36866D - White

CAMA / DREDGE & FIL0
L 386646
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 7k /ZOO f71-jV)(i-/
❑Rules attached.
Applicant Name /: ) L<_,)/z//e_ Project Location: County 8ru/75i4_:/c: K_
Address .226 G/c/Cl,7 far- X ac d Street Address/State Road/Lot#(s) -'/5 j/6 C//T .612.
City TCkS(lY7 _ State 'IS ZIP 3%2/i-
Phone # (. O4)93,2.-3232 Fax# (- ) Subdivision
Authorized Agent C/a r Z ce- P� L, City '),-:r 6 /5/a.-,-id ZIP .2 84' 5
Affected 11 CW gEW RPTA ES PTS Phone # ( ) River Basin Lc/m 6 c
❑OEA ❑HHF ❑IH UBA N/A
AEC(s): Adj. Wtr. Body c ✓/:, L.< •i.0-4-- nat'/man /unkn)
0 PWS: ❑FC:
ORW yes /�i'o PNA yes / no Crit. Hab. yes no Closest Maj.Wtr. Body . 'e-- , , i"'l// /,% i4-J4'
7 /4) C�
Type of Project/Activity ;L,,v.2 5/1.z ct /(j e u ' / i o t �7c. J ‘..,>4_ r ✓ .Y L/ fS
(Scale: /"z.. 2,-, )
Pier(dock)length ,3A•/(o (irci err) ---- ---------
Platform(s) /21k/to
f aA77A/6 [ -c&
Finger pier(s) .",//i,.4` NIT Se- j11/(
Groin length L/`fit i'' Fe,' ' ��J
It-
number
1/C /r p�
NO CLOTS Gn/ F-"A'7-
Bulkhead/Riprap length
avg distance offshore =7 /'
max distance offshore TJrr ✓i 5 C. a rc l p'/ 1
/
Basin,channel i t-
cubic yards i '
a r C
Boat ramp m /D • / , z • /U
Boathouse/ oatlift - — A /:' lLobt ./
Beach Bulldozing i e e • ` -
•
Other In ~'
• � A /e- f i
N
r�
Shoreline Length 70 /
SAV: not sure yes 40
7�
m a'r.../,�lie4 c/e c(
Sandbags: not sure yesL
Moratorium: n/a yes n
Photos: yes no I
•
Waiver Attached: yes no --------_____--_:__.---. ___-
A building permit may be required by: /Q'Gcr37 pT (t,e_./6i'&'i Q . E See note on back regarding River Basin rules.
Notes/Special Conditions , / CO-1-id//11r)?5 c/ 7il /260 •
(�JTLDi977/,/6 ,.C.Ck /5 ,r L.o/6/AI5 —l/NLG/9.6/A16 6n/LY : I!O CLENaTS
*NO jJ"v/77-5/JET ". /.5/07l/E.7Z ::-///lGL 0L" i/C4 L1/o ( TL 7
Agent o t ed0
Permit Officer's Signature --
..., ,I, ---
ignature ""i'PIPa - read c• :• - ton back of permit'"'" Issui Date iration Date
/VC0 C.0 7 >C-(,-. O ,L /mil-nc /c/03/V/Sfj
•S.-Annlicatinn Fee(sl Chork# 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
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / I-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 10/05/01

GENERAL PERMIT COMPUTER FORM
• APPLICANT NAME: dim wht-frG
ADDITIONAL NAMES:
AEC DESIG: CIA.) P'( DEVELOP AREA: .0 1 PROJ DESC: P - 1 Z.
(Will only take 6) - (Will only take 1)
WORK: pt if} 1 Lo Bt. 1011Z
(Will only take 4)
l[0112-
•
MAINT:
(Will only take 4)
IMP: o
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3 • I`7 • 014 • I`7 •01-
CAMA MAJOR DEVEL REQUIRED: 3 • 17 . 24 i• I•-1. o4

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Deliveryis desired. ❑A nt
II Print your name and addres on the reverse XC4/-F C!-Lp A dressee
so that we can return the card to you. B. Received by( nt Name) . ate of Deli ry
I Attach this card to the back of the mailpiece,
or on the front if space permits. R.L EJ /47,G (1 07
Article Addressed to: D. is delivery a r s.difterent from item 1? 0 s
i YES,e !very address below: 0 No
Oc-k .S1.1k \- 11 k.
m
`�l�— l U'I��i.0, 3. Service TypO Nb Cif
SC 0 Certified Mail Ell Express Mail
Q, -)--)Ci 0 Registered ❑ Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
1. Article(Trans Number
7003 16,80 0002 5929 1,832
(Transfer from service label)
'S Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-Z-09E

UNITED STATES POSTAL SERVICE First-Class Mail
�r Postage
sta e&Fees Paid II II I
J ` , PS
Permit No.G-10
0
• Sender: Please print your name, address, and ZIP+4 in this box •
�v1E OZt U-4,
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2- VSte\
. _ . 0:4Eir,f,ll,tfrrf:rl:lf„::rlf:rrlfii:r::l::fr1l::,fr:i:fi:,l:,frf

. ..- . . . American Fish Company
,::!•;;"•+• P.O. Box 11046 41 ' Egli
.iiip •
Southport, North Carolina 28461
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. . .
•
•
. • • • • DIVISION.,OP COASTAL MANAGEMENT
• ADJACENT RIpAR./-*II-P. OPERTY OWNER NOTIFI TION/WAIV5R•FORM
Name of indfvidual Applying For Permit •
• •
•:"`. •
Address of Property: / / • • •
(Lot or St t , teetr Road)
(City arid County) • -
•I hereby certify that I own property adjacent to ther,Oove7,referenced property, •The individual •
applying for this permit has described to me as shown:onthe attached drawing the development they
are propo§ing. A description or drawing, with dimensions, should.be provided with this letter.
.•. •
1,k< • 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,•Noyesponse is considered the same as no objection if
you have been notified by Certified Mail, '• •
• •
• ' • •
WAIVER SECTION
• . . • • .
•
I understand that a pier;dock;;MOOrini:pilings,.breakivater,boat house or boat lift must beset
bck a minimum distance.otly from area of riparian access -unless waived by rue. (If you-
, ,
•,
, • .
•wish to waive the setback, you must initial the appropriate blank below.)
•
I do wish'tc):'waive the 15' setback requirement, .
. .
•
• I do not wish10-1-v,iivd the 1.5''setback requireinent.
••
•
14).41•es- •• •
Sim Name : : 7:111Yir
6 eu6 KcA LIS _ , ,
Print Name
NCDENR
916 - sig- 7z_.33, •
Telephone Numbtwith Area Code
•
. .

101P 1A/3

•
.�:a.r4 S a n r I I y t n h a n i[d d a[.at a rr t. S[t 6.c k /o r d e t a i l e.tiW -, - -
THE AMERICAN FISH CO.
jt CHARLES H. OR KAREN Z. PERRY ,i
P.O.BOX 11046,WEST BAY ST. / 7...... / 66 30/ •
45 .
SOUTHPORT,NC 28461 l 7 °�
DATE�v ,, •
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I PAY NI
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of
:I e F1RST CITIZENS453 }
BANK fszt tr h kaTrotcomp."'
J Southport,N.C.p94ti1 /
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