30421D - Cline

0 CAMA / DREDGE & FILL N° 30421—t
GENERAL PERMIT Previous permit#
>C New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i U
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / N. / .
Mules attached.
Applicant Name !... U 1)J K J Or
/( A Project Location: County p
Address O '7 /4 C-4 A% l i I ✓e A I) ' O Street Address/State Road/ Lot#(s) X 07 V
City Curd l/n A &. I, State NC ZIP tNg"1)1 C Cj /1a / OriY(
Phone #( ) Fax#( ) �j Subdivision / -y �/
Authorized Agent ''UM A• 1 RV T A f v c ^ City C 4 r' //K a e r'r,i, ZIP vt V / �` C��
Affected L CW - EW /%PTA ❑ES ❑PTS Phone# ( _)) p River Basin WP e F�-{f'
AEC(s): C OEA HHF ❑IN ❑USA ❑N/A Adj.Wtr. Body CU r. /7 c JJJJ"''7777"''4. Ai t R4)it at man /unkn)
❑PWS: El j
ORW: yes /"no PNA yes / o Crit. Nab. yes / no Closest Maj.Wtr. Body
Type of Project/Activiity LO/) rJc-'t 1 'K Ail' 7"/cYitin) d2c�k W14'4 rc+,4P ct( '1-- Wc,t-trrWgrci
1 cl P 4 P Xi') 11n) P f 01 v- " ' Pact (Scale: )
Pier(dock)length
Platform(s) / t. Gl I'� /,''-f &ecr. y, ,_h-i- �,,J G [',i� ��
Finger pier(s) C/ 1 �.
/I ,r
Groin length I r
number I •
Bulkhead/Riprap length — .p r—
avg distance offshore a Ai, Of "s-r v I.r,C1
max distance offshore _ __1. /40 C...- ./a •u -�
Basin,channel i t ;' - --
cubic yards _ i�I
_ fifit — _ 12°, .
Boat ramp �....... ,��yy rillBoathouse Boatlift — ' /n /9,-
i .E J5I:►
Beach Bulldozing I 1 I i I
Other .S -52/ �/ AL a 11
U n 1 ■i
t
a — i—f--
I
Shoreline Length ./00 i I I I I i I
SAV: not sure yes no
Sandbags: not sure yes no ' '
Moratorium: n/a yes no ! I A/ I
Photos: yes no 1
Waiver Attached: yes no -- — --— J-----. ------
A building permit may be required by: jLt1A 'GC. CO(a//,„t _I) . I— See note on back regarding River Basin rules.
Notes/Special Conditions 1l/ Coil c t 41 o'/+►J fl F Oki...., / , o' S/J t II q,� /�/ • I41( ' ne N (�4 I$4-'�C• ;A.
..ALI( i'% c� ; rk.,r 1 /rr-F-'1' iPsic+o of eQa r 1pa r►qA C,rr' Le bile. . Ac4914 ,of
- cr r- c t l sAtll A04 ex(t e ( Car• lac, ( Pit(— /1 e " d )- /AP.
0 . 6--)ct,,A.,
Agent Appiifant Printed Name ( Permit Offi 'sSignallure
Signature "Please read compliance statement on back of permit** Issuing Date Expiration Date
' D , ° r'''. a( 6 W 04 rDliA' ,4 F.- ,4 Q V G,
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

b
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 27699-1 638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Berrie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 919 733 I495 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)
Revised 10/05/01

