31035D - Black

0,_. CAMA / DREDGE & FILL N© 31035 -!
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 n J J/ ]� n
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC '/ / ' • / .
l `4Rules attached.
Applicant Name 8 )a L ic_ Project Location: County Frvv6 w f t.. tc
Address ' d•N1 S E ____ // 7 h 54rt‘±_-_ Street Address/State Road/Lot #(s) I.)% 1 S / / A
City Oy & / t,:i State PIL ZIP `), g 1 ,'-1-rtc-F
Phone #( ) Fax# ( ) Subdivision f _ /
Authorized Agent City n 4 k /u� cJ_ ZIP - L) C.9
Affected , < W XEW )(PTA AS PTS Phone # ( ) River Basin /l✓M b e
r---
El—
OEA D HHF ❑IH El UBA . N/A
AEC s ; Adj.Wtr. Body G 1,t IS 1 ✓I k ' (nat /man /unkn)
PWS: ❑FC:
ORW: yes / no' PNA yes / no Crit. Hab. yes / no,t Closest Maj.Wtr. Body W Vy
Type of Project/Activity C 2 A S..1 r,,..."4- '/ 'X" a 5I' pij(e/rr WI�i l/� 'X /D '4.-h€'- ci � 0 ' X /)'
�l�-f "L.1 n cJG/( KT I /41—Cr i - e4.c1 , All c.A ct l 41n#1 i D1 12 /I . IA O(
/ (Scale: )
Pier(dock)length x)$'' 5 h a.4 /
Q-fQ Q!y
Platform(s) �/ . . . . .
Finger pier(s)
Groin length )
41L''' ' 4 nct
number DAIVI (5
/ - — ----
Bulkhead/Riprap length
avg distance offshore
max distance offshore . -
Basin,channel -- — — —
cubic yards_ _ +/ f 0
Boat ramp I/O
Boathouse/Boatlift I •
Beach Bulldozing -
Other L" 0om(_0,, \'A +-. �
ZrF. ' / C 11,0 I �.-s s t L I Jl/
Shoreline Length
1
SAV: not sure yes no y/ Q
Sandbags: not sure yes no V
Moratorium: n/a yes no
Photos: yes no
i
Waiver Attached: Ly no ---- ---------._
A building permit may be required by: IC;tA/h p F 0q k .5�4 A. See note on back regarding River Basin rules.
C / I
Notes/Special Conditions ons I /'4 L+/-9 it 54 ( 4 -D + e/� t it A 41 J r Ai
i,,./ ! d 14\ i ,A,u-1-C r b (.)
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Agent or Applicant Printed Name Permit Officer's ignatu e
Signature **Please read compliance statement on back of permit** Issuing Date ' / Expiration Date
AO lication 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:
LJ 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, Berrie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 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)
Revised 10/05/01

GENERAL PERMIT MIT - COMP"J'I'E
R FORM
i
FIELD IZEP: RA "' �
APP FEE: lD J O�
PERMIT NO: , .� COUNTY:
,C DES IG:) C•,I/Vi‘ Vv, li CS WATER BODY:
APPLICANT NAME:) 13 / V k
ADDITIONAL NAME(S) :
MAILING ADDRESS: �� - =
PHONE:
CITY: STATE: ZIP:
PROJECT LOCATION:
INCLU _CITY OR LOCALITY ri (WHEN DIFFERENT FROM MAILING ADDRESS)
DEV ARE : — —. O _PROJECT DESc - LAT (X) : LONG (Y
C(_.)- 1C---..: AIR 2-Sm. II - _____) (EZ- ./° /... )
CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH
MNTJ (- - - - - - - - - -) (- - _ _ _ _ _
CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
. `CO D SQUARE 'FEET0 Q D LA.,/ D O) (D l D 9CODE SQUARE FEET CODE SQUARE FEET
ACTION EXPIRATION
DREDGE AND FILL REQUIRED:
CAMA MAJOR DEVELOPMENT REQUIRED:
*****************************************************************************
CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard . "CW" - _Coastal Wetlands
"mow" -_ Estuarine Waters -
"ES" "FC" .- Fragile Coastal Natural/Cultural
Estuarine Shoreline "PW" - Public Water Supply
"PT" - Public Trust : - - .. _ - "OR".- Outstanding Resource Water •
- - CODES FOR PROJECT _
"P" Private, usually an individual - ' - "F" Federal '
"C" Commercial - ._ "L" Local Government
rrU" Utility . - .. - -
"H" Housing Development
"S" State" _• "O" Other
- CODES FOR DESCRIPTION ' .
-
'11" Bulkheads, Riprap - - "16" Utility Dines
'12" Piers, Docks, Boathouses :. - "17" Emergency Repairs .
'13" Boat Ramps _ "18" Beach Bulldozing
'14" Wooden Groins - • . "19" Temporary Structures
'15" Maintenance of Basins, Channels, Ditches ' .

