33359D - Pleasant

41 CAMA / DREDGE & FILL N2 33359D
GENERAL PERMIT Previous permit#
)G _ New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of Northkarolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 Al Z OCR .
pk,----614,1-
Rules attached.
Applicant Name 112A a ' 11 i2A0 P Project Location: County O NS L oc.c,J
Address U 9 . 4. Street Address/State Road/Lot#(s)
City State A)0 ZIP 2.&y — 9 09` SI
Phone # ( /O) ' Fax#( ) Subdivision D L 1) .S E 77 Len -3 cgeA Q
Authorized Agent)S 76//E F}l / NO Z J City 6 Lf n F L cry ZIP 2.49'41 t/ 3--
Affected ❑CW S �J
EW 'PTA DES C PTS Phone# ( ) River Basin £ r /_.
❑OEA ❑HHF ❑IH ❑UBA N/A
AECs : Adj.Wtr. Bodya.,.1 r N/�t
� ) ElPWS: ❑FC: ,r'v rri)t (nat / /unkn)
ORW: yes /�r d" PNA yes / no Crit. Hal). yes / no Closest Maj. Wtr. Body O /C Sd t l tv D
Type of Project/Activity ADD al N 3 j OA7 L I f 77) icxi 5 Ti Ai Doe K
1 • (Scale: / "= Z O' )
Pier(dock)length Se ,X__- Nr
1
Platform(s) ■■ I ■■ ■ /yam III
i Finger pier(s) I I
Groin length i
1 JV
number I liNL( �00 . 1,/' • y { .
Bulkhead/Riprap length O . - e ■■- 1
avg distance offshore JI ■.v s *w
{ 00g4
max distance offshore ..... 1... ' 1 Fill- 1 j_J IF r
lie,
Basin,channel �_ , ,",'■ M I '
cubic yards 7-7- 4II JT/ ■
r'. gi 8X ,
Boat ramp ,_-{—
Boathouse/ oatlik (0 A Co i Hi"
�,i
1
Beach Bulldozing 1 ■1M111■.. t1
Other '
11 - I .
.. -- -._._ �. .__.
1
Shoreline Length S:r
_-1 ■�■
SAV: not sure yes no 1
I 1-PI
Sandbags: not sure yes no L �Li_.�..
Moratorium: n/a yes no I r }
Photos: yes no .-, I I • {II —
Waiver Attached: yes no - I ( ` '_
A building permit may be required by: SG( 17r a I ! T . ['i See note on back regarding River Basin rules.
Notes/Special Conditions `A h.)07 C'XP Q Qb 1
I r9 ) I ct -11 OF CJA h 8 0 D%
Agent or Applicant Printed Name Perri icer'sSignature
-- y -l6 -03 7-/ - 03
Signature **Please read compliance statement on back of permit** ssuing Date Expiration Date
100, 06 /b J °\ 'it q 1 Or -,i3
ApplicationFee(s) Check# Local Planning Jurisdictionqi1.01// /
ver 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:
I I 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]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
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: 9I 9 733 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 10/05/01

GENERAL PERMIT COMPUTER FORM. • :
ApPLICANTR4AE: .r2Accoi- l rAaeei peil-s4A/-1
ADDITIONAL NAMES- al4
ABC DESIG: 44J
on3ytais D� �=V^I.O�P
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(R�on.trui=1)
WORK
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(M-iTi only ufkr 4)
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ACTION JATIONT
DRE3M L FILL.
REQUIRE): Ll f( -O3 —/6 v 3
CAMA MAJOR D ,L.,QUIP : --/6o '

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
property adjacent to JVAZI/V\R ��`� 's
I hereby certify that I own prop y � j�'
(Name of Property Owner)
}- property located at r t y o q t-Lk
(Lot, Block, Road, a c.)
on 4- ,00/ , in (.trC , N.C.
(Waterbody) (Town a d/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
r.-rbr /2 x Zy 6 Y`
bra
3
CIA
s*rd 11I I(
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Signature
•
/,Q (4/Z 6/7.
Print or Type Name
Telephone Number
Date:

•
h69 h -6
2A-j -LTy

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /I ac-y 1,1e
Address of Property: 70?7 7
(Lot or Street#, Street or Road)
C 1
(City and Coun
•
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.
t4J 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.
Sign Na e - y
Date
V-(a---6(1:7
nt N y me • NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NatRAL RESOURCES
Telephone Number with Area Code S:\cama\shells\rip arianproperty.fru'

Bank of•America Advantage'
STEPHEN E. ANTINORI NCDL 3338400 1019
910-327-3318
135 VIRGINIA LN. 66-19I630 NC
SNEADS FERRY, NCB 28460-6745 Date
/12 6 3 6070
Pa I, /VC• ✓, a iv e 1 $ ga7G)
to the ord •of_ ,IL O`',40,0„,-- '
Dollars e �m
Bank of America. ,4 PO 3
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ACH H/7 053000196 _
A9emn /�N S'kJ!/Y A 011Y f - --- - —- . IP
1:0530001961: 00069 200 59 34e 1019