33561D - Stevens

0I'CAMA / DREDGE & FILL S ,'• 33-r1V
GENERAL PERMIT Previous permit#
>�% ,New .-Moditication Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '/ //CO, /760 '7'''?)
❑Rules attached.
Applicant Name 7//i') V Project Location: County - 0/tAs per/
Address --4 bl 10 f7` F_iz N r 11 k S_ Street Address/State Road/Lot#(s)
City AA r L CI/C ,5'1`-X State NC ZIP a 3 5,5-4 9J OG ,-* L5 e /"
Phone#(_ ,f0 9'6S_3a6,3Fax#( ) Subdivision /
Authorized Agent 57 i A N-n Nat f City Scut"' 0 r�!c.. ZIP �, L/�/S
Affected `-'CW *EW 'J 1 ' �A
PTA ES ❑PTS Phone# ( ) rt River Basin (j
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
: Adj. Wtr.
❑ PWS: Ili FC: Body /14,4 t/ M. 7tDF (ARI__ naA( man /unkn)
/� Closest Maj.Wtr. Body 64 -i! ao e�f Xi.. ,c)
ORW: yes / 4") PNA yes / no Crit. Hab. yes / no
Type of Project/Activity poicy47 . pF2l gui A�9� ?3of37Tl,4 u70, aoff7i/f-
(Scale: 1 "_?o' )
Pier(dock)length G k./L/ ,
Platform(s) /Ox 1 Li[4)I1evED- 1 ! _
Finger pier(s) 0_k Z 1/ 1 r _. 1 _ l , f
Groin length i i � ' } - I ! I I
number f 1 ! -
Bull ad/Riprap length qZ ' I — ;avg distance offshore Z ' I 11 . ,
max distance offshore -2 / 1 , p !..rtr �_
I ' ,rZ- , Y' , Qt0 o. 0 1-1
Basin,channel
. . F;Nhj(t pie, /,5 x/4 Mel.DA,0", __...... - -
cubic yards I ` r �
fI 0b _
Boat ramph /g t ;• . .J aG1-4l (___._- !
} { I
Boathouse/Boa /7,h/Z— ! L3Z-f — _ j 01/E{?eIZ f�'
I j ! ) ,!2 I
I err !I 101 L f 'j
Beach Bulldozing L'
Other /�X �c/ S7L�tx��firso.L..NJ_, Z t / FnT 1 a9F, sY+S!iPl
/� fit?sTr ..�.�. it,a41, Ali I .______I
Ctn+rettElTr `\ ���.
Shoreline Length 04,4 Lg f} ,Kf 61- N a-iCITE I.J AM TO
SAY not sure yes o E Eh1 U r C4E - oven _
r ,
Sandbags: not sure yes noI
—
1 .1 — _
Moratorium: n/a yes no ;) Qp�05�13 1A4? to 1„ II(
Photos: yes no L. r f /' 4
Waiver Attached: yes no — i I I I . f
A building permit may be required by: 5u£ P a ITV . n See note on back regarding River Basin rules.
Notes/Special Conditions
/4
Agent or Applicant Printed Name //
/ Permit O ceature
- - —� _.- - _: I0 -03 S- ta --03
Signature ' 'Please read compliance statement on back of permit" Issuing Date Expiration Date
c o_f-TY og66/ $
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name
�... n • . ...•. .f .._.... _...•.... ..�. _Lu�l. •�.•ilF=� .1YY �- _.l.fkMLr _i�_��.iJ.... .. --.

