35139D - Thomas

74 SCAA/ DREDGE & FILL
.. 35139b:
GENERAL PERMIT
Previous permit #
Yam-% *New 'Modification Complete Reissue EPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources L,
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1/i I ZcC. .
❑Rules attached.
Applicant Name .0'J/ 7,71 v`i- )c:r j Project Location: County a/J$f v/G k.
Address II 9 t • It/le“4.7 DTY-e Street Address/State Road/ Lot#(s) e2 /0/o
City t)'i. r ha WI State NC.ZIP Z17 0 / (,()est - 4C/2 r" r/y6
Phone # (�M) (r Jam'g2- ((y$Fax# ( ) - - Subdivision U
Authorized Agent (rC P t' -*e- City Oa 15-la i7d zip 2 /11S'"
Affected ❑CW `'tV PTA J ES PTS Phone # ( ) River Basin LLt rn bcr
-OEA HHF IH ❑UBA N/A
AECs : Adj. Wtr. Body /4 /1.4i(A1 (nat / unkn)
ORW: yes /,no) PNA yes /jfs') Crit. Nab. yes / no Closest Maj.Wtr. Body . /1t^-� •
Type of Project/Activity Cc r)5 7Yi.4 C t l-iCc y Doc-k) ) t>os i bcr'-1.
y (Scale: j '' 20 r )
Pier(dock)length _ 40'
Platform(s) I2 X 12,
Finger pier(s)
Groin length
number
Bulkhead/Riprap length
avg distance offshore • • /2 •' /s"
max distance offshore , •
Basin,channel aia>f • ' ��
i2 Lfj, r ' ,
cubic yards • 9 /` \i
Boat ramp
Boathouse/Boatlift 1 Z X 12 r If �- ___
"t-
Beach Bulldozing
Other
,
// $
Shoreline Length iL7,� / I V •
V/
SAV: not sure yes (i�o�) 1Y V u •
`L
Sandbags: not sure yes ;S..' rJc ra
Moratorium: n/a yes I C.` Inc,r c CIVI L
Photos: yes eirof 12t. p,
Waiver Attached: yes no —----
A building permit may be required by: /aL(17.7 p jOa L. //[c rt Cl . I See note on back regarding River Basin rules.
Notes/Special Conditions 7/CL C r?1c/ir//7G'/A5 GG 7N /200 !qp(-)/Y. Pier' t G)�Gi.
will 017-5ep-v-ci 4 ./.,LIr.Slud S
/Cr `zc€ Zt.7C 6 /r. 7L ?'U ' 5'c-7-ham l"
in Ir) P/CGaf Pe-t `"2/ /a.cU
-7rc /7,-, 1 ;` C _.r ¢-6 :. "(C
Agent or Ap ant Printed Name Permit Officer's Signature
P 74/41,U3 ic'n 1`l• 6
Signs Please read compliance statement on back of permit** Issuing Date Expiration Date
0 ov -?I ? 7 OaL /6(4hd' ti//a
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 252-946-6481
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 / 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

• GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: // 77,o7-7-7 a,5
ADDITIONAL NAMES:
AEC DESIG: L Gam' P7 DEVELOP AREA: _.0 2 PROJ DESC: p -/2
(Will only take 6) (Will only take 1)
WORK: /J
/ s(Will only take 4)
5L i1, /2 /t /2-y/5-
MAINT:
(Will only take 4)
IMP: OGc) G 2 f
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /O '/1/-6 3 /
CAMA MAJOR DEVEL REQUIRED: /O '/9 G3 / ./ , !�

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111141r •
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•ENDER: COMPLETE THIS SECTION COMPLETE T,'i/S SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Si.n�•re P
item 4 if Restricted Delivery is desired. > 0 Agent
II Print your riame and address on the reverse X �� 0 Addresse
so that we can return the card to you. B. Received by(Printed Narpe) C. Date of Deliver
■ Attach this card to the back of the mailpiece, f/�-,L , � `s
or on the front if space permits. TT 0` r"�-` .•
I. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
if YES,enter delivery address below: ❑ No
v 1 C',`rrO O S e_►--OtelCe j. jAK lS�4'
c),C) . 1n/ oa , 7 �F,c) 6
3. Service Type t
�k\ 5 �C, ag46� pkertified Mail 0 Ekpr Mail
r 0 Registered ElRetu. ipt fo�TAerchandisf
❑ Insured Mail ❑ C.O.Di,., j
4. Restricted Delivery?(Extra Fee) 0 Yes
t. ArticleN 7003 1680 0002 2745 5471
(Transfer
'S Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-408

UNITED STATES POSTAL SERV-
e) Postage BrFe�s Paid
°M c _ GSPS_____
•
• Sender: Please priWnarme, address,and ZIP+41rit sbox-'
SHORELINE MARINE CONSTRUCTION
PO Box 10671
Southport NC 28461
910-845-2224

