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41) CAMA/ v DREDGE & FILL '�'' ; ,, ;��
GENERAL PERMIT Previous permit #
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 15A NCAC 7 rH I foo ?N !'tir 1 1 0 /36.c:
,Rules attached.
Applicant Name lJ( (L... YS w 1 Project Location: County ON-St O c.✓
Address 9j0/ / (5/d l n?✓ejA d_- _ Street Address/State Road/ Lot#(s)
City 1ZAle1 . A state NC.ziPa.76/( /e4f% 7"`" .51-
Phone # (i1/?) 0V,66 "0(?lax#( ) Subdivision 4 t D Se T]t(pt .3 ,8 at/
Authorized Agent f.! l A City S IA g Ft Q i TY ZIP y L/s
Cw ZEW .a PTA ,0'SS C PTS Phone # ( ) River Basin 0 Ape Pe
Affected
OEA 0 HHF ElIH 0 UBA E N/A
AECs : Adj.Wtr. Body6V1
( ) .f ` 14AA►-06 C N (nat /unkn)
❑ PWS: E FC:
ORW: yes / no PNA yes / nof Crit. Hab/. yes / no
Closest Maj. Wtr. Body 7z7e4A i t jc.) N.D
Type of Project/Activity rr Li/14 c ( L -/�/644 f t el/ Ar,A7 YLr+'Yvt 13 .4- 1e0#7 I I,.%
(Scale. 1 f 1:zd )
Pier(dock)length 6 )4/7 ' / -
I
r MtfJ- hnap �'J; ��4;1Ac' 'Z,
Platform(s) i Z k // __.— +... ---- t -
6 i 05 � I �
Finger pier(s) ('i vr.�I
Groin length --- I }
number_ —'1—r— ( 4�� (a�S itt
ulkhead/ 'prap length LIS �s. j ' t V
avg distance offshore
- I)_ __i__
max distance offshore �. ._ __ - ;_:_'I J
�
Basin,channel j I 1
.... _
_t T
i 1
cubic yards i I
i f
Boat ramp 1 O X Z _
Q/ I t N '
Boathouse/ oatlih / Nc/Z —
,. '.b Im�' ..i.. . 4 - � 'w 1
�-Beach Bulldozing •
EX�st+Nt
Other : - . i I E
1013
flo i
I 4eatair StiNef / 1 r
--
r
Shoreline Length - ___ ! I 1 I •
SAV: not sure yes no p t
Sandbags: not sure yes no b'/' (t
Moratorium: n/a yes no d t I
Photos: yes no L
Waiver Attached: yes no Pa+ r i ! !
A building permit may be required by: .L4/ 'I e/7y i See note on back regarding River Basin rules.
Notes/Special Conditions 71-kg a u L K 1-/G14D Witt b(S j FOL cow �e S7 k EP ,1 L,6 N1'�e
V nuot Q T}-/ , y'r�A A I�r7 !of; (cie )
/c_ I-r t So/D
Agent Applicanj Printed Name rcer's Signature
.,4„... l ," ...
_ ../ Z5 _ 13 O - Z3--0---
Signature **Please read compliance statement on back of permit's'# Issuing Date Expiration Date
SSD. Ck ) 3)5ti 5,4(c CL A CIO7Z ,'3 /3 -
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:
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: 252-264-3723 Fax: 252-948-0478
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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 1495 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: 910-350-2004
Fax: 252-247-3330 (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
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VIC HENDERSON NCDL 3837809 66-112/531 2 0 5 4
DIANE HENDERSON NCDL 976136
Y 2901 OLD CREWS RD. 266-0672 /
i RALEIGH, NC 27616so. 43_1 Date
Pay To ! �VE J ._
The Order Of
gffm - Dollars El
13001 0
BRANCH BANKING AND TRUST COMPANY RELIT GOLD
y 434 FAYETTEVILLE STREET MALL
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RALEIGH,NC 27601 i -3u Z ZO '.
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