350678D - Hooks

0 ' AMA / DREDGE & FILL __ , 3 7Th..67 t'
GENERAL PERMIT Previous ermit# --'�'
. _ P
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC t j L v
Rules
Applicant Name '' ,,f��-D �G�-' Project Location: County
NJ
$ Ocls(--
Address ( `-j . Vv , SkUS 7/ Street Address/State Road/ Lot#(s)
City �N E75c/ic.c.t 6(Kate�VC ZIP7 S(4 OO i 4 ,� k.-1 .51)fibi
Phone# ( ) Fax#O Subdivision/
Authorized Agent id._ �( - City vvolTsV j LLE c(+ ZIP 2ND
Affected .Cw EW \-'"PTA_:ES - PTS Phone# ( ) River Basin I (2---
El AEC(s): OEA L HHF IH UBA N/A Adj.Wtr. Body COl'6T (na1/unkn)
PWS: EFC:
ORW: yes �o) PNA yes /FO Crit. Hal). yes / no Closest Maj.Wtr. Body Pm n v�E So JN�
Type of Project/Activity C123A4 . Cr-- e 1 Pam' �( - /(xc i I ✓r V 0C k
` J i if f
�
r_ (Scale: , -(.�O )
Pier(dock)length w A.(00
Platform(s) e'fv -__ I / 4
Finger pier(s) j/ri�JC,�L�.J
Groin length
number --R
Bulkhead/Riprap length C'
avg distance offshore ��
max distance offshore ,, ,. l
Basin,channel \ N .
�/ ill14tkf
S' 1
cubic yards
Boat ramp -Tr) g (C S +0 kc
Boathouse/Boatlift
Beach Bulldozing_ __
i if - gXzor \
Other ��
Shoreline Length / -_ '
SAV: not sure yes no ,r"...
Sandbags: not sure yes -101
Moratorium: n/a yes -Photos: yes dikii L.. hoTu`r�C
Waiver Attached: yes efia
AIn .-, i1 /�
A building permit may be required by: Nth.) g OVA LAD ,'I,,y� )) See notel on back regarding/'' River Basin rules.
Notes/Special Conditions ( 5' Aa I (, l.)-• IA) -7 r J L UG A welt (t r Gi i d r
1UC i , Stan+e ekeAca ' foS- tijc�+ rP 5kt ( s 1/J iry I ij " v
Golcio r
V'''' li t Pri d Name Permit rcer's ignature
(08 1 tr-2S -03 ( -2 c - °4
Signature ** lease read compliance sta ment on back of permit*" Issuing D e Expiration Date
((-)e 2g42-3 14 . 0— CAI 0 g
Application Fee(s) Check#/7 OE 2 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:
1 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 252-264-390 I 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)
Revised 10/05/01
www.nccoastalmanagement.net

a A GENERAL PERMIT COMPUTER FORM •
APPLICANT NAME: LEO/IP O
ADDITIONAL NAMES: �d vow (14-e-,ANh
AEC DESIG: cvv p 1 DEVELOP AREA:O G.O L, PROJ DESC: - 1 i
(Will only take 6) (Will only take 1)
WORK: 1712-- " b I Do
(Will only take 4)
IZO •
MAINT:
(Will only take 4) -
IMP: • GV 76,0 •
(will only take 6)
•
•
ACTION EXPIRATION •
DREDGE&FILL REQUIRED: 1 0 4.93 (
CAMA MAJOR DEVEL REQUIRED: -03 "2.S '-oil
o -

'e $ENDER: i also wish to receive the
.0 "■Complete items 1 and/or 2 for additional services. following services(for an
ra sCompiete.dems 3,4a,and 4b.
'■Print your name and address on the reverse of this torn so that we can retum this extra fee):
L. card to you.
> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address
E permit.
m •Write'Return Receipt Requested'on the mailpiece below the article number. 2.0 Restricted Delivery■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. i
0
1 3.Article Addressed to: . 4a.Article Numbercc
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a ��R '✓l 1 Z2� 4b.Service Type .✓ ALL n�: %
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Express Mail �KT1 ❑ tired a
0 Return Rehr Mertt6ni7i1
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/./�,t j►t�3j U✓ J Zg/gp 7.Date of Delivery �,
8.Addressee's Addre- 0_ly if requested 1
5.R eived By:(Print Natne) and fee is paid) 2
ci
6. Ign re:(Addressee : Ant)
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' �!
102595-97-B-0179 Domestic Return Receipt
PS Form 811, December 1
m SENDER: I also wish to receive the
a ■Compleete te Items 1 and/or and 4b.additional services. following services(for an
2 .■Print your name and address on the reverse of this form so that we can return this extra fee):
mcard to you.
■Attest this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address 1
Pe
o s Write'Return Receipt Requested'on the mailpiece below the article number 2. 0 Restricted Delivery
Z ■The Return Receipt wit show to whom the article was delivered and the date
c delivered.0 Consult postmaster for fee.
3.Article Addressed to: 4a.Article Number
bDD ��b� Ovk 32b? l3 E
1 XL. r.�i wi'� �1���S 4b.Service Type _�
O ❑ Registered [H'Certified i
l4bi,5a. .. ✓ r ❑ Express Mail ❑ Insured .E
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❑ Return Receipt for Mertitandse 0 COD 8
1j(/ , 1„3(,i' ik aq,„-t),/ / l L 7.Date 7of Delivery 3
5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y
i P1-N�N and fee is paid)
2. 6.Si e: dressee or •.end
PS Form 1 Y, 6eC'ember lit 94 102595-97-B-0179 Domestic Return ReceiptL-eo
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C6 ►• .
CAP3 (P —
' DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit PL. Lamm° /7 mk 5
Address of property /V it) us 9 4"5 iv44z� i i31'd 13 4/G
I hereby certify that I own property adjacent to the 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 have no objections.N _ s74)ALA �,�, w
• I have no objections to this proposal. �' IJo`
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.
dT1
..4,--ji
C Y Signature & Date (}till YW\
alai at rCt (4)if f-mi
I. Print Name
c ( () cl cY- L.0 Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
.F�`�E coy19�� P.O. Box 868
�- 2 r ``— Wrightsville Beach, N.C. 28480
1�7a soh 2003 Phone/Fax [phone]
' iorsANNIVEPS�a\
9,s"'+4 iLE stO

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