�.-.hr-- r�rur._'_• - CO?j?-J'I E R F OPvr
FIELD
FtEP. • 1 4r �/ P )D
PERMIT NO: 1 ' ' COUNTY:
:
6.p,c DESIG V� r icAll'I.'rt. BODY:
i
APPLICANT --;'-) / .)Lek CA r ct e
ADDITIONAL NAME(S) :
MAILING ADDRESS: `�"
PHONE:
CITY: STATE: ZIP:
PROJECT LOCATION:
INCLu G C24Y OR I.00AI.IT7 (WHEN DIFFERENT FROM MAILING ADDRESS)
EV = . _(7 U j PROJECT DE P - Lk
(X) : LONG Y
CORB: a � 1 .
(��CODE LENGTH r — — ---) (- - - - - - )
WIDTH DEPTH CODE LENGTH WIDTH DEPTH
- ( - - - - - - - —) (- '
CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
- INP CV) ilL)
� CODE SQUARE FEET CODE SQUARE FEET ) ( CODE )
t
SQUARE FEET
ACTION EXPIRATION
DREDGE AND FILL REQUIRED: -
CAMA MAJOR DEVELOPMENT PEQu__RED:
*****************************************************************************
- CODES FOR AEC D SIGNATIO27S ' - •
- -
"DH" - Ocean hazard „CW" - Coastal wallands
" -
W - Estuarine Waters ' . - "PC" - _Fragile Coastal Na`u ral/Cutore_"ES" - Estuarine Shoreline - "PW" — Public Water Supply
"PT"
Public Trust - • - -• -CDR"_- Outstanding Resource Water •
- PROJECT
ta" -Private, -usually an individual -
.i - ;t,r" P ederal -
'Cu Commercial - - •' "L" Local Government
'U" Utility - - - . _ - _ "B" Housing Development
'•S" State--: : • -- -- - - - - _ - "a" Other
- = - . -. -- CODES FOR DESCRIPTION - - - . - - -
11" Bulkheads, Ripraa - _ - - "16" "Utility Lines
12" Piers, Docks, Boathouses - :. "17" nergency Repairs .
13" Boat Reaps • " 8" Beach Bulldozing
14" Wooden Groir_s .-- - - - - - • - p- "19" Temporary ry Structures
15" Maintenance of Basins, Channels, Ditches - -

