31034D - Glinski

40 CAMA / DREDGE & FILL Ni? 31034-i
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 SA NCAC �f .
f L Rules attached.
Applicant Name IQ r b//n 4I I 1 Project Location: County 1 r" h5 vvi t..„ ,
Address'l l 1) D I / VV e cl 4 e w'Ja j I 0 r. Street Address/State Road/Lot #(s) I? 5 YV ),?A S
City VV 11.!4C ✓+ / State NA- ZIP a<E4-ik2
Phone# ( _) Fax#( ) Subdivision
Authorized Agent City DO k . S r`1^ (./ ZIP b
Affected T ON A S ❑PTS Phone # ( ) River Basin 4 Li Cr--
Adj.Wtr. CA Lit}❑OEA ❑HHF ❑IN ❑UBA ❑N/A
AEC(s): Body (--4 ✓iu en(nat /unkn)
❑ PWS: ❑FC: / ,
ORW: yes /'no PNA yes / no Crit. Nab. yes /(St Maj.Wtr. Body W
Type ! Activity ( °4S "ir'c'. '`,1K36' ,/ Wiill 21Xlo' ,1—hf... d ( 6' ! �' /3k—,:.�
T e of Project/Activi � , 1
.--( --J--- / c).1 X 1 ate 6 s u r 7,-4-1- a f it/€.4yier-.A.itiEr4 e K d. (Scale: N3 ii- Va )
Pier(dock)length 111 1 x S6
Platform(s) .
Finger pier(s)
Groin length
number
— 1 . _ "I ------r
Bulkhead/Riprap length (`
1
avg distance offshore I . . A_ NA
max distance offshore f�v 1
Basin,channel ` j
cubic yards _ `-. I I D
t____C---
Boat ramp .
r .
Boathouse/Boatlift _ o , -'- -
t _ ...J C�� i , �,..
Beach Bulldozing �y� k.` �' 4. �F s
Other E lc, •,t! .P✓ r Y f 1 /5 '�• /:1 - �`(-
o J
J )( / )'C /T ' IA. V. v" If ' .- - _ !`! q r/ir vt
•
Shoreline Length . r . ' 1 .., . r-±
i. ' I I i
I
SAV: not sure yes no f - i t
Sandbags: not sure yes no !v' /1
Moratorium: n/a yes no
Photos: yes no j
Waiver Attached: yes no ---_' 11 i
;� I
A building permit may be required by: tAo 0 U` CJ4 iC ..Asi0c) F See note on back regarding River Basin rules.
Notes/Special Conditions /--i j Co M d t rl "-.) r 1 /11• /, 'D-- s,4 /1 . ,,y 41
5"-faA 1r (' ')Q ,r < Ci.
Agent pr inted ame PermitOffic 'sSi re —�
—6— a2 5 —c. — --4.
Si cure Please read compliance statement on back of permit** Issuing Date Expiration Date
Application Fee(s) Check# Local Planningfurisdiction 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:
I I 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(252-946-648 I) 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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733 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)
Revised 10/05/01

GENERAL PERMIT - COMPUTER FORM
FIELD•REP: 4 � �
1 APP FEE: G f �
C) 3,
PERMIT NO: COUNTY:
C D�' ESI ) toi4 PT e 1 v G_S WATER BODY:
APPLI CANT NAME: n b l /n S /C i
ADDITIONAL NAME(S) :
MAILING ADDRESS:
PHONE:
CITY: STATE: ZIP:
PROJECT LOCATION:
INCLU CITY OR LOCALITY • (WHEN DIFFERENT FROM MAILING ADDRESS)
—� r _ i LAT X -
DEV �: � —o� I pR-OJECT DE �, ( ) . LONG (Y)
F 5- it, / ,.c!ilx-m:
------1) et-. / 0 -3
- - - -l- -
CODE LENGTH WIDTH -DEPTH CODE LENGTH WIDTH DEPTH
!"17,7)
(- - - - - - - - - - - —) (- - - - -
S;P�E� LENGTH WII DEPT0 , CODE LENGTt.D WIDTH DEPTH )
; (DL, IAA.) (t) u/ I b O)
CODE SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET )
ACTION EXPIRATION
DREDGE AND FILL REQUIRED: c-—k, - -b fj 6 J 4.
CAMA MANOR DEVELOPINT REQUIRED:
*****************************************************************************
- CODES FOR AEC DESIGNATIONS • - -
"OH" - Ocean Hazard "CW" - Coastal Wetlands - -
"EW" - Estuarine Waters "FC".- Fragile Coastal Natural/Cultural
"£S" - 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
"U" Util.ty : "H" Housing Development
•
"S" State•..: - _- _ . - - "O" Other
- - - - CODES FOR DESCRIPTION • - ' =
'11" Bulkheads, Riprap "15" Utility Lines -
312" Piers, Docks, Boathouses - "17" Emergency Repairs .
'13" Boat Ramps • - "18" Beach Bulldozing
'14" Wooden Groins . - . = . - :_ "19" Temporary Structures
15 Maintenance of Basins, Channels, Ditches -

