33349D - Hamm

AMA / DREDGE & FILL `_ N.V. 33349'5
GENERAL PERMIT i!/�
Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued N/A'
As authorized by the State of North Carolina, Department of Environment and Natural Resources -7 r/ 7 (-) n
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
( Rules`atttaacched.
Applicant Name _ ' N Lc Project Location: County tV t vein- �Q
Le 5 i T -"L"s R� Street Address State Road/ Lot# s Lb I ZS
Address / ( �
City '� Itg6Ta State isiC ZIPZ� el W i^� 1 t II fLL-S S G 0/fi, c/ p,j
Phone # CPO 7 ` T-3'7 'Fax#( Subdivision (W(t'`(1 Oy (� , L r
iTiAA ?1NS CityVN i L M ( N6-bN ZIP L34 1
Authorized Agent CA-
Pt 4W A DES ❑PTS Phone# (7 IC) -3 17 S.River Basin C' `P t -ei.
it. .�
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A .'`'/l�2r1V: ' - CJIJh1 b m
AEC s : Adj.Wtr. Body �{ _` /� an /unkn)
❑PWS: ❑FC: NASDkir01C0 Saf)Pli)
ORW: no PNA no Crit. Hab. yes / no Closest Maj.Wtr. Body
Type of Project/Activity N S I V CT/d IJ P(&-rl I Pi-kTr z,t 1 /�'M Ft ,}-r ,t /
p C /�
)- I'; (Scale: ` — 66 )
Pier(dock)Iengrb i-I L '
f +_
I '
Platform(s) - I
(re-if EY1s1"
t ' r I i
Finger pier(s) •! //1/! mIci ,
Groin length !Y
1
.
number i `
Bulkhead/Riprap length j
J I __
avg distance offshore h. f • 1
max distance offshore ! -- j -- --- - -- �---- ! iy
Basin,channel I i 40 - '' i
71101 1
{ .
•
cubic yards — ' ! !ir 1 i r I __..._
_ . Y C
Boat ramp
, 1
Boathouse/Boatlift _ isimmim 1 1 f 16
i 1 1 -11"in. 56/4/./
Beach010 00
j I } 1 i /
Other 1 i I
. Ma . , 1,_
w'F 7� 's ! i
r
Shoreline Length i., t oilL� /���-� �o iMEE "'
SAV: not sure yes 33., i • II I 1 ! • _ A - A L
Sandbags: not sure yes ,t'� ■■:- 1 �. _ -
Moratorium: n/a yes A JaK I I - 11��.__ , - Non
t
Photos: yes - 4
'Ina ,
Waiver Attached: yes
Af ea/ .aP Cht '
A building permit may be required by: . U See note on back regarding River Basin rules.
Notes/Special Conditions (01J$7Atl� � QGN if-,/on( . LL C6iM / -7 ,/ O AS NNELL 4LL otteit
Lv U , > i ` ,_i;� Fi r7�r2XL A EouvF;i,Ai s.!! ,pY&R4L L tE,467-1+ ore- p few 4. PCf7 f frk,
514P,Lc NiaT EXC a-a✓r> 34° ' f(2004 i e2 'PorN1i OP- L-o
Trivk Totem
Agent or Applicant Printed Name Permit Officer's Signature �'
-- '-)- --- e,. —zs — a3
Signature **Please read compliance statement on back of permit",U
ermit", Issuing D iS442 / Expiration Date
Application Fee(s) Check# Local PlanningJurisdiction !!i Rover File Name

• J
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:
I 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 252-946-648 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 / I-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 10/05/01

•
GENERAL PERMIT COMTUTER FORM
APPLICANT NAME: 5TA14y (44
ADDITIONAL NAMES:�7 L To hi
AEC DESIG: E 10 DEVELOP AREA:_! : p 2i PROJ DESC: {?
(Will only take 6) (Will only take 1)
WORK: 3Z�► �S — o
(Will only take 4) •
EL- (6 16
PLAINT:
(Will only take 4)
c,e4'P nvlP: D w
(will only take 6) .-
• ACTION EXPIRATION
DREDGE&FILL REQUIRED: • .3 Z 5 -?03 (v - —cps
CAMA MAJOR DEVEL REQUIRED: 3 z S-D3 6 -24-03

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: C . STt,�I y
"1 rr`•-
Address of Property: 1-4 T Z 8 LA":46AO I (Ck / 5 / I2cj 2J
(Lot or Street #, Street or Road)
Gr. rfl w, ) C. ya
(City and County)
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.
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.)
A./0 (A'o I U.e V do wish to waive the 15' setback requirement.
e:21,--e 3 / do not wish to waive the 15' setback requirement.
(L
Date
;MAA A . si2eo AVAPrint Name
11c1 c to NCDENR
NORTH CAROLINA DEPARTMENT OF
v ENVIRONMENT MO NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.fi rii

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: C STa e ,-71 r
Address of rty
ProP e o Zg ''`�07 H =1 I h. e s7a 1,;,3 4 r 2 J
(Lot or Street#, Street or Road)
(f)l yr, < z e
(City and County)
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.
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.
/,11
Sign Name Date
Doi✓ z 22 LUC s-
Print Name Ara
10 — 6 '- 7/ . NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm

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STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
File Access Record
SECTION C/4//44
TIME/DATE �} r 30 i/
NAME 794,FY,Lk— /21 aik-c.rc_
REPRESENTING:
Guidelines for Access: The staff of the Wilmington Regional Office is dedicated to making public
records in our custody readily available to the public for review and copying. We also have the
responsibility to the public to safeguard these records and to carry out our day-to-day program obligations.
Please read carefully the following guidelines before signing the form:
1. Please call at least a day in advance to schedule an appointment to review the files.
Appointments will be scheduled between 9:00 a.m. and 3:00 p.m. Viewing time
ends at 5:00 p.m. Anyone arriving without an appointment may view the files to the
extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if tim
permits. Copies of 25 or less are frees 26 or more require payment in full for all
copies made at 10 cents a copy: payment may be made by check, money order, or
cash at the reception desk. Copies can also be invoiced for your convenience.
4. FILES MUST BE KEPT IN THE ORDER YOU FOUND THEM. Files may not be taken
from the office. To remove, alter, deface, mutilate, or destroy material in one of these
files is a misdemeanor for which you can be fined up to $500.00.
5. In accordance with General Statute 25-3-512, a $20.00 processing fee will be charged
and collected for checks on which payment has been refused.
FACILITY NAME / COUNTY
1. C-V4 ..� a;. �f. tom.
2. gi° !jh 1 — 6 3/3 —// •�d,
3. A/, ,✓cam
4.
5.
Signature and Name of Firm/Business Date Time In Time Out
Please attach a business card to this form
Revised 10/12/98

•
•
' ; JAMES W. JONES,JR. 66-85/531 7000
i.: DONNA M. JONES 0277004776
4522 DEAN DR. 3 '
' ( WILMINGTON,NC 28405 3 _�——-
DATE
E PAYTOTFIL 0 n , I $ `O oxi
i a ORDER OF !_ _Y e a_r___- ---
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SCJ 1'�_ -
�- �Q1---- DOLLARS LJ �.. ,w
is RBC 50+GOLD
Century
R RC RBC Centurngtw,a C nk
Wilmingt NC 28401 r/,ynry,�` 3
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