•
AMNION OF CO&S'AT.MANAGEMENT
A fUs"F.NT RIP&RIAN PROPERTY OWNER NOTI r kTION/WAWFR FORM
Name Of Individual Applying For Permit i ;Z.I T4 11,14
-*:
Address Of Property: 2 /b G it). y/i-GA * /.
0/91( J L9 n j ivc G 6-
(Lot or Street#, Street or Road, City &County,)
I hereby certify that I own property adjacent to the above-referenced property.. ei i _�
applying for this permit has described to the as shown on the Pam' The individuallnt
they are proposing. A tion or drawing, ��drawing the development
desc rip with dimensions. should be provided with this
letter. •
✓ I have no objections to this proposal.
If ynn have ohjertipi� to what is hritig pmpnsed please..write the Division of 01,1=1
Managgcrfpnt,-127 North ('ordinal Drive Wilmington North Carolina:284105 or call 410 345-
•90r1 within 10 dayc of receipt of Chic nnairr Nomvonse ic_rancidi. J the_same as no nbjerrinn
if you have been notified by rerrifirti Mail
•
MLADEERSECnON
t I und=stand that a pier,dock,mooring pilings;breakwater,boat house, lift or sandbags
set back a minimum distance of 15'from myarea ofmust youu
wish to waive the setback, unless waived by me. (If
you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement,
t/ I dt]not wish to waive the 15' setback requirement,
•,2•420, ____IZZifilif 1111:151rA
Signature Date
Print Name. � ,G'D�G�
' f.<0 f---5Prci7 NCDENR
Telephone Number?Waitb Area Code NaIRn,c.,.,.,,,,DerNrrlita o,
ENvi•ropmewr,wo Nataq Rmou ty

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1, 2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. / El Agent..,
I Print your name and address on the reverse al/ ,!t1Ci,Li.Address&
so that we can return the card to you. B. Received by(Pied AI; e) �.� of De ver
II Attach this card to the back of the mailpiece, �/
or on the front if space permits. ,I
1. Article Addressed to: D. Is delivery address different from item 1. CIY•.s
if YES,enter delivery address below: ❑ o
SUn Y\ USA-V\
Q._\o% \N , a
3. Service Type
Y� ,Certified Mail 0 Express Mail
/ 0/1 CI Registered 0 Return Receipt for MerchandisE
` ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Nun 7005 1680 0002 2745 5464
(Transfer frc
'S Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-408

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS .
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
SHORELINE MARINE CONSTRUCTION
PO Box 10671
Southport NC 28461
910-845-2224

•
fn'lSlPV OF co4.STALMiiNAe.FMFATT
A111A(_FN1 RTPURIANPRQPERTYOINITFR NOTIFT['4TIONLWA1YRF_QRM
•
Name Of Individual Applying For Permit 1.5 r L L I/'1 p
Address Of Property: 2 lot �,/. ��G h t- /✓r•
O4-if S1/9-h A, NC 2 g-44 5
(Lot or Street#, Street or Road, City &County)
— - ---l-hereby-:,edify-that I own adjacent io the above-referenced -— individual
— -
ProPuty. The
applying for this permit has described to me 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 ynu have oilier/ions to what is being pm please write- the Division of f'nactal
• Managr_mrnt, 177 North Cardinal Drive, Wilmington North Carolina. 7S nr call-9JD 395-
19(a(1 within in days of rerr_ipi of this rrnicr Nn rrspnrase is considrued the Same as nn nhirrtion
if you have been nntifrril by Cerrifrr1 Mail
WAIVER SF r!nN
• I understand that a pier,dock,mooring pilings;breakwater,boat house, lift or
set back a minimum distance of 15'from myarea of ripariandsandbags must be
wish to waive the setback, access unless waived by me. (If you
you must initial the appropriate blank below.)
•
— - I do wish to waive the 15'setback requi.r_ r — —
I da not wish to waive the 15' setback requirement.
X cs',, A
Signatu .— 6", 14_, lTilgrA
r dl `/ Date /�
+�/V 4/�/ 1p,JiJ(
Prim Name "NICDENR1,,_ ,-3 p4Dr,
Telephone Number With Area Code travail c.aow,,Dawrrwrr or
stonooftmorr wo►•A,out...Roo s

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 ',
GREG PREVATTE - t .w 32580�72 21 8 7
P.O. BOX 10671
SOUTHPORT, NC 28461 -''-`• - ""'" `'+
i' PAY TO THE ,L`yam.,.^° r.,� DATE V / U
ORDER OF
m 0�� .,
d -- vl/U� $ 2 Q a G O I
i �C L�qi �,q
COASTS FERAL B DOLLARS ,^�.,;�"
/� SOUTHpoF NC c f V
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532 ? 23551: 32580008 ? 20 2