33454D - Phelps

("—" CAMA / DREDGE & FILL ,20 33454 -L
GENERAL PERMIT Previous permit# N041--
New iModification Complete Reissue Partial Reissue� L, Date previous permit issued //74`
c.
As authorized by the State of North Carolina, Department of Environment and Natu l Resources I //Z U O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .
/ ^ r
Applicant Name_ � � Y/�i f� �'1/'1� (�-r Project Location: County (vra vd.'
Address /9Or V d 7 a, .5 //1a Street Address/State Road/Lot#(s)
City• G State N�-ZIP CYY"/jj��2- ®
‘j&—Y--)-16-1-/ j
Phone#( ) 5 --• Fax#( )) Subdivision/ /✓! i ! I f"
Authorized AgentZth. J D " • City r ►�/J �jZIPAffected LiCW ❑ A ❑ES ❑PTS Phone # ( )�'61a River Basin,
❑OEA ❑HHF' ❑IH ❑UBA - N/A
AEC(s): Adj. Wtr. Body A �/ (nat /man lunkn,)
PWS: ❑FC: J-n/
/� � , Closest Maj.Wtr. Body '� o✓P
ORW: yes / no PNA yes / no Crit. Hab. yes / no '
^ r/vvc ir— b/ P /A tit) '► 1 I . ( ' 'C
Type of Project/Activity Gam►
q' kl)ct f- /I '/ C/
_ d (Scale: ( = ( O )
Pier(dock)length (Q I
Platform(s) 1 _I f` I I .s } __. �—
t
1.
Finger pier(s) i
s
Groin length - I II
I I
number Ao CI ! 'T
Bulkhead/Riprap length '
1_I �
av distance offshore rT;' T—
t
Basin,channel J�D 9 f l — 41t { — ; `f
! LI /. ,cubicyards l _ — -- I +. f
- ` i 1
Boat ramp f —.._... -}_
ril fTlic t et..1
Boathouse/Boa-
L—{01Nif ,, '
Beach Bungj \/ Vi i I
Other k` - '
tZ4B 5
'4 .1_
Shoreline Length - I I
`���""" 3) 70
SAY: not sure yes no — Y/;! � /"E'er-
Sandbags: not sure yes no 1 f I- I.—. - - -
Moratorium: n/a yes no I _.-- `...„ J, ,
Photos: yes , no Y : - ! ----- I
Waiver Attached: yes no I --- --- '
A building permit may be required by: . 1—,See note on back regarding River Basin rules.
Notes/Special Conditions • �1 h / /i 7 11 t Zoo 9 -
u i G{ 14-e j D CA r1 ,
Tia6 731/6:-S .
Agent or Applicant Printed Name itOffic sSignature
- 7 —1 — 03 /0—/-03
Signature **Please read compliance statement on back of perms Issuing Date Expiration Date
T � f_ S► '1 W G,.. .--O L/30/cM-.
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 252-264-390 I 252-946-648 I
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: [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 IO/05/OI

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. ignature
item 4 if Restricted Delivery is desired. 0 Agent
■ Print your name and address on the reverse x �-- 0 Address
so that we can return the card to you. B- eceived byJAint Name) C. Dat of Deli,
• Attach thiscard to the back the mailpiece,
orf Y i�1 ( 1 Q i y 37/Z `)
on the front if space permits. Y1, Y_�
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
/I,� 16/U tgie11' '�67
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6,eC.,0",// AL (7/
Gio� �c 03
60((i� �N / v 3. ySe�iceType
{fit Certified Mail 0 Express Mail
/❑ Registered 0 Return Receipt for Merchandi
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) ---
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1

UNI FED STATES POSTAL SEA ,r--� First--Gass-ihaA is
id
_� �... Postage�Fees Paid
(r _.P�� ?. ,..-- USPs
Permit No.G-10
12 h''.- , c, --. .--
• Sender: Please pt e, address, and ZIP+4 in this box • .-
Pg 6 6 19 (ie/eS' '(J1//“/
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KT34a3"y-'''
ADJACENT Rep DIVISIo OF COASTAL pNAG ARz.�N PRDPE TY OqN ENT
ER NDTI ICATION pprp FORM
1(,_V7.%
Name Of Individual Applying Pp ying For Permit: /w1 4 s-
Address Of Property ¢ p
: `Z-f-Z &d i 4.$n y /� $
l72 .
(Lot ar Street ,A did (C �'` ZZ
#, St eet or Road
City 6 County)
I hereby certify • that I
ve-
referenced r own property adjacent to ref described property. The individual a the at has to me as shown on the attached drag for this they ' are proposing. drawingPermit has
should b A description or draw the development
,
e p ovided with this letter, 1n9� with dimensions,
have no objections to this proposal.
•
If vau hav ob 'ections to
hat s being nr000sed lease write the
Division
North arolina 28405 o f Coastal Management
127 card ' a
days ofi Drive E ens 'an
roc iut of this no call 910 39 -3 00 within
no
ob ection ice. o resao se is the
f ou have been notified by conside d the same
Certified Ma ' I
. WAIVER ECTION
I understand that a pier, dock
house, lift or sandbags must be set mooringc pilings, ''
from my area of p9 , breakwater, boat
riparian access unless a waived
distance u is ,
to waive ,the setback, you mus waived byme.
below.) s initial the a (If you s
appropriate blank
--_-_- -- I do wish to waive the
15 setback requirement_
`_— = d- not wish to waive the ISrs
etback requirement_
•
Signa u e Zr Ud J
D to
A . APri��Narne3 �ay , = _
Te_'ephone Number With
Area Code D H
I 'd ZEIT -E178-t,OL phi s�onpo�d �au�ts d6S :b0 OL i0 Ue['

KIMBERLY A MOWBRAY 4547
MARION J PHELPS(910)793 8185 P,— ,.. 6 D ee 1zza 1
I'
9405 VOUACiERS WAY „h)=aY Date
WILMINGTON,NC 28412 ax d y'
Pay to the A j G D /`1 $ /Op, 04,
Order of
QN/t N 8 Dollars '
'BANK OFWII GT
Wilmington,NC 28405
ue„�3 ___ _ ____
For_e,fo��4__� e< - -- —
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