•
•
• i T.c!!f i iii i i_ roil hii ii'iiiiii nil ill •'t'kkAt�'iat
I • . . Lmr:n nos n rrt ar! aura frrr oun•n,i,e ainir,. • •
' CobE• TYPE 'Or bEYBLD,�NEiiT t ' ' CODES F(in Uf•:5CIt11rl'InY nrjit fI'ill�i i)i1R}:AS
i1ESCRIPTIdi{ EHAIIPLE j hernd"ns In mum fed (�) y u. r re in,rns n111mdsr�nnp
•
i "AC°. hcceue bheitit rilicati4i loiiptiii.Widtli; depth "AC200i20i=4" •
}IAJOR SPECI FIb ,• i
"A1L.". Aitlficinl reef GROUP INPhCT bESCi(IPTI0f1 I
loiiptii; Width "AR2ooi§0" EHA})PLE •
.i "AS" •. Artliidibl Soiiieed', leriythi )Width ' • "AS5t70;10D" , "
BA beach or est: oocess '
"Db" beat lrbiiin; ell" "DAn "WS" is Wooded swamp • "H5450" I
p ':' lei-With; Width; )Eolith "bsisdisbi-6"
")111" • bulkhead . : ' lohgtii "' •" "CY" cypress "GUISO'
"DLI' Bobo /lit , b)t2si "op" CUM • •• "cuf5a^
i®rigtlic Width "dLz6;i5'+
"bii!� hooch• iiourialtmelit ieii�thi Widtli „ "CE" ceder ^cEtso^
"DP" 8ea4 ramp bNi50Qi5d",:' , " " I
"II?" • bcat r ,, ' lengths Width "DP100i16" "Po" SN PMnpleocos "511150"
lehlj4ft Widtfi.; ;.,:. >R Pocoein "P0250""Ds" ' Boat bodes "bh75;50„ ")fr" A. Maritime forest "HF175"
" " iehbtHc Widths •F• "bsnd 20" "nN^ ri •
bW bro akaatei len' High marsh • ^Wt139o" '
"Cb" bailie CrOebiii gib ': "b41150" "Jit" Juneub roemerlanve
Sl leiiljtil "i:C275" "JR30" •
' r "Ca" Cando enpiinaioil • ' ' 0 )pits iie';QR,etirik "CE45;40" • (black heedlerueh)
"Cd" C„mPtirou»d. iengtiii Width " ' " "SY" Spertlna c " " .
:"DO" •
boiido '' Udimil10 ygiant reed SY60
1 Uiaits; hiiiiiiit ,'; ,' "0U64;45" (salt or plant reed grass) +
"CV" ' Culvert ''' • •' : `length) Width ', " „ "SP" Spleelne meadow "SP35""OD" drninepe ditch CV6di15 (salt press) '•'1'
n d ieitgthitiiatiti'tseii4ii i'Dii900i12;-9" " "
Do. bolphin ' iiUmbei• ' " " DS bi(salt or spicatg • "DSSo""D5" Drya4bcit afore a dpli (Salt spike grass)
g : leiiiithi'Width; height "b520(Ii76,50" _ "SS" •
"•EI." Pier "L" heed ' lehgthi width SS Selicornia ep, "SS30"
"FB" Pill basin, sli "EL10 20" (plassuort)
p : length; Width; •depth "tb3o0i5bi-4" "Ls" • Limonium sp; LS40
"FC" Fill cane); Channel. • isn't))) Width; " "
• "kll" Fish ltotise p depth "FC3D0;50i-4" • (sew lavender) ;
. "FI" Fiii; iaiig4lti )lief)) "F11150i75" "SC" Scirpus sp.
• peiisriil '` leiig4hi Width; ))slit)) "F2300,SD,-3" "SC20"
• "PR" rill for road ' ' loiittiii Widthi•depth "FR975,50i-2" fbullrush or three square) !
"Fs" Floating etructur6 • lorigtlii•iridtlt (ilse tiiiadnly when "CJ" Cl(SOW �amaicenee • "CJ27" c
• No otlior code fi4ai (sew press) ' ,
• • "GR" 'droin ie1igtli; Width "SA" • Sp(salt elternwflore ^SA75"
"lid" Itotel, ieotlil complbii laHgtiii width height "Ihi450,75,50^ (salt marsh cordgrase)
"111i" 111ghw,Yi street - "TY" iypca sp.
"TY32"
"JE" . Jetty liiiigthi )lief)) "1IN1D00;50" • (cattail)
"HA" ' Nonni) leitgthj Width "JE30,2" • "BF" Borrichia iruteecens "OF42"
"NE" D of ))lips 'HAsU"
• bertha expanriiori I alijie na,d; axiiitirtt{ 'ttIs S;2D" (E.t.a oxeye)
"!12" Hltigation "IF" • Iva iru+es" n ' leapthi Width "11I50; 5" "1F76"
111t flooring plliug !)Umber, "MS" (ma: rh alder) i
"HP" lion-pier ' irhpth, •u•ifi'ldt (time thl'HRn'y -then
• "Plf" Phragm+'.er sp.
"Pi(60"
"Op i " , . ho• other undo fits) ";.Ili' x Loy Mr..rsl, "LH50"
outfall pipe diaMn4er in "; length "006)200D" '110T5, This is )lot ii newer line extoitsioit unions it results
in a discliergd to lit&te 1#attirii, For example, a W1VTP "SA" Spartina(satelternord grass) "SA30"
effluent pipe iiotid'i,o "0Pn (salt.marsh cord
. horn other .
"Of" "110" r; High Ground "I10750'
�.;', -" "" (includes spoil disposal)"PC" Pipeline croneing diameter In.", length "Pc0;4s0 •"
"PL" Parking lot length; iridth "PL10D;SD" now" a Op coring pilings(Use with piers,•
"OW900"
"PM" Pent leliiing, acres "PN50" mooring etc. where
"PR", Pier or dock loiigtiii i ldtit • "PRI60,5" there is little bottom '
"R1l" i!lpcep length; kidth "RR1SO,5" disturbance.) , ,
"SC" Cable, pipe crossing 'OHO longer Usedaa ' �11
"SD" Subdivision tf iota; 4otel adios i'SO42,50'i "SB" * Shallow Water Botloin "5H55o"
"SE" 5vbdivieioit eicpen •
eio►i 1 iii4ii hew; oiiiatiii¢ • "SE20i50" (Used for hulkh�ada, •
"TB" Pier T head : length; widtli "TE20,6" excavation etc, where
there is a maJdr alter-
btion to the bottom.) I "
•
"DC• " x Beach "Da150"
"DM" a Dune "011200"
•
"GB" * Submerged prnasbeds "0575" •
•
•
* COE designnled wetlands"WV " r104 75'
•
(ben whan•othor species
. are present, not list-
ad elsewhere).
`:
___.. K Una thr^, end"" manly nh-•• • '-, era not nlven,

•ENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. S%-// 01—
II Print your name and address on the reverse
C. Signa •
so that we can return the card to you. �� ,❑Agent
■ Attach this card to the back of the mailpiece, X /
or on the front if space permits. a 1.
;. ��D- �essee
. Article Addressed to: ' D. Is delivery address different from J-' 1. ❑ Yes
IIf YES,enter delivery address below: ❑ No
r,* ,*sZc 11,E
,,,,,,,,,..4.,
A e Q el, 3. Service Type
g Certified Mail 0 Express Mail
�>• /!/ Registered ID Receipt for Merchandise
/✓ l► r
t..........i... taw.:4/ 0Insured Mail 0 C.O.D.
r��� 4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number(Copy from service label)
'S Form 3811,July 1999 Domestic Return Receipt 102595-004-0952

UNITED STATES POSTAL SERVICE Firs- - ail
��k,\I I I -ost Feeri .
FM v 1 _ : isSt NoT 1 -----
• ender: Please pri yto r,,13a 4.•
,,address,-art6 Z1P*4-i hi5'box ^---
67-041ce fiii4 S cff,
P. ,Led-- /2,Jz
clwz.,;(.,* / otize_ez., /t/i & -
/
-lg. c<24,
a Et/1. 7 1„1,11„i„i„i„i,li„i,,,,li„1,11i,,,1,,,111,,,i,,,li,i„i

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. r'
int your name and address on the reverse �` '4"7 L��Z
t we can return the card to you. C. Signature /
• card to the back of the mailpiece, / El Agent
e front if space permits. X3 lam,{ '�-f� j:3 Addressee
D. Is delivery address different from itep41 ❑ Yes
1. Art ddressed to: If YES,enter delivery address below: 0 No
5/./....4 I
tt .......9
Fl.0 e L1Z
&61..Aertv:/1/46... aecedLd 3. Service Type
irertified Mail 0 Express Mail
�� Registered 0 Return Receipt for Merchandise
Jt/ • e • 0 Insured Mail 0 C.O.D.
�� 4. Restricted Delivery?(Extra Fee) ❑ Yes
.,,s.
2. Article Number(Copy from service label)
S Form 381 1,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail l
111111 Postage&Fees Pais
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box
d7-mgc-A- //tcP.
J2o7
cis �v�.yf- '0?$'`i

•
•
DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/W'AIV'ER FORM
Name of individual applying for permit: /I`
Address of property: F-4 5? cGoj n f
I hereby certify that I.own property adjacent to the above-referenced property. The individual
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.)
•
rAtirl
have no objections to this proposal. •.
•
If you have objections to what ,is being proposed, please write the Division of Coastal
M'n,;,emont, 127 Cardinal Drive Extension, Wilmington;North Carolina,_28405-or call (910) _ . •
395-3900 within 10 days of receipt of this notice. No resnormik,considered the same as no •
•
obiection if vnn linvp h�nnntifAi h�f -f:T,Pr�Mail ,
.
•
• WAIVER SECTION
(Does not.apply-to bulkheads or rip rap) ,
I understand that a pier, dock,mooring pilings,breakwater, boathouse, lift or sandbags must be • •`
setback a minimum distance of 15'from my area of riparian access unless waived by me. (If you
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
110.42.I do not wish to waive the 15' setback requirement. •
-
. (10110.(4,
Signature ]
Print Name q/ O379 , .
Telephone number with area code •

