31964D - Terrell

0 I:AMA / DREDGE & FILL AY.? 3 964 D
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 I
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 E./, /2,,y. .
Rules attached.
Applicant Name i YN-\ 1 t=( fC II Project Location: County 1)( LA\SU.1 k(... --
Address 1«71 ‘3ftrYNCI it Jr..), J j(\C Street Address/State Road/Lot#(s) 35 75
City `,,L.i C n x State NCI) ZIP o 7 3 e--t t L ft-r'C .
Phone# ( • ) '''rj(c-4-4L<Ole Fax r#( ) - Subdivision D\AncS( 11C1
Authorized Agent L.t y P'{ nt'-r-1 City }'iu,Ci r-n -EAc (n ZIP
Affected I(CW fkEW fQ PTA ❑ES G PTS Phone # ( ) River Basin _ta,k,,irs b c4"
AEC(s): ❑OEA O HHF ❑IN O UBA C N/A Adj.Wtr. Body B 11.) Lk/ (rat ilip unkn)
❑PWS: ^FC:
ORW: yes /1no, PNA yes /l"Y' Crit. Hab. yes / no Closest Maj.Wtr. