34276D - Hulderness

1111 CAMA/ DREDGE & FILL j''m a 4 7 V D
GENERAL PERMIT Previous permit# _
>C New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 77/',, r,. ,.�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -7 `1 'i o } „ • 4
/ „ i ❑ attached. i
Applicant Name K.I C (t ILD 1-,)(, too/
JJt S-- Project Location: County 'V 1WO✓-e_ , //
Address U /2r I_ •/ ( ,SO0 it(It oo ' Street Address/State Road/ Lot#(s) O Mi t �on�l G
`` �r� l I ( > r3 �l
City i'J.1 I (.. M / State Ai; ZIP _ �f 1 I 1 f 4C- .3 OR ru.);,!/1JpS- , 1E6 7pra-{
Phone# S C3 6I( ) � '� /Fax#( )_ Subdivision ' � ; ; t ,
Authorized Agent + lr^� City VV 1 L✓V1 ZIP ��
Affected LiCW W ,PTA ES PTS Phone# ( ) Yl/� Riivef�asin C.FIB/✓ I
AEC(s): ❑OEA ❑HHF C II-1 UBA • N/A Adj.Wtr. Body CIA*(-- elf f/W C(?;at �w/unkn)
❑ PWS: FC: t r
� Closest Maj.Wtr. Body 1/VLF - ' ' 1,-7ORW: 4 , no PNA Les / no Crit. Hab. yes / no
Type of Project/Activity ( it d T r 0 C+t4.911r- (')'F`" 1'f' i ° (`7' ��c'T (t f'"'�
I r,st. (Scale: N j J )
Pier(dock)length `• M�,
Platform(s)Finger
10C l� `
Finger pier(s) , t �� b✓'` •
Groin length , _■� M I 1 j
number I ! �M MINE1111111111,Bulkhead/Riprap length
favg distance offshore — MI 4[ ' on i
max distance offshore — __ _ -
.____.
i _ '
Basin,channel mi . gl ..
cubic yards IIII Ij
Boat ramp j� ��r
Boathous oatli ;t (4. , aA . f li EVWe&
�rrrr '
I x I 0 I I 01' Orr. iv
Beach Bulldozing I ii. "V I ' ,, ,.,. O' 1
Other y u , I
1 i ,
s ', — f
Mill 1
Shoreline Length )` Nid'•
''! ■1111Mill ■■ ■.
1 im :
SAY: not sure yes 'no I 1 I I _
__..-. ..
Sandbags: not sure yes no I '-�. —"- ^ ���.""'�'�._...__ --- -
Moratorium: n/a yes no 1 :
Photos: yes -_ ��irApc B w Lrr
_14 j„....›
Waiver Attached: yes n .- ''
1'
N IA) a�0✓ C A building permit may be required by: �� yI• 'See note on back regarding River Basin rules.
Notes/Special Conditions \� dV G I'I + i 120`
cant Prin Name P t Offices gnature
1,eitil ) .
iSi
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Signature Please read compliance statement on back of permit** Issuing ate Expiration ate
1 Ob ; l L" kw) b -€
s, 4Ot ,
Application Fee(s) �//� Check# . •Local PlanningJurisdiction • Rover File Name
--'.v�.f Aar,:..a •.td.1a :i.: .o.:i11111. . .ZiettaatallLa.artilu kAiras.,._..id " Ate t.11_.. .. Mil

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
919 733 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

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GENERAL' PERMIT COMPUTER FORM •
APPLICANT NAME: gI644-Pt Nn
ADDITIONAL NAMES: E+7 Ft rAN (A-65
AEC DESIG: ill f ' EV DEVELOP AREA: ). G
__ ( PROJ DESC: (� - IZ
(Will only take 6) (Will only take 1)
WORK: ¶L-- i.t I L
(Will only take 4)
MAINT:
(Will only take 4)
IMP: d U '- (4 6
(will only take 6)
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ACTION EXPIRATION
. DREDGE&FILL REQUIRED: -Z4.`®3 /I r26`63.
CAMA MAJOR DEVEL REQUIRED: fir'"24-03 J kZ6-03

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit /Zt(. ) 1lt I1eni
Address of property i3 J"H 'J L J►'n5 JI3D/n)NJ&db4440 /I(�'►
I1 1hd) N6 16 01
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. . gfj r/r)14/
I have no objections to this proposal. J AZ6 S1`P
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.
Signature & Date
s Q C Vv,, ,e t-L rint Name
7 0 '1f Telephone Number w/Area Code
`��cQyr PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
J r P.O. Box 868
Wrightsville Beach, N_C. 28480
1975 Son;� 2003 _ Phone/Fax [phone]
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit /0)ThT) gd 1. LsZ
Address of property%/1 '3 O 1btaL-f r► 4)01im oledb iva arp Woe'
`44104-M d j 2,6111
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 objections31 73, 2 , ',,n.!
I have no objections to this proposal. '� ` a-6P
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.
44, Signature & Date
EOGE74e e si-p_Afte, c 'r Print Name
.116- 5-09 ig 42 Telephone Number w/Area Code
PF�K�czyi. PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
e�` �� P.O. Box 868
cp
1975 213th -' 2003 Wrightsville Beach, N.C. 28480
Phone/Fax [phone]

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NORTH2 CAROLINA
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