33594D - Groves

-ICAMA / DREDGE & FILL IV? 33 94
GENERAL PERMIT Previous permit#
'-_-,New ,Modifi._ation L 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 SA NCAC 7L/ 1 z DD
Rules attached.
Applicant Name M' (; rot,ES _ Project Location: County pF/4.../1. ,c!L
Address 4 4 tUD1&w,S /Zip Street Address/State Road/Lot#(s)
City rr A P 1)0S 7 "/1D state ZIP 6 394 3 L/70 'IN L�yC—t.J S_ Pd1
Phone#(9/n) 70 99.37ax#(_) Subdivision
Authorized Agent r (/�} City I-f A vvr,S Jy/) ZIP 75 'Y 3
�'cw EW /( PTA fertS C PTS Phone# ( ) River Basin 11,/¢�i ?'� IL T
Affected DEA ❑HHF ❑IH ❑UBA ' N/A ((��
AEC(s): PWS: [AFC: Adj.Wtr. Body f-J.y ( Lam.✓ s/man /unkn)
Closest Maj.Wtr. Body 1 w Lt..)
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/Activity pi i u Ai p/F/z1 Pc K 'f 60/4 7 LIFT
� / ��( � (Scale: 1 ,#: 34 )
Pier(dock)length Z /5j Z )r,. s- /91-"j`' 1 "
Platform(s) 1 i i � --..__ _-.-pier(s)
Finger
S . I - • t ,e>ra doscD. `3f')ci 1p s 'A��rr.
Groin length a - - ��
number
lFiT 4 T--- f -
Bulkhead/Riprap length j
avg distance offshore I
max distance offshore f ___._
ri
Basin,channel I — —
1 t_
cubic yards � I A. rI
Boat ramp 1_ 1 ^. +"
Boathouse/ atlift 6 x i3 j
- ► 4 ' ..�1,� i
Beach Bulldozing 1 �l l , , i
Other I 5 T-H- ' 4 — I
.4_-`
sirtS14 milI
:: lIneL: ure
� � i � y !yes no
Sandbags: not sure yes no 1"` I!I -i
yes no
Moratorium: n/a _ t
Photos: yes no C_..'-- .- .' " . . + !.
Waiver Attached: yes no — --
t I I I
A building permit may be required by: ptivvtez OQU AJ7ty) . See note on back regarding River Basin rules.
Notes/Special Conditions p/�/7 lM Lt ST 6 E AT L CAST 3' /9 toO6 w/Mi.tf Suer-n(7..4j
_4/En_ p t A 7 FD/2 vn IM/9- ' /vo r Gx a EED i w/ d7-4 aF t a,,-, it �a,. `r f
17 of rev 67rIQeerzs SF7619l Qt, /_eYL i1er9D L/ACE Gt.Y-1/0tietJ)GL Ai,.
4u!1- ri 1/ uC
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Agent or Applicant Printed Name - Permit Officer's Signature f
,---% -3 S
Signature/Please read compliance statement on back of permit"..5073 Issuing Date Expiration Date
/O 0, 0 0 - / _,r,• � Cat 0OVI N 4/�'/U/4
Application Fee(s) Check# L PlanningJurisdiction er 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(252-946-6481)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 252-264-3901 252-946-648 I
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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 919 733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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

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H. T. GROVES 66-65/531 5 0 7 9
LINDA C. GROVES 0276326669
LIC. 1619188 LIC. 1995585 DATE L���`r �� )
ii 472 ANDREWS RD. PH. 910-270-9439
t HAMPSTEAD, NC 28443
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