33519D - Mayo

0 .CAMA / DREDGE & FILL N9 33519-b
GENERAL PERMIT Previous permit#
>Z lNew 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 ISA NCAC ), ,, i oro .
Rules attached.
Applicant Name 't, \ ANA yO Project Location: County i,,0 r%A.-
Address I j' 131I N') r
C V k CC Street Address/State Road/Lot #(s) S4rP .1 j t.- FT
City c IV -l ,t _ State /`./C ZIP )ki ! S r
Phone#( ) Fax# ( ) Subdivision
Authorized Agent /V �-- City ZIP
Affected LiCW L,I�1V f T!!A i -ES PTS Phone # ( ) River Basin
❑OEA ❑HHF ❑IH LL UBA N/A
AEC(s): Adj.Wtr. Body kif5 jnat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body aPs►4 ' SOWs i)
Type of Project/Activity ,710)/Fi/4- iIA, I Xl - 1 XCK-
(Scale: / 30 ' )
Pier(dock)length _ S -_
Platform(s) — —. t t� i i i
Finger pier(s) — I f
Groin length j 1 1 1 I j • I l
number
•
Bulkhead/Riprap length I I; I t I
avg distance offshore _..._,
max distance offshore — _
Basin,channel _
i ! — i
cubic yards 1 i
Boat ramp_ i J / �" 1t
Boathouse/Boatlift I� )(4) i C I 1
c;'1jY P Jr j ` _ H
Beach Bulldozing /► { lumiH '
Other KeIO(Ht' Y�UN ( II
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L..._ i .
Shoreline Length _ I _
SAV: not sure yes no ! _ .401- ' - ,1 _ _
Sandbags: not sure yes no - ! --- --
_. --
Moratorium: n/a yes no
•
Photos: yes no ;
Waiver Attached: yes not f—�i I
A building permit may be required by: --- pr (i I 1 . L See note on back regarding River Basin rules.
Notes/Special Conditions /
/, ; ,-1 y LiAgent or Applicant Printed Name Permit is7) ignature
1 / j-7- 0.9 J 3 -_)-? G j
Signature **Please read compliance statement on back of permit** lssui g Date Expiration Date
c144 /1I
Application Fee(s) Check# /2_JJ 7 Local PlanningJ urisdiction 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
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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19-733 I495 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 l0/OS/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: &L-L WI, 0
•
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ADDITIONAL NAh S:
AEC DESIG: CC.t> J DEVELOP AREA:Q, 0Q3 PROJ DESC: % Zoo O
(Will only take 6) ) (Will only take 1)
WORK: j3t.. r /
(Will only take 4)
or I
MAINTI•:
(Will only take 4)
IMP: G /y N
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CANNA MAJOR DEV':.L REQUIRED: Z d -3_2,9- -p_

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DIVISION OF CQASTAL MANAGEMENT
ADJACENT IUP41JA.N tEDT r ' Q3afil i ti `TffIQATION•/' ', IVER FORM
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Name Of Individual Ap lyingFor Penult; 011.1/440-*
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Address Of Property:Prop e j/ ,
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(Lot or Street#, Street or Igo d, City&E County)
I hereby certify that I own property adjacent to the aboverefereneed property. The individual
applying for this perroiid has described to m.e as shown on the attached drawing the development they -
are proposing. A desoliption or drawing,with dimensions,should be provided with this letter.
•
I have zoo Al)ections to this proposal.
Ityau have o]s e what is being proposed.please ete the Oiejei Hof C,uastaI Managerrnet
127Noee aim' i I Wit' } •!;, 2- ' I ! • 4 • • .9 - 911 • '}
of receipt of this noti • o r •• • eons-iiereLthe same n bj °tie iLyo have be���
eutif ed by Ceeifiedd
VAty 'l Q' C" . ON •
•
I welerstand that a pier dock,mooring pilings,breakwater,boat house,lift or sandbags must be set
back a minimum distarjce of 13'from my area of riparian access unless waived by me. (If you wish •
to waive the setback, pu must initial the appropriate blank.below.)
Air I do wish to waive the '15' setback requirement,
I do not wish to waive the 15'setback requirement.
•
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Signature ,/ . Date e��..�r�
Print Name NCDENR
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Telephone Number v th Area Code �1°"'�' ''''` i4"""7°ir
ae meth uw Namur.Rateupees
Poet'Fax Nose 7671 nit f/..
To x Pimp � +�'
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Fait a �„�/J vid 7 Fax M

