34254D - Heera

4,11p 'CAMA / DREDGE & FILL N`R 34254 "
GENERAL PERMIT Previous permit#
> '_ New 'lodification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources LL
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC (T Z d
❑Rules attached.
Applicant Name
jt6
L t- '-"y Project Location: County t� (k.:(.
Address LI II (1,1796 tAiv01 N6 a Street
Address/State Road/Lot#(s)
City V (LNI State NI(-' ZIP 2f I/ 4111 Cy/C t - tJ2
Phone# ( 'tU)55 D"7/d6 Fax#( ) Subdivision
Authorized Agent `" �•' City V N (L-A/I• ZIP zr-f'i /
Affected cw >iiEW PTA ❑ES ❑PTS Phone # ( 'l f/..
- River Basin(
OEA ElHHF ❑IH ❑UBA ❑WA
AEC(s): Wtr. Body 1 fl -/�l'/
Adj. Y /man /unkn)
PWS: Ill FC: Closest Maj.Wtr. Body C.-A-7°�--
FcAk I t72
ORW: yes / no PNA yes / fro Crit. Hab. yes / E [
Type of Project/Activity l'erc l I v 0'( rt ci b
(Scale: I 10 )
Pier(dock)length
• -_ i I i
Platforms) 1 -�-- rt f - - !
Finger pier ) t I • I
Groin length fL� gi
i "7
number I '� ---tt t` I
-4 "1' ,
-.-- _rt l:
Bulkhead/Riprap length •
I I 1 •
I
avg distance offshore i i }
max distance offshore I _ ~_�
Basin,channel — I I _ _-, — 'L L .
(
err. —
_n...... _r _ t • ' r • I .�
cubic yards .I
— A NAL T� t Z' y r"
Boat ramp /�
• iX
Boathouse/Boatlift_ •
, 1 I
- �4 t- f
Beach Bull ozin� Z__ !P �
�.�
'3 Jill 1
'
,_ �a �_ A. � � iOther ay � -
I
U Cal iiV\
I `" I
IIIII 1 IENITI. 'tom �,41. r fr.��''7 •..!S.�.�
/ iM morilf�,.1',liM�,t�+'1mpin:lki.,9 'i mmme llr!t + .`, `�1�y, ,
Shoreline Length D �7I6 • 7 ps . r '1 . 1► *i'.►� .: 11� �r
SAV: not sure yes no ` �,.. .4Cie/A ‘4, •47 Lr f S ►1t *ADO 1
Sandbags: not sure yes no 1— — — - -AM■ ; —=
I I
Moratorium: n/a yes no. + ■■
Photos: yes n —fill- 'I.A_ RIP Lfd• —�� ' 1 l —._ — —
■ 1 i 4- • 1 I
Waiver Attached: yes 9
A building permit may be required by: Iv e% C.i)• . E See note on back regarding River Basin rules.
Notes/Special Conditions 00 51- . fkl V s jj` ( 4,,,, / / ! / • ((7c -.r r,/.( �( a/
a i i'r IL,.., to, cot( c j-n--3 c / /f ee I,I°� I,,2-1'
____A _ "
Agent or Applicant Printed Name it 'sSignature
5 -2Z - 63 //- 2z -63
Signature **Please read compliance statement on back of permit*'"� Issuing Date Expiration Date
(00 '- __ L 6 ✓`j va., /qr ,, �.►- 0-o8zzi zA
Application Fee(s) J Check# Local Planning Jurisdiction Rover File Name
r �

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 252-946-648 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 / 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 COMPUTER FORM
APPLICANT NAME: T 16e>ek-
ADDITIONAL NAMES:
AEC DESIG: rE\f‘iDEVELOP AREA: O. G I PROJ DESC: }� -
(Will only take 6) 1 (Will only take 1)
WORK: s — , l�
(Will only take 4)
MAINT:
(Will only take 4)
IMP: UJ - 6/'
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: F^22 -63 ((-�2-03
CAMA MAJOR DEVEL REQUIRED: ��ZZ-D3 H-2Z-O.7

v
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-asp-is?
3
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11 a.frt b-) v , ,x3 a
4.
m____ )v t ,b7 -3.)b ") ) 1 1 h •"a.k. 3 21 --a i• "1
reaa}'1 nor 'Allgillahh6V ,... /,
fir! lift
i 1. ---)-"? --A o
10'13, , Yifil QpIc ;r;s(
IM OJ ✓o!q ��' l '

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO YIP FORM
f
Name of Individual Applying For Permit: �o�(�
Address of Property: � ,� C LIfr
(Lot or Street#, Street or Road) 6
CCA_SA kcit .._4(1__Z__ 0-&t-4
(City and Court ,-
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.)
r i I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
_ i Name ate 46/677A
oy-.4
Print Name NCDENR
6 - q I N D No mcx,a
EMVM O.HEM.WD YA 1 �RESOURCES
Telephone Number with Area Code S:lcamalshellslriparianproperty.frm

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THIS Q4Etl(IS DEUVEREO f011 RIMIENT
w THE f OILONING ettoVNT1 INTERNATIONAL CAULKING 2636
AND COATING
PH.910-675-1472 ''
4111 CAPE LANDING RD. 66-191530 NC
I'I CASTLE HAYN NC 28429 7 1856 ,�
DATE 1. 2?. �Q 3
PAY (� /� J 1 jc
TOTAL _ OR T R OF ! \� � $ f �fI
DISCOUNT <� n,-,� (n _
,L• AMOUNT OF CHECK NQ— • -.0 DOLLARS 8 �.,..�,,,.. r
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