36923D - Peterseil

4110k..XCANIA/ DREDGE & FILL 399231
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 I 5A NCAC 71//200 .
"Rules attached.
Applicant Name f2c4i o , 74r/See/ Project Location: County DrLi7)344.iiGk.,-.0
Address /20V 10657e (,/ c-4 71 A f,vL Street Address/State Road/Lot#(s) (KA
City •-,i. / t"cnC State ,"'.1C ZIP ,f�L�5 wesi achf- AY i✓e
Phone # ( ) Fax# ( ) Subdivision J - -
Authorized Agent 6.�r9 Pre✓a-tte. City Oa k- i�(4 nc� ZIP _2$ 5
Affected )<Cw 'tw TA ES PTS Phone # ( ) River Basin Lh rrt 6C_<.
s OEA HHF IH UBA N/A
AEC : Adj.Wtr. BodyA/W+c)
PWS: FC: (nat /n�an�/unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj.Wtr. Body - f�/�LcJ
Type of Project/Activity /(Jep(aCA Oh/ 66c4_ 's /vci' (.4)/ Nei ) Pirr; (6'✓rccci a ic.k_
I 5e -f L7 (Scale: //'1, 2 C )
Pier(dock)length /SO 'X'f
Platform(s) /ax/14 Co rc tcd l 1 OI
Finger pier(s) ��'�� r-------17
Groin length
number ' • rl r
Bulkhead/Riprap length _ �y� I '
avg distance offshore • �U' OL6U�fL P.
distance offshore s 0 f
Basin,channel --"� -.-.
i
cubic yards /SU
Boat ramp _
Boathou /�Boatlift /� A /a I �' h f,
' '' L
Beach Bulldozing f Lf `/ J __
Other �/ V. L tY V ' 4// `. 1- ;._1- i i
Shoreline Length 60O
SAY: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes
Photos: 6
Waiver Attached: }yes n (__
A building permit may be required by: /fin to/-w�(. /�(G/1G1 • C See note on back regarding River Basin rules.
�� C
Notes/Special Conditions � ,k/ia y-z.L • G L rf// /Zoo /�}vy c.;
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Agent orJplicant Pri Name Permit Officer's Signature
- /Z i 0/0 3 NtA2cl-( /U,ul
Si to **Please read compliance statement on back of permit** Issuing to Expiration Date
,( o U APII j)Ae /56nAla iV/a2/0/8E
Application Fee(s) Check# 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(252-946-6481)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 252-264-3901 252-946-648 I
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
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)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
'APPLICANT NAME: /9 -ry?
ADDITIONAL NAMES:
AEC DESIG: E / C W Pr DEVELOP AREA: . G PROJ DESC: P -%
(Will only take 6) (Will only take 1)
WORK: t3L 12-) 12- LL t1IrJ
(Will only take 4)
P2 I 57), y-
MAINT:
(Will only take 4)
/
IMP: ��'V1i
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /4 0 /0 3 3/i O/(64
CAMA MAJOR DEVEL REQUIRED: /2//0A3 3//a (O-

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You entered 7001 1940 0004 3547 4609
Your item was delivered at 12:21 pm on August 06, 2003 in
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•
SHORELINE
MARINE CONSTRUCTION
I
15
GREG PREVATT 67-7235/2532
P.O. BOX 10671 3258000872
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SOUTHPORT, NC 28461 2241
8 PAY TO THE DATE
,e, ORDER OF hi
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COASTAL FEDERAL
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BANK
DOLLARS 8 „"r-r---
SOUTHHP�ORT,Nr=2 61 . °w+ar,
MEMO � r��� GPO� ,�3 /�/
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