33534D - Crouse

0 CAMA / DREDGE & FILL Ti.: 337)34'�
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 ' t • 1 I0 0
L.Rules attached.
Applicant Name � r �t L.;tk`-C.� -1 Project Location: County Z/ �trS‘1,-) 1 C k•--
Address _ o ;P 2 6,0 !J U.1' :- .Pr-C•'4 \ O f�C,i Street Address/State Road/Lot#(s) 1 a
City LeX`, Y\ t) r1 State N CiZIP o)r-)Acia -17S IA-r\d 1) r;J (..)
Phone#(33 () 2 1e\
U-- -yr(0 Fax#( ) Subdivision p k reS i5 ')a i f\t
Authorized Agent &CFc. QrE..oA-k \<.._._, City H - T5 i fr- 'd ZIP
Affected LI CW r:EW it PTA ❑ES CIPTS Phone# ( ) River Basin -- MIo
❑OEA HHF ❑1H ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body emit 5 Lift \A \ (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body _
Type of Project/Activity c 4 t IN ‘ u\V`\NCJ\a REV(\ C C_Ir1C._.(\t 1 I 1'A Ft(11+ 0
ex_iS-\TN- WA , CCr PtI.tr " t (Scale: K)UT 1 L., )
Pier(dock)length 'I.J
I ;
Platform(s) I
f j
Finger pier(s) i 1
Groin length T - 1_
number 1J I.
r� I i i
(Bulkhead/Riprap length 1 V.S. I A' I I
avg distance offshore I 1�j... 4.._.......I I •I ... __._ _.—.-.I_ I
max distance offshore a' • i.__...i... i._.._� �._� — _._.. ...._..i.—
I
•
Basin,channel ! 1 i 1 — I I
f
_ i
cubic yards I I i I i
Boat ramp I
Boathouse/Boatlift I--- 1 , t
- . { I
Beach Bulldozing � i j _ i _ rt
Other _ _ _ _
111. . i
I :
{ai it Ems. . r� G; " am mar,rr. \.
Shoreline Length -OO .1... I i- ..0t A r •
SAV: not sure yes nov) I f W 4 .1 I I - • I
.-- r Y.. — I — ---- ... i
Sandbags: not sure yes � -"' �-' -"- i I i ! I I -..-
1
1 1 I 1 I
Moratorium: n/a yes no7
Photos: yes no I i i ' I
Waiver Attached: yes l II
A building permit may be required by: Tof i fN OF --k S\R~"Ci . L See note on back regarding River Basin rules.
Notes/Special Conditions J EL/2 f) \ r U rU.t A- 1 U n S or r • I\L
�7l re c� C A y*a "to'-`_ t<rx............Q.....Q....._
Agent or Applicant Printed Name PermitOfficer'sSignature
,J- -t:= �. _ i `cA-us 9 --29 -03
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
',
51 Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

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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:
7 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
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
919-733 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 I0/05i0I

GENERAL PERMIT .COMPUTER FORM
•
APPLICANT NAME: ) ' C OL&SU
ADDITIONAL NAMES:
AEC DESIG: f T E( DEVELOP AREA:_ .03_ PROJ DESC: P - I L
(Will only take 6) f (Will only take 1)
WORK: b 1 1 iS )(
(Will only take 4) •
bh ►uS ) 10
MAINT:
(Will only take 4)
•
IMP: OLk) 23D
(will only take 6J I .0
ACTION EXPIRATION
•
DREDGE&FILL REQUIRED: 1-29-0 3 4-'29-03
CAMA MAJOR DEVEL REQUIRED: 1"2q-O3 . y+'29"O3 •

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nrvistew nF C'A*ATM.MAN 4G NT
Ail ACi:_N T itTPARTAN PRf4PP:RTV()WNi+'R NOTITI!`ATIAN/WATVFR FORM
•
Name Of Individual Applying For permit L 19 , /' C vc
Address Of Property:
(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 toile as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions
letter. , should be
p ' h this
Ihav rjections to this ( 1LfIJfo1 )
Jf ynn have, nhjrrtinna to what is hying rtnpncP4 please, writ: the t�ivieinn of Central
inai Thiye�Wit6ni ygtnn ibnrrh r�.,,::.,a �;r�n_er rat:QiA was_
1,1 .uu iI 1 n ., .�•+u: U a! c l Ul.r k,. .sI.. . r.l v,I,a._. .I a n. ar��.tii• i
if you have•been'nut:Merl by enttif vi Mail
•
WATtVF.R SPX'TUTh
I understand thin a pier,dock,mooring pilings;breakwater,boat house,lift or sandbags must be
set back a miniimtm distance of 15'from my area of riparian access unless waived
wish to waive theby me. you
you must initial the appropriate blank below.)
_..._, I do wish to waive the 15'setback requirement
I Hanoi wish to waive the 15'setback requirement
1/z aa3
Sig e
Print Name I NCDENR
Telephone Number With Area Code ++. oollt,�,,or

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 1968
GREG PREVATTE 3258000872
P.O. BOX 10671
SOUTHPORT, NC 28461 DATE ,�2 i
.
PAY TO THE � �
, ORDER OF /i i 1�+10� O
,a
+00 h C 1; Girl�etlf'.0•1 .006 e,�:S DOLLARS elfro•
COASTAL FEDERAL BANK
SOUTHPORT,NC 28461 j
MEMO r�
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1: 2532723551: 3 2 580008 7 20 L968
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