31829D - Pitts

sli eA;VIA / DREDGE & FILL .l 9 31829—
GENERAL PERMIT Previous permit#
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__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 5A NCAC 41-1, 11�U C . ` (mil
L Rules attached.
Applicant Name SE rf t, f i'i Project Location: County (Ii-1 . 1 ()U, bit-u AS WI C -...-
Address 0 u(o 4 ,,,N �'-A Ys1 r- Gf1 ilk 1 St4 Street Address/State Road/ Lot#(s) 1('t.,7-L.1 '\, .i?
City_ l•'1 `A State j O ZIP c:;,)L Ll(:4 Z c C.,t r' et—r\A 1
Phone#('yiU) al-12 1C(tJc Fax# ( ) Subdivision n 1 r (;ti-f A I
Authorized Agent (. ,,1 t'y (....1(\r.`-'!-) City `.-- u �1') ZIP ... 6 �(r..
Affected CW -'EW IAPTA DES PTS Phone# ( ) - 1 River Basini' e°-c
DEA HHF ❑IH ❑URA N/A
AEC(s): Adj.Wtr. Body P1T W W (nat man nkn)
PWS CFC: -I I , , , . )
ORW: yes / no; PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body W (�/
Type of Project/Activity .la W INeAd 1 .6 C;�,. t Ln3M-(--C UiA-T'a t Net.%)
,1• Y 1d f1 d e ' (Scale: t\k)r 'j"p )
Pier(dock)length i 3U 4 — (kr t�,t-j
i1 ]
Platform(s) IL). K 201 1: . . .
Finger pier(s) - -- 1
Groin length :2.w>
number
Bulkhead/Riprap length 1
avg distance offshore _ 10
max distance offshore -_ 1,1
Basin,channel ' -__—.-.-�
1
cubic yards
Boat ramp - .
Boathouse/Boatlift
- —
Beach Bulldozing
Other
Shoreline Length ----`
SAV: not sure yes no r_
Sandbags: not sure yes no
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Moratorium: n/a yes no
Photos: yes (n ... � _ - - -_ ... _ _ � _. .,_ _ .. ._.
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Waiver Attached: yes no --
'13 A building permit may be required by: ('U i1 K;�j t C .._._, ( t,,,,n`k- . L See note on back regarding er Basin rules.
Notes/Special Conditions >T v,c Nd.i C�J UC1 ) i`h`A S�" E ! J .1 Li 6\r (--• QC.'
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Agent or Applicant Printed Name I Permit Officer'sSignature 1 �
vIre;1. ?. 6 I U CA- t.) 1 `..
Signature ..*"'Please read compliance statement on back of permit** Issuing Date Expiration Date
... . j..."
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
1

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 27699-1638 252-264-390 I 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie,Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 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/C

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DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARC? ( PROPERTY OWNER NOTIF ZC ,TION! e�i `Iy '®RM
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Nathe Of 'Individual Applying For Permit: r,, 1
Address ..O y �Do f Property: I 11L (ea 0 atrial .ccla --
(Lot or'S'reet #, Street or Road, City & County)
• I hereby certify that r awn property adjacent to the above
referenced property. The individual applying for this permit has
described to me as shown an 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 ob eczi or s to what is F•e ino orcoased. Pease write the
DivtSion OF Coaszal Manaacvenent . 777 Cardinal Drive Extension .
W .lminctcn . North Carolina . 231405 or call 910 395-3900 within 10
days of recei t 0 t`.'.?s notice . tic •-esc case is considered the same
as no oblection i= you have been notified by cart?f ied Mail,
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I understand that a pier, dock, n car irg p li gs, breakwater, boat
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house, lift or sandbags must be set back 'a minimum distance of 15'
fro:: my• area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below. )
•
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I do wish to waive the 15'setback rectirement.
I do not wish to waive the 15'setback requirement.
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Si natur• Date
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Print Name .�...s..�•••.
eY'lf' - ®� - INIF
=s=phone Nu:lber With Area Code
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DIVISION OF COASTAL MANAGEMENT •
ADO•ACENT RIPARXA.N PROPERTY OWE TIFICATION!r AIyaR FORM
Name Of Individual Applying For Permit: ,Te:Riey
Address -.Of Property: 07D 64 , S 6;iz d na' I1c Vi
(Lot or e t 0, Street or Road, City & County)
. I hereby certify that I own property adjace.nt to the above-
referenced property. The individual applying far this permit has
described to Gee as shown on the attached drawing the development
they are prcpcsing. A description or drawing; •with dimensions,
should be provided with this letter.
•
v have no objections to this proposal.
:= You have ob-!ectiors to what is be_nc proposed, ^.least write the
Division or Coaszai MAnec:e?- e _ . 127 Car'dinaL Drive Extension ,
r ,i.thctcn . North Carolina . =3. C5 or cell, nO 395-190C within I0
dais Cf r eccio t o= this notice . Nc r'esccnse is considered the saute
as no ob ect i.^.n i _ you have been ra`i o i ed by Certi fi ed ya i1,
SF..,CTICN •
I understand that a pier, dock, rcorinc pilings, breakwater, boat
house, lift or sandbags must be set tack aminimum distance of 15'
from my- area of riparian access unless waived by rite. (If you wish
to waive the setback, you must initial the appropriate blank
below_ )
•
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
•
S=grater Daze A e
✓ y.��ra _ f
P r Z_^.`_ Name
✓ 9iv " 596-3y�5 C)I�H
'T'�I e -hone Number With Area Code

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JERRY E. OR TONITA PI7TS, SR.
PH.910-842-1936
2064 W. SEA AIRE CANAL S.W.
SUPPLY, NC 28462-2384
1178
Pay to the Rate 0 _Q� 66-19/530 NC
order of 2306
4,41.E D r/ o�d� `�i
BankofAmerica.
ACH R/T 053000798 `` o lots A .,..,,,,
CT e 1 317a9
For u Bank of America Advantage®
ty � { I
For &_, PIP
5 3000 1961; `TL - '
00068 3 3 230 7 V -- �