33414D - Darden

0 CAMA / DREDGE & FILL .,`
33414-D
GENERAL PERMIT Previous permit#
)G _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 I5A NCAC r]4-I . I ZOO
XI Rules attached.
Applicant Name (,, i A�f-vs, f • 014.1(d cfn , f Project Location: County _ rt.t nSi.0 C,.K..
Address 3 4(DO- (: N c)c 3 k t n Street Address/State Road/ Lot#(s) (22- yf' ‘
City _=5- r e.e(\S Lu ( U State i•Jc_j ZIP c)')41 () -b r',uc___,.Phone # (3' 29 2-(06(.?,Fax#( ) Subdivision
Authorized Agent ..)n .... 1 co City 0 dc Ve\c,i-, ZIP
Affected �CW AEW • PTA ❑ES ❑PTS Phone # ( ) - River Basin ;_Urhk €-r
AEC(s): C OEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body S r\, 1 r 5 h lA hi\r LA na /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body S tit)
Type of Project/Activity N) iJ '�keX' Prr'1 cle,c k- C-i I -k r j
(Scaler]U i )
Pier(dock)length I j V + +— _ _ i�# N.
A.Platform(s) 1 4 X f 4 T Q ` -+ •
i' l of 1 I ; 1 _ !
n 13.
Groin len length I -� -
FingerP O- Ti
number l/ v lj( `T� \r ,yY�( 4/.4,1 `�' �/
Bulkhead/Riprap length l�— ^{� ty w �j �r� r ,►r
•
avg distance offshore U/ \� •y fj' V • v 1 4 t v -
max distance offshore ill —.- Y • Y ,e 1�r ,V I ,y / I —
V v Y ' � � V � _
Basin,channel { 7 y - 1
11
cubic yards r — ' �,�.
Boat ramp 11; f V V, �J ♦� _
a {�L ttr I Yt VV am
(, V �M+
jl 1F
Boathouse/Boatlift ! Aki v
Beach Bulldozing Y -- Y . -- �/ - _ I I
VI 1
Other � II/ lks � - :V i VI _
Y � I i ___
fL \ -d� _ i
v
Shoreline Length 1 00 * I '17 I V V
SAV: not sure yes n• _-T_�__ __�__
VC II; (k
Sandbags: not sure yes V V V V
' _ ._ L_.__.
Moratorium: n/a -s 4. ! I
Photos: yes ' 1
OrQ--- to l bore 1;Vne� ; . .
Waiver Attached: yes no
A building permit may be required by: IUU.J A OP '140 I CI k TYE ck. [j See note on back regarding River Basin rules.
Notes/Special Conditions F I ' }-,( d U C Lk)e, d*-t-, pr u S+ Nut exC-( 'U iJs-t 'vim e d ..,
i)4 -1- r � u .. I...)f\ 1`€-r b odl ', A 1\ C O,cad I4"I U r or 1 t-1 ' I 2
00 Pr1)i
_lP e o Y\ J 7 e u1, S -
Agent or Applicay Printed Name Permit Officer's Signature
-71
7 (/ , r ,_A� f L..--- _ H 1 ► `E OO c LtI L 1�-} ) 2W3
Signature 'Please read compliance statement on back of permit** Issuidg Date E#piration bate
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(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]
Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
p Counties)
Raleigh, NC 27604
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 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 I0/05/0I

GENERAL- PERMIT COMPUTER FORM
APPLICANT NAME: G-['A vN (4) • A'rde rN,5-r
ADDITIONAL NAMES: S h C��/► Pt�C�.e..,�
AEC DESIG: O T t E c ) . GW DEVELOP AREA:_ PROJ DESC: •
(Will only take 6) 1 (Will onlytake 1)
WORK: +(' 13 b)C "f
(Will only take 4)�
P ir 12 >(
MA1NT: -- - - - -
(Wll only take 4)
ll P: • L A 5-2d d vA) 98
(will only take 6) •
ACTION - EXPIRATION
- DREDGE&FILL REQUIRED: "I U
CAMA MAJOR DEVEL REQUIRED: 4- 14-0 3 ~ -0 3

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DIVISION OF COASTAL MANAGEMENT
Al ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name- of Individual Applying_ For Permit: Ahy, 1.71 ten ,, .
Address Of Property: /1///J Ate Ali ,
itiLe,‘, 44c1 t", e, 1,--11(--ael-ke.e)
(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 to me 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 i f the property
owners of 124,126, & 128 Shell Drive sign the waiver form stating
Where r osed, that they have no objections to the proposed walkway & docks, being place(
=f youQ#ieve objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405, or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier , dock , mooring pilings , breakwater , boat
house , lift or sandbags must be set back a minimum distance ,of 15'
from my area of riparian access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15° setback requirement.
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DIVISION OF COASTAL MANAGEMENT
:. ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR!
Name of Individual Applying. For Permit:. Vf,, A
Address Of Property: f 02
// f°e . 6 0�-�
(Lot or Street #, Str4et 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 to me 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 objections to what is being proposed , please write the
Divisions of Coastal- Management., 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405, or call 910 395-3900 within 10
days "of receipt -bf `this notice.- No response is considered the same
as no objection if you have been notified by Certifi:ed.,Mail.
WAIVER SECTION
I' understand that a pier , dock , mooring pilings , breakwater , boat
house , lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
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Print Name a....�+ .�:.��
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Telephone Number : With Area Code

CARBON L JACOBS 1191
0.8426978 66-112/531
NCDL 367729 (�^I �. 1013 62131
1200 STANBURY RD SW gt_,_ Tel l
SUPPLY, NC 28462
. $ )OO.�
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ACCESS
BB&T
BANKING
BRANCH BANKING AND TRUST COMPANY
NORTH CAROLIN ' -- 61 •
1;053LOLL20: 5L956►. 52150 LL9