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• .�
: •. ' • ' t R �
R_..
N.
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•
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•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION:'WAIVER FORM
Name of individual applying for permit:-
I
Address of property- 1�j 0 ��r c� �� c f
I hereby certify that I.own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the anacned drawing the development
they are proposing. (A description or drawing, with dimensions, should-be provided with this
letter.)
i
• ve no objections to this proposal. • . .
•
If you have objections to what is being proposed, please write the Division of Coastal
Manariement, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call (910) •
395-3900 within 10 days of receipt of-this notice. No response is considered the same as no
objection if von have been notified by Certified Mail.
•
•
WAIVER SECTION _
(Does not.apply to bulkheads or rip rap)
I understand that a pier, dock,mooring pilings, breakwater,boathouse, lift or sandbags must-be..setback.a minimum distinct...of 15'from my area of riparian access unless waived by me. (If you
wish to waive,the setback,you must inidal the appropriate blank below.)
• I do wish to waive the 15' setback ieaiurement
I do not wish to wive the 15' setback retuireinent.
• Simaate
Da:
.fir r !. r ✓i/ _. • - -
_ - —Print Name —
9/0— 'id'_ 9i6 2
Telephone number with area code - •

_..--:- :. 2808 i
yam.° ROTHROCK PILING SERVICE INC
f'_'- =;;✓ . .er. PHONE[phone] [phone]
`� _ PO BOX 1207
_a.` 66-30/5361
i r ._ CAROLINA BEACH, NC 28428 l 360
�� .4�dde 5/ 30,E 4 62
7�;Y N `_-- ,„�. ayrder9/ C �/1'1/ $ lop, Qd
ROTH (LING SERVICE INC
.10P FIRST CITIZENS,.0 P p 3 oi-ta-1
BANK 'dr:LT13% kd TZVA°"pany
j�rti�l� Carolina Beach,N C 28428
www.firsteitizens.com -
SPireZZ//efl,k. F'd 7 Q97PA2 r(7/ hp
Ir, PI'00 2808"I' 1:0 5 3 L00 3001:00 3 20 LO L 5 70

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s,rn:aa? ,A: L[3(Du0;1ncn; I..
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'''-5'✓,✓✓✓,, ,r ROTHROCK PILING SERVICE INC 2808
PHONE[phone] [phone]
PO BOX 1207
✓y �(�/CAROLINA BEACH, NC 28428 66-30/53I
T •
�OtG 30 360
' otolb
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F7RSI'CITIZENS 360 Q 3 (3l-t .-1 ROTH (LING sER INC
BANKFirstCilizons Bank d T2ust Company 1 D
Carolina Beach,NC.26428
www.firstcitizens.com
(70; /PJe.r1,4eZAki— Ye)7 c/97442 P/4 .
P• II'00 280130 1:0 5 3 LOU 3001:00 3 20 L0 L 5 70' - �y
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2808
'" ',;:t ROTHROCK PILING SERVICE INC
7 PHONE [phone] [phone]
PO BOX 1207
66-30/531
��'' x r`,} CAROLINA BEACH, NC 28428 ��y
i , it 7"9' ,' 360
_6,7:4_7/ ....e..4.44,141. 4:24.21,49__Y__,..-4 . Pi «.7.="
a/lr,r
ROTH ILING SERVICE INC
FIRST CITIZENS J60 G P p 3 6t4D-
fjANKFirst-0i7gZBankdTmslCompany
Carolina Beatli,N.C.28928
www.firstcitizens.com
P...„-eVirlf.t.t-1- ye) 7 c/9-Y'Pr) 17/4
,„--47 - ,w,
II'00 2130811' 1:0 53 L00 30❑1:00 3 20 LO L 5 711' `�
.sue �'1