34281D - Humphrey

0 .CAMA / DREDGE & FILL 490 �E 34 81�L
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 I5A NCAC ' ( ��'�
`� E Rules attached.
Applicant Name -_ -it)t /v -fr-i✓y Project Location: County \ t i Nc t/vo cr'
Address 2-3 Z 'j''4 ' re S p el . Street Address/State Road/Lot#(s)
- �
City PQlGrfT �'Llt b state / € ZIP Z c/ 0 23-Z S -es,L DX .
Phone#( _)76, —6 5S7Fax#( ) Subdivision c/
Authorized Agent ) '>'+/ / ✓k 1NOR-7 City /A)/ (6 fill/C.L T1& f'zip Z b[ - O
❑CW ❑EW ❑PTA )11USBA
E ❑PTS Phone # ( )2 S6 -6 3S � River Basin(r �` , ���-
Affected s ❑OEA ❑HHF ❑IH ❑WA
AEC : Adj.Wtr. Body'Ark./{}(, OF/ /1 r c c �' j�l[�1y
❑ PWS: ❑FC: 'r_ unk�
ORW: yes : 'no PNA yes /J Crit. Flab. yes / no Closest Maj.Wtr. Body I
it L���-
Type of Project/Activity (E 4' d C 247-v- 0 t C) h u 1:6QAELQr
(Scale: !// ~ qV/)
Pier(dock)length
-
Platform(s) I ; I ! I I l _ ! I !
— I I 1 _
Finger pier(s) { I f !
Groin length ! I- - - .
number i '
Bulkhead Riprap length ■"G3� ■ • . ; ■_ ■N
! 1
avg distance offshore • _ 1 - _
t
max distance offshore-sue -- : I 1 • I I
I 4 I
HBasin,channel i - !
_• , . IL N,
cubic yards ■ ! I
/
J
or
Boat ramp t -
Boathouse/Boatlift I - I -
Beach Bulldozing , I t I
Other I I 1 f j d i2A1,1 / , 5
i
Shoreline Length i I I
SAV: not sure yes no I i I . , . I 1111111
Sandbags: not sure yes ,brio' - ~'-
Moratorium: n/a yes i
Photos: yes no _ I 1 ,
Waiver Attached: yes n•. - - - ! - ± i
A building permit may be required by: 0 v e/✓ . I i See note on back regarding River Basin rules.
Notes/Special Conditions M Li ( 4<t.r LA/ -7 17- J 60
1,
Agent dr Applicant Printed Name ie7
i cure
03 i I 1 Z603
Signatur t Pf le a read compliance statement on back of permit** xpiration Date
/ 00''CI 21f/ x 1 .- ,/, , , ,,,..G.
Application Fee(s) CChheeck# Local PlanningJurisdiction 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(252-946-648 I)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]
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: [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 CONIPUTER FORM
APPLICANT NAME: SO 414 tivrtitetvi . .
ADDITIONAL NAMES: 51 rA nki No V .Tik" (A et'Sr)
AEC DESIG: -E-5 DEVELOP AREA:4 °. ° I PROJ DESC:F
(Will only take 6) (Will only take 1)
WORK: 13 i- 8.0 -
(Will only take 4)
. . .
\ MAINT: •
(Will only take 4)
IMP: R6 - 11300 '
(will only take 6) •
ACTION EXPIRATION
DREDGE&FILL REQUIRED: , 1 li 0 tIlicIl °3
CAMA MAJOR DEVEL REQUIRED: ICI 03 11
r_

CERTIFICATION OF EXEMPTION
ily.) FROM REQUIRING A CAMA PERMIT ,
/ as authorized by the State of North Carolina,
0 Department of Environment,Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NC C Subchapter 7K.0203 11
Applicant Name • a . '
a01 �
on ,..7
Address
City ' • State Zip
Project Location(County,State Road,Water Bod ,etc.)
e
r
Type and Dimensions of Project - • —
NI
• Lk..A.--t1 r)S
•
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as.exempt from the CAMA permit re- valid for 90 days from the date of issuance.Following expiration,
quirement pursuant to 15 NCAC 7K .0203. Tnis exemption to a re-examination of the project and project site maybe necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State,Federal,or Local authorization.
SKETCH (SCALE: i t t 1,-_„r-.i )
Dom `
. . _ . ..A..tAct..PA t
•
. - trls GY .. is
. . 3�C-F itu It . _. . -- ...-_
uk,
a ,„.4-4d7 _0.(71406 ,
i ,, ,
j. • ( .e- _i1�..
i _ .
1 ,, iiiiiit_
ti (4. -::44--$* e24-4‘"
l v
Ny _._ S tZ t `J
Any person who proceeds with a development without the con- Lf !�
sent of a CAMA official under the mistaken assumption that the App• ' sig re
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA Official' signature
.S — (a — d 7--
The applicant certifies by signing this exemption that (1)the ap- Issuin date
plicant has read and will abide by the conditions of this exemp- b 4 .
tion,and(2)a written statement has been obtained from adjacent
landowners certifying that they have no objections to the Expiration date .
proposed work. •
Attachment: 15 North Carolina Administrative Code 7K.0203

