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DREDGE & FILL i' 33339i'e _ CAMA /
GENERAL PERMIT Previous
e Ious permit#
) % _ . ew 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 I5A NCAC 74 • 1200
r x Rules attached.
Applicant Name 1' '(ed .1)A V`‘Ci Project Location: County TY tt yr Sl.t1 c t--
Address P U -EOX 813 9 Street Address/State Road/Lot#(s) 1-+q
City_- , h'A! LA fit., State tJV ZIP -34'J0 G-0 Id sbo f O S1're e+
Phone# ti > act 1YI Fax#( ) ( ) Subdivision
Authorized Agent CkArles c )( City ...)'Ce--fir Ts ICJ ZIP 2.8 14 CO l
Affected L'CW $EW KPTA ❑ES ❑PTS Phone# ( ) River Basin _";,k.M1 rf'
0 OEA 0 HHF 0 IH 0 UBA 0 N/A
AEC(s): ❑ PWS. ❑FC Adj.Wtr. Body (_/_ y\A 1 (nat an /unkn)
ORW: yes / no PNA yes / no Crit.Hal,. yes / no Closest Maj.Wtr. Body A = ltiJ
Type of Project/Activity NesAi , \e,..r Pr 'c do co t—
(Scale: j-T .Ti; )
Pier(dock)length 2(‘ f
Xap� luAT 1Platforms) UI
Finger pier(s) �, ;
Groin length
number I- i1 , -t I
i I
Bulkhead/Riprap length I i I —_
avg distance offshore a- i 4
max distance offshore ,,
1
Basin,channel ± I j I
j
i ---
I I .. I __ —
cubic yards ;
j _
Boat ramp �___ —
I 1 '
111
Boathouse/Boatlift I I
i 1 fBeach Bulldozing -
Other - _1
i ■ ■
Shoreline Length % t I j I {I
SAV: not sure yes tito . j 1
Sandbags: not sure yes (no 1 —_ I - I
Mill
f __
Moratorium: n/a yes no I ; I I I
Photos: yes & II I I Mil I _
Waiver Attached: yes (no • i I I 1 I _ .
A building permit may be required by: l UW/\ ( f (DCe-Pt(1 TS (e./ • L See note on back regarding River Basin rules.
Notes/Special Conditions PO\ C 0 t- di 4- ',or c 0e 'c�-ior'' -0 • 1 2w t flo i
, ' ick 1 LA
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Agent or Applicant Printed Name Permit . icer's Signature
A.,'),.. i'1 , Z003 uM 19 , 2-003
Signature **Please read compliance statement on back of permit** Issuing Date - Expiration Date
kJJ• ;V th\ --L
Application Fee(s) Check# Local Planning jurisdiction 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:
I 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 252-264-390 I 252-946-648 I
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
919 733 2293 / I-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

DER:-COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
Complete items 1,2,and 3.Also complete A. Signature l
'item 4 if Restricted Delivery is desired. ,(— 0 Agent
I Print your name and address on the reverse X �J r� 0 Addresse
so that we can return the card to you. B. R eived by(Printed Name) C. Date of Deliver
I Attach this card to the back of the mailpiece, n
or on the front if space permits. , of fl OPl L,'et
. Is deka* different from item 1? 0 Yes
I. Article Addressed to: S,a ��d,� g ery address below: 0 No
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Certified Mail 0 Express Mail
Registered 0 Return Receipt for Merchandis
' ❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
!. swn Number '7001 2510 0005 1569 6532 �/�ra 3�
(Transfer from service label;
'S Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2'.

UNITED STATES POSTAL SERVICE First-Class Mail
11 Postage&Fees Paid
USPS
Permit No.G-10 I
• Sender: Please print your name, address, and ZIP+4 in this box •
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%ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
II Complete items 1, 2, and 3.Also complete A. `.na r-
item 4 if Restricted Delivery is desired. 4 Age
I I Print your name and address on the reverse X .10 AA./ JO Address
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1 so that we can return the card to you. ved y p i e ~� C. Date of Deliver
■ Attach this card to the back of the mailpiece,
on the front if space permits.
D e erent fro item 1? 0 Yes
1. Article Addressed to:
I ES, eli dress below: 0 No
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3. Se ice Type
Certified Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandib
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7001 2 510 0005 3572 3928
DS Form 3811.August 2001 Domestic Return Receipt 102595-01-M-2!

UNITED STATES POSTAL SERVICE First-Class M i
Postage& Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address. and ZIP+4 in this box •
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.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
NI`Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse Ley/i 0 Addresse
— so that we can return the card to you. B. Receive. ., (Printed Name) - Date,
i Attach this card to the back of the mailpiece, � �_pS�r
or on the front if space permits. ��ff G1
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
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S1Yl` `,�ll`(J0. e , /(//� �s6-2 3. Service Type
ertified Mail 0 Express Mail
Registered 0 Return Receipt for Merchandis
❑ Insured Mail Cl C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
0 (Transfer from service label) 7001 2510 0005 3572 3935
PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2E

UNITED STATES POSTAL SERVICE First-Class Mail
11111 Postage&Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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16 CAUSEWAY DRIVE S.W. OCEAN ISLE BEACH,NC
OCEAN ISLE BEACH,NC 28469 66-1121531 62201
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