35027D - Moore

0"AetMAA/ ❑DREDGE & FILL 3592 1-i
GENERAL PERMIT Previous permit #
>' iNew ❑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 7f1 ,4)0(..)
ERules attached.
Applicant Name oe t( no 0I_ Project Location: County ()WOW
Address_ ,> 0 - > O Vy V Street Address/State Road/Lot #(s) D'C i344ehp(
City i_L.-/MKA-5LAII--(' _ State y C ZIP 2) 31/ / Q.ciL. g_e) t,
Phone# ( 9) .�`),'W I° Fax# ( _ ),/� Subdivision ,,,�/Q
ph ''riffle it Authorized Agent ut\`( - City S/*/e4ns rfrrY ZIP oa 76 U
Affected ,i.Cw 3Y‘N '-A ❑ES ❑PTS Phone# ( 7/ ') 3 7-/3 Y 7 iv River Basin ,t a 4/L JOEA -.HHF _'IH ❑UBA ^.N/A
AEC(s): Adj.Wtr. Body (i.,l4 (](,t,i(.4 34-)/ (na?�/man /unkn)
7 PWS: 11 FC:
ORW: yes /p PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body
Type of Project/Activity po ,U4 P, '-'!
(Scale: ' -5a )
Pier(dock)length 5 $gip ID'
Platform(s) _ j J X1 to' O c '
Finger pier(s) 11 I.)
Groin length p O
number L.t ---
Bulkhead/Riprap length
avg distance offshore __
max distance offshore f 0 i
Basin,channel
1~iOtO T
cubic yards
Boat ramp
t t
Boathous Boadift /D )f10
Beach Bulldozing LeLe "'1 I y14, p, P
A.
Other_F-I uA I v`x/()t S`11 n
' Q`- J
Shoreline Length _.,,...i.„ /, I
r ,
z ,/
SAV: not sure yes no
Sandbags: not sure yes no ��i�1(:'l,.ii.scvjp g to+ ` -•r • 'v V r�� i2j�iN'ta-..' -�/Q�o•X
Moratorium: n/a yes no / �tiC/
Photos: yes no / 200 . SHL r[�/i A_.9
Waiver Attached: yes no 1
A building permit may be required by: tl NIStO J r b • . See note on back regarding River Basin rules.
Notes/Special Conditions
', 1 /• .. I / 1:cP-e ."
Ag- . •• '/ ed 1 ame Pe ilk.•icer' Si azure
.di,/ .4,:der: . A.,..., 6 /- 2 Y-0 3 /3_ ,)y-o 3
gnature PI-- e r,..compliance statement on back of permit** Issuing D'fte Expiration Date
Application Fee(s)i /uv,t✓ K Check# J i Local Pi rnng Jurisdiction Rover File Name

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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
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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19-733 I495 151-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 I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: b
5e '( ,bo,
ADDITIONAL NAMES: A(Vt‘,0 n, TCA--ct 2X-
Y
AEC DESIG: Lt/ t DEVELOP AREA: . D PROJ DESC: ( -ii
(Will only take 6) (Will only take 1)
p
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WORK: 1 R 5 5 C B L (O( (O Yk°
(Will only take 4)
IE ra( 1 (0 r=5. '( 10
( 00
MAINT:
(Will only take 4)
IMP: f "5-.
(will only take 6) .
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 9/)c/70 3 f J7)_y�

16,411
q. .
L*.

I

+ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X '" _ 0 Agent
• Print your name and address on the reverse _ _ /y. ElAddresse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece, C r _ L/ J
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: /`�,� If YES,enter delivery address below: 0 No
A
Cdt�,Xjn 1 -' iv L 3. S rvice Type
LG ai , Y! ito Certified Mail 0 Express Mail
yL ❑ Registered 0 Return Receipt for Merchandis
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
7002 3150 0006 761,5 01,46
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15

UNITED STATES POSTAL SERVICE^I L(� First-Class Mail
Postage&fees Paid ..
t PM USPS - - . _
Permit No.G-10
• Sender: Please prin ouj nary ; address, a .�4_irit ils,box •
�Q e_i AO o re_

-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatur:
item 4 if Restricted Delivery is desired. L�• //`L CIAgent
• Print your name and address on the reverse X W �L �❑Addresse
so that we can return the card to you. B. geived b'(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece, la I �)� rj
or on the front if space permits.
D. Is delivery address different from item 1? El Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
cC'iAA2.7 F RAY S
3701 TiVioE S FOR Q' --i_L/'� c.. �' J
U2rTt-Sr�ao ni 7Ya`,S›, -3. S ice Type
,....4,.3
IS/ice
Certified Mail ❑ Express Mail
aj /7:5 0_ CI Registered 0 Return Receipt for Merchandis
❑ Insured Mail CIC.O.D.
S J 4. Restricted Delivery?(Extra Fee) 0 Yes
�S OC\
2. Artir
(T,a, 7002 3150 0006 7815 0139
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15

UNITED STATES POSTAL SERVICE
1tZIAD =A
Post ees Paid-
cm 1 USPS
• Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this:box • • -

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DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: Soe`-7 11 ►co
Address of Property: a au ?u,wtos eR.EE K ��
5iJeAos FE( ? )
(Lot or street #, Street or Road, City & County)
I hereby certify that I own the property adjacent to the above-
Mentioned property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description of the 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, North Carolina, 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 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.
•
A/141.i 4 `i �003
Signature Date
5' ARip, G . /...LwLS AiSS5 '
Print Name
9/0- -799- 0 '/ toS Amy
'Telephone Number with Area Code -
Cnslcw County Planning Department
• 604 College Street
• Jacksonville, NC 28540 ,

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: _ O ? fOo
Address of Property: Lr JD RuVvt.PS c.p_,E. .[Z '
k)EA6s FERN A) & ..
(Lot or street #, Street or Road, City & County)
I hereby certify that I own the property adjacent to the above-
Mentioned property. The individual applying" for this permit has
described to me as shown on the attached drawing the development
they. are proposing. A description of the 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, North Carolina, 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 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.
`d a_7
?�/ • /, •
Signature Date °
Print Name L �=..,'tl
.3 S(p r vp " 3.2 ©.O Amu*
Telephone Number with 'Area Code
Cnslcw County Planning Department
604 College Street
Jacksonville,-NC 28540'_..._..-.• _ .. ._.
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