36922D - Cates

CAMA / DREDGE & FILL �22 D D 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 15A NCAC 7#i lCt)
/_ ill Rules attached.
Applicant Name �///y7 Cc yie1 Project Location: County Briir?Su./lc
Address i' ' (�C�5' ,61,--� 15 y,ye Street Address/State Road/Lot#(s) 70{,
City h/5(lid J State.NG ZIP (5410 el-)C5f (, aG .7‘. Jeri re__
Phone# ( ) Fax#( ) Subdivision
Authorized Agent Cr C fc7�G. _ City 06,-4. /5 lli h 0/ ZIP 2P /65--
Affected ]CW PTA OS C PTS Phone # ( ) • River Basin ,C.11m,
AEC(s): �OEA HHF IH UBA N/A Adj.Wtr. Body /91W1 ./ (Flat /unkn)
•p PWS: FC:
Closest Maj.Wtr. Body /91LlJ1(-)
ORW: yes /no ) PNA yes / Crit. Hab. yes / no
Type of Project/Activity A-c/r(G Gc fi}C./.5 fz.N 1 hi ( k/tc d
O (Scale: /r!- 20' )
Pier(dock)length
Platform(s)
Finger pier(s)
Groin length
rl 11.(Jto
number
ulkhead/,Ripraplength 60 r
avg distance offshore t"-"----
max distance offshore
Basin,channel
cubic yards
Boat ramp f I541t1
Boathouse/Boatlift ,ly
•
Beach Bulldozing
Other
Shoreline Length 60
3,./k./t.«.
SAV: not sure yes I `C
Sandbags: not sure yes V PL.,Moratorium: n/a yes Rio L. r
Photos: no Uy{r,G (r., 151 t"i
Waiver Attached: yes (i�
A building permit may be required by: 1-0 Gci;/ G( Qa k /5 7afri6Z . i I See note on back regarding River Basin rules.
Notes/Special Conditions A-(( C. ri i de77 e. a "% 7/i //U2-i 4/e-x y
Agent or Appli Print e Permit Officer's Signature
,eC ♦e.), G j p7/4 r Hai G .
Signatur Please read co nce statement on back of permit** Issuing Date Expiration Date
j/Uv OD z Z-W O0 ,� /`s-C 7 d NA/0/S G
Application.Fee(s) Check# Local Planningf 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(252-946-6481)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 252-264-390 I 252-946-6481
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
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

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /m ( S
ADDITIONAL NAMES:
AEC DESIG: (V S DEVELOP AREA: _ PROJ DESC: - ()
(Will only take 6) (Will only take 1)
WORK: Ej Co D
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Fata
(will only take 6)
C (o Oo)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /j I/o /03 few, l o j pc).
CAMA MAJOR DEVEL REQUIRED: /� �o 10 etc, to) oil

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TErwqm OF ro 1LtrIENT
_ s. . so . • IP II : I ././34: 11.11114 k _ DI: as :
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Name Of Individual APplying Far Permit. . J 6/ri C rse,IS
Address Of Property: 7o k), y4cht- /9;-,
o 11 /vc 2946.
(Lot or Street Street or Road,Cky&Coumy)
• I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tolfte as shown on the attached drawing the development they are proposing. A description or drawing,with dimensitun, should be provided with this
.•
•
• • •
E -1 have.no objections to this proposalIf .
man . . NrwNorthynu have etticeitinns in what.it being propoceri. planer the.
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19nn wittoin 10&ye rtf ryf thie Drotiortempontnte is t nnsialosred. sarret.pc nft nlIfoorrin;
•
• • if yrs]have hems ramified hy rprrifieri Mail
WAIFFR,SFPTJON
- • .„
I
• Und=and the a pier,dock,mooring pilings;breakciater,boat house,lift or sandbags must be
set back a minimum distuize of 1.11 from my area of riparian axess unless waived by me. (If you
wish to waive the setback,you mu m initial the appropriate blank below.)
, •
I db wish to waive the 15'setback requirement.
I&not wish to waive the LS'setback requirement.
11 1? • At1911911A
Date
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• (Nit 61--
Print NEune • NCDENR
Telephone Number With Areat ode Napent Comoults Cuturrmer or
closwerwoir NW kausaa.asaaisscass
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'1v:7

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SENDER COMPLETE THIS SECTION CO4Jt'LETF T II' SEC Hot.cJN OF!f!c-Rv •
.IN Complete items.l,2,end 3.Also complete A. Sig et
Item 4 if Restricted Delivery Is desired. _ 0 Agent
• ■ Print your name and address on the reverse X j • 0 Addressee .
so that we can return the card to you• fro" • „ . Wed
Of Attach this card.to the back of the mallpiece, /f/r
or on the front if space permits.
' D.Is delivery edurem dlterent from.item 1? CI Yes
1.Article Addressed to: a YES,Ow delivery address below: 0 No
1:D�, N 7$.1 o • 0 ad Mall CI Express31• Mai
• 0 Return Receipt for Merdiandise
J 0 insured Mail 0 CAA.
4: Restricted Defivo44(Extra Fee) 0 Yee
awdeNumt 7003 1680 0002 2745 7659
(Transfer trot
PS Form 3811,August 2001 Comestic Return Receipt 2ACf!RI- z-0eas
•
SENDER:COMP(E7F THIS SECTiON C Cf PyFTE:H/SSLCiI(1:V DiLiYEAY
• Complete Items 1,2,and 3.Also=replete- A, Signature -
Item 4 If Restricted Delivery Agent
■ Print your name and a odesired.
t the everse "—X if • - • p Addressee
SO that are can return the card to you, a Received by(PYfited mama) C.DD��j e of
II Attach this card to the back of the mellpiec ei ,,JJ
or:on the front if space permits. 1 vL
0.is•- :: :.:-'�,,• tram Rem l?
1.Article Addressed tot - en r :.below: D No
i Y1V,vbN t{_ e rs 41/1 ,�
:beer- �r �/ ae
1 r a MeR
t it t(S V t.�e'J' '3 (la1 0 R: ': •.:O,i19Wm Receipt for Merlrendise,
C1 Insured Mae ■
•4: Restricted.De every?fErant Fee) 0 Yes
2.Article N-. —f
Mender • 7003 1680 0002 2745 7666
PS Form 3811,August 2001 Domestic Return Receipt IACPRI.Q3Z.olas
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SHORELINE MARINE CONSTRUCTION
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GREG PREVATTE 67-7235/2532
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SOUTHPQq BOX 10671 3258000872 2 2 4 1
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