33572D - Phillips

,CAMA / DREDGE & FILL .N? 335 2_D
GENERAL PERMIT Previous permit #
New - Modification Complete Reissue Partial Reissue Date previous permit issued
r .
As authorized by tLe State of North Carolina, Department of Environment and Natural Resources t1 I11
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 • 12W •
C�
--�� ,Rules attached.
Applicant Name �J vei r�i ��", ID s Project Location: County r i.A.f15 u).C..�
Address j-2-(0 w c T 51 c r , Q L Street Address/State Road/ Lot#(s) 2C0
City ON1..- _,,1 ,'\„.8 State f'iUZIP .2-54C�5" wesT rs I -"ik c''I Jam.
Phone# ( ..� (,Ot` `1vUcl Fax # ( ) Subdivision 1 , i1 ne..Ar .3 d ► r\'t
Authorized Agent T�m rn _ _ V� I' Li City C A L 1 Sl a ZIP
❑CW N(EW EXTTA 1❑ES ❑PTS Phone # ( ) River Basin LA(v\ c_„(`
Affected
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Ar J1 5 �1 A (nat /man /unkn)
❑PWS: FC: 1
ORW: yes /�io PNA yes / no Cat.Hab. yes / no Closest Maj.Wtr. Body Z IA)
Type of Project/Activity ) LAS Co\1 cif,-d ko c + \ ct
(Scale: N VT Tc )
Pier(dock)length _,- . _—
Platform(s) — • i , '
`` `` / t _
Finger pier(s) j _ T.l e
I V.,
Groin length I �� ^"''
number
Bulkhead/Riprap length _ _ { j
avg distance offshore �t 11
--_...., IlL
—...... --.._.__..._
max distance offshore — ,— � 1.... i �-- -lff-4-1
.... —._- .
j I i '
Basin,channel ; � —
I ' I
cubic yards ( , j 1 I '
Boat ramp -- I
Boathouse/Boatlif` I 2 ' X I i I . _
Beach Bulldozing l I to Q I } 1
�Or
Other so r sl ;,4 , IT
.
I MI I- t M .._ A — --
t ._�
r I I -- —r—. ._. {�r b, PO Se
I
Shoreline Length . -- - d I 1 i r
SAV: not sure yes no —-- --—
1 1 I
Sandbags: not sure yes - l I e j :
Moratorium: n/a yes i ' ` lin•• �4 T I -
Photos: yes n i
j T I
Waiver Attached: yes no ----
A building permit may be required by:_ OA k- 1 5k ri 1 ' I I See note on back regarding River Basin rules.
Notes/Special Conditions Q.Q f \1 (0 t-41 URS n4\ 'T1 • 11Qn
_I' )v rr,t r c_. ';--h1si--n 2 bo to,i s he J on C'd ±1-,_; <, S (4-Lk t
CO n e. 1 rs 1 ',F 4- f\--Y-,A 0 roc_i (i -LO n f .
1v14\im* Pewr _ - , siz 9 00
Agent or rimed Name (� Permit•'it er's Signature
i (r 1t � --- 2- ‘Z- 03 5-- 1.2-U3
Signature **Please read compliance statement on back of permit** �,. Issuing Date Expiration Date
4 \uo•
''ra r1:�; 6 A L T t 6,N8 PQ212_1 Ci A
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
._ . . -,. - _.. �.� ..a..s.vr.6k-- _-r.J4yl..l&A .YFEtJ. wiraIlik-,,,yad"=---,„,..i..._._ ,_.„v rLi. ..f1.aL.aYii

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(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 252-264-390 I 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
9I 9-733 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: 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 10/05/0l

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 3 pp__ 'P N`i It t 5
ADDITIONAL NAMES:
AEC DESIG: P e (A) DEVELOP AREA: ,O 1 PROJ DESC: P - 1 2.
(Will only take 6) (Will only take 1)
WORK: b 1 I Z` )c 12'
(Will only take 4)
MAINT: •
(Will only take 4)
IMP: O'i J 44
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 2--12 --03 5'- 12-0 3
CAMA MAJOR DEVEL REQUIRED: 2-(2- o 5- 12' 0 3

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Ca.:plete items 1,2,and 3.Also complete A. Signs• ei--)
item 4 if Restricted Delivery is desired. X I ❑Agent
■ Prir,:your name and address on the reverse Addressee
so what we can return the card to you. g. p- lived b (Printed Na C. Date of Delivers
• Attach this card to the back of the mailpiece, /� �l
or on the front if space permits.
1. Article Addressed to: D. Is delivery address diff rent from item 1? CIYes
if YES,enter delivery address below: ❑No
3. Service Type
C 5 c;7 ❑Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) ' 7002 2 410 0006 1904 3 614
=S Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-Z-og

UNITED STATES POSTAL SERVICE First-Class Mail
11 Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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Sc�v-r"thPriv�-- N
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,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. /� '\gent
■ Fruit your name and address on the reverse X �/-�,�,,�, . �‘--- ❑Addresse
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,
or on the front if space permits. LA-Ja 1\-'!)A r rt Aket; ///G/6_
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
it YES,enter delive ress below: ,No
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3. Service Type' 3
a'c.I S 0 Certified mat__ Expfes&' ail
❑ Register Q Return Receipt for Merchandis
❑Insured Mail -C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2, Article Number
(Transfer from service la 7002 2410 _<0006 1904 3607
S Form 3811,August 2001 Domestic Return Receipt 2ACPRl-03-Z-05.

UNITED STATES POSTAL SERV _.-ems'" 'first-Cta M2il �•
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• Sender: Please prin o ngte,Address,
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. 0.........,...7.(.117:t„.... . P.O. Box 11046 ,,
.,, (91Q) 457-5488
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- Southport, North Carolina 28461
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Yi THE AMERICAN FISH CO. 68315
'iI CHARLES H. OR KAREN Z. PERRY d
j' P.O.BOX 11046,WEST BAY ST. 4
1 SOUTHPORT,NC 28461
66-30/5 31
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