35008D - Grantham

CAMA/ .DREDGE & FILL ���� '_ - O 8D
GENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue CIPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources r7
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /N' LLUV
-7� /� ❑Rules attached.
Applicant Name ✓6VId i- ul IUI Cr(tr --ha in Project Location: County ,'u/75LJ/Ck.....
Address a I 5c nc{p (p.e rU Street Address/State Road/Lot#(s) j
City`Jl.AriSerf 3cac(i State NG ZIP 2g'-k Leland
Phone # (j to )576 0$O? Fax# ( ) Subdivision
Authorized Agent MCClurc 31.(l triers City'Ice ar'i (5(G Ecc ch ZIP A84( C1
Affected cW XPTA , ES PTS Phone # ( ) River Basin L..tl m belt'
' OEA --'HHF IH UBA N/A
AEC(s): Adj.Wtr. Body Carla- ( (nat man /unkn)
PWS: FC:
ORW: yes no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body W I wL-0
Type of Project/Activity Cra i -i SIT-LAC f i' a rpm p * f 1 O C'--h nj �oc--
(Scale: 1114.to' )
Pier(dock)length yi (co, . .
Platform(s) - 8/X 2-01
A ►J A c.,
Finger pier(s) 2
Groin length
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel /
Pe--pvsc_cl
cubic yards Q/ T/Oc;74-1r'q
Boat ramp 8 ✓ hGC.k
Boathouse/Boatlift
c
Beach Bulldozing k
Other A
u
I P
Shoreline Length 5-0 / 1
SAV: not sure yes C_J
Sandbags: not sure yes f�1 I 60 / 5h.r"C I n c
Moratorium: n/a yes
Photos: yes P` Gts f� c f C. fe C 1 f �1.--
Waiver Attached: yes no i ---- - --____--
A building permit may be required by7W?) or O A6„-) /5/c eeae A . L,I See note on back regarding River Basin rules.
Notes/Special Conditions ,7(r cCs» c//`/r Cl)73 ,/ 7// • /2av /lQ/0 (Li
,_C C l ci rc &tit l citer..5 �lL-z-er-6-.-�_c__ 5 '.ec.d.-
Agent or plicant Printed Name Permit Officer's Signature,., qt c • G_3 /2 i % . 03
Ll
Signature ** lease read compliance statement on back of permit** Issuing Date Expiration Date
1/CO Z 2 /G eceao /S/G XCC/7 /11/l 7/ r
Application Fee(s) Check# Local Planning)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(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 252-946-6481
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: [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 I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1)a vi d 6'r�iri T c-
ADDITIONAL NAMES: Ca ry L Cr arr)
AEC DESIG: AT DEVELOP AREA: L) / PROJ DESC: f -
(Will only take 6) ---- (Will only take 1)
WORK: P 1?-
(Will only take 4)
TE 8, 20
MAIN E:
(Will only take 4)
IMP: ()Cc.)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4-9 .03 /z • 9, 03 •
CAMA MAJOR DEVEL REQUIRED: �1• g• 03 ioz • 9• 03 •

I VUUL
• I R: COMPLETE M . V COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ElAgent
IIPrint your name and address on the reverse X 4 ,,At .4// 0 Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, C. :te of Deliver
or on the front if space permits. NE. A A:A •
B. Is delivery add - .ifferent from item 1? ■ Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
O i DCWIOring tC.
•Cali V_AIrrL!)i f
0 U ar, I to a Q"C- i\ q 3. S rvice Type
a€4(1 1 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7002 3150 0003 2209 9883
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVICE First-Class Mail
1[0 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please acme, address, and ZIP+4 in th+s box •
�����•�T•�-..,":M� i::i,{I::i::i,:I,I1::1,I::i:,,I,i:l:li,::,i::l}ti:l:l::fl=f:=1

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: bad 1 CI ; CP,U'd I G rzni-ha,m
•
Address of Property: J1LeAcond
(Lot or Street#, Street or Road)
°Cean l cle rhea ch 13 ri -n'u11c
(City and County)
I hereby certify that I own property adjacent to the . .ove-referenced property. The individual
applying for this permit has described to me as - g e attached drawing the development they
are A description or draw'• =proposing. p , l ins, should be provided with this letter.
I have no I ejections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 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 or boat lift must be set
bck 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.
sign
VRettir
Sign Name _ Date A741'191rDA
l Ceiti4Opirl CO , a cet.usaual Dr.) 016 Print Name NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.funi I At

/ ¶VIGU'Yl UOCF'=
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig _tur ❑Agent
item 4 if Restricted Delivery is desired. n,,,, 9
• Print your name and address on the reverse `.' / ✓' ❑Addresse
so that we can return the card to you. : Received by(Printe. •.me) C. Date of Deliver
• Attach this card to the back of the mailpiece, 2
or on the front if space permits. � : /,
D. Is delivery address different f• item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery add ss below: ❑ No
P-oba M u-nc j
POD Bga,pq� �L
1 +e .vi (lam WC p�g 'l 3. Ser✓ Type
J ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandis
El Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7002 3150 0003 2209 9890
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-m-1s<

mop
TL
11
UNITED STATES POSTAL SERV First-Class Mail
4, PM Postage 8, Fees Paid
USPS
A Cc 01 A' Permit No. G-10
.:S
• Sender: Please prrityour name, address, and ZIP+4 in this box • •
1..14 ; • !
- 4 r',..ause.va.!!
2
• 2: 469

•
} • DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
c
Name of Individual Applying For Permit: Dacha P ! G r
Address of Property: Y1 Le.Land.
(Lot or Street#, Street or Road)
°Call 1 CLe 15-cash ►iAA r
(City and County)
I hereby certify that I own property adjacen _.' above-referenced property. The individual
applying for this permit has described t• - a: on the attached drawing the development they
are proposing. A.description or . . .. ing; •" imensions, 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 Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 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 or boat lift must be set
bck 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. -
Sign Name Date AY;1011CiriA,R bee-1 ' fu,►-, P $ o -e vj l►e1RITAFFR
=Pri tName O �-
NOR 1 GROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frin

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