34268D - Shore

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_'CAMA / DREDGE & FILL [ � 34288 D
G_ ENERA &L 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 SA NCAC 7N /Z O C)
❑Rules attached.
Applicant Name _ 5aVYI '5 h'loic Project Location: County 75rZar1Sw I C.II
Address 3009 A-n c r-5 o r1 S"TTeGe 4' Street Address/State Road/ Lot#(s) 60oq
City pad Island State SIG ZIP Z34(05". Arndcrsor
Phone#( ) Fax#( ) Subdivision
Authorized Agent g Pre.v a+ City Oa E.- I s fa Ind ZIP z344 S
G CWW ❑PTA AES ❑PTS Phone# ( ) - River Basin
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑WA a. S (n /man /unkn)
AEC(s): Adj.Wtr. Body �,�0-1..,
❑PWS: ❑FC:
ORW: yes nd PNA yes(nc) Crit.Hab. yes / no Closest Maj.Wtr. Body A j�l w
Type of Project/Activity I p I f(e a.Oat k h ea 1 So ni a A-f67'11�?G 4*
I (/ (scaler I P— 201 )
Pier(dock)length 7(
I
tt I i
Platform(s) X �ln 9 ' ' I
a X I
8 Finger pier(s) 2 S' . i , I
_
Groin length I I I 1 —
n----, I l ' i f_ (}
Bulkhead/Piprap length ,Q I I _ v "`
avg distance offshore '
— i —..... ........._. -
max distance offshore i
I 1 l I
Basin,channel i il J
cubic r �yards —+ _.. ---- —__ 1
_
Boat ramp I 1
Boathouse/k EXIST I , 1
CSC
I I i 1 i i � l �`
Beach Bulldozing i . � t-
]�
Other i I I t f
yi sf-, —
.
I
'-- ' - Inc
Shoreline Length - (per _.". act- ". (�`�
SAV: not sure yes tip - - 1Sh 1 /+ i r
Sandbags: not sure yes Eo I ( S,ii I
Moratorium: n/ayes no
Buit. Ab� �t1or� 1..lME'
Photos: yes no 1 — rp
h i .
Waiver Attached: yes no — C
A building permit may be required by: oak IS r/Q a -�t d / Leh 6'r f I See note on back regarding River Basin rules.
Notes/Special Conditions R u/ C0/1 d t+jneLS 61 H Uo 0 Ape/y
C.4/'C /'r- &-G 7-ke a.(dLl.1trC
Agent or cant Pri ame Permit Officer's Signature
+7, 'I, G � i '1,
Signature **Please Please read compliance statement on back of permit** Issuing Date Expiration Date
$ 1 cso cv v,5- Oak 1 ' , 1
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
_ - .► -.

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4
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 252-946-648 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 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 919 733 I495 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
APPI'ICAjfiT NAME: SU In S11 ore_
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .%::' / PROJ DESC: P -
(Will only take 6) — (Will only take 1)
/
WORK: ,87-7= 6a U
(Will only take 4)
MAINT:
(Will only take 4)
IMP: ry/ej> OOO
(will only take 6)
Gc> ( O
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 7.9.O3 /0 •c/•0 3
CAMA MAJOR DEVEL REQUIRED: 7- 9. 0 3 /a • q' - 03

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11IV1SIM OF en&STAT_MANAGE.NaNT
AniArTR'T RIP ART AN PROPERTY OtVNF'R NOT CAIIIO1I/WAWF,FORM
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Name Of Individual Applying For Permit /9441 S A
Address Of Property: 3002 y)z,G .g,yf Q,-)
o 19-h T.CL 441,t/ iV e. 2 '4t
(Lot or Street#, Street or Road, City&County)
I hereby certify that I own property adjacent to the above-referenced
applying for this permit has described toitie as shown on the proP�y thehe individual
theyare attached drawing development
proposing. A description or drawing, with dimensions, should be provided with this
letter.
Ala I have no objections to this proposal.
if yno have objections to what is being pnaposed, pise wit the Division, of ('nacpl
• Management, 127 North Cardinal ()rive, Wilmington North Carolina 2R405 or call 910 395- -
of this trnirr -- --•nco i.ennci
jf you have been notified by Certified Mail
GV oz. HA-el WA7VER SRCMN
I understand that a pier,dock,mooring pilings;breakwater,boat house, lift or sandbags
set back a minimum distance of 15'from myarea of ripariandme. (Ifmu youbu
wish to waive the setback, access unless waived by me. (If
you must initial the appropriate blank below.)
•
I do wish to waive the 15'setback requirement.
1 t1n_not wish to waive the 15' setback requirement.
Addrf/'-jai
///3 AlTairrA
ete, •
i nature
t Name y ���
'r 3o0 a-a3-7g(05 NCDENR
epbone Number With Area Code f+�.,,,c.nourw ocranne,r or
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ENVIRaw xr aro►ou,ti Raiougicat

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T)I VVISIj1\OF co&STAL M&N&GEMENT
ADJ.ArFNT_RIPARIAN PROPERTY OihrifER NOT lC'ATION/WAI R FORM
c/9411
:
Name Of Individual Applying For Permit SA -�
Address Of Property: 3 Q o / �
0 SSA , J►/,e
(Lot or Street 1, 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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
\k I have no objections to this proposal.
if yn�_haw. nhirrtinne to what 'e hritto ' � writr rt,. n r .,
Mana�em`et tY7 North Carrttnal 1)rn R'''n+ n� .M1torth Carolina, 7
l4(Xl within 10 ria of rnr' SR(15 or ta11 91Q395_ •
ya ipt of thic under No w cponse is nnskfr.r d the yam.nt nn ohjert'on
if you have he,n notified by("pi-rifted Mail
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hh en'el WALYERSECEION
I undmstand that a pier,dock,mooring pilings;breakwater,boat house, lift or sandbags
set back a minimum distance of 15'from myarea of riparianwaived
me. must youbu
wish to waive the setback, access unless waived by me. (If
you must initial the appropriate blank below.)
•
do wish to waive the 15'setback requirement.
1 do not wish to waive the 15' setback requirement.
4tettfkil,1\kai‘al. Gi30 ArfliCIFFIA
Print Name • NCDENR
Telephone Number With Area Code ►+�,,,cr.o�a,,,oow,,,.�r�,

} _ !•'�^� �� #
SHORELINE MARINE CONSTRUCTION 67-7235/2532 2 1 0 5
3258000872 I
GR P.O.GPR 10671 E /�D •�
o. BOX 1 os71 � ,�
/�SO�UyTHPORT, NC 28461
r PAY TO THE C/7 �'/ _ I $ 6 00' , °
ORDER OF
DOLLARS a
' COASTAL FEDERAL BANK
SOUTHPORT,NC 28461? 7a 3'0 3
: NII NI(I aNY-3-491)19 310a, 345:,, -- ,---4.-----
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1: 253 27 23551: 3 2580008 'r 2f 105