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
2728 Capital Blvd. Dare,Gates,Pasquotank and Perquimans Tyrrell and Washington Counties)
P Counties)
Raleigh, NC 27604
9I 9 733 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: 9 I 0-350-2004
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
:APPLICANI'NAlvE: T..l wl 3 EUEIUD
ADDfl ONAL NAMES: g7 E f4 NT)►u C 2
AEC DESIG: EC A-) S DEVELOP AREA: PROJ DESC: - //
cr.oalytake 6) ---- (Wt'i)on}ytake 1)
WORK: /3-1 - Z EL j OJ , (
(CvtZl only take 4) 2 4 / / $jD /3 is
/ J
. Mi. T:
(Cvtu only take 4)
. '
III: G CA) Z -{ 660
•
(Will only take
ACTION ~ 'PIRATION
DRrEDGr&FILL REQUIR+-�: Z (v °3 S- /o-0 3
CAMA MAJOR DEVEL REQUIRED: -/0-03 S- /O -0,3

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. {7 Agent
• Print your name and address on the reverse X �1' ❑ Addresse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
(4 12 e5 (am- S t - .
ZO r- (4
3. Service Type
1 bt�� �� Patertified Mail 1 Express Mail
CIRegistered `t�'RExeturn Receipt for Merchandisi
Z 7 b `f) ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
Article Number
ransfer from service label) 7002 2410 0007 1994 5962
orm 3811,August 2001 Domestic Return Receipt 1°2595-02-m-is

UNITED STATES POSTAL SER • T d •..—" rs-
.. 'M 4� •— _ --?.0 a es aid
Perry ttffo -G-10
• Sender: Please print-itgiti name, address,-and Z1P+4 in-this trbx ••`---
AN—/7/1/Die 1
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ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X _y, /'�G-4 0 Agent
• Print your name and address on the reverse ^J l Cl Addresse
so that we can return the card to you. B. Receiv=. by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece, rc 3 os
or on the front if space permits.
D. Is deli -ry address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Atej-efi, C
113vJ ( ( 5 [.Do/L- jD —
/Dv�m A44 p.c. 3. SeryideType
!� Certified Mail CI JExpress Mail
-7 7 07 ❑ Registered LVE'Return Receipt for Merchandise
❑ Insured Mail Cl C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2, Article Number • 7002 2410 0007 1994 5955
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS G
1 ;-a. . -r .,1 r if? :=;' = PQrmitNot -12
• Sender: Please print your name, address, and ZIP+4 in this box •
S�LVG— /1-N `vbiz<<
213 L/Y5'
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DIVISION OF COO`D.Ak"'"ida..j :__
ADJACENT RIPARIAN PROPERTY OWNER:!'441, " ; ' " 1+1,, WAIVER. FORM
,.
Permit.-*••:-/ ,/••• ,.).7117Ve,v5
Name Of Individual Applying For . .-. .i:•,,_ . ., .,
, . ..__ ; ... .... .
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Address Of Property: 9/ 97 . , ..
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7(,. ...s77.,.. ,,, ,.. . .„
SvRfi Clet - kf.ei •-•,.. .:
(Lot or Street if, str.e ,,t.'pr. -PAd, City & County)
I hereby certify that I own proprtY.4Zi2a,;1,4nt. ,..tc _ the above-
referenced property. The indiyidualL:.::,k704y'0g L. n....,:•,... permit, • r,o.:
described to ..me as shown on the'•a#aotie0. 0,1aly5p* the- deverLopmenL
- --- they are prOpoS-ing. .-, A description --or 7:, ',,r-amj.:171.1 i:--...li., t i-r d.ime'Vs.i ons -,-
should be Provided with this letter.' : .- :_ ..•:,,.. ::.:--!?•• :. ,
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tjrf X . . ,
. , . .
. • . .T have no objections to -thls,fprOposa.1.
..afav
If you have oblections to what is being plVico.iett-.4.;-please write tht.--,
Division of Coastal Management,. ;_127•'-', 0,044-40".. pr,riy_t_tx. nsica,..
Wilminaton, North Carolina , 28405 oita21::!LP:1440'. ;-3990 . within 10
.-,-,days'iof'-,t•etei,bt at-LthiS,--::-Ka•tiCe-f 'No':4.4$•tfollii0J-Af.4.:1OnSide.w...1, 1--.i.ene
:•.': as no obiection if you have been n 6 tie i eCtr3-t0E74---E--er'cl•?-
i,1
- - -- - — - — — . ---i-'', .,.i /
L- ..: ,: I''' t-77-77.7:77::
__,....
WAIVER ,-GEOTJON• -•::*. :,- - -
,..
