33567D - Yarborough

16AMA/ DREDGE & FILL J , 33 F► `j
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 I 5A NCAC 7 1/(Y) .1H » -a- 7N/
0Rules attached.
Applicant Name_-_ JAU 1 P YN)a-b>Z a u t/ Project Location: County 0 N-SL O w —
//1'1 SfiYI.A/ (/,�// v C,i Street Address/State Road/ Lot#(s)
Address,.._ --_ - _------
City ��GtJ2 " State ZIP 09-7/3 OyZ �" 57 Phone # ( 91' 7JV/f6bFax#( ) Subdivision �y -_
Authorized Agent `S7�t ��y de 1 "" City S!�(rL� C� i '� ZIP z�yy.S
CW .[ItSW J 'TA *ES ❑PTS Phone # ( ) River Basin Or p, ,,_
Affected ❑OEA ❑HHF ElIH r'UBA N/A i
AEC(s): Adj. Wtr. Body hi1 A�0Y1Hu� C 1-14}11-L nat an nkn)
❑ PWS: ❑FC: _
Closest Maj.Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no A 1 C.A.)(A.) 7PSA/L
Type of Project/Activity lC11101-1E L`X'so wt., 59,97/ A vsr, /ZE DO &i t-X/,ieAD 4- ea 1-44'Peiff7 64 AT iA•vit,
y ec)AT4/F7-
°12£R < 7FRt►Z o1-'17 EX1S77N 61 pcA7F6/2rkt g- tha,iAC.e (A)/ piiUA-?- fli6Z (Scale: / 70')
Pier(dock)length , w x 4 4 Du G 0 47E ii-riep z d .ss" /
76y1Z
I I
Platform(s) 1 I t I $
i I ) i
Finger pier(s) X i I 1
Groin length r--i j
i r I i � t
number
Bulkhead/Riprap length , i I ��
`bi
—
avg distance offshore Z i I 4 i - i -pose-^y 2)4 g c1 N� -.f --_.__...__
max distance offshore —
... + I: ,
Basin,channel I .,
- _ _
. . -_ a---_j t_. _ G
cubic yards 7h, r 0 1 pc g"`,A"!Li l
rr
Boat ramp,--------..... /z "Z. I - _ J am ""'J I Or
Boathouse/Boattift r ; ___
Beach Bulldozing •. , •••PI, 4 A • d65 O
Other r�., •
�r s i,.
i�1 �r F . _ �/E f 0' .•• i A4+ *AD.ls,
_ I a� - ,
I
Shoreline Length tlimalli f 1
'--r—
I
SAV: not sure yes no ■
Mina - i ,
Sandbags: not sure yes no 'Ehf rink i
L pv
- $OAT fLR 4 ( _— , ; : 1 1 1
Moratorium: n/a yes no ' l
Photos: yes no — BE 2E�&ED
Waiver Attached: yes no
A building permit may be required by: 5 u 21 0 1 Tli . E See note on back regarding River Basin rules.
Notes/Special Conditions NOT 10 6x r) 4Xi37/Nc, pelt AteAD LINE
T
+vt. i IC) Q 2C-17C�C pc---E pErr. 77-14A) 6 A- i 57 iN �� �r iAlN
--"„�//�`l E '- ,A;?iN/f Y f Z,—= L - -e. . _
Agent or Applicant Printed Name Permfit Officer's Signature C,
y' r ; ; ....,,e,,— v3 .:1 - d3
Signature **Please read compliance statement on back of permit** ' Issuing Date Expiration Date
(VI c j 349A9 Sun-r Cif' 4 Ozz5J W9
ApplicationFee(s) Check# LocalPlanningJurisdiction RoverFl 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:
� I 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 252-946-648I
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie,Hertford,Hyde,
2728 Capital Blvd, Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
919 733 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 I0/05/0I

G-EN RAL PERMIT COMPUTER FORM
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIF7)
I hereby certify that I own property adjacent to DAWO -t J s'c YA z Seo u3h 's
(Name of Property Owner)
property located at 70(I Z. 7 -Hi 5 l ,.
� JJ (Lot, Block, Road, etc.)
Atmon ILtd��'`P. 6f , in f 1,(v 7-c. �t �r , N.C.
(Waterbody) (Town and/or Cty)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by
me.
I do not wish to waive the setback requirement.
✓ I S14 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Pickoki iew
Print or Type Name
Telephone Number
Date: '7-1 6 .O2-
-30-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to D9uto v-274614' rf ebto 's
P
(Name of Property Owner)
,/
property located at 70`11- 7 s
(Lot, Block, Road, etc.)
on /' n i ninc ; AvA-L , in SURF (j , N.C.
(Waterbody) (Town and/o County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by
me.
I do not wish to waive the setback requirement.
IV I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1 i -
9;,1 . 2-v' Zeg,
Signature
Da-7)
Print or Type Name
Telephone Number
Date: — .�
—30—

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ANTINORI CONSTRUCTION BANK OF AMERICA 3629
896 HWY.210
HOLLY RIDGE, NC 28445 66-19/530 7,4
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AUTHORIZED SIGNATURE �'►'
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11•0036 2910 1:053000 L961: 0006505 2 L9900