31067D - Underwood

0 . CAMA / DREDGE & FILL Nf; 31067_/'
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 f { Q
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC .
��/ [ Rules attached.
Applicant Name SV v J i h rA L1' do 1 w J a CI Project Location: County P F A d( rr
Address IA C J /c ( �'" , le _.. --_ Street Address/State Road/Lot#(s) 1 a 5 Di(Ic ,'?' A
City 1-4,�,,,,,p c i-<t.c1 State NC-ZIP
Phone # ( _) Fax#( ) Subdivision / (�i/d t p./n fi
Authorized Agent City ,� - D, w f l'/e,4 c! ZIP
j CW _,EW 'TA DES C PTS Phone # ( ) ! - River Basin CA,P Pe r
Affected _
AEC(s): OEA HHF IH ❑UBA Li N/A Adj.Wtr. Body 0 C A 4, n e { bar +(nat ar,Ciunk
❑ PWS: FC: ,• —
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body ry
I flit"
Type of Project/Activity -.�..�5 '4'04- 6- X 5-31,ier WI4"1.► /A' x,i /' p dic ay Cover.S 4'Et P.%4j to 4
')' h?<I .4l, c+ /),' 4 0' Lti '/f�� d- -i 'X // F/>ti4;,,' n;.. k (Sole: �/p4 -r )
Pier(dock)length L"X�3-
Platform(s) / *Al ).'' # 4e.. —..
Finger pier(s) f
Groin length I A ,1 /1 f / _- .,c
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel (—_ /,1�__')< 9'7
o • • /b •
cubic yards /V
Boat ramp XIe�' ��I �X
L.--- /C� /
Boathouse/Boatlift /b' la f OS' �,,I�. o ``
.4- /A' X /a' r *
Beach Bulldozing j�J.
Other �/ 44 e', D&
yd ._.. Y._._...__ ... _._
---- /o), '
Shoreline Length 4/0 s
SAV: not sure yes no C - ;
Sandbags: not sur yes !n a.__ s."'"A
Moratorium: n/a yes n
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: L.See note on back regarding River Basin rules.
I II I J t- ! FL,—
"Special Conditions p/I Can d i Fr-'Al b /� N. ��U� 5/I �( qpp+�, I �fo� pr�sv/ cc tl��- /^�/ T��
i,)i-C /';A //i ' ' /�I' tTS //!(.(l/C/n�Ddv4f F1j _ --kii / .,/ /C.,k �It4c M.rC /JAUA // j 1 (
wl 1-{, C. T P. ',tic('ter o:�J . / )I Cons it loCI P; . f 411 of q '/' /eKs14 /61'�//6/)( ((At.A ripQTI4 n
(up1-/''1 ei'f fIAe I
JFM, vi , (1 ' --)c.tt) ,.,,,,
Agent pplicant Printed Name Permit Offi r'sSi ature
,v r /,. ') - 3 -° ', b. -3° -- 6 a
* t ** lssui Date Expiration Date
Signature Please read compliance statement on back of permit xP
—P-- ntr • .' '.%41 003III 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:
I I 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(9 I 0-395-3900)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 / 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)
Revised 10/C

s/ 1 -,
tt •
__�T - . AP? �---. ]� -
PERMIT NO: COUNTY: G
�C DES J Pr IN WIITER BODY:
APPLICANT NAME: ( V G•(I/ci Len U ,v-14-/•19 el •
ADDITIONAL, NAM(S) :
MAILING .ADDRESS: • '=
PHONE:
CITY: STATE: ZI P:
_ �
PROJECT LOCATION:
INCLU'1 _ CITY of LOCALITY - (WHEN DIFFERENT FROM MAILING•
ADDRESS)
EV = _ _• 0 PROJECT DESC: 0 - f& TAT (X) :-r -1:4:. -a..4 — r LONG Y .:
.---7--t
•
CODE ENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
1160T- (____ ) L.. _ _ -
©CODE LENGTH WI�D`TE �DEPTHH w CODE LENGTHL� L) WIDTH DEPTH )
/I MP (0Val_.._ 3I--g ) Ow / Li- `i) ( ow /
CODE SQUARE FEET CODE SQUARE FEET )
CODE SQIIARE FEET
• ACTION EXPIRATION
DREDGE .AND FILL REQUIRED: .
CANA.MAYOR D V�:LOPMENT REQUIRED:
•
_ 1 CODES TOR.MEC D ZIGIZATIONS - - -
O3" Ocean "Razard _ „CWH .Coastal eke tZands '
-- .£s�uari ne .waters - - - - r_ R-.0 .ee_. s
Yagi?a Coastal Na aural/Cultural
"ES" - estuarine :Shoreline - =tea' " e :Suaoly
�np " ._ - nT -. Pudic 'Water
Public Trust: : _ . 1.OR" ,Outstanding Resource Pater
•
+ - CODES :FOR :PRO cT -
stnn D-Fivate, 'usually �an individual -_ _ ^" Federal -
!eC'e °Commer _ _ r _= - - -
e ee eia3-. - -- :UL" �ocal G.ove�
iJ •L�.illty _ :" ee �n L i
"S" :State'.- __ _ _ _ _ _ _ .H :Mousing =Development'
- ' = . ''ID" Other -� - --- .. .
- -- - - - - .- -- • CODES T'OR :DESCRIPTION • - _ : - - _ .
. .'
-
"Z h B ulk_heads, :Riara� •
, _ __.- - . • 62e "U tility "Line s -.2, i_ s, Docks, :Boathouses - - . ' - - . _ • to27ie Fer ency R_par s ."?3" Boat damns _
_• " E" Beach Bulldozing"24" Wooden G.-bins -' •oins .- .-- - . • - - ' " "-2 gez .Temporary :Structures
"3.5" maintenance _oq-- Basins,- Channels, Ditches - -

