33541D - Gold

� CAMA / DREDGE & FILL !�s`,.' 33° 11-
GENERAL PERMIT
Previous permit #
)C r 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 I 5A NCAC +1•f 2.t Utuz
ii` .Rules attached.
Applicant Name I`\\PCt L�� PTO1 d Project Location: County YID C 1. ,W't C.V--
Address j I (f) C_'-d e.e.-rNS U c U jtY€-(44 Street Address/State Road/Lot#(s) 11(p
City `-kukd(------e".. ." --'fit\ State NC., ZIP 6422 (JC(-€€_,OSt:K)to 3t'ree'k'
Phone#(°t II)8 y2"'11 "Fax#( ) Subdivision
Authorized Agent ' { P'i C, }-(N+ City vk4-eY� t=-t-1C_ ZIP -2 64(0 Z
Affected ❑Cw E XPTA ElES ❑PTS Phone # ( _) River Basin _-11.Is\b e.r.
AEC s : ❑OEA ❑HHF ❑IH ❑MIA ❑WA Adj. Wtr. Bodyc r,t�
I: PWS: FC: , (nat /man lunkn)
ORW: yes /(o PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body _. w
Type of Projje--cct/Activity N e t.) u.r (-o'exPd bofv+ t f'+ Ci?: � .- s+1( I o o c�// (Scale: fJ o T' To )
Pier(dock)length
Platform(s) ���� —— —f , I
Finger pier(s) ■■—_■■
Groin length I
number
Bulkhead/Riprap length .
avg distance offshore
max distance offshore
j 11111 r
Basin,channel I • I i - i
cubic yards ■■ ■�
1 - -
i
Boat ramp I i _ 'I
I Hill 1
Boathous oatlift 13 X 3
Beach Bulldozing MI — • . - � R �i�______ �=����
�.� O 111111111111V11 . , l RUU MMIIIIIIIMINI -
Other --1111111111111 111-1111111 . . . miillIlliIllMIIIIIIIIIIMMEIIIIIIMII
ME ._ir. p'TIMM"!- I I.:..). I '1*%' Li _ ,,,\*.,->Li ‘n , _. ��■■■■�=���H
1
nim.
........ _1...
Shoreline Length Nil 0 1 MI 1_ ..r.. i_ s ....... ' 111•. .. II..
SAV: not sure yes CO _______ --- II UV•C, _
Sandbags: not sure yes i i Eli
Moratorium: n/a yes n I I
Photos: yes (no' (f ' : a al �a _ . — .aa...�� MI .
Waiver Attached: yes no I?L+ _ Ii I '
A building permit may be required by: 44oIdC^'\ l-Ac_l . U See note on back regarding River Basin rules.
Notes/Special Conditions — -'SA•tnc, \%“_,�Pi AC ci U X frf- I Si t nc- i i(.)0 i' '','J ', ra`.
r---4r,4oc-c , iuv r-u r L. *11\1N n c 1 u\`f\ \ c)C .2 hvi\1 S f^,N-s-t h c— I'W(P a —
tn 1 ,cA c,r,d I -k c1t..4\-1i��, (- 0c{:.. . 3-Q c\1\ Cor\c8,4ton5 cf ')1-1 . I.2oO
f V\.1'cf til Y\ C"S U I C3 _ _A,,:r%.-,,ra i'f."\ 'Pra-A---C2C)._-
Agent or Applicant Printed Name Permit Officer's Signature
l
Signature *Please read compliance statement on back of permit** Issuing Date Expiration Date
I u -- t
1 kd- e-c c k P
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:
I 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(252-946-6481)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 252-264-3901 252-946-648I
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
9 I 9 733 2293 / 1 888 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 I0/05/0I

GENERAL-PERMIT COMPUTER FORM
`APPLICANT NAME: ft-f`V%n L • CT'Oir`
ADDITIONAL NAMES:
AEC DESIG: pT E.LA) DEVELOP AREA:_ .0 L PROJ DESC: p - �2
(Will only take 6) (Will only take 1) •
•
WORK: b I IV' X l 3 1
(Will only take 4)
MAINT: •
•
(Will only take 4)
•
IMP: O In) I CQ
(will only take 6) •
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 2-(p -O 3 5-Co D
CAMA MAJOR DEVEL REQUIRED: .-(p-O S(o-0

