33584D - Russ

0 L _LAMA / DREDGE & FILL ; ;3 3 z 84 D
GENERAL PERMIT Pre
vious permit #
)C -,New Modification LIComplete 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 15A NCAC /4•/2 OU
---�•�� ❑Rules attached.
Applicant Name ✓0/jr) X'4 5:� Project Location: County O -f/7S6tl/C IC,
Address �.2 L'I Safe// j CCi C.f? Roq d Street Address/State Road/Lot#(s) LOf eO
City iidohlariei State NC ZIP.a SW,S Wa/de,7 /"r d Lane.
Fax W1
Phone # (qlr) '7Slog7 Fax # ( ) Subdivision -1de Fard
Authorized Agent City JO/14A Aar—f ZIP 2gT 6' I
Affected >t Cw XI EW I PTA _'ES ❑PTS Phone# (- ) River� Basin d L' r-e0/`
AEC(s): ❑OEA ❑HHF IH UBA ❑N/A W Q�Qf_n a6
Adj. Wtr. Body (e /man /unkn)
❑ PWS: O FC: Closest Maj.Wtr. Body pre relit .-RI V r"
ORW: yes no PNA yes / no Crit. Hab. yes / no
Type of Project/Activity COfSti Zi cr I-1/C r /-/ZGi-t/fig- `}OCk:.L./ (Scale: A/�/
Pier(dock)length G' X`'/ z `
Platforms)i iL� /O/YZO• - ! - -
�.letteed.k
Finger pier(s)
I ! ! a ► r I
Groin length I H- ---- j I
number !
Bulkhead/Riprap length I tz,U 1 ti 1
g • r I a—`t;;7 y. -av distance offshore ; ' �Y
max distance offshore °h� — . —._ .µ
r
Basin,channel \V
cubic yards I t + 4 Ni,t,! ' vill Nil *- I I NY 1Y I
Boat ramp _._.... ii I' ' i iil V \i',
i ` , ._.
Boathouse/Boatlift n - i i t —
1 I a ro .ice I j
Beach Bulldozing j , i I i ► I
Other ■ f __. .r.� =r
onnalliM
■ _ 111�i.- F2 (I NM ��,I i :
Shoreline Length /6-1. I •p , 4 : I
SAV: not sure yes a j - 1 I.- i- 1� L
Sandbags: not sure yes i _. - I
f -
Moratorium: n/a yes no t
Photos: yes I I 1
Waiver Attached: yes a. 1 1 _ , I 11 ( I
A building permit may be required by: /i-'f7 .//[ j �OG!/7 n,/ ❑See note on back regarding River Basin rules.
Notes/Special Conditions ��/h:{ Cerndi�7rvi5 - //7- od /4' ,/ 7/OQ] 5.7L /'j07I
dt l d mere /1 �,r) $, ` � wia41-A of 7€ IvG �ytr..^ bed/.
Agent or 'cant Printed e Permit Officer's Signature�y April 2 )40.3 71241/0,3
Signat�f`e Please read compliance statement on back of permit**17
Issuing Date Expiration Date
100
Appli tionFee(s) Check# Local Planning Jurisdiction Rover File Name

I
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
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] I5 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: ✓ /7/? IeL/55
ADDITIONAL NAMES:
AEC DESIG:11W I5'W , 05 DEVELOP AREA: 3605Z_ PROJ DESC: P -AZ.
(Will only take 6) • (Will only take 1)
WORK:
(Will only take 4)
MAINT:
(Will only take 4)
IMP: VI
(will only take 6).
d\A/
ACTION EXPIRATION
. DREDGE&FILL REQUIRED: 7.2 4e•03
CAMA MAJOR DEVEL REQUIRED: 474 it u 3 7 • 2 • Q3

iii
r r ciO\OF CO MANAGEMPNT
AfnurrNT RTPARTAN PROIFRTV OWNFR NOTiFICATION/WATVF.R FORM
Name'Of Individual Applying For Permit: r,/r/ U�S S
Address Of Property: 4 0 i- 6 4)4afty. /'n t J, h
,cnU1llJort' /1'e 2S2d i`
(Lot or Street N,Streetor Road,City&County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
apply'._ for this permit has described to die as shown on the attached
drawing the.development
they �� •roposing. A description or drawing, with dimensions, should be provided with this
le.'; ,11
iqil► I have no objections to this proposal.
v,` •
if yn haves nj tinny in what ie he i .,�ng I I nle�c� a ' . . i tree
Manaeettee►nt 171 North C`nrd al i)rrvn Wilmi ir 7
won within 10 days of nmeilst of thic notice No trcponse_is nsider ii the came:sc nn nhjtntjap
if you have been notified by Certified Mail
WALVw.Rsw 'fln11I
I understand that a pier,dock, mooring pilings;breakwater,boat house, lift or sandbags must be
set back 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.
1 do_n t wish to waive the 15'setback requirement.
1(,, p
Siiii 3/3//03 AftrA
a Date
fron V G , ,1. + ioa..�<a
Print Name NCDEHR
Telephone Number With Area Code oo+uers�er or
•
. connwown rum Naua.Renounces

•
DIVISION OF1'0',AT&T.1114NAGFMFN'T
AnIACFNT RIP&RI4N PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit Oc`j 4S S
Address Of Property: L 66 et)aL d 4,4 �p�� G ,//) -,
-S C thpc i- t lV e 2 Ozd- /
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to n5e as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have.no objections to this proposal.
ynu have nl►irr►ir...e Ln dr at ie tn$ iac:l jn 2e Wryt� th. Try r c
nauemrnt 1�� North Carrt;,,�3 Ikivr Wilmingpp�_Nnr+h (`�rni- 1g�
If
1900 within 10 days of receipt of this win No trsponc is_considered the same as no nbjerrion
if you have hen notified by Cerrifjril Mail
I understand thnt a pier,dock, mooring pilings,breakwater,boat house, lift or
set back a minimum distance of 15' from myarea ofd by me. If u
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&LAX wish to waive the 15' setback requirement.
CA AVA
Signature Date
Arck
Print Name NCDENR
Telephone Number With Area Code fin•c.�«,..ovw�.r,a.o,
EivvelooNmuer wauw„.Aeaouncrs

67-7235/2532 2 0 4 0
SHORELINE MARINE CONSTRUCTION 3258000872
GREG PREVATTE /2j /c3
P.O. BOXX 10671 10671 DATE /
SOUTHPORT, NC 213461
$ JJ °
i. i PAY TO THE
ORDER OF 1�I
iI CM Q MO ,QO/'�/}-1.S DOLLARS ' o.,....e.
• I
1 j.
g COASTAL FEDERAL BANK
o SOUTHPORT,NC 28461 i
MEMO V P D 53SEcf 4?:;?---- YL ------
i: 2532 ? 23551: 32580008 ? 21 OLIO _3