34263D - Thomas

0 CAMA / DREDGE & FILL 0 34263 b
GENERAL 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 15A NCAC i N Hap ap .
L CI Rules attached.
Applicant Name 65 4f f 0 m a 5 Project Location: County Bu f5jQ1 Ck
Address (f)LIS I Per; co.--i br 1vC Street Address/State Road/Lot#(s) 1 QC, a
City e *N-evi IIG' State r(C ZIP _',830(r !I)e5+ yach+ .Drive,
Phone#(9 f0) 4 5Lonax# ( )_ Subdivision
Authorized Agent C re3 Prt.vu-f"e City OLcde.. 15(G 1'1 d ZIP h 4 6 5
Affected I-'Cw ❑EW ❑PTA tA LPTS Phone # ( ) River Basin L.._u rri be r
AEC s ❑OEA ❑HHF ❑IHC N/A
: Adj. Wtr. Bodyp I WIN❑ PWS: OM: Closest Maj.Wtr. Body 1 I(A)(4.) �/(nat nanyunknJ
ORW: yes / rn PNA yes /no Crit.Hab. yes / no
Type of Project/Activity G cry-, ,t,et 13
( )
Pier(dock)length
Platform(s) -------- ! l _._._.:._,__.i..._ fi
Finger pier(s) I f i,
I ; I
Groin length ( I --.
number I IA w �/; _ ,
! i i ;
Bulkhead/ 'pray length (oQ I ! _
avg distance offshore
{ 4- 1Imax distance offshore __._ ._T - t- I I I I F( 46G(Vey
' IBasin,channel
1 - 1 ' I (ApP�x1)
i I i .. _ I
cubic yards I ! . i ! i
Boat ramp I _ i _
Boathouse/Boatlift f I _
I ' .
i (
, ,
Beach Bulldozing I -
i
Other I 1 ';
i
i ' - - , - "lit .41 1 * ik__t ik_g\P> I. 1,' ; $i- A ' A 1:ILI_)7-i----i.._3rlf-- ,
Shoreline Length (ao-b I
I
SAV: not sure yes no i � _ z44-e f? et:11.15 i
Sandbags: not sure yes no, I . .
Moratorium: n/a yes ,rto I _- I j I I
Photos: yes
Waiver Attached: yes not /- / - - - . -
/A building permit may be required by: ' O Win C'1C QL,...A� 1 s(ei nQ See note on back regarding River Basin rules.
Notes/Special Conditions i/ (70/)d/'f'j(rY15 41 7f1 .1/00 19;49�/y
1 re4 Pre vo_ti c -00,! . !w
Agent or 'cant ed Name Permit Officer's Signature
1 ,4....r/ r/ ,
ss .+ Issuing Date ' G 3 /G xp ratiioon date
Signature/ Please read compliance statement on back of permit �
r QQ e7v I vs_ Oa A 15/ar, d A/o 7o9/5/•9
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:
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: [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 10/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: if.,CS /1h O m Ci5
ADDITIONAL NAMES:
AEC DESIG: ES DEVELOP AREA: _J ± PROJ DESC: P - I I
(Will only take 6) (Will only take 1)
WORK: 'a I-1 (OO
(Will only take 4)
MAINT:
(Will only take 4)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ')- - /0 - 9 0 3
CAMA MAJOR DEVEL REQUIRED: 7 - 9 0,3

Nut ro Sc4,t-e,
6 / 600
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DJVISIO\OF('O&S'AT M&NAGEMENT
AIlS fF.NT RIPARIAN PROPERTY OWNER IMI FICATZON/WAIVERYORM
•
•
Name Of Individual Applying For Permit GI/t? S. / IO v►1
Address Of Property: J O 0 2, (A). y44.1) r �r
(Lot or Street#, Street or Roan, City&County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toihe 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.
If you have objections to what is being proposed. please write the Division of Coastal
Manage nent, 127 North Cardinal
n►"
]kisrP_Wilmington North Carolina 28405 or call 9]11 395_
lofln within 10 days of receipt of this trier No response is considrrit the same as no nhjertign
if you have been notified by(`rrtifle'Mail
BUL )'‘ •I e/3k1 WAIVERsRcy'Init
I undm-stand that a pier,dock,mooring pilings;breakwater,boat house,lift or o
set back a minimum distance of 15'from myarea ofripariand sandbags must youu
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.
I docent wish to waive the 15' setback requirement,
Ve/0 3 Ar:11)171r4GA
Sigre/� ///)Dart
Print Name
2'7g so„ NCDENR
Telephone Number With Area Code Natal CAROLINA Clen„r„eact,r
EH nneeimorr Iwo►iats(ti Aoo(wcas

•
THVICICIN OF CT) gTAi 4GEMVNT
A111Af6:hlr RIPARIAN P$QPERTY C) OZC)NlWAI F.R FORM
•
•
Name Of Individual Applying For Permit We S 7A0,4 g 5
Address Of Property: /062. wpch t7f/rd /9 S7L
(O(dfi S SG4/ c% A/c 2 52"‘h
(Lot or Street N,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 robe as shown on the attached drawing the development
. they are proposing. A description or drawing,with dimensions,should be
letter. provided with this
have no objections to this proposal.
if you have ohjtv'tinns to what is being proposed. please write the 1T gjcinn of C j
Management, 177 North(_ordinal Drive. Wilmin n North Carolina, 28405 or tail 9)0195_
19nn within 10 days of tt ;pt of this nosier Norespnaseis r ncidemi the came as no oll trig
if yan have been notified hyrerrifted Mail
U Z h n •e d o6/J WAIVI:'R CF.ci'rnr
I and=stand that a pier,dock,mooring pilings;breakwater,boat house,lift or
sandbags set back a minimum distance of IS'from myarea ofmust youbu
wish to waive the access unless waived by me. (If
setback,you must initial the appropriate blank below.)
•
•
I do wish to waive the 15'setback requirement.
I do mi wish to waive the 15' setback requite.
kzi az rs �_ �.. a3
antr e
/ Date
n
•• ., Name
Z
€ /a- . - 6 6 3 l • HCDEHR
Telephone Number With Area Code
epanftwomirAND town.nrsokatcas

SHORELINE MARINE CONSTRUCTION 67-7235/2532 21 0 53258000872
GR P.O.GPR 10671 E ��®�D
O. BOX 10671 DATE /�
SOUTHPORT, NC 28461
' PAYTOTHE C /7 / I $ b ©a 1 rl
ORDER OF --� ►' f IIJY ,CrQ,vC 44i" DOLLARS LJ �..a w•
fl
COASTAL FEDERAL BANK
+�
SOUTHPORT,NC 28461 744.210111 � 11
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i' 532 ? 23551: 2580008 'r2f��% OS