34131D - Cash

0 CAMA / DREDGE & FILL
GENERAL PERMIT "
permit#
)C IONew Modification Complete Reissue ow r,,:vious permit issued
As authorized by the State of North Carolina, Department of Env' .Went and Natural Resources
and the Coastal Resources Commission in an area of environmen at concern pursuant to I 5A NCAC 7/V. 4200
77: .c. ,-i,c' k,Rules attached.
Applicant Name �4</ -rS/i Project Location: County afl'p,5 A.J/e�C-
Address�t 35-6 0 0I all 5 4 �7' cJCK Street Address/State Road/ Lot #(s) /q(i
City £ 011 CWd State/VC ZIP ZrO,2 5 bO/f ;ei
Phone# ( r.7473s 8'51 GP Fax#( ) Subdivision
Authorized Agent ,54.s".1 ek Va r rl ask,,.. City -iltr '/ter) BCa c:_-, ZIP 2 `f(v
Affected G CW -'EW PTA ES L PTS Phone # ( ) River Basin �.Lc�y,bt�l
AEC(s): ❑OEA HHF CIIH UBA N/A Adj.Wtr. Body ea r ie ' (nat CIA unkn)
❑PWS: ❑FC:
Closest Maj.Wtr. Body /g/IOU)
ORW: yes / PNA ' yes /10 Crit. Hab. yes / no
Type of Project/Activity �n5fa.t 6da�T Life-
(Scale: i/' 20' )
Pier(dock)length --_
Platform(s) fi—r~ 4--- — j I I } t.._, .-.—_�__—_
Finger pier(s) . i
Groin length (: 1
number j
Bulkhead/Riprap length _ I
avg distance offshore I
max distance offshore __-4_ i i i
— I
Basin,channel — i , - -
— j I
cubic yards — 4
Boat ramp iiia ; Fmj- -.�L ._
BoathousekBoatlif� J. XJ s.- �y�� 1
sm
Beach Bulldozing I 1 8. I o*. A j
Other I I f ,- j i '
I I
y
f
, am
Shoreline Length 5o/ j a`' ■l I
SAV: not sure yes no — , i t
Sandbags: not sure yes no If
Moratorium: n/a yes no
Photos: yes no% t
Waiver Attached: //� es no. V I I ' P� I }-
A building permit may be required by: Toni-,-,ofyy',� f L¢h c' ,cac . 1 I See note on back regarding River Basin rules.
.1/YC M.ia
Notes/Special Conditions NO M , Z M444 h- Cie C- e-Cl lam )/S
r ort. /I ,t C . Ne/wt,vu-( • 5/Ve C eec t5 Tyr-kv? - Zet
.
j v1wtq V wl 6C .
Agent rApplicant Printed a PermitOfllcer'sSignature
/ ja 7 • /.2 0� 9- /� 'a3
Si tore **PI read compliance statement on back of permit** • Issuing Date Expiration Date
in " '."-'-f(i4 \%. Wvfle.ii g-eacw mo .,/,-,?/fe
plication Fee(s) Check# Local Planning Jurisdiction Rover File Name
. . _ .,..arr....,.f.9l,dLrol.iiu1914.i= r' = r allkdifir:-" ..�''" -•Y - --.•. .,ikwrohi.,w+.

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:
n 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 / 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: 9 I 0-350-2004
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 I0/05/0I

•
GENERAL PERMIT COMPUTER FORM •
APPLICANT NAME: Z73 • 5 4
•.
ADDMONAL NAMES: 5
AEC DESIG: L.0 27- DEVELOP PRO.'DESC: -
•
(Will only take 6)
(itrill only take 1)
WORK: f21 •
•
(Will only take 4)
•
•.
MAINT:
(Will only take 4)
BAP: Z,L) •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: i . /2_ • 03
CAMA MAJOR DEVEL REQUIRED: 6, •/.2- '6> /2 - 3
- - - • -_ • • • - - - -
•

to ►: CAMA/ ❑DREDGE & FILL ro 34 •
!alb ;i'.
ENERAL PERMIT i
� Previous permit#
New (]Modification ❑Complete Reissue . ❑Partial Reissue Date previous permit issued
As authoriied'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 7N, /o2L )
?r Ali- �crt d XRules attached.
cant Name ..-s
Appli p`C�S6�= u 2-: Project Location: County 3r4/�St.JlCk
Address t,z;3$(d`? n`t en- - ,�'1° r ' Street Address/State Road/Lot# s 1 q/
F -SV G.-a f" w. "�v �t•" P`Y ,,fir s J. , ( ) I 1.0
City o- ►'t Cttf' S -4, e State c ZI Pt '. O 2.S- i �a l h�r�
F•, �ti".1`0..'1 A-,.. ..wi'4---1 �i''tiv h`k.• .--rt , - 1..: i s�a F i'.s4•y ?, h -
Phone#(`ao78S �t8✓�If(o zFax`#(s*�) 2 r a � 7 `1�: Subdivision .
t j i. 3 r'�y.. rf y �. P341 +1 '*. . �' ' 'ems K t> ;`f i
uthonzed Agent wyg r ,4:j/q,..n hut.�`x nti ' ` City ��'.� f�Ga G .... -• .' ZIP.--.2�`�C
ENF PTA ❑ES OPTS Phone# ,,II
Affecte ,. ( ) River Basin kill'
OEA 0 HHF. 0 IH: 0 UBA •. 0 N/A Ad Wtr.,Bodyn
'AEC(s) - D•pws... • -• ' ❑FC. : - . • .. 1, . :C. .. . . ...nai �ii.
ORW yes / no PNA yes /� Crit.Nab. yes / no Closest Maj.Wtr.Body /��
Type pf Prolect/Actmty: Y'ri�f a.�l. . • • '.
Pier(dock)length. . _ (Scale �-�'y Z U 'n
,Platform(s) I
Finger pier(s) '
Groin length: }
number I I h
Bulkhead/Riprap lengtt! I
- avg distance offshore
• max distance offshore I 1}I
I I. I- I
- Basin.channel I . I I I . I
I II ' I
cubic yards Boat ramp _ iNOiOIiI!I'!IiiilIi!uiti!:iiiiIilIIIi
Beach Bulldozing ' ®R I I 1. lorio7 T1 ao auni �®mmum� o®m®monm®nl®®®®
piher ®11®��� �Ci0®��5�1•�•®®e® ® :,r
fe� •
' eeLength . s50 ;i.hoin „ : y� ) _ .
o • ISS notsure yes no Saryldb ,rtpttsul e`';kry�fir 1Il " .n -l .. �I-a III® 1
roratonun „0'/a3yl no q .I I _ f:
iPhtotos �' t C p�..
tY, „...,..,.„re-,..,,_,,yes ' n°' I �. I I' I, I I
Waiver Attached� � • I I ) i I -I- FLI I �- t
,A building permit may be required by 77rur-rt of �� �¢rn i L � nrules.rs JfCCcY i CCc�/ El See note on back regarding River Basin .
Notes/Special Conditions . Nd M.UYG'Ala 1.4'' •Z e'p .. .Ovl �9e -d0 C.�:e'�/ t�.�:t.5 .
pig er' bna l r ' klL 4u.i ivyr e . Trek i�vC�%l lia% Ol�C7�$, vi 7�TOa_
1+-..— ^•r.t.1�•l gyp, .. .. ..
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- re ,','PI 7�'���.�readcompliancestatemehionbackofpeItt,' ,,,- .r, I Date �,*44-? j 1- . •,,,.•j y1 ,, ax t Exp�rdtfo•Date<c �,
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plicationFeecs) V_,. t ,. 1•t ,1 t Checks 5 7�`* ': r SJ ' x y' .' a -I RoverFlleNarne
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Perm �(
Permit: I a 1 or 8 . CAS 1 ) J
9 y -01 p h ( v1 0--O Iring Pcc c Irk BlUasli0 I'C L _
(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.
c I have no objections to this proposal.
g
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 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 by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring, pilings, breakwater, boat house, lift 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.)
.P I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
i , ,',---)1 — -3
Signature Date
A . APrmj o e`f a ( NI3 ---_-___ir
Telephone Number with Area Code Q I - N NJ

- �., ,, im e, ,,,,�,;,;.-n ® Security enhanced d o c a m e n t. Se a back for detail a.BST-.- _ _ _
'�
VARNAMS DOCKS & BULKHEADS INC 2464
1574 MONSTER BUCK ESTATES
SUPPLY NC 28462 66 112/531
910-842-6007 DATE (0 f 02 — ` ; 62101
PAY I $ �C 1�4' a
TO THE '0.
• m ORDER OF
I I jwo l-I-kinc)r 1 O ) l4( EA.4c y
- e
t
DOLLARS ---11,
11 BB&T
BRANCH BANKING AND TRUST COMPANY
SUPPLY,NORTH CAROLINA
hP
! . FOR 141 6' 1,/ 39 I 3 i D 4 3-1 i 30 Q .. - (:frin4444, I/AA/ham/1y i
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