2 q+-a Rol.. lo/ds 5 yie1k_
I ( n f "o kw) riC, 3. ervice Type
c7�
1 7/0 ee ( Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandis
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
•
2. Article Number
(Transfer from service lat 7003 2260 0000 2372 1005
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15,

UNITED STATES POSTAL SERVICE \ IP i Q 0! First-peso Mail
R EE 7 Postal&Fees Paid
P M i r USPS
s Permit N0.G-10
cc arit
• Sender: Please print y rlrople ddress, and ZIP'4 in thiol bi'
11/ oc.r'ne.
lb 1 Petri;ctirc/1.-i:Dr.
II
3 L �1t13��1t�!!�!!II!!i!litl�lll!!IIl11�ltllf�llt��!!filftlllllt�

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete milk ignatu
item 4 if Restricted Delivery is desired. �_`=`�` ❑Agent
• Print your name and address on the reverse �. ❑Addresse
so that we can return the card to you. B. Receiv:d•y(Printed ye of D liver
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
1/1) r V h9 r-5 AlEd 15c -Lo
4.P rid.
3. Service Type
Cti� 4�/ �(1 rtified Mail CI Express Mail
El gistered Return Receipt for Merchandise
��I( ❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service, 7003 2260 0000 2372 0992
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVI I r Z First-Class Mail
11 'r`EL .Postage&Fees Paid
FROM dN Permit No.G-10
} r,
* c
• Sender: Please prih w na e, address, and ZIP44-in this box •
l7t e,Q /I/a r ,'.-t e-
t) ( (?Q r //a_ r►-% e r kit I P%-, ,a 7,., , N Z 8 1
•
41 i-i^ = _ i„i,lf„f„I„i,,,if,,,itf,l►„i,i,l,,,l,li„Il,,,,,,il,li},f

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: 4"f I Gc1 e65,k r
Address of Property: �� r s / c.✓/ k
(Lot or Street#, Street Road)
vre
(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 descnip ' n 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.
WAIVER 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.
•
Sic1--N Date
2l
Ynnt Name t- _ Nr
_o NCDENR$ EMNppMM[M AND NRIJIVII-RC90UINXb
Telephone Number with Area Code
S:lcama\shellslriparianproperty.frm

PLAi\I
0 //Lov /:1( a„i 7/o4_fi 401.
p p d PGI< c,ve r ok p p r ox , 10 K
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DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1/I Web 5
Address of Property: P�P.e-r5 Ne K
(Lot or Street#, Street or Road)
(City and County)
1 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 des tion or drawing, with dimensions, should be providcd 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.
WAIVER 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.
•
• ame ' 1 Date
4
vto
AtclrfrA
-Print Name
NCDENR
N .�., .a
WM C
Telephone Number with Area Code µD
S:\cama\shellstriparianproperty.frm
7e, AFC 76 77

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