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XCAMA / DREDGE & FILL t� 33338 1>
GENERAL PERMIT
Previous permit#
`--New Modfi ation Complete Reissue Partial Reissue Date previous permit issued
As authorized by the state of North Carolina, Department of Environment and Natural Resources /7 1'
(�'1
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC • RC( ,
C Rules attached.
Applicant Name n p!T„ ., AA ele( Project Location: County ]r t i[ZS t C.
Address 40 I I r 1 fl-f c ..vAd Street Address/State Road/Lot#(s) L
City VI(\-1 a (\-- 5>Al c4n State ZIP X.1 1 U L 1A uy t NI'. Uk1_" er±"
Phone#( ) Fax#( ) Subdivision
Authorized Agent V 1+(h{`r1N1 V\14Z... City i �C == \ L S/ ZIP
Affected LCW IckEW )(PTA 'AS `iPTS Phone # (MO) 5 '7ci"L 2.2k River Basin L.114j0 —'
❑OEA ❑HHF ❑IH ❑UBA C'N/A
AEC(s): Adj.Wtr. Body- \ _(nat /411"01/unkn)
❑ PWS: ❑FC:
ORW: yes /O PNA yes /0 Grit. Hab. yes / no Closest Maj.Wtr. Body Ti U l AJ
Type of Project/Activity a"�c oC ex t,n cl1 6.1 1 �t -fitd M +!- + ` 1.)l Q-r/
OGv �'ezV-c_eAy\e.an-k-' (Scale: kTY )
Pier(dock)length 22-4 I
Platform(s) es X i 4 s I ___. -L- -- I .
Finger pier(s) 1 \✓r[( 1 Ar 1
j
Groin length { i
number tt < - ---i r
Bulkhead/ "prap length ti x►STI aj� f I '
avg distance offshore j I ! I
max distance offshore
—
Basin,channel I
I i 'C I
cubic yards —_,..' _ 6_..„.�1X' - i
Boat ramp i -_---‘/
•
Boathouse/Boatlift j ' •
,
l I I I
Beach Bulldozing I ; ,�I I
i I I i
Other 1
i HW I r
Shoreline Length /'
SAV: not sure yes no �M�.� --
Sandbags: not sure yes no I �' # �,� r • `�•�����j +�
Moratorium: n/a yes no ® t
Photos: I
yesno i
Waiver Attached: yes no -• '
A building permit may be required by: `Old n oc Ore....6"n Ts lc) . E. note on back regarding River Basin rules.
Notes/Special Conditions r It.i- 1S i`O I\(\e , W t'�'� +L C_ c i Q�� ) w
-_f-w.N. ,t\.:ac Cl A 11 COf•Alt ', . r s nC dr-10tN 7 i. • l 2oo Pript t.i 6
Porn C} rk 2.... `cY-...\ � —
, . . .
Agent or Applicant Printed Name Permit cer's Signature �`�
r//1, ,„,.- .- - MOA/C) . 1°I,2cxo� .� 03
Signature **Please read compliance statement on back of permit** Issuing Date ctxpiration Date
1,r -- ► .5 1 - ...r.\ 2—'‘i:- P 0 31 t 1'1 A
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(252-946-648I)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: 252-264-3723 Fax: 252-948-0478
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: 919 733 1495 151-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: 9 I 0-350-2004
Fax: 252-247-3330 (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
GENE I. PERMIT COMPUTER FORM.
APPLICANT NAME: in
Pg 4-"11 id
. { 111
ADDITIONAL NAMES: �U``n1a `l l l Pam'd
AEC DESIG: S T /t(.t.) ES DEVELOP AREA: 1,0 2 PROJ DESC: ') - I2-
1 (Will only take 1)
(Will only take 6) j:�
WORK: p ( 'T 1.22 l
(Will only take 4)
MAINT: \ 10X50'
(Will only take 4) .
IMP: 0W 8s (Dui 11 z'
(will only take 6)
ACTION EXPIRATION
-D3 Co--[q'03
DREDGE&FILL REQUIRED: ` L
CAMA MAJOR DEVEL REQUIREDII
•
•ENDER:COMPLETE THIS SECTION COMPLE C "HIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also cc,mplete41111177- --
rtem 4 if Restricted Delivery is desired. '1" •'fluent■ Print your name and address on the reverse ,,, ,/ •
El Ackfressei
so that we can return the card to you. B. R-ceived •y • n -d 057 Na "• Date• D
■,Attach this card to the back of the mailpiece, / -� Q
or on the front if space permits. r . / L "
D. Is deliv- address differe : item 1 -, l Y�-
1.iArtticle`AdddTssseed to: If YES,enter delivery addre/s` . • No.
c;24a-4-," Aj2,
3. Service Type
❑ Certified Mail 0 Express Mail
� / ,1 4 ' �l�- 0 Registered 0 Return Receipt for Merchandise
Lj //(/ ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7002 2030 0000 1870 5968
(transfer from service label)
PS Form 3 81 1,August 2001 Domestic Return Receipt 102595-02-M-154
IIL4
UNITED STATES POSTAL SE E o I i Ir' First-Class Mail
Postage&Fees Paid
LISPS
' F-:J r Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box • •
NDER: COMPLETE THIS SECTION COMPLE
omplete items 1,2,and 3.Also complete A. Signature
,:am 4 if Restricted Delivery is desired. A. �f ❑Agent
Print your name and address on the reverse /' E • ^-❑Addresse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver
I Attach this card to the back of the mailpiece,
or on the front if space permits. iff/' • —C/1s':[
D. tieiivery a ess different from item 1? ❑ Yes
. Article Addressed to: If YES ant,..- ,� ry address below: El No
1�I
1 /1:.n I 1
ROt3L712 23277.-?(P4' 130:14 00 0 /21/0\
NOTIFY SENDER OF NEW NDDRE55 \ '
ROBERTS I
2Y8/�
n PO BOX 6493 `fir
SF-4ALLOTTE NC 26470-6493
I, :-""''''''�_ __ —
•"" - C _ ' ❑ Express Mail
+ .__ ❑ Return Receipt for Merchandise
0 C.O.D.
•
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number n n _ _ DODO I -� 4- 2 r,,
ransier from service label) -/t t; ((/JJI"- 6.1 `��1[
'S Fbrm 3 , • g Domestic Return Receipt 102595-02-M-154
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •rn�
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