35084D - Avant

Aink LAMA/ — DREDGE & FILL 4 35984 (1
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 15A NCAC .
❑Ryles attached.
Applicant Name KEPy PANT Project Location: County N• l 1 . •
Address '7 (pS1 v n.4 fM t r es Pl. Street Address/State Road/ Lot#(s)
City /Ur'(111 co(If L State N(. ZIP2 pV i(cy_ g (s `DU M.ln.•f'At- Si— kd-
Phone # ( )5&O -5Uz°Fax#( ) ' -_ Subdivision t
Authorized Agent C 1 3'Uj•IC City Wrifin tre, ZIP c4U
Affected CW PTA `ES PTS Phone# ( ) q� River Basin l 1 /�• .
AEC(s): OEA HHF IH UBA N/A Adj.Wtr. Body A I Uf frJ (nat
EFC: nat t� /unkn)
Closest Maj.Wtr. Body tJ V( L E Sri_
ORW: yes n� PNA yes(& Crit. Hab. yes / no fI ll L
Type of Project/Activity ti c U(� 0, ±-- ki ��, b� 0,7 ()t 0 v I ?—/4-ilal--
(Scale: / //� )
Pier(dock)length f
Platform(s) '
Finger pier(s) .y�
Groin length /
number _ . - -
`` till ea Riprap length I35 f
avg distance offshore 7�
max distance offshore L Pr F-y I
Basin,channel �fP+7 t )1hN 1
-3 I�j�j dwwn-f/r-5A'"' F-��
cubic yardsI*2 rf4421
�7 ( VAINJ r II2 QA�L ci° .
Boat ramp 1 I 11
IraN 5+mKG
Boathouse/Boatlift i(tIl1/4,p�
all(d
Beach Bulldozing - Qy t • �! • (,— 23
Other
Nv
Shoreline Length I 36 / �or v 'Atv°. QS ?z y'
SAV: not sure yes ,s. no - -- -IM
Sandbags: not sure yes 00
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Moratorium: n/a yesdo /- _ „
Photos: es no N ,,,
Waiver Attached: yes na j , i •
A building permit may be required by: f' 'UO4J (/ ( . . ❑See note on back regarding River Basin rules.
Notes/Special Conditions Wit 1` 5 ru 11 C.a"Ni p W/ 7 /4- .1/00 G c b,)-e't 1
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t Print-• Name lit cer'sSi ure
"-AV ..... ....—......e...._ 12-34,-03 3 -31 -e-)
Signature **Please read compliance � - ent on back of permit** Issuing Date Expiration Date
Qt - — - b _iZ2) I17f
App cation 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(252-946-6481)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: [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: KegiZy kAVAA/r
ADDITIONAL NAMES: C.
AEC DESIG: ES DEVELOP AREA: O D. PROJ DESC: P - 14-
(Will only take 6) (Will only take 1)
WORK: '* /3S
(Will only take 4)
MAINT:
(Will only take 4)
IMP: 1 6 2700
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /2 ".3/ -63 ?- 3/--Uyl
CAMA MAJOR DEVEL REQUIRED: /Z-31-63 7-3 j-0V

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