34165D - Cotner

0 JCAMA / DREDGE & FILL I l n 34155.E
GENERAL PERMIT Previous permit# 1.
) ---"e' _ G_.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 7 H, Izoc
Rules attached.
Applicant Name �7 p7 �.o C%_ r7j77 Project Location: County a'e.fi7SLc�/Lk-
Address I DI RLL3h Taus-f k Street Address/State Road/Lot#(s) Ail
City 1_ 0,-i1 Vi 11-e, State Pa ZIP 1 ri E 2 l u'c t, th her-16 nd ..5-6-rip f
Phone# ( 3 90—3 Iiii7Fax#(570)c lI 5 •57c4: . Subdivision
Authorized Agent , .. 7-r/f ,/ VG'rr '/ 1 City„ (_',QCc vi 1S(G -gcOCG) ZIP 4-1(r`:(
Affected ❑CW W XPTA ❑ES ❑PTS Phone# ( ) River Basin L.0 m ber
AEC(s): El ElHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body !ra nr..-L. (pat /nan)nkn)
❑PWS: FC:
ORW: yes o PNA yes / Grit. Hab. yes / no Closest Maj.Wtr. Body A 1 LA-)
n
Type of Project/Activity ConSM1 ct CU- .(e- 13 2ci+fi P# F.ivail ey bock.. AeA,
(Scale: /o 420 ' )
Pier(dock)length it h/(e
i
Platform(s) 8 7 0 I- 1-.1- --._. fi I i
44x/S- N�AL
—� -
Finger pier(s) .
Groin length I
number $ j j _
I I l l
Bulkhead/Riprap length . r/ i i 1 i iI I
i _.
avg distance offshore I I i
max distance offshore I J _�_.' I ��.-
{ — ��i . ,
Basin,channel I ' t
— a I ! I 1
4' �j
cubic yards \ "J ' C C cTt~ '
Boat ram % I ' _5#+7 -1 A.i 6 t'4 1.. .4__ .
tI
/s /T . ) -t
Boathouse/Boatlift X j
I_
j fEill'. .Beach Bulldozing _ y2 , 61
Q i
Other U 1- y. , ,
Q-
i l
Shoreline Length &O 7 V) I , i �T
1 I ( I
SAV: not sure yes no ( ! • .jy -
Sandbags: not sure yes n ! � • j _,__..mod + . j..-
Moratorium: n/a yes ,no I i i I
Photos: yes n �__. Z rL j I I --
Waiver Attached: ( yes no ------ , f -
A building permit may be required by: -rilj tJ)1 GF OCC4/1 //(( gra<A • I I See note on back regarding River Basin rules.
Notes/Special Conditions A//cc,',-r i,'176f$ of 171/ /2 fp s
t .J
4.fY/r7) I/44I'l0rrl Q /-L 1.-e �e_ LC�
or Applicant N e Permit Officer's Signature
Signature **PI a read compliance statement on back of permit" Issui Date Expiration Date'
). OCCt r l /5l-G T54.0 CJ Noll IM/L.
plication 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(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)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 252-946-648 I
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
9 I9 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)
Revised 10/05/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ba-)-, ro-7`)-7e -
ADDITIONAL NAMES:
AEC DESIG: cc) pi DEVELOP AREA: . D / PROJ DESC: P — % L
(Will only take 6) (Will only take 1)
WORK: PR_ x/6,' ,3 L i5- x/c'
(Will only take 4)
re- 'x 20 ATz •.fix/s
MAINT:
(Will only take 4)
IMP: li Lei 1455
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: •,;z •0 3
CAMA MAJOR T)RVFT.RPOT TTR Pll• - 4 D.•3

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DOCKS & BULKHEAD% INC.
- ' F,`,• ALL MARINE CONSTRUCTION
;,;:, ;:r,3, I 910-755-6861
�;•'f j.,�s;•;1 '' Cell 910.443.4245
.;{r;s;'ki� ,,^i, Sammy Varnam/Owner Fax: [phone]

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DIVISIOSI__OE_COASTAL MANAGEMENT
ADJACENT_RIPARIAN_PROPERTY_OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: art Co+nc_r
Address Of Property: y q CU mbar)a n d 5+- 0 13
(Lot or Street #, Street or Road, City & 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.
VI have no objections to this proposal.
If you, have objections to what is being__pro�d,_l .as . _write the Division of Coastal
Management, 12TNorth Cardinal Drive, Wilmington, North Carolina, 'R405 or call 910 395-
NM within l(I.lays 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, 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 must initial the appropriate blank below.)
,lo.�A I do wish to waive the 15' setback requirement.
V- I do not wish to waive the 15' setback requirement.
!�1QOA"kktlp 1 C11, •
Signature Date
Wk1-VonO1'kkmi�� —vV-
Print Name NCDENR
Telephone Number With Area Code NuN H CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES

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TIfflgtirsmar
''r. F1 Seru ity. en
hanced hau<ed document. See back fur deteila.in
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VARNAMS DOCKS & BULKHEADS INC 2487
1574 MONSTER BUCK ESTATES
0
SUPPLY NC 28462
910-842-6007 e /ti�I 03
`�'�t( 66-112/531
DATE 62161
PAY 1) NQ
TOTHE
3 i ORDER OF
P,..ciump quutobtsa aka_ `—ilb/INS--------7-----" am.*Yong
DOLLARS 8
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BB&T
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I, BRANCH BANKING AND TRUST COMPANY
SUPPLY,NORTH.AROLINA^P D 3y a a_01
Fo� G6 rP D ��i I 65 7.1J-A-italf)/L m.
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