33520D - Robbins

' :°'`' 33520-
CAMA / . DREDGE & FILL
z, ENERAL PERMIT
Previous permit#
��= NPw Modification Complete Reissue Partial Reissue Date previous permit issued
cd
As authorized by the State of North Carolina, Department of Environment and Natural Resources I t)
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
� 1C4.`) '<\)rJ G'N e-L, ' .')Rules attached.
ApPll�V\\a�v c G9-R7 - \ \ L JU e 1 tJ Project Location: County Amp d c LP r 1 -
Adt1 . Ni(7- r• �/�+
City State
e?t/t - Street Address/State Road/Lot#(s)
Flo hZ6-D7 c/ State ZIP S14/Y•
Phone #( )_A_ /,/�Aj Fax# ( ) Subdivision �44yr{
Authorized Agenttl City
St-0'P ZI P__C_P__±
Affected CW EW ❑PTA ❑ES Li,PTS Phone# ( )v,^ , 1..c. $3 r R ;in
AEC s : CEA ri HHF LT IH O UBA I.N/A
PWS: ,IFC Adj. Wtr. Body M' 1' _/p SU,..An.C-.)(nat /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
i) ,
Type of Project/Activity / . , 0 •
Pier(dock)length 1 l,'-, t/ nE} t V J _ (Scale: j
!!ids• •- i �'
Platforms) .•. . p�� �■■
Finger pier(s) i !! .ice_::
Groin length — _ iM
_ 7•
number _ J • ( r 1 . - I f��MIM■
I .
Bulkhead/Riprap length ITi l 1i - �j _ � _.
avg distance offshore j f , i
max distance offshore -14 •• C
Basin,channel
7
i ' -IN 111 I
. I
cubic yards , 1 { !
Boat ramp I 111Boathouse/Boatlift ■ � -` ��� ■M1 �
/. 7�
Beach Bulldozing E.
i �
Other r
_ �_ ,
Zj,. I 1 f
IllitMOINIM_MN,
"751 —
Shoreline Length i j --N. 1111111111 +
—r
SAY: not sure yes no �1 1
Sandbags: not sure yes no a
. ,, / 1
Moratorium: n/a yes no i . ■ '
Photos: yes no j U _ — ��_ / _—
j
Waiver Attached: yes no -
c___,, .
A building permit may be requir by ,� I...A Hsi See note on back regarding River Basin rules.
Notes/Special Conditions
D1 qd Ii\at ia;,ys (9: t `
Agent o licant 'nt N\ yy� Per•rt�M(f ic•rj s Sgnn3ure 0 3_ 3 I
Signature **Please read compliance statement on back of permit'"* Issui l \) C o . S ID 31 it ion Date
6'()r 7
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:
1-1 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(252-946-648 I)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 252-946-648 I
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 / 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 I0/05/01
_.4

GENERAL PERMIT COMPUTER FORM •
APPLICANT NAME: i2 Ll-fl U& rt1-S
ADDITIONAL NAMES:
AEC DESIG: L=S DEVELOP AREA:O• J PROJ DESC: -
, (Will only take 6)
(Will o y take 1)
WORK: A/` `5-;
'• (Will only take 4)
.
MAINI': '
(Will only take 4)
I
IMP: I ? (Odv
( only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ( Z— 3 I `O Z d 3 -- 31 -0 3
CAMA MAJOR DEVEL REQUIRED: f Z — 31 —0 Z C)3 3l-03

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 11FICATION/WAIVER FORM
Name of Individual Applying For Permit: Br, 4 r©ccl /12eygiyde'r fi o b b,',vc -
Address of Property: /110 SC o 1--s ;/I 1 C, 9 ) 1
(Lot or Street#, Street or Road)
Peilder zo-v,,y
(City and County;-
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing A-desc ' tion or drawing, with dimensions, should be provided with this letter.
_ _ -_ _--I have no objections_to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice: No response is considered the same as no objection if
you have been notified.by Certified Mail.
WAIVER SECTION ". 4. ..; ::'_,.
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
wish to wa' a the-setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
rA-- ign-Name -- -• - - - - - - Dater e
Print Name
NCDENR: :
NORTH GROLINA DEPARTMENT OF
ENVIRONMENT AND;NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.fnn

•
Nraliford vi. Robbins -' 66-30/531
365 2376
P.,Maria Robbins
2110 Scotts..1411..eoop Rd. t—WIINImptos,;Ve 28111 I/AI I • .
PAY TO TI IF NIL 0 e fyr) ..
J $ leo,00
.._...
ORDER OF ._1 v Prs•-•-___
OW6._ PhAffeb...CCi__. C.101 1/4r 70 • 1)01 IAR')Look for:Micro Print sig,nalure line.gray lypc and lIncwork.Lust CilitellS Bank logo on back.If not pima do not,ah.
FIRST CITIZENS 365
BANK FtiVrnpto=V4T47*C°""9"
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FOR
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