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r- �IzuTc. OF CO�,�TnL T�" T�AC' r �r
ADL'AC=N.. RTP.7 AN RORERTy
Name Of Individual g For Permit :Applying Sek G 10
� ` E,
Address Of Property: ( D
(Lot Or Street � -
#, Street or Road Cizy & County) •
I hereby cA_�_r�, that
r= - _certify ow-: property adjacent
ref e_ enced rr ocerty. The individual applying n t to the abov__
aan_ 1ng for this permit has
to re as shown on the attached
theyc_e proposing. Adescriptiondrzwinq the development
letter.
or drawing, with dimensions,
should be Provided with this
e I have no objections to this proposal.
•
,x..-` vc'� raves ohie�•� �ons t what
y -7 r_ OoPstal .=-, C n_ r„ Div=cc w'imr1 n .
s - fir nr_ G11 c O
``ev g g: r���_C 4 t�� �. sarn , �
- c_ s r o i c m . N ------ _ _
�- �.� � , C z'e �m �c-� i ��
V 'r e be n C� ed by ,w c �_ 1.1_ `1 a '12
!�CTIQN • .
I understand that a pier, Cock moorings pilings, breakwater,
house, 1_s` must be set =- , boat
from , lift
_ back a minimum distance o_ 15 '
tofr waive therLar ian access unless waived by me. (If
below. ) setback, you must initial the appropriate yublark
I co wish to waive the 151se bac; recu_rere7t
T '1 t wish to waive the ' s
attic.
Daze �
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Print Name r
9
re epnene Nuzaper gith Area Code ��NJ

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DIVISION OF COASTAL N.�_*-.NAG-MENT
AD.77-.C=NT RTDARIAN PROPERTY OWNER NOTIFICATION/WADI r
. Name Of Individual n R R1//N l.• ea 0
Applying For Permit:
Address" Of Property: )J (e &' --C- ✓S d CY o ^f
41de_N eA- ,e. ___
(Lot or Street #, Street or
I hereby certify that I own .
referenced prooer� The Proper ty adjacent to the above- '
describedy. individual i this permithas
toapP-Yi ng for
me as shown on the attached drawingthe de
theyl are proposing. A description or drawing, t, Ve?oions,
should be
provided with this letter. W1�.7 dimensions,
i r .
• - I haVe no objections to this proposal . ' .
If you have �- -
ob eC- T oh.S
Division Coastal =o what is beinc Proposed . e_ c-
Wil :i:� ?'C:.C� N ryn C,yOI i'-� 3_' •^ 1r/ Cc`d1nal Dr; VC `�'}�:,, r, i�}lc
c :e 0= receipt 0� O Cell 910 3G C- .within
n .
- -e-pp cf thic '-once .5-3 _00 Wiph;n � 0
no f r - ; _ _ . No response isconsidered the s_
_�._On _ you have been notified by Corti fi ed 1E
•
WIV='p c_CTION .
Iundhouse,erstand
a pier, dock, mooring Pilings, breakwater,
_ must be set a :tea�sr boat'
from
waivea area
of riparian an accessunless minimum distance of wish
Ln ES waived by (IfCu w_
to
the
se-back, you mull: initial the appropriateY blank
4.. �� I do wish 1_.. to waive the lS 'setbaCk recuir=_-1ent.
I do notI wish to waive the A
S se pack recu,renent.
Sig „_e / .,�i 43
Aitii.' ` ,4e.G Date
f ,
Print Name
-----.....„1/r
Telephone Number W, �h A_e a Code Q j N

4
DR. MARVIN L. GOLD PH.910-842.7783
SUE C. GOLD
116 GREENSBORO STREET
HOLDEN BEACH, NC 28462 / 27�7
Oc e LD 3 66-112/531
62101
D g 1QV g
_______Jcal 1100 ..-.'".------
BB&T6 p c 3 SLI, 0� „. in ,
BRANCH BANKING AND TRUST COMPANY IIIII�
4_A UPPL NORTH CAROTIN .....
• 5218 L58848u' 2717 IP