33407D - Davis

e __CAMA /
DREDGE & FILL it 3340 1 3)
GENERAL PERMIT Previous permit#
>C .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 e)41 ' I 00
l Rules attached.
Applicant Name b QC 0 5.k.h 5 Project Location: County Zx ttnS W t CV--
Address j 30£3 We% '`.1c-(N t�cs,Ve.) Street Address/State Road/Lot#(s) ( 30£3
City OA f- --rs1A-rd State NO ZIP_-.2 P 6�' des j 1 At V t 'p(''lc/C.--
Phone#(9%0)20 t- 42(04 Fax#( ) Subdivision
Authorized Agent &f e. Pr C VA\- C.. _ City QM-- T i e-r4p ZIP
Affected ❑CW )41EW KPTA ❑ES C.PTS Phone# ( ) River Basin Lu, c. oe..f
s III OEA ❑HHF ❑IH ❑UBA N/A
AEC : Adj. Wtr. BodyT LA/
IIPWS: ❑FC: tAf (nat m (unkn)
ORW: yes /`no PNA �/ no Crit. Hal,. yes / no Closest Maj. Wtr. Body SW t^-J
Type of Project/Activity Tom\ ►3u\I-he-Ad -F—e4APICC.MP..N+"
11 (Scale: ?Jcir To )
Pier(dock)length E.k1 STA(\c
Platform(s) 1 .1____:,___
..-. _
Finger pier(s) i " �t.t,) LA./
III
Groin length j 1 = I -
I ' 1
number i - - I - + 1 -
f - '
•
(Bulkhead/Riprap length (1 Z !._ 1____
I {
avg distance offshore 2' -i i �__ _ i I
max distance offshore 2' _. _..__.._ i_
- _
Basin,channel { —-- { ' -
ALI ' -4_ F _4,4_ I
l I -
cubic yards I { p fQp 0[�
Boat ramp } A ,�,
Boathouse/Boatlift - � • i
- -1MIIII --k ... ..- I ,
Beach Bulldozing j tS
Other _ MIN
r — II
III
-- • - 4 MIME. — _i �l
Shoreline Length `t.2 1 1 i
- —i 1 1 • - I
I
SAV: not sure yes • ' { 1 1
no
Sandbags: not sure yes Cno, , ..' •1 ! . __....._ -_ ...__._.. �(
Moratorium: n/a yes o . { { ���� ------1i 1
_.{ I i
Photos: Yes j -s {
Waiver Attached: ? yes no - • I I .
A building permit may be required by: T W n e; OP k-- TS\frY\d . Fi See note on back regarding River Basin rules.
Notes/Special Conditions M` C 0 1Nfil- tohS Oc S6C4 \ On Lk-\ •t t oo hil il, tl
C-t O\ Pc j *k i
Agent or Applicant Printed N Id'•icer ,�
's Signature
U� e
Signature read compliance statement on back of permit** Issuing Date Expiration Date
4 i00. °> 4AV... TsIr,.( d
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

I
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(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 252-264-390 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
9I 9-733-2293 / 1 888 4RCOAST . Morehead City District Wilmington District
Fax: 9I 9 733 1495 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; 910-350-2004
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 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: '3oL 101-(,i s
ADDITIONAL NAMES:
AEC DESIG: p , CIA.) DEVELOP AREA:__,O 3 PROJ DESC: p-
(Will only take 6) (Will only take 1)
WORK: k ts 112 x 10
(Will only take 4)
bh 11 2x 2-
MAINT: •
(Will only take 4)
IMP: '11 I12.0.
(will only take 6)
O LA) 2 2-4 .
ACTION EXPIRATION •
DREDGE&FILL REQUIRED: • 5r'-(y 8-6) 01
CAMA MAJOR DEVEL REQUIRED: 5"(o-D . 8- Co-O 3

prvigin'AF rcM gTAT.MA-N4rEMENT
AD]ArrNT RTP&RTAN PROPERTY OWNER Nalln `dTIONNVA ORM
Name Of Individual Applying For Permit ��,('f /9/�, S
Address Of Property: l30 8 ecJ j 6h t
(Lot or Street N,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 toldie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. � -
I have no objections to this proposal.
if you have n}yectinnc to what fie bring I"nl1e'e'Yl prracr write the Tlivisinn of Coastal
if you have been notified by('rrrified Mail
WAIVER SFf1flN 402. h keAft
I undestand that a pier,dock,mooring pilings;breakwater,boat house, lift or
set back a minimum distance of 15'from my area ofriparianwags must ybe
ou
wish to waive the ��unless waived by me. (If you
setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do i nt wish to waive the 15' setback requirement.
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Si r'%4�/; Aced0./� ■,.,�.
am
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Telephone Number with Area Code Ploien.ciumum pp ,goer ar
ranaos•
*mar*AKo wawa.a saiwees

•
•
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TNVICION OF COACTAL MANAGEMENT
An1•ACEN _RIPARIAN PROPERTY OWNER NOTTFICATION/WAPV'FR FORM
Name Of Individual Applying For Permit: R 0 a vi 5 •
Address Of Property: L/, , (jj /9- 17-r Ors
(Lot or Street#, Street or Road,City&County)
I hereby certify that I own property adjacent to the above-referenced
applying for this permit has described to the as shown on the attached The individuallonet
they are proposing. A description or drawing, ov development
letter. - / with dimensions, should be provided with this
I have no objections to this proposal.
. . .
Management, 177 North Cardinal ffivr lifilminaton North Carolina. 2R405 or call 41O 395_
of this Trim Nn a is m --
if you have been notified by Certified Mai
WAMERSECnall AO
uLkl,
I understand that a pier,dock,mooring �'
setback a minimum pilings;breakwater;boat house,lift or sandbags must be
to waive the distance of 15'from my area of riparian axess unless waived by me. (If you
witback, you must initial the appropriate.blank below.)
•
v Ido15'.. �_ wish to waive the setback requirement.
I do.nat wish to waive the 15'setback require.
P A
Sg,. , aDate
A.
Cl-ra(4-0 f3. C L.PM S iA) Na
Print Name NQD ENR
Telephone umber With Area Code ,,,
ErmaowaeKr•►a worm,.Nvouwens

- SHORELINE MARINE CONSTRUCTION 67-7235/2532 2 0 51
GREG PREVATTE 3258000872
P.O. BOX 10671
SOUTHPORT, NC 28461 DATE 1
PAY R THE ( $ I VG' Q
, a ORDER OF v
Or I `e, L A d,V e J - �d C. ��/1 _1 DOLLARS u "�",:t:
11
w COASTAL FEDERAL BANK
11•
D ' SOUTHPOR/T,NC 8461
Ip MEMO G\����1 i
I' 1: 2532723551: 32580008720 %-_1::?..,,,e____,