33429D - Black

O.._ CAMA / DREDGE & FILL ` I 33429 J
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 7-/--) 2 0
t iules attached.
Applicant Name 13 C IZ cn t 6(A C,k`' Project Location: County 26r 1 P`E Z_
Address pd'' // 8Uk //6 7 ,O Street Address/State Road/Lot#(s)
City �?�t ��5 7`� , ' State W�/LIP �335 / 3 Z Y 04(701_1 JA (8L U 0
Phone#( 98 9 /Fax#( ) - '-/6 Subdivision
Authorized Agent 7ZA,o d, a5/•e ` City /d rS,49 it SEAC1/ ZIP ZS'q-5
Affected CW I:EW /PTA �ES F. Phone# ( ) River Basin (2 '/- -- "
OEA ❑HHF ❑IH ❑UBA N/A
AEC(s): Adj.Wtr. Body 81/lved, C?F74i3UNet PA an unkn
Pws: ❑Fc:
Closest Maj.Wtr. Body 7Z O.3 '}/L Svu WD
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project!Activity .o 21,140QC (2) 8 A /Z SrC77ows OF t4 7—HEAD No Repe Lc 41/
/2X/1-- &Mrrt FiS W /7 //N 5X/37/IJ4 paeliedue2 Af164 J- (Scale: /n �ZU!)
Pier(dock)length_ #4,110V6 7/L Il)6 l%) JG/XII/��T7 ('J6 L j y_SI
Platform(s) —
■ r T p n/
Finger pier(s) t
Groin length ��r iii 1 - �a � � Z' gat}`rL/C7
number �L! -I • • NI
Bulkhead/Riprap length ` I I } i I ,
avg distance offshore II ( _
max distance offshore i } 1 f jI ------�
�. —
Basin,channel -------
I -
I i ,
cubic yards / I 1 Y~ X rO I-/--
Boat ramp ._1...... s — — — -- ..;� 7 . t!
�9 �y f`
Boathouse/Boatliftr pZ 17�,XI Z J ? j i t 1,�_,_��`i.
1 j �,ar 091 ©r 7%J-#0,j
Beach Bulldozing .: _- j , `
i
Other i {
` _
Shoreline Length I _ i l-.._ i
i
) - ir.SAY: not sure yes no '
I + I
.._
Sandbags: not sure yes no "'"�"—' '
Moratorium: n/a yes no � `'ekt �1 j I I
Photos: yes no , •
� j_Jj I 1
yr ,_ i
Waiver Attached: yes no i_ .
A building permit may be required by: 7z) Q }/L #Q 1-1 . L See note on back�� regarding River Basin rules.
5j Notes/Special Conditions T/�✓ ! c.A.ipA) X/.�T/"-le) 7760 e)AA? /4 tte
Ra4d,i A5/e y _
Agent or Appli P Name cer's Signe
6 ,3-0 3 ?` 3 - 03
Signature "PI read compliance statement on back of permit'" Issuing Date Expiration Date
Oa OQ /0 bcal It- f3Mett S o
Application Fee(s) Check# L tanning Jurisdiction eNa
J�iL L,:i Y 1��y1Pn L�' •iLaeJ 1c.._-� ....Y.1+ra�ui.._ .A6J�

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:
I Tar-Pamlico River Basin Buffer Rules Other:
n 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
919-733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 1495 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

__- . . GENERALPERMIT COMPUTER FO - . .
4DDMON LNb.I��'-S: lZIfVcLL'\ ! 466!a
D�SICY= p7rD s D=�- a AREA: o�.1206 PROJ DESC: _ i2 ( OO
. 6) /ZXI2 -
1 ,,_:
. i•
�, (9 LA) g
( c th 1zrr 6)
• i
}
. ACTION Pfl ION
D � &� R QU : /---(3—a3 6_63
•C MA MAJOR DE%r.► ui'c s.= : — '. r

.,..-
DIVISION OF COASTAL MANAGEMENT
-
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
_ • .
Name of Individual Applying For Permit: i6y 0/1 iSkd
Address of Property: )3RLI ,roindi BA4d.
(Lot or Street#, Street or Road)
1 , ,
; . T-012504/ beeiGA, '' Aldeer
(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 description or draWing, with dimensions, should be provided with this letter.
..,
.4.--,. .
I he 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 byCertified Mail..
r r ,
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.)
• 47"/----- I do wish to waive the 15' setback requirement.
__ .-------,-• _____I-do-not-vvish_ o ai e ment.
S
f,
Jarvis r AP'r -Yr
•
siiEliame '/i , __..,/ Date
•Tzic4rA
. A, _ . • •
, I
wilt,
-Print Name
S . NCDENR
NORTH CAROLINA DEPARTMENT OF
,
ENVIRONMENT AND NATURAL RF,,,,?FIDES ,
Telephone Number with Area Code '•
S. S \cama\shells\riparianproperty.fan
1 ,
• -
,
/

•
o 0
<'.‘13 S•.) O'' q' ci.13
0
0 )- •
.1
4 co
r-

NF
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 11FICATION/WAIVER FORM
Name of Individual Applying For Permit: A foil 8106k
Address of Property: RRy Ar4/, 4 h/pc/d
(Lot or-Street#, Street or Road)
pi-4l &4bA pad.)6---
(City and County) I`
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this peanut has described.to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
C‘I I have no object
ions bons 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 clays 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 ' h to waive the setback,you must initial the appropriate blank below.).
. • I do wish to waive the 15' setback requirement.
_idenot_wis to Az>a; :a+ }-S-i- etba xgC�u1 eme t.
Simi Name Date - a.�t —o '
.. ATTA
,,
Print Name ev,s Q. . . \--t s S z. q �.�.....
� I O — �aS � NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code .
S:\cazn a\shells\riparianproperty.fiuu
I
f
I

V/(
l � 1
� ► j
0 0
0
I 4'
) ,cp p
4. (
o n .
� f
j/a
l ` � ��

•
•
,T.....-- -,•Altigklit'•+,• —: ,-=..: r-,,Alt71 'i, , ,. , , u .-,; n,,.1 j.,,;,,n,n t. See back Jo, d e I a I 1/7 DIME111.1.1111=MMItiaill iii&VAIRMgre.T1D1W,T.,-kT
IR I
.0!
RANDALL B. MOSLEY DBA: 11-02 1073 1:
ri 1 RANDY MOSLEY MARINE CONSTRUCTION
l'
1 910-232-2530 ,1
P.O. BOX 3463,41 66-19/63070N2C ..
TOPSAIL BEACH, NC 28445-9831
i: DATE 44/ ,.3
PAY
1 TO THE O Ai6VY- ,-()
.: I ORDER F , I $
. .
i 7 ik111: 3) ,:
DOLLARS
_ . BankofAmerica. , •
ACII KT 053000196
.,
i 1 3 31/35 6 P 0 33 1 01
1 D 9
hp ,
AFOR • --- ---- -•• - ,
11100 LO 7 3116 1:0 5 3000 L961: 00069 L 296 2 it 90 .