•
TAIHJ:I•coati FOR NEW N'Qi(t(On 111.11X1'ENANCI; '
JI)imrns(nns In led ar sgenre frol unless u(Iwn Isc Mnccd.l TAtH,E 3-CODES run DE.SC1((PTION Or I)IST('RIIF,b AREAS
' CODE TYPE OP �EVELO�MENT I DESCRIPTION JUincrnslens b scn,nr, fnc enic�s n111mrhrnnlcd(., • EXAMPLE
I I.
MAJOR SPECIFIC
"AC". Access channdl,canal length, width, depth "AC200:20.-4" GROUP IMPACT DESCRIPTION EXAMPLE
• "AR" Artificial reef length: width "AR200,SO"
•; "AS" • Artificial seaweed length, width • "AS500,100"
• "BA" Beach or est. access ' -- "BA" "WS" * Wooded swamps . "WS4SO" I
"BB" Boat basin, slip ' length, width, depth "DB150,50,-6" "CY" Cypress "CY150"
"DH" Bulkhead length "D)t150" ".GU" Gum "GU150"
•
' "DL" Poet lift length; Width D" L25,15" "CE" Cedar • "CE150" I
• ;50
"BM" Beach' nourishment length, Width "Dn1500 ", ' ' "SH" '
Maple "SN150"
"DP^ Boat ramp . length; Width "BP10D,10" . "Po" * • Pocosin "P0250"
"DR" Bridge length, width "BR75,50" • "HF" * Maritime forest e "HP175"
"DS" ' Boat house length, width "DS40,20" "HM" * High.marsh "I1M390" '
' "SW" Breakwater length "DW150" • "JR" Juncus roemerianus ."JR30"
"CC" Cable crossing • length "CC275" (black needlerush)
! "CE" Condo expansion I Unita.new:existing "CE45,40" ' • "SY" Spartina cynosuroides • "SY60"
"CD" , Campground length, width • "CG175,400" (salt or giant reed grass) 1
"CO" Condo 4 Units, height "C064,45" "SP" Spartina patens "SP35"
"CV" ' Culvert length, width "CV60,15" (salt meadow grass)
"DO" Drainage ditch ' length, width, depth "DD900,12,-B" '"DS" bistichlis epicata "0550"
' • "DO" Dolphin ' number ' "D04" (salt'or spike grass)
"DS" Drystack storage length, width, height "D5200,75,50" ass,' .• Salicornia sp. "5S3D" •
"EL" Pier "L" head • length, width "EL10,20" • - (glasswort)
FB Fill basin, slip length, width, depth "FD300,50;-4" "LS" LSmonium sp. "LS40"
• "FC" Pill canal, channel • length, width, depth "FC300:50,-4^ (sea lavender)
"FI1" Fish house • length, width "F11150,75" "SC" Scirpus "p. "SC20" '
"FI" .Fill, general ' length; width, depth "FI300,S0,-3" (bullrush or three square) ':
"FR" Fill for road length, Width, depth "FR975,50,-2" "CJ" Cladtum iamaicense • "CJ27"
• "FS" Floating structure length, width (use this only when (saw grass)
no other bode fits) • "SA" Spartina alternaflore "SA75"
"CR" 'Groin length, width "GR200,2", (salt marsh cordgrass)
"Ho" Hotel, motel complex length; Width height "1t0450,75,50" • "TY" Typhe sp. "TY32"
"UV" Highway, street length; width "1(WI000,50" (cattail)
"JE" . Jetty length; width "JE30,2" ' "BF" ' Borrichia frutescens "BF42"
"HA" Marina I of slips "HA50" (tc•a oxeye)
"HE" Marina expansion 4 slips new, existing "ME15,20" _ "IF" • Iva frutescens "IF76"
"HI" Mitigation length; width "niso,25" - (ma: ch alder)
"IIR" Mooring piling number "HRS" ' "PH" Phragm, ea sp. "PH60"
•
"NP" Hon-pier 1.rmpth, mic1th (use this c.nly -then _
. no other code fits) emir * Lnq Mcrss, "LH50"
"OP" Outfall pipe diameter in ", length "0P6,2000"
ROTE, This. is not a sewer line extension unless it results . • "SA" Spartina alternaflore "SA30"
in a discharge to state Waters. For example; a WWTP (salt marsh cord grass)
effluent pipe ttould'be "0P"
"OT" Other --- "OT" •711G" * High Ground "110750"
_ _ (includes spoil disposal-)
"PC" Pipeline crossing diameter in ". length "PCBe45O" ,
"PL" Parking lot length, width "PL180,50" "oW" * Open Water (Use with piers. "0W900"
•"PM" Pent mining acres, "P)I50" mooring plittle etc. where
"PR" Pier or dock length, Width "PR160,5" there is little bottom
"RR" Riprnp length, width "RR150,5" dlsturbance.l
"SC" Cable, pipe crossing **no longer Used** '" "SB550"
"SD" Subdivision i lots; total acres "SD42,50" "SH" * Shallow Water Bottom
(Used for
"SE" Subdivision expansion i lots new. existing "5E20.50" n etc.ade,
"TE" Pier I' head ' length, width "TE20,6" excavation etc, where
there is a major alter-
ation to.the bottom.) 1^
•
"DC^ * Beach "DC150"
•
"ON" . * Dune "9)1200"
"GB" * Submerged grassbeds "GD75" •
"WL" * COE designated wetlands " (104 75" •
• (Use when-other species .
are present. not list- •
ed elsewhere).
.. .. _ -- --'— —__... ..4_.. . ,nw ay." net. nivnn.