I understand that a pier, dock, mooring 1 p: ;#17-1g-S;,,::breakwat,er., boat
house, lift, or sandbags must be set..baqk:af,;:';',0,T-,-*?11,400.,(4. .it:-.41 „.o.t.„2.5-1
Ii-Orri my area of riparian access uniess- I,401#::04:7.:),w o. .. (Ifyou wish
to waive the setback, you must. ihit.,44:11:i;i40 -•:4)p-ropriate blank
below. )
- • • ' ; ' ' •
_ '
I do wish-tO waive the- 151 #.0aCK--:•,requirement.
I do not wish to waive the 15f,,S400,0k• requirement .
r .
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A' 42 6474 :-'7i:,-;,.: • ,A, •A-., e), :,,;...,., , - ,.. ,. .
Signature .„,,,,,,, ,,,..,„:„.„,,,,,,,,,,„•,,, s0tig:.:,:r,..*.-T::.,;".„,sc.-,,,:f1:-:,,i,i.ri,
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Print .N.a e
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Z61,4.- — 7 ' '''r'; 7.717A'rfr."'777;:f"':.::::fil'A')..jl'At''4.-,"'.is' .,. .: •:—.:,"1—7..c4.411311;6:—,
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Telephone Number 14 i tti!-,.lire"-.4'.::" de- :., '''--, 776*„'"•,q7:1". :;.'',•,.: .:, -,', „-'2,--_,, •.--.'; ;,:t-t-i. i. i.:...y.
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DIVISION OF' CO T L ' ' 1
ADJACENT RIPARIAN PROP RTY •O 7ATyE&-; FORM
.,,..,,,,,vomm4
Name Of Individual Applying For Pez�m "" y - "i S
Address Of Property: 9/!�if f � £ ,
(Lot or Street/# ;5tr'e± iC r
. 7,s #.:.. City. & County)
r
I hereby certify that 1 own. .property ;;F . ,0# .. to the. above-
referenced property. The individual., appl: rflg toy'' this permit has
described to me as shown on the attachad; �aw g the development.
they are proposing. A description or c y ii t? Gil ens ions,
-- ---------s-houid -be CCp:r-o-v-id°ed--wi-th•�th=i- -1-otter. ;X,,ti 1 -'
JT
X c = �� have no objections to :this $,x �'po _.:
.
I.f you have objections to what is be gci�, ,4l x e4.i cease write the
Division of Coastal Manaa ment "':' 11= rAtie . Extension ,
Wilmington, North Caro ina , ..2840 off::- -;.Xsc.�r. °."3§a'0 within 10
days of receict of this notice. No re $ 4a' 4,dered the same
as no obiection if you have been not.: 4. ' f ed Mail
WA-I•V ER,•S ECTX O '
I' understand- that a- pier-,"dock,. . moc. ing ?�, ' r l re kwate� boat
house, lift 'or sandbags must be set back .`?i.,kn .ms dist_anc.e of 15 '
from my area of riparian access unless waf trod ,h f , e. :, (If. you wish
to waive the setback, you must initialzf'the apprcpria..te blank
below. ). ,
r
71'' `:,.. I ..da wish,_to. waive. the ':15' rt i,k` requirenent .
'I ao notwish to waive the 15{ btA "requirement.
4•
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Print Name �•2 ' ' -- •.:7=
Telephone, N�umbe•r• W-1th °_
:Area.
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ANTINORI CONSTRUCTION
BANK OF AMERICA 3606
896 HWY. 210
HOLLY RIDGE, NC 28445 66-19/530
[phone]-
U
PAY 0
TO THE � / V fe
ORDER OF $ ,[/J9�
e)D
--- %(.!/hM Zvi) DOLLARS
MEMO S/ e(/Q' J /p�L ` L D-55I
AUTHORIZED SIGN TUNE 11Y
000360611' I:053000 L96i: 0006505 2 L9900