33307D - Foursome

0 _CAMA/ DREDGE & FILL ,,.n' 33307 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 1 1
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 141 • (ZOO
M Rules attached.
Applicant Name 1S111:41^1 GUCC50Inte _ Project Location: County �j i U t�Su)1 CL.
Address `) I 0 Ci1 1 1(€-((1 c D r i 1,1 ,j Street Address/State Road/Lot#(s) el
City (_��:�1"1r°rC l of State sJd ZIP c>?82 2(O rAE FuZ ) `l'}'rE E T
Phone # ( _) Fax#O_ Subdivision
Authorized Agent �„ Mrn Y�n-k a_ Est �,2." City OCE'.,A-irf1 TS' - B - c in ZIP o)8 Ikrcl
Affected I:CW T.EW X PTA ❑ES ElPTS Phone # ( ) River Basin LAM 6e J'
s ❑OEA HHF O IH ❑UBA - -N/A
AEC : Wtr.Adj.
❑ PWS. ❑FC: Body ff ( (nat man unkn)
ORW: yes /rno. PNA yes /m o' Crit. Hab. yes / no Closest Maj.Wtr. Body 'l lA�
Type of Project/Activity I uJ`^J 1-P--t,"? W 1 t' l U A-V.nc, a U c
CC G01L\«S old b(\E ) (Scale: JUT Tb )
Pier(dock)length- 121 } —
Platform(s) 8' X I(a' C^t u l',,T i T - - i
Finger pier(s) f -__I�r pp
Groin length 1 ` Ts
I
number { I __ _�! I , i
Bulkhead/Riprap length _ }
.
avg distance offshore t
max distance offshore — r_ — rt;
Basin,channel I I
—
cubic y ards i _ T
`- 1 I ! --
i
Boat ramp _ .. .. } t . --i.._.....--_ —. — j !
Boathouse/BoatliftIlir } t I
( 1G 1 ! t
j I
Beach Bulldozing Q_ 1I ION 1
Other I V
lit
Shoreline Length _ �(.J_ 1i
SAV: not sure yes no
Sandbags: not sure yes no — — -- .. _4rv(3).... Ll)r.,..._..'
Moratorium: n/a yes ono i PL-.
_t-' I _ r Photos: yes no _ _, _
Waiver Attached: yes o I { I - l i
A building permit may be required by: To-,,„„)P•\ 0.c O Cam# ...) k S J . ^ 1 I See note on back regarding River Basin rules.
Notes/Special Conditions l u l 7 ►+n A-v\ nu*. �'X �.N\(d 4Y--( --L er o #
A a A r PJ'n+ 1 '` 'S 0" f'AA G1-. `Jt�_FJ , t i l l Cord 1+:1 O h S ci C#•t U r`
(7 • % -UD 4)
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-\-1 orvrN,A no\-\ ./2.....
Agent or Applicant Printed Name Permit r'sSignature
in '-------)4--2-aci—C3)2
f� oo3 J
Signature **Please read compliahce statement On bac permit's* Issuing Date Expiration date
- ®Ce-'erle\ rskc-, 3e(-LI P030-51'7J
Application Fee(s) Check# Local Planning Jurisdiction 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:
n 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
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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 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 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: '13 -V F0 WCSOt'r1C.J .
•
•
. ADDITIONAL NAMES: 'Z:lektpN C -r -r
AEC DESIG: ()"(' -Cu) DEVELOP AREA: _O l PROJ DESC: r - l Z
. (Will only take 6) (Will only take 1) •
WORK: P r' 11 •
2 X 4'
(Will only take 4)
TE X l(0'
MAINT:
(Will only take 4)
IMP: ow 1+8 •
(well only take 6) t,
o t,J 9 Co
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3-"S^O.3 (0-5-03 •
CAMA MAJOR DEVEL REQUIRED: 3-5- 0 0 3 •

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. (/,�� - 0 Agent
IN Print your name and address on the reverse X C mod!' ❑Addressee
so that we can return the card to you. B. ecei ed by(Printed ame) C. Dat of Delivers
■ Attach this card to the back of the mailpiece, p t . /�w C. D ver
or on the front if space permits.l I (j�(/(� ps {/(J/
D. Is delivery address different fr item 1? ❑ YES
I. Article Addressed to: If YES,enter delivery addre below: 0 No
3. Service Type
❑Certified Mail 0 Express Mail
O Registered 0 Return Receipt for Merchandisw
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7002 2030 0000 1870 5975
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

morr
UNITED STATES POSTAL SERV Ert.:' 'L I-F 1 1[17 irs- ass.Ma~
h� `� Postage 8 Fees Paid
USPS
Permit No.G-10
• Sender: Please point Out name, address, and ZIP+4 in this box •
`1 f9-�cS Re Z
e36 d/ � _,C� .T.--e 4/ - ,

1iilii l 1 it 1111 II Ili
ENDER: COMPLETE THIS SECTION COMPLE
I Complete items 1,2,and 3.Also complete A. Signature
item 4 of Restricted Delivery is desired. ❑Agent
I Print your name and address on the reverse X 46 4/-1 0 Addresses
so that we can return the card to you. B. Receiv- by(P ,,ed Name) - C. Date of Deliver
I Attach this card to the back of the mailpiece, 2—•-
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
Article Addressed to: If YES,enter delivery address below: ❑ No
31a 'nllou-/1+ ;n f2d
/'r l J ktt Ca ye__ " 3. Service Type
a C//; 5 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
Article Number 1 /l //7(Transfer from service label)9 30 U i)Oo r V WE4 (
'S Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No.GI0
• Sender: Please print your name, address, and ZIP+4 in this box •
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