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TAn1.t:2-(()arS VOfi NEW WORK on M,IN 1'EN,1NCl'y . •
JI)imensinn%In frel or sq"nre free mdrai ollwroke MoIrd.t TART 1-CODES I UH UI:SCItil1 O'or I)ISft'R(lEI AREAS
•
! •
JUlmr,csIms In a,tlmrr frrl unkas nlllrnrly nm,sfi •
CODE TYPE OP DEVELDPHENTI DESCRIPTION E)UIMPLE
MAJOR SPECIFIC "
"AC". Access channdl,canal length, width, depth "AC200,20,-4" GROUP IMPACT DESCRIPTION EXAMPLE I
• "AR" Artificial reef length, width "AR200,50" '
"AS" Artificial seaweed' length, Width • "AS500,100" '
"DA" Desch or est.. access ' -- "BA" "Ws" x Wooded swamp "w5450" I
. "DB" Boat basin, slip - length, width, depth "DB150,50,-6" "CY" Cypress "CY150"
, . "BM"
• Bulkhead length "DH150" "DU" Gum • "GU150"
. DL Boat lift length, width • "BL25,15" • "CE" cedar "CE15O" I
"DU" Beach nourishment ' length, width "DN1500,50" "SH" )Ingle • "SH150^
"DP" . Boat ramp • • length, Width "DP100,10" . • "P0" x Pocosin "P0250"
"Ilk" Bridge length, Width "Btt75,50" "MF" x ^ +
Maritime forest HF175
nBSM Boat house . ' length, Width • . "BS40,20" "!t," x High marsh "N)1390" '
BW Breakwater length "BW150" • en" Juneue roemerianus ^JRBO"
"CC" Cable crossing length "CC275" (black needlerush) •
"Cs" Condo expansion 1 units neW,existing "CE45,40" "SY" Spartina cynosuroides • "SY60^
"CO" , Campground length, width "C0175,400" (salt or giant reed grass) 1
•
' "CO" - Condo • . . 1 Units, height "c064,45" "SP" Spartina patens "SP35"
• CV ' Culvert ' length, Width "CV60,15" (salt meadow grass)
. "DD" Drainage ditch ' . length, width, depth "DD900,12,-8" "ES" • Dietichlis epicata "0550"
"DO" Dolphin ' number "D04" ` (salt or spike grass)
"DS" Drystack storage length, width, height "DS200,75,50" "SS" Salicornia sp. "553B"
" •
EL" Pier "L" head length, width "EL10,20" (glasswort)
FD Fill besin, slip : , length; width, depth "FB300,50,-4" "LS" Limorilum sp. • "LS40"
"FC" Fill canal, channel • length; Width, depth "Pc300,50,-4" (sea lavender)
"FM" Fish house • length;•width "PH150,75" "SC" Scirpus sp. "SC20" '
"FI" .Fill, general ' longthi Width, depth "FI300,50,-3" • (bullrush or three square) I•
"FR" Fill for road length, width, depth "FR975,50,-2" "CJ" Cladium jamaicense • "CJ27" •
"FS" Floating structure length, width (use this only when •
(saw grass)
no otter code,fits) • "SA" Spartina alternaflora "SA75"
"GR" 'Groin length, Width "GR200,2". (salt marsh cordgrass)
"110" hotel, motel complex length, width height. "M0450,75,50" • "TY" Typha sp. "TY32"
• "!H{" Highway, street length; width "WW1000,50" (cattail)
"JE" •. Jetty length, width "JE30,2" "BF" Borrichia frutescens "DF42"
"HA" Marina 1 of slips "MA50" Ctrs) oxeye)
. "ME" Marina expansion 1 slips new, existing "HE15,20" ' "IF" • Iva frutescens "IF76"
•
"HI" Mitigation length; Width "HI50;25" (ma: th elder)
"11R" Mooring piling number "HR5" "PH" Phragm! er sp. "P1160"
NP Non-pier 1.rrpth, •xiA*.k. (use this 1.nly when
• no other uodo fits) ";.?1" x 1.o't vt-rt, "L)I50"
• "DP" Outfall pipe diameter in ", length "OPG,2000"
NOTE, This is not a sewer line extension unless it results "SA" Spartina alternaflora ^SA30"
in I discharge to State Waters. For example, a WWII' (salt marsh cord grass)'
effluent pipe would be "OP"
"DT" Other --- "0T" "11G" x t High Ground "l1G750"
_ (includes spoil disposal) -
"pc" Pipeline crossing diameter in ", length "PC8,450" •
"PL" Parking lot length; width "PL180,50" "OW" * Open Water (Use with piers. "0H900"
"PSI" Pent mining acres "Pf150" • mooring pilings etc. where
"PR" Pier or dock length, width "PR160,5" there is little bottom
"RR" Aiprap length; Width "RR150,5" dlsturbsnce.) .
"SC" Cable, pipe crossing 7Sxno longer need" �1,
"SO" Subdivision I lots, total acres "SD42,50" "SH" x Shallow hater Hotivm "SB550"
(Used for
"SE" Subdivision expansion 1 lots new, existing "5E20,50" n etc..ads.
"TE" Pierr T head ' length, width "TE20,6" thereatio etc, whlte
there is a maj'or alter-
'
ation to the bottom.) I
•
nBCn it Beach "BC150"
"DN" . a Duna "Dt1200"
"GB" x Submerged grassbeds ^CD75"
"WL" x COE designated wetlands " 404 75"
(Use when-other species
are present. not list- '
ed elsewhere).
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DTYISIo\OF COASTAL M4NAGEMER'T
ADJACENT RIPARIAN PROPERTY OWNER NOTTFIC'ATION/V4'AIVER FORM
Name Of Individual Applying For Permit: t U•—64'f c, h
Address Of Property: C J j f ,c L
.,73'I( -API`L, A/e- 2 ,eye h'
(Lot or Street/',Street or Raid, City do County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be
letter.r1.
�� provided with this
/ I have no objections to this proposal.
.
If o❑ hew. ..1.:....:.n I? S. wit the
Y to tuhmr is brine ••� x►n je_coasial
Manapr merit, 177 North Catuim North(`i
al ISrtvr Wilmington Normlinit,28405 a 95_910 3
19(1)within 113 days of recaipt of this nodes No rspppsels considrr4 the same
jf you have been notified by C' rtitfic�Maii as nn nbjertinq
WATVF,R SFCTTON
I understand thin a pier,dock, mooring pilings,breakwater, boat house, lift or
set back a minimum distance of 15' from myarea ofssabybags must ou
wish to waive the crsbark, you must initial the appropriate blank below.)el waived by me. (If you
I do wish to waive the 15' setback requirement
I snit wish to waive the 15' setback requirement.
\ice, 'ONiffifo
A 'A
'i nature '"' ` ' �1
D )� - _2) ((Dv- ENR
Telephone umber With Area Code
E. ..0...a...wo wot.,AL.RaoLI.i