1 LULE.N. �)F .i..S i.:a ti..i..:�I. 1.1l.:.YA1L.i f:'L 1 l?''x.'t
ADLALLILIZIPklii4N PRoPEEzii..tAY!VIJ NOTIL TIfN/Mall R oRhz
Name Of Individual Applying For Permit; `1 o • �u M f L e
Address Of Property: SPA P
(Let or Street 0, Street or Raid, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toe 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,
•
• .4_ ♦I 1 •1• ♦ • • r • .a 1 :114. a •.• a • •• ..,� • r, *
• • -
a.�_� 11 a •a y� 11 • •. —•a •. a I..•a • 1:.' •• a , a•N:. ♦,. _ • a ., as_ •
if4caLlumbnetuadaticthxrActifisi Mail
•
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum diaza of 15' from my area of riparian atoms unless masted by me. (If you
wish to waive the setback, you I'nu$I initial the appropriate blank below.)
'NM I dO wish to waive the 1,5' setback requirement.
.,.i,._ I&not wish to waive the 15' setback requirement,
amanumeolessionamovemoommemenammeromil
5mr <
[arvsl cy
Prim Nkille
NCDENR
Tele
phone Number With Area Code Nawrm aM iiu,M Dillivetwff ar
Winnewwr Ma Narimu.Rasatacits

7 ....... . ... -_;a.. ..11J:..Y,1.
1.
A.
Name Of Individual Apply * For Permit; 40 , .
Addrw Of Property,
ry 1c C, 2 -fro
Cat or Street 1, Sit or Road, City it County)
I hereby certify that I own property aitaorzt to the abo+,%referenaed property. The individual
applying far this permit bets described lotto as shown on the attached drawing the development
they are proposing, A deso ipdon or drawing, with dlas siaot, rbooid be provided with this
Imam
I have no objections to this propel.
Itinaglestur lina.2114 nt est 4tp
L4 SP
I understand the:a pier, dock. :looting
pilings, breakwater, boa;house, lift or *Wham must be
set bad;a minimum
dis oe of 15' my area of riperlan mese unless waived by me. (If you
what to waive tits setback, you lawn initial the appropriate blink below.)
db !Ili to waive the I$' setback requirement,
..._...,.. I duct wish to witve the 1St Whack require ,
M
1111111.11.111111.1111.11111.111111".....H
ddete. 7lz v 3
Shp.,fir! Data
Teri= L4m/4I
Tel Nw,ib.r W+ With Arse Code

•
•
•
•
... YC.4 ......,�.ac .`ri3:r'.:.24.�.�..a 7Y41.S 6a..'JE.!ffiLJ�.." - �.._-._i'....Yfa1 '"rTs'. +14:43",-,y.i:''•.a.' ['. 6:•,:7,'SY.... � '-Afi'
•
•
•
•
•
11
COASTAL MARINE CONSTRUCTION 12189
NCDL 3831595
•
ill 6314 WRIGHTSVILLE AVE.,910-256-6357
WILMINGTON,NC 28403
8&21/530
? DATE 8/g jo 3 BRANCH 67e94
•
TO THE Dim I I $ Llf00 — ,
ORDER OF
•
�/J
" t*' A 1f/�( C6 Gf�/! 61 d` Ar•. DOLLARS ' r•:C °" ,
E WACHOVIA •
•" Wachovia Bank,N.A. ,
" AGA Rif 05300_0219 U _� �. ,
FORCP 3� ll �1,3ya f"_P3Cp� PP
P II'0 L 2 18911' C:053000 2 i9f: 2086 L7 208 6 LII'
,. r •:: pia ....-sf-. ,E�51--u-T- _z . i._ �•4. m*�. --- ... _ir mn;�i:-. _ _ ...R,.n...._.
•