33392D - King

jCAMA / DREDGE & FILL 33392D
GENERAL PERMIT Previous permit #
ANew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the Statt.of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7-g iz Qck .
v Rules attached.
Applicant Name ///L(( �(,(A- // Project Location: County '')/U L.0(4 J
Address 1 Si" e-07 Street Address/State Road/Lot #(s)
City 1 State r"e ZIP c .o yyS.--- 909 9 ,iv I I�J`f"lit � 2t e
Phone# O Fax# ( ) Subdivision Se r .S .,r
Authorized Agent Z--OM i 5 21 e e 1A rzd e f//` City 5.ut f- at ZIP z66 'Vs
CW
Affected J TA �ES - PTS Phone # ( ) River Basin 0/yE f-PPAY't
OEA ❑HHF ❑IH ❑UBA N/A
AEC(s): Adj.Wtr. Body fri/y'U >,jj6 0/-/<'i 7 (nat mar; nkn)
PWS: D FC:
ORW: yes / no, PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body S/ � CdL/rV�
Type of Project/Activity D12/0 A la.. F/E Z
/ (sue: / ". ad' )
Pier(dock)length J Z- is- )'C L/T.:1,
' / 1 _-,- — ■��■■
Platform(s) RX Z. ■■■■ �, �—+- -- ! I !— oul I ■ Ill ■■■■■ I
Finger pier(s) �A �■ ■H■�RU■■■■■
Groin length HIM - . l ll '-.- .rit" E. ARFl t6■■■■■■■■■■■■■■
■■11■■■■■■■■■■■■■■■
number 111111.1 . , ,
—_ sa ■■■■■
Bulkhead/Riprap length - N ■ 1_— ■N■■■ ■■
avg distance offshore r ' ■
t
max distance offshore_ II■■ll—',— __ .I "r. L ■
Basin,channel —■� /IO. ���,
N■■ate■ . . I .,
cubic yards ■■:■■■■ ..._ y_. 11. P �H,v.
Boat ramp 11111■■■■■ - —
MOM: ,
Boathouse/Boatlift '■■■1111■ ■ "' - ��__ . � ' ■■
Ell _1 ■�rr ■I, - a -- UU■■■ 1 III • ■■■
■■■
Beach Bulldozing T ■■■■ ■■ ■■
HI ! ■■■■■■■■■■■■■
Other N■■■■■` Aff/PEIMIll I
1 P N i .r� mph t 11ff
■■■■Shoreline Length ■
� 1
■■■■■■■■■
SAY not sure yes no _.. �_
Sandbags: not sure yes no v '
■■■■■■■■
_' I IMMEMILIIMMEI
Moratorium: n/a yes no , , „ I� ■■ 1 ■ 11111111111.
I
Photos: yes no I _�, /-., I_-_ ■Ellf
Waiver Attached: yes no — !
I
A building permit may be required by: Sup F a./` T . r;See note on back regarding River Basin rules.
Notes/Special Conditions A) eQ fl 70 u I L D pie i2 3 Q UFO CoP,STAG kw A rs// MPftScffelD
f Kv 1144E Su tlf,'MATE Mir)) /U a _E kT M _1V RA IZ i-fC/Z 71/ /4 f .)
( Q. wrd +k 0-6 +k UJAISVL body
1-661% Rt cc Ica ol-e 1l; c?:/::t 4 j:--:7 2
Agent r Applicant Printed Name cer's Signature
y-- /0- 03 --7 -/0-03
ature 'I"Please read compliance statement on back of permit'*' Issuing Date Expiration Date
106, 00 011514 suet- e /T -1 ( )CV/O/3/5
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
AtY a�1+`�r.r/Y.'"_..--LL!�Jb.� •.••t�• • 1Lt3`_41a-ai.u.1

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(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 252-946-6481
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
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: 9 I 0-350-2004
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 I 0/05/0 I

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: iLcrt5 Qu ht-y C .
Address of Property: qtY1q kn -\, (C
(Lot or Street#, Street or Road)
-"' nnslouo C©kn-1-
(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 descriptio r 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.
3a? ©3
Sign Nam Date ,
T y
Print Name NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frm

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: K►n_5 pLiac► TnC
/ r
Address of Property: 907 q /J 4Vj Sfre
(Lot or Street#, Street or Road)
SA4 611 ) p'SIoW COun
(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.
3 / Yi (03
Sign Name Date
Sedivid a446c1".___ ,
A
Print Name w��
q �f//� q.�� /� ///�1 .... NCDENR
o{/ S 1 (y'' 1 q O I �/ NORTN(j,RgJNA DEPARTMENT OF
ENVIRONMENT AND NA'LRAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.fi In

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THIS CERTIFIES THAT THIS COPY OF THIS
; .. PLAT ACCURATELY DEPICTS THE
r BOUNDARY OF THE JURISDICTION OF +,
SECTION 404 OF THE CLEAN WATER ACT
• PURSUANT TO THE 1987 CORPS OF ,
ENGINEERS WETLANDS DELINEATION
MANUAL AS DETERMINED BY THE
UNDERSIGNED ON THIS DATE. UNLESS
THERE IS A CHANGE IN THE LAW OR OUR
PUBLISHED REGULATIONS, THIS
DETERMINATION OF SECTION 404
yc JURISDICTION MAY BE RELIED UPON FOR A O O i.
,. PERIOD OF FIVE YEARS FORM THIS DATE.
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Signature of U.S. Army Corps of Engineers — `
Official O
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Dote of Signature �' •!� . • 0 N
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Lot 54 c i 11,550 Sq. Ft. -h j— Lot 52
Cl NO3`21'E 8.7 T ,
C2 N55'14'W 9.3 w
C3 N28•38'W 18.6 in cn
C4 N14'01'W 11.0 r R
C5 N47`06'W 10.5 Z
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CERTIFICATE O SURVEYOR ��.0\CAFR0�''%, — o
1,9 Danny Marco Padgett do certify ; ���� 0 °°;STE'.ck �!b;'�� © Sit
that under my direction and supervision. the . . e l.,G RC`l = to + O
attached physical survey was drawn from on 4 i Q` .+ N a 0 —i
cctuoi survey mode under my supervision. That � : SEAL 't a -, * ?
the_ratio of departures is 1:10,0004. Witness my •
hand and seal this 1.3th day of Aug0 C31 -7.9' �-2639 d°®�`- r 50 I c7 210
2002..
t %?'�i•° SDV. ZN;P��:,77 Surf Cif ° ° Atlantic Ocean
DAN9�Y MARCO PADbETT R.L.S. L-2639 ''•.,MAACO ?,,�` VICINITY MAP N.T.S.
;_August 13, 2002 This property X is is not Scale: 1"=30' . '
I Ref. M.B. 11, Pg. 35
in a special flood zone ';s determined ?+ 11•••-,-- •�'aa—' ;f ,;'r+is '
ma's
� - • .� _ _ by the Department of Housing and

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