33563D - Rooks

0 le CAMA / DREDGE & FILL iN''' 33763DGENERAL PERMIT Previous permit#
>G _ New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources //O a
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
r� 1 -"Rules attached.
Applicant Name K, F- K S Project Location: County O 4- _
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Address / / � ki,u65 LA,Jd fN 6 K-d Street Address/State Road/ Lot#(s)
City d A Ni p 5 Jr° JI D State P ZIP ) /i/ + /j 25 )4 I W G 4/4/tV 7«-
Phone# (Tld) "_�5j ?187 Fax#( ) Subdivision
Authorized Agent .Yl nnm Y NO R I i-- City 14AM f sTti D ZIP �84/
❑CW ❑EW ',k PTA j ES PTS Phone # ( ) - River Basin-- i
F F6A1Z-
Affected
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA IL N/A Adj.Wtr. Body _ r�-J t_ (A-; A man unkn
❑ PWS: ❑FC: ) °PS Ct ► I -::)(-)(A Iv
ORW: I no PNA yes / no Crit. Hab. yes / no
yes '' Closest Maj.Wtr. Body
Type of Project/Activity P.Qj ! .2 1)rl VA 4- bu 114 h P A Ai
(Scale: , 30 )
Pier(dock)length _ ____-__--_
Platform(s) 1
l
Finger piers) (-j { {
Groin length
number I /
Bulkhead/Riprap length !�V 101 I I + SC) O.
�/ - +
avg distance offshore '
-r f ..� ... ..._ _ I -
max distance offshore y i I -
i '
Basin,channel __
dIUL
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cubic yards — 7 �fT I F - I i
:::::
�� � il-OAT!n'ha-tvfei you Boatlift / ' of&
,)
Beach Bulldozing - + i —
Other ii- ' 1 �'__ I
+ I Mom • r karoii,
Shoreline Length
SAV: not sure yes no Exi3T(N
Sandbags: not sure yes no $ — ----- —
�CKH4 ._— T _ __
111
C �. .� y.' —
Moratorium: n/a yes no
Photos: yes no . . : s 4/beelP._.. -.�.--}.._ -) L
zj
Waiver Attached: yes no . ' - -
A building permit may be required by: Y 7 V ODu N 77l . n See note on back regarding River Basin rules.
Notes/Special Conditions h44f/ NOT 610 o 4T f-NV FUR r 77/A11/40 Z ' //V Fi"ON7 of E.k,' rirk.J'
Agent or Applicant Printed Name i r'sSignature
,/� Rd d Fi b N, aO03 Pe C. y 7603
Signatu "Pleas-
Please read compliance statement on back of permit's" Issuing Date Expiration Date
100,00 f I 08 / 'PE/Jo iz 0OU N ( 0 30 4/611
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

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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.
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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]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie,Hertford, Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 ! 1888 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 I0/05/0I

GENERAL PERMIT COMPUTER FORM .
APPLICANT NAME: -;77,4 g goo IS
ADDITIONAL N_AAES: J f h 'v 1 y pvso TzThi &A'S TfYL 041 A14/ive° 0076 TyLu c 7'7n-7 ' -:
AEC DESIG: S DEVELOP_p AR--4: DR D PROJ DES C:
(Pa only take 6)
(Will Dale take 1)7/
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WORK: R/1 /36
(Wa only take 4)
IvLAL►\TT:
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(Will only takr 4)
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ThE): /G� ( 9.5-0
coral only take 6) •— 2(vv
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
3 - y-03 6 - V d3
CAMA MAJOR DEVEL REQUIRE): 3 Y - 0 3 6 -iF--0-3

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Name Of Individual Applying For Permit etiN. A F-iyt
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Address Of Property 0
. s; •;.J. .; ••,; 7 1 •
l'iiLyti•_ etzYLCi. i1J /-14 .1/
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(Lot or teetiii:StreefirirW3ad, City & Count )
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I hereby certify that I own property adjacent to the above-referenced property: The individual
applying for this permit has described toilie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensi9ns, should be provided with this
letter. •
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• A' I have no objections to this proposal.
. . . •ng prppncr'it pTee wr1te _the Ilivisjori, of Coastal
Manarr.prent, 127Nnrth Cardinal-nrivngan North Catalina,2E405 or tall 9.1.0 US=
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390t withhj flBays nf rereirt of tith nntine_ respnnse ic considered the same RR 'IQ nhjentirin
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moissommak
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WAVIVER nr,rTWATI
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I Understand thatA pier;dik14:-InOoring pilings, breakwater, boat housei lift or sandbags-must be
setback a minimum distance of 15' from my area of riParian adt*SsUhIestwaived byine •-.(If you
wish to waive the setback, you must initial the appropriate blank beloW.).
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I do wish to waive the,15' setback requirement.
I idn nnt_Wish to waive the.151-setback-requirement.
..w•••• •••••• .•
1:6j11°( A 0/03
/ ,Signatur</ _IA tar D,ate Ana
\./efibi5 amawaraslamammos.
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\/ Print
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Telephone Number With Area Code • - r4P"'""r
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TTTA!"GNT RWA�TAN PROPFF1. / ,aAl�lE$ ' C} iCA'YI�I•
/WAi�FR FnR�i
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Name Of Individual Applying For Permit: i -a-� -a
Address Of Property:
. . . .... . .. ... .
1 14 d ,
(Lot Street#, Str r Road, City & ounty)
I hereby certify that I own property adjacent to the above-referenced property. The.individual
applying for this permit has described toltie as shown on the attached drawing the development
_they are proposing. A description or drawing, with'ditaeusions, should be provided with this ,_ _
letter.0:414:r"I have no objections to this proposal.
Tf von have old inns to wha is beingP r OP faed. please write:the Division of Caasttl
' n 27 North Ordinal Thrive '�jil.,ninatnn Nnrth-C t+lina, 2R105 cr"%all 41n ��
IM O within 1 fisiayc Rf rrreipt of this nnt]r Wp resp=Is onn-literes1 the same as no.ehjr'tinn
f_ en h
; :....._. beet nntifir by"�_erti MAil-,--.- . ._
J yi.m - -,
W AIR SFerfirc = .
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
setback 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.)
/
1! I de wish to waive the 15' setback requirement.
I Tin nit wish,to waive Me,15';setback requirement. .
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e Date ....— .__. . _ - , ... -: -. ^-: �. ,..
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Telephone Number With Area Code EsvogammorT Aso NAVRA;_RasouRors

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COASTAL MARINE CONSTRUCTION 11881
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NCDL 3831595
"� 6314 WRIGHTSVILLE AVE.,910-256-6357
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t WILMINGTON, NC 28403 66-763/531
BRANCH B8089
DATE 3 L/ (� _j
- PAY n
..v TO THE D �+�K $ , p
t: ORDER OF I `'O •
ca:V•T,�, 0 DOLLARS Pi !..„--
!' WACHOVIA
r' Nachovia Bank,N.A. '
I %%ii 'yiun.NC 2840'2
Ij FOR Cr`P b 3 35CO3
If III 0001188 ill' 1:053 L076331: 136 L7 20Bau' f.