33455D - Ellison

toCAMA / DREDGE & FILL ,s, i ; 33455-p
GENERAL PERMIT Previous permit # NA--
% '. New Modification Complete Reissue Partial Reissue Date previous permit issued /J/4--
As authorized by the State of North Carolina,Department of Environment and Natural Resources 4 L -
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC f T r .
E Rules attached.
Applicant Name ..�D+A N) 'c' t-f-- ( J)'J �C- Project Location: County NAV riu'i'0v-64/
Address /f 04j if `` �.' pJr T Street Address/State Road/Lot#(s)
City \PhONrl/►�C1'(oi� StateNC/ ZIPZI344 L i 1 1 51`'G✓ T j
tit-G -
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Phone# ('f)5q 0- 53 .(- Fax# ( ) Subdivision " -(61 . 6
Authorized Agent City ki ILO ii\hrOfJ ZIP �iy11
'cw (QM )aPTA )4 ES PTS Phone # ( River Basin OF
Affected DEA ❑HHF ❑IH UBA N/A f )W(Jt
AEC(s): Adj.Wtr. Body 'V( , CI j /'4Jman /unkn)
._PWS: FC:
i/"�A I4-4 i�. ''"-.
-Jr') Closest Maj.Wtr. Body
ORW: . / no Crit. Hab. yes / no
Type of Project/Activity cyv w S 4-111 ✓ O ' .e^� d �a n(`
JIr J
81'd4� ( �/ 1(kofc (S'e: / = 6o
Pier(dock)lengthI --- -- . ?iv ,7, t g
Platform(s) i > /'_ j !
?tV X (� ,,
Finger piers) 1
Groin length 1� I
number — { r.
Bulkhead/Riprap length _ ...? _L____—_, r I
avg distance offshore i f
max distance offshore ._ ;_ I
_
Basin,channel — I ;l ]► f
l wt4..(-? -8`4
cubic yards1___,_
•
_ _ _,_ .
Boat ramp _ r 4 T
Boathouse/Boatlift j I
{-arA • i
Beach Bulldozing - , HEIM
Other / j I +
* Ill
,, • od----H ' i — 1
, , , i •
. . .---
Shoreline Length , J.5b __"� i
SAV: not sure yes r
Sandbags: not sure yes p� 71,. 1 i --
NM
F
Moratorium: n/a yes> no 1 Lk /'�P s V.'"Photos: yes
Waiver Attached: yes •n --.- ------ .�__. _ '
A building permit may be required by: AA.M1 J 1Mv��''► Li See note on back regarding River Basin rules.
Notes/Special ConditionsOhio-,S wt.✓ .S1- Li/ -7 1- /12..0 a A S. ,,,,' "t-CA C 1
n-1-- 3 G 10fe_ WI
-.01 11 -M...�
Agen or plicant Printed r d Name Permit Officer's Signature
,.y►-"- (/4" �' - / 1>3 /D - / - 4 3
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Signature lease read compliance statement on back of permit** Issuing Date Expiration Date
D 0 a 2'113 N,G4 1-1 .; A.r-u- a —l'i 7�"r s
Application Fee(s) Check# Local Planning Jurisdiction 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:
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(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
I638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
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
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 1495 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I 0-395-3900
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: 61.4 4- i I/EOA
ADDITIONAL NAMES:
AEC DESIG: j G(A1 I t, DEVELOP AREA: 0:6 k-PROJ DESC: 12-
(Will only take 6) /- (Will only take 1)
WORK: PR (0 ! /b O
(Will only take 4)
'Fs lb
MAINT:
(Will only take 4)
•
IMP: ©W - !00 g
(will only take 6)
ACTION � -EXPIRATION
-----"-DREDGE&FILL REQUIRED: 7-/ D 3 l a"/"'03
CAMA MAJOR DEVEL REQUIRED: 7 ` / — 6 3 le) -l-'03

i.
DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit J 0 N Eli l5 bps
Address of property Pt'jivi ")-id / / U Si�fc,cat lE
i�vr �Il✓`f .�J�,� ITJi G�,�✓t� N
I hereby certify that I own property adjacent to We 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 of notification. .,�
Please initial below,if: you,havenoobjectionsFj(/Jrl, _/-i
r ,
I have no objections to this proposal.#��`� P:Ar�:�A!+-,o�/y��siL"�Ci9'��'�-'
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 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 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.
Signature & Date
ft v\-ta - Print Name .
cl 141 Lis Hi -L t z T Telephone Number w/Area Code
PLEASE SIGN AND RETURN TOkF&$ Marine.Contractars,!nC.•7
P.O. Box 868
; ghtsvilleBeach 11 t GL 28480
• Phone/Fax [phone]

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
f 1 ,
Name of individual applying for permit J v � 1 111 Jt
Address of property/3 601,2 AAA- AA-0 'tiYolipol6h-z-tFA-
I.--)4v441
I hereby certify that I own property adjacent tome 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 prov dedw ith nth slette of notifies n ;
4Please inittil below if you have no-objections 17 Pry 1 : 1111
.3y }Htr AHD Y_ .D�3� ��'�
I have no objections to this proposal.O.SK
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 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 beset back a minimum 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.
/.7/0 3
Signature & Date
Print Name
" / 740 fcr Telephone Number wlArea Code
avP-LEASESIGN AND�=RETURN Toyf&s Marine Canfracto?S;Inc. -
'P O. Box 8687- ' ,'_y
'"=' 'nghtsville Beach, N.C:28480
"' _
"`Phone✓Fax [phone]

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. . . - - . . - 28913 . n
F AND S MARINE CONTRACTORS, INC:- - .
P.O. BOX 868, TEL. [phone] - - ,
WRIGHTSVILLE BEACH, NC 28480 ^ 1
? 66-85/531
' - - • - DATEC2' `i 4'n - c'J. -- 0272005809 •
FAY _ /
TO THE C � ' �1n` aa. ,
ORDER OF _ _ - - �- $7aOD "2-:' -- r
b LwG h� a�111T DOLLARS r L�J
l RBdr /
Cantors I J 9 _ Iffro_ - _ ...
RBG RBC CeMura Bank . - Yes,� -
W��phtsville Beach,NC 28480 y/ .-,/IC►2S f/i�t.. 11
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FOR �//LSr31� e 3 Jud ill ))I`111F PL-C -
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