•
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PRoPERr{ .or - . .. ._... ....- PROPERTY.-1 7 .. ._ . . _..... .- . .Q itRTY.0F. .....
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1
Name Of individual applying For Permit: Lj:LCzLaspu:____n
hddrt.ss of Property: S, U. vidlSiret
.
(Lotof StreetAid �g. Ss- h 4Ae
t. Street or , C
I hereby certify that Y own property adjacent to the above--
referenced
t property. The individual applying permit has
me as shown on the attached Ydrawing f
they are proposing. A description or with dimensions,thelsions,
shout:d be provided with this letter.V
1 have no objections to this proposal.
�,f YQp haw •
�ua.atzautaL y A !at
baits of reasiot of (iris sic*. Ito ransoms is aswithin
�p
As ag spideptiot if von hen been notified be Cjaktrifiectifelj
!� .'ems.
d-`
I
hound understand that a" - , dock, mooring pit ir*,lttratrx, boat
lift I -beset back a._ j. distance of is'
from ay area of riparian access -',�taive d -by . tit you wish
to waive the setback, you , -
joust ..i the appropriate- blank
below.) _
I do wishto - Y_
waive the 151 set610k requji�rmment. u"'• lt , I do not wish to waive the 15ssetback requirement.
i
a -
Te pti bne Iu r w ttA Code - Mi..1-ftva°11--1141.1.14.1.16F1

• WILIMSEMETALAmmansu
maue of Individual Applying For Permit:
ski'
Addrf--ss of Property: 5 Neil S
lax IV a6v s(oa
Street(Lot or f, treat or , C & c�1
Yj
I
2 ePhier y certify 'that I own property adjacent to the above_
property. The individual applying for this pit has
described to me as shows on the attached drawing the development
they are
e proposing.
pr�i with description or drawing, with dimensions,
letter.
t Z, I have no objections to this P
s'+aPosa1.
•
c V joli� to % at 4 s b•n wroeas 4 i1 • wr
• • • r �i• 152�.`� the
x. _t a t
•
&derail the agog
diaLS1J312212"""11-6211216---1 1412-nnWILAPuri_sdalactitimuth jtauszo jou_out _ Con fled. ARIZ
BAELI' ipi .
I understand that a pier, dock, scoring pilings, meter, boat
house, lift must be set lack a minium distance of is'
froa ay area of riparian access unless waived .by we. (It you wish
to waive the setback, you put initial the appropriate• blank
below.)
I do wish to waive the 15'setback requir .
I do apt wish to waive the 15'setback requirement.
I
^w� L__ //5/
-942/17felic'-
Print AVe v NOr�s
llsate - AV
a�
Te epti ons r Wi th Area e

-•-. InSecurif enhanced documen,. See back for de-Ialle_m 2808
COASTAL DOCKWORKS INC
4398 FISH FACTORY ROAD SE ss 3a�sal L'
`I SOUTHPORT,NC 28461 v 453 p.
PH.910 454-9592 • DATE d
PAY
TO THE
g( ORDER OF DOLLARS Da..m. h;,
r;
[FRS CITI7.TNS,S)
e
[BANKFualCiuzan Bank 8 4ua Company -- --- — i r — — I
Sou,hport.NC 061
FOR
. - '05�3.L003001'00453 L 23 L09711'
�' n 00 2808i1'