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit: GY/ ! t�• QA/0 t
Address of property: 12 c CJ ZOC per+u7 RA. / ‘J) A1.6.
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.)
X I have no objections to this proposal. •
If you have objections to what is being proposed, please write the Division of Coastal
Management, 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 you 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, boat house, lift or sandbags must be
set back 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
XI do not wish to waive the 15' setback requirement.
•
•
^/3•-D 2 . • •
Signature Date
ob rf L. SAe v,.t&
Print Name •
Telephone number with area code

;7. : • - ;9 .' t'i; .
•
a - '
. i > lit'' t
_ • • • _... is ci
•
T

It
t3 80bi, iiIT
Lc
llijmh
$ .
•
l2' ,
psi }
Cr
r - `
1
1
?o►o Rd. ROme
a"=UPS P•astas Serif,ee��` 4.9. `,'x"' ' �� `ems'
,CE t7 FIED,tUi IiL,;R'E �P,*'w V gc T7.'''
t`NMA4�t' 'i. r� Rca 6 Y.�ZYa .p'}G�:at.'s. "a` }� y' �''M'� � "p*•.'
Do e. trc�Ma�!O'n! o lnsurance.�Gouer. 1eP]?.o�u..ria(e�.q)
;';S(t . j#C. 4 .fi y, �a ;I s" Y t F . • i. t :
biw� ��a�2`a�v,r �'S:+s,�.i�-rs'�r��:$�.!~'�e'w'�"aa�.�1:r;�� :.�i,'..,..'�'�.,a�+�••,5'�...
Sp i nn:-Fry ry a Pik.•-fix r`vim �y:'"F o �'•z�,,r �
y ,''.`'�.rt� .4�'cFaF7A;•��' .r��,.ufi�x ..,�� ._xEi� �•a��%=��r�.bS.a�4:kn0me
•
-a Postage 5 SI,..44
CI
Mt Certified Fee }"=1 0 0401.'
04 Postmark
turn Receipt Fee 41, i; Here
= (Endo ment Required)
C1
C3 Restn ed Delivery Fee yj;,i;j 1.
t7 (Endorsement Required)
C1 Total Postage&Fees "
ru
m Sent To
C Ma 9 mr1 U Ave_rkjiP street.Apt.Apt.No.; COMPLETE THIS SECTION ON DELIVERY
HIS.SECTION
Oor PO Box No. 112 F e p� Dr•
o City,State,ZIP+4 I f id 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery'
r" Golds 1)oro N.C. Z•753Y very Is desired. -/ -U
% ro-gqq n i, ?* ° t ` =' oee'"e rse for'aIf stnk"`ons ldress on the reverse
�. - , •rµku4 i � i �. rZ C. • ature
so - c a _ I e card to you. r - Agent
■ Attach this card to the back of the malipiece, ,2s1h
or on the front if space permits. I 10 .••t ee
D/r delivery address different from item 1? 0 Ye ir
1. Article Addressed to: If YES,enter delivery address below: ❑No
Mr. 4. mrs V, 14p.ocark e
112, tra.tv-wPfy 0..r1
6614.5100r0� c3.G. Z.253
3. Se ice Type
Certified Mall 0 Express Mail
0 egistered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery'?(Extra Fee) 0 Yes
2. Article Number 7001 0320 0004 4306
__7 if 7 8
(rransfer from service label) ""— —-- —
r PS Forrri 3811,Mlarch''2.001's` `` - Domestic Return Receipt 102585-0141•1424

i5 f
•
561+
$ v cam•% c
r•i ��.
, Pvort, liue,
c S'
c' �--
1
I
2S DLcSS
po,o-r R d. L RAMP ,
W
/,i 2

•
DAMES W. jONES,JR, ee-e5i531
DONNA M.JONES 0277004776 6077
4522 DEAN DR.
WILMINGTON,NC 28405 3- 1q-01--
DATE
0 DEROFE CS/44— 1 $
i o -� `� (' DOLLARS
I
C Century Bank® 50+GOLD
Wilmington,NC 28401 00.1
Memo U N!s J1-urod P C ` L'A/4 •
1:0 5 3 1008 501:0 2 7 7004 7 76'i' 6, 77
MOT