33597D - Clifton

0 CAMA / DREDGE & FILL I ` ° 33597D
GENERAL PERMIT Previous permit # l)R`32
) z _ Nev. Modification Complete Reissue ❑Partial Reissue
P Date previous permit issued in-/‘-O Z
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 -4 H /roc,
:iRules attached.
Applicant Name _ z...„„✓Y ?/ ,t Project Location: County Q iv G /j .v
Address ST/ C. D frv(i /h.<) ,-.) y Z uJPs71 Street Address/State Road/Lot #(s)
City 7,1-12N er State /VC ZIP 7.7.5-09 6, /07 &41A ,S+
Phone#(q/cJ) 7.73—DEM Fax#(9/fi) 3 -4)8 is Subdivision OLD 7-7L,i1 C '. 90 i4
Authorized Agent , Eu•E A/„j 1/v O)? ( City SlA)1 F C, ZIP 2.a Y 4'
Affected CW EW ..›•PTA ❑ES ❑PTS Phone # ( ) River Basin -14 ft- AAA(Z
IDEA II HHF CI IH ❑UBA ❑N/A II
AEC(s): Adj.Wtr. Body 4-, A r :on _ . : nat et nkn
PWS: ❑PC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body //._ S N�
Type of Project/Activity DJJ f V 6)6 A'-f4 NeArG ie uLk 4 D 774 fy' trot►CAr7•7I4,t I i D
Se- AIM Q Ni'' t-iJ H i LE PJM LGCiEaeA D 1 tli-5 iirliVEy a uie 7 ^..3c1y (scale: 1 ''-- ZO' )
Pier(dock)length
i l
Platform(s) i i
I -.- 1 •
Finger pier(s) liall i
Groin length j C
number
i i
Bulkhead/Riprap length / i
i i ris 04, zs• p Eft._.+_.._
avg distance offshore }
max distance offshore 1 f. �Xi,g 71/P462 l ! !�-
Basin, hannel Ss/X ,�S~ - - J�K /. T i l r'f
fl -9 r.
`may T . > __(,&11O?
cubic yards Oi - l c oucn E
Boat ramp . I ... ___.._f_-_,
Boathouse/Boatlift I ' ( p t3 i
Beach Bulldozing
I ,„-,_ --�--+�o'�; `
'
Other t \\
! 9 R -PJ
Shoreline Length _ CK131' PjIV ', UL(CAR4 p
i -t .__
SAV: not sure yes no - i r
I
Sandbags: not sure yes no -
t+ST�A el. iZ I�Y1h'
Moratorium: n/a yes no I I —I-
Photos: yes no I i i- I i I--
Waiver Attached: yes no -_ I i 1 1 1 _ I
A building permit may be required by: 'U n F e / . C See note on back regarding River Basin rules.
Notes/Special Conditions ,A.-"-i- -tT) d O 6F o4A) r k/,ST/rUt5,7 illThE
I
Agent or Applicant Printed Name Permit Officer's Signature
� ee IssuingDate Expiration Date
SignaturR read compliance statement on back of permit
700/O0 36,2y S(4 ' C+ iTy'' n 7 z 1
Application Fee(s) Check# Local Planning.)urisdiction 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(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 252-946-648 I
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 10/05/01

CTENfRA.L PERMIT T COMPUTER FORM
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�PN , F cr; ,5 TAL MANAGEMENT
D.�AC£PdT R ' O6Ti�ER NOTSFZCATIOty/WAIVER.- FORM
Name Of t idi idx A i .r.g F'or Permit: - 7vN 6/(1 1/
ai
Address cf Frai� rt `• j0 7
(;• #s t et , Street or Load, . City & County)
I hereby cer� -fy Atha `I own: property adjacent to the abave-
referencec prcp rtindividual applying for this permit has
desc r.ibed- to a^e w s •on the: attached drawing the development
they are proposir. e ription or drawing, with dimensions,
should be. provided,�:w+t,i,'t1 hi setter.
X �'���_ �,arr ;a o ; ections to this proposal .
If you have a be _bropbsed, please write the.
Division of Coy *jg ien_t', 127 Cardinal Drive Extension,
Wilmin•tc�n P1a p s 3 ' S4O or call 910 395-39(}0 within 10
days of receipt sa `� _ - .,No response is considered the same
as no.=ob- ecticn, :i. � y'bu.` dye been .notified by Certified Mail
rt:hW,AIV ER.
:SECTION
T under:�tand to t d ` c.ock, maoring. pilings, breakwater, boat
house:, lift Cr s; ndba s 4etii .be;`set back a minimum distance of 15'
kx to
from my area o� ttss_`unless waived by me. (If you wish
to . waive t.h� s',et ack, you dust initial the appropriate blank
.below, )
�`` +0� l "do wi b' o aive: the 15'setback requirement.
- sr-
I d:c n atwithto. waive the 15' setback requirement.
Signature Date ` s
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DIVISION
ADJACENT RIPARIAN PROP RTY O WAIVER- FORM
Name Of Individual Applying For Permit: 2_1[AJI7dMil.)_.,
Address Of Property: 4/9' 6 571-
5t-ce r C.-f L)
(Lot or Street #, Str e ; or Road, City & County)
I hereby certify • that I own property adjacent to the above-
referenced property. The individual appling for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or d.rwing, with dimensions,
shoul• be provided with this letter.
4
ilt,i1 I have no objections to this proposal .
If You have objections to what is being priJposgd, olease_write the
Division of Coastal Management, 127 GAgdi Y+a Extension
Wilmington , North Carolina , 28405 o call a
days of receiot of this notice .e . No renpQ,ati cr rsider. ed the sane
as no objection if vou have been ..Qgtified by ,C?. tkfiF M4i1
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater , boat
house, lift or sandbags must be set back a minimum distance o_ 15'
from my area of riparian access unless waied ty me, (If you wish
to waive the setback, you must initial the appropriate blank
below. )
i' 1.
�Y- �( I do wish to waive the 15 ' s€.tback requirement .
I do not wish to waive the 15' s,?t.,ack requirement.
x _ ,�.-- -- A' 1 4,6
si ature Gate A: • " '
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Pfint Name '"
Te ephone Number With Area Code - -11NA Fi

ANTINORI CONSTRUCTION
BANK OF AMERICA 3629
896 HWY. 210
HOLLY RIDGE, NC 28445 66.19/530
[phone] / Q 5
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`-'�� �L �5(01 AUTHORIZED SIGNATURE M'
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1110036 290 1:053000 L961: 0006 50 5 2 L99010
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