35047D - Maxwell

0 CAMA/ ❑DREDGE & FILL 35047-c
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/ ,/,/1-1" ��� .
D.RCiles attached.
Applicant Name C( IQ vA 0 t -K-we I I Project Location: County Q k?V Ai t CI
Address i U v RI'✓t"/Z (14 'C(IL Street Address/State Road/ Lot#(s) $'4'-' AS / °/
City S0N,7), p d I t state/ye ZIP D 4- YY6/
Phone# ( ?/(') I(- V/76 Fax# ( ) Subdivision Ri Vpie2 LA./4tr(-
Authorized Agent City 5 oLAl+ p v2 7_ ZIP 6 V 6 I
CW ❑EW PTA Aife PTS Phone # ( ) River Basin C Pi_
Affected
AEC(s): OEA HHF IH ❑UBA N/A Adj.Wtr. Body I A-I r f-- ,4-0 R;Lip
PWS: FC: nat an /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body 6•4 P P �atA R1
Type of Project/Activity i t.kV1(.._l-L 4 ) LA Ni lit{Z l) pt. Jet I f A)s (( /-vv4 1n A-6,9 ,
... ,„
(Scale:/ f�ay )
Pier(dock)length _ q
Platform(s) Et) -C FrA� ,J(+E134{)
Finger pier(s)
Groin length • 4 �,_ 0 r (4"
or
num r C(
ff Cs'
P s� L� �31y , �� 9s *
ulkhead/ ra length 1 Li
avg distance offshore r �/ O I ;4
max distance offshore %/
Basin,channel 411
cubic yards _. \ /w'S /r') .3. '
Boat ramp �` �` fli
+b
Boathouse/Boatlift ` i `-'4 'a
l0) s I `t 9 1i
0 Ili
(.Beach Bulldozing 1 �`t� qiOther • ` 0 ,' _ -p"�
/ )
Shoreline Length 7.7; QQ
SAV: not sure yes no 9 _ 1 1_-
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
fl
Waiver Attached: yes no u06 t 14' #wr»utrC
A building permit may be required by: C i 4-1 f 0 1 .0f+.-1?Ok. 7" . ( !See note on back regarding River Basin rules.
Notes/Special Conditions
(A,, ci A /�� -A X f..c f '
Agent or Applicant Printed ame Permit cer's Si natu
gr:r._.0 14 C �-� /0— I3- 3 0i - i -3— c)y
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
2 5ot�-t+4j-o tit S/of 3 15 Pt
Application Fee(s)%/U 0, O'' Check# 7 V)(O 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(252-946-648 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
I 638 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)
Revised 10/05/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: (/ i4 N e KW'e t 1
ADDITIONAL NAMES:
AEC DESIG: 7 c DEVELOP AREA:_-.U 1 PROJ DESC: / - I I
(Will only take 6) (Will only take 1)
WORK: B
(Will only take 4)'
MAINT:
(Will only take 4)
IMP: 019 `bv
•
(will only take 6)
ACTION EXPIRATION •
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: f 0 '(11-4)3 (5 (-13 —G

Oct 10 2003 7: 47PM maxwell 910-454-0830 p. 1
OCT. 9.2003 3:46PM NCDENR WIRO (1. L f_f404,i69j P.2/3
• •
F"A1i L(J µ O r 3 1 .
DI ISIC>14 OF COASTAIINASBOMEla
ADJACE'_dT R1PAR PROP TY OWNER OTIFICATIaNNVAIY FORM
Name of Individual Applying For Permit:
Address of Property: Ant' 1g.,J€i
(Lot or Street#, Street or Road)
•
•
(City Coun )
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying Stir this pens thas described to me as shown on the attached drawingtbe development they
are proposing. A description or drawing with dimensions,should be provided with this letter.
x I have no objections to this proposal.
If you have objections to what is being proposed•, pkase write the Division of Coastal
Manageaeat, 127 Cardinal Drive Extension, Wilmington, NC 38405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
yuo have been notified by Certified Mail.
WAIVER E roN '
I unde
rstand That ' r,dock, mooring pilings,breakwaouse or boat lift must be
set bcnlam waived (Ifnk below.)
I do ' waive the 15'set lea meat,
I to not wish to waive the 15'setback requiremeet.
lo` s /iS
Sign b())1Z"4"----
Date
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Print Name
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Telephone Number with Area Code
S:lcatnalshellAriparionproperty
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A "'"'• OCT. 8.2003 3:46PM NCDENR WIRO NO.169 P.3/3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,./A,4 c-/p red,e�4_ l/ .
Address of Property: /b v f/o/1_h/4�e / LQ A
(Lot or Street 4, Street or Road)
cer.. 1 7 o, 1, 11- e . 2P 4/ 4 I
(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 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, so . ss oaring pilings,breakwate ouse or boat lift must be
set 64 a minimum distance of 15' fro is , area i ' Tian access-unless waived by me. (11''-
you wish to waive the setback,you m . 'i la i ropriate blank below.)
• • sh to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
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Print Name
ephdnember with Area Code
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