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frViclr)1 OF f O&STAI.MAN&1 EMEEN7
AD_IAfVNT_RrPARIAN PROPERTY ONNNT_RXQIEFIciaja=wAINIR FQpi
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Name Of Individual Applying For Permit LaJ L 4L k
Address Of Property: 1 21 SC J1 f-))
�� �► isz4i,L, ,vc �465
(Lot or Street#, 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 to the 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 bring proposal_ please Division n f_Crristal
39nn within 10 days of rrrript of this notice No response is onsicirrri the same as no objection
if ynu have been notified by Cerrifmrl Mail
WAIVFR SECTION
T understand that a pier,dock, mooring pilings,breakwater, boat house, lift or sandbags
set back a minimum distance of 15'from myarea ofess waivedme. mIf ou
wish to waive the setback, you must initial the apprropri�blank ieloww.) by me. (If you
I do wish to waive the 15' setback requirement.
dttx=wish to waive the 15' setback requirement.
&WA
Signature Date
Prim Name
NCDENR
Telephone Number With Area Code NO..,,.CAROU„„Ocr,„r,,,,,o,r or
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ENvisoos.szia.rw Pvcru L RESOURCES

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1. SHORELINE MARINE CONSTRUCTION 67-7235/2532 •.
3258000872 i' •
GREG PREVATTE i i
. P.O.BOX 10671 2 /i
DATE „
. SOUTHPORT, No2646J
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\ ORDER OF
''l it) -e- J lilIGIC Pa Li' g i' 4? DOLLARS
\ The Right Bank Fot You
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