35169D - Warr

erCAMA / _ DREDGE & FILL .U. 35169D
GENERAL PERMIT Previous permit #
)C :New -liModification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 7 .r 1 0U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
Rules attached.
Applicant Name 7e/)e 10a rr Project Location: County Brz_ln5t.L: I ir._,
Address p(i 8°)c.. /a ' Street Address/State Road/Lot#(s) L c'f- I U
City L.Qrv1ar State SC ZIP A9verci E; ra r-rt le j C i redc. ,
Phone # ( - 326,4 5't Fax# ( ) Subdivision 3 ra rl4-(e Poi rate.
Authorized Agent .75(-/ )-)1nI+_. l/arnaM City 5hr, I(044-c- J ZIP ,Z15 jd
Affected 7 CW - EW ...PTA )ES ❑PTS Phone# ( ) River Basin LL(rrbe r
11 AEC(s): OEA ❑HHF ❑IH ClUBA NIA Adj.Wtr. Body hc,(j cA f e1 Ie_t nat /man /unkn)
H PWS: ❑FC:
ORW: yes / � PNA yes /,tiro\ Crit. Hab. yes / no Closest Maj.Wtr. Body f (j0
C. 'f to In I Ct //9 I tAJ L..,
Type of Project/Activity c:.c5-r\-5-t-r c c.t- (Lc f3i.( k_kec.d a( v i-1 K,0 re.)--( (-)3/MC1 rSh
I rri'e f Ge_ (Scale: {4 z. gp/ )
Pier(dock)length G(\c 14QT_-P�
•
Platform(s) •
Fingerpier(s) / ( i r u l i!C i -e f
�> ��
��
Groin length
number - - �j
ulkhead/Riprap length ( f 4 4 1 ,t'y d,
avg distance offshore 4 o Uu v_��,.1
max distance offshore sS' ....' �L O n i
1
Basin,channel
cubic yards /
Boat ramp
i
Boathouse/Boatlift
i rl
10
Beach Bulldozing ; of 10',
Other I n' .
(-or �`
I0,
Shoreline Length
SAV: not sure yes no I (P Q .J. .
Sandbags: not sure yes no it • ` - •
Moratorium: n/a yes no ► ra n'Ne j
Photos: yes t% G r r el e-
Waiver Attached: yes no) ----
--
A building permit may be required by: ,bru n5W)c k_ (1,C,1/4.t . ;See note on back regarding River Basin rules.
Notes/Special Conditions 4Lq (e, n d t-hry--, c f r]N 11Cz Apply
.SG,-n ryy Vci r no M Cat, c. 6--(,-r,.c_ 0 c-1(c-1
Agen-Cr Applicant Prinf ame Permit Officer's Signature
ignature **/r-ase read compliance statement on back of permit'�"'�' Issu gDate Expiration Date
.§l0o° / g-B45— FJYcir")3t,U1Ck Cau(lfy NUIDB/-7A
Application Feels) • 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 27699-1638 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: 919 733 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.nccoastalmanagement.net Revised I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Ge UJa rr
ADDITIONAL NAMES:
AEC DESIG: CS DEVELOP AREA: .0 PROJ DESC:P - l l
(Will only take 6) ———
(Will only take 1)
WORK: C Y i
(Will only take 4)
MAINT:
(Will only take 4)
IMP: t-1,6 1 29-0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: lti i ) cY A- (pc.+
•
CAMA MAJOR DEVEL REQUIRED: �tid,,,, 1Z)UY.4 ' lot+
Ali

P_ 1
- 7-112P-1995 5 44AM FROM
. P/V1SKSW 0444LT
• ADJACEMERIPARiiMPR.O.P.EttittkViittliiii) 214. •
1/411, 0 . ,„
Name Of 4ndividual Applying for Permit:J/11L21. liaf._jkJ . •
1"
. Address-Of PfoPertY: _ 81_&1411014,- Orcle-
B:
• (Lot or St*nf,.:Streetle 4, dountY).i.
. .•
l•bereby certify*that I own-property adjacent to the above-referenced property: The individual
applying for this permit has described to hie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. •• — • •• . • ... .
•
. .
.t/ i have no objections to this propos41-
It.--4011-114Ye-obiLS-.he. illg41(0110sed,-.pleas.ewr . the sin. pfCcomitql
managethant.,:,1.27/kah rdinal Drive, Wilirnininri, Nutt.* Caratitia,2M1ixtr_calt,9111395,
32(-01'. tbe•sam. Chief:don
. . . . .
if_yeu_have_liee •
. .
WALIKE44-Cnag
•I understand,that.a pier,deck, mooring.•
pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me, (If you •
wish to waive the setback, you nit initial the appropriate blank below.)
• • . • •
_ _ • • •
• 1 6 wish to waive the 157 setbaek requirement.
*IA
TrAr..6t/ci
•
do...not wish to waive the 15' setback requirement.
•
•
. •
/- 76?
Stniture • Date
6 • Argi4S : gginitopeuaia" •
:$04%000410141! . .
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Telephone NuMber With Area: •c.ode Work CskiteimalvDtPAR-nagar or
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U.S, Postal Services.,
I= CERTIFIED MAILTM RECEIPT
m (Domestic Mail Only;No Insurance Coverage Provided)
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For delivery Information visit our website at www.usps.coma
a WALTERBOR) c 29488 k 4
Postage $ $0.60
0462
Certified Fee NMI 06
Postmark
OCI Return Reciept Fee Here
(Endorsement Required)
O Restricted Delivery Fee $0.00
(Endorsement Required) 12f 29/2QA3
m $4.65 Total Postage&Fees
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p Sent To Lotylr (3
-----
N Street,Apt.No.;
orPO Box No. W w
City,State,ZIP+4
PS Form 3800,June 2002 See Reverse for Instructions

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