lc Y.Li .L.LU.. iCrg'iIMi! P I1LVL::1t NPMQ Itil_I•uui I .1
DESIGN OF'C,OAS AL MANAGEMENT
NDJ CENT P RI dkikaiC :Ul ESCI NQ,. FCA 'WN Ut ,IVE.R FORM.
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Name Of Individual Apt lying For Permit, • l l//4 4 .V
Address Of Property: I -
(Lot or Street#,Street or Ro d,City&County) .
I hereby certify that I cwn property adjacent to the above-referenced property. The individual
. applying for this permi has described to me as shown on the attached drawing the development they
are proposing. A desc 'ptio;t or drawing,with dimensions,should be provided with this letter.
• I have no jeotions to this proposal.
.0 v g proposed.n ease write the D'vii ' n o'C Q •Al air
• 127 North C •g,VV'ilsnitagl • To e,Io in $ 1 - 'itliit Y©da
. ecelnt af zoo i o Yes c is copcidered 1
notified by Certified �ei1.
WANT SEC7t'l`o. •
I understand that a pier dock,mooring pilings,breakwater,boat house,lift or sandbags must be set
back a minimum dist of 15'from my area of riparian access unless waived by me. (If you wish
to waive thesetback, . u t initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
-- -- I l wish to waive the 15'setback requirement.
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t o� Ti..:„.,:.,
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Signature Date
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print Name �--• NCDENR
4--a a 1'1'—A .
• Telephone Number W.th Area Code ,� a GAMMA '" e� .
Post-Itt Fax Note 7671 o°rs//.may- . Ago, /f
to to Pram
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NOV.27.200?_ 10:47AN NCDE`•R WIRO NO.007 P.1
DIVISIQN OF COASTAL 1VIANAGENTrNT
'ADJACENT RIP'RI..AN'PROP E I OTIFICATIQNIWAIVER FORM
Name Of Individual ApDin
g For Pern'>.it, l `1 i11'S F '` 'A t! U
1/S. .CLAN - i rkc.�.
Address Of Property: f--�---'—'— ---
1 .SC4-, f C t ) ( - ;8 �5
i (Lot or Street if,, Street or Road, �
City& County)
I
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
arc roposing. A desc 'ption or drawing,with dimensions,should be provided with this letter.
I
t� have no al
jections to this proposal.
1
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If you have o jections 4 whatis being proposed.pleas_e write the Division of Coastal Management,
nal
127 North Card' Driv Wilmington.North Gina,28405 or call 910 395-3900 w•iti I0 days
of receipt of this not; .. No response is considered the sate as no objection if you have been
notified by Certified?' ail
t...........___.,jam.ax.....16.minimuw. e.......--..,.....1
1 WAIVER,SECTION
I understand that a piers dock,mooring pilings,breakwater,boat house,lift or sandbags must be set
back a minimum die tace
of 15'from my area of riparian access unless waived by me. (If you wish
to waive the setback,i u must initial the appropriate blank below.)
V I do wish to waive the 15' setback requirement,
I die not wish to waive the 15' setback requirement.
-
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J1 2- i/2 O(.1L-
i to Date ,Aw�.,..v
Print r Wm6-EDE---NR
Telephone Numoer With Area Code ENvarReNMeNr AND NRLIFIA Re aUPARTmoriT NCM
Post-It'Fax Nate 7671 D*°/%_)^) gee* /
6 �o� #�k. Y G prom
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WILLIAM F. MAYO DL 1e22517
6516 CARMEL TRAIL 686-1013 2394
WILMINGTON,NC 28411
2 7 e 66-763/531 CC
ate
WACHOVIA Dollars t
WachuNia Bank,N.A.
N iIni lok,NC 28102
MeMO
I:0 5 3 /0 7 6 3 31: 8 .
612 500407u 2394