31812D - Millsaps

CAMA / DREDGE & FILL NI-' 3181 2-k
LIEN ERAL PERMIT9
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 15A NCAC ()IA . I lC C .
l+ I Li Rules attached.
Applicant Name J 11E i-A--- .', C\ t',"\\ t`St1 r� Project Location: County -By, to (\S(.4)1 C.r f.....
Address- 3 25 -'ilkA A a f\t i U b d 1 (I J c _ Street Address/State Road/Lot#(s) 9-2 4
City (v S.t p r‘ St.,1 f.4A State t(,..)ZIP 6'I I U 4 - C{1 A.,.v,r �}�v...f..+
Phone# ( ) Fax#( ) Subdivision jk.ik(1`Y' *i- L..iY'MFNy :.
A
Authorized Agent C-1 P-t 1 C"'SIA,Sf,-,nU j City . \tit ' T ‘"CF.-{•sC ZIP_
*bitCW $EW %PTA LIES ❑PTS Phone # ( ) River Basin 1....,k•AV\ 7iE=r
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body �_ -r\A \ (nat ta, nkn)
❑ PWS: ❑FC: (�ti T t,(�LV
ORW: yes / no PNA yes / io Crit. Hab. yes / no Closest Maj. Wtr. Body i
4
Type of Project/Activity n)e.,...) P\�.+(' �.� I uA�'\f13 dr t-
(Scale: N)oT To )
Pier(dock)length 1 n— .1 Vi _
1,X I(r F1O T + - - . . -1
Platform(s)
Finger pier(s) r
1 )Groin length f t -F-+---- I
number i j
Bulkhead/Riprap length
avg distance offshore _
max distance offshore
Basin,channel I - -
ll i
1 j-
cubic yards
Boat ramp --- - •--
Boathouse/Boatlift
Beach Bulldozing _— j- Q� 1 U T
Other — C, ^1
Shoreline Length • \l r \` y `,, / .i. \r - , v `yam 't� -�
SAV: not sure yes (' tip .__-_ -,,�. --— —..
Sandbags: not sure yes i
n
. I � � �u , �� h .mot-1 :�1 5 f�1; ,,( _
Moratorium: a) yes no
Photos: yes no
et...., • }
Waiver Attached: 1 ! yes. no — -- — --- 1 - - - t
A building permit may be required by: 1UVJn OF 5t C\r T i-"C✓F\c+/N ` L See note on back regarding River Basin rules.
Notes/Special Conditions* IZ.P ( '„•v1 me4\rl lr`L,,�\ U.)A \4 uo\ \ 1 prrfc.(' d/,,rkI(-_ p(!),r e-: -
1 P
(.!_-,:iA pt.( ,,.,1 '`.::-.A- LA'( ,----N\M-fm.) '.- Qt 'In ,,,,"...4.-0.--(2Q--
Agent or Applicant Printed Name - Permit icer's SignatureV!!tt
( '7 I. o1�oZ IUJ • '.)U a
Signature **Please read compliance statement on back of permit" Issuing Date Expiration Date
4 (i). `�-- /c-,t c-i r g n-.n c k
Application Fee(s) ��0. 7_,,yt .. Check# Local Planning Jurisdiction Rover File Name

l M
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 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(252-946-648 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 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 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 I OiC

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• • • THI N;.
SENDER COMPLETE S•SECT10 }• COMPLET.E TNISSECTION•ON DELIVERY •
le Complete items 1,2,and 3.Also complete A. Signature //
item 4 if Restricted Delivery is desired. •• //. - 0 Agent
• , ■ Print your name and address on the reverse 4e_teCt;
so that we can return the card to you. f 4C=�C. ❑of Deli se
B. Received by(Pilinted Name) C. Date of Deliver
• • ■ Attach this card to the back of the mailpiece,
• or on the front if space permits.
' D. Is delivery address differentfrom item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery ad ow?a, 0 No
��p S T/p*. . _
Kathleen W. Chirinis ��� ',
-• 11 Sunfish Point 40 %. .
Greensboro, NC 27455 a - 89_Ths
3. Service Type. O •
❑Certified Ma I i x•ress i- A •
• JOB# 02160 ❑Registered "G;� t ' LtdMerchandi:
❑ Insured Mail ❑C.Q.6,,,„,...-`
4.,Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
•
(Transfer from service label) 7002 0860 0003 3760 5276 a
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1:
•SENDER COMPLETE THIS'SECTION., - . COMPLETE THIS SECTION ON DELIVERY , ;
i' • Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. , J �� 0 Agent
■ Print your name and address on the reverse sZC !��' /�tJf(, ❑Address(
-' . so that we can return the card to you. B. Received by(Printed Name) C. Date of Delive.
• Attach this card to the back of the mailpiece,l ,,.
' or on the front if space permits. s/p'u li4
D. del' ry address different from item 1? 0 Yes
1. Article Addressed to:
ddAlexander P. Sawtsch ( /"
S -
• 6701 Laurdane Road y
Raleigh, NC 27613 ��'%yr 131tno.
•
- 3. Service Type
❑Certified Mail 0 Express Mail
JOB# 02160 0 Registered 0 Return Receipt for Merchandis
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7002 0860 0003 3760 5269
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1:
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER)
I hereby certify that I own property adjacent to Jeanette H. Millsaps 's property
located at Lot 5, (424 Marlin Street),Revision of Revision C, Sunset Beach ,
on Canal A , in Sunset Beach ,N.C.
(Water Body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to the proposal.
Please initial one:
L/' I do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
lr,No.
,L o �16 D acK
n/ -C/1 e C�' �iret_ccJ r 7 6., ?4,iv S �t G/'9a 4Q' 4./ eJ f-O2,
/ as f/S / Ca-fe i4 C edl C9-C ,6a/1
//`, ai©7(CaJ ,6nve
f;a ►Cec vt w ammAA .
Signature -
,!aM le-en W, Oiir1 niS •
Print or Type Name
336-545- 003 if
Telephone Number

. •
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER)
I hereby certify that I own property adjacent to Jeanette H. Millsaps 's property
located at Lot 5, (424 Marlin Street), Revision of Revision C, Sunset Beach
on Canal A , in Sunset Beach ,N.C.
(Water Body) (Town and/or county)
He has described to me, as shown below, the development he is-proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to the proposal.
Please initial one: •
do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-ignature
A-Lz--e 4,017-e-z;C tie 5;46(17-50.472V-1)
Print or Type Name
T '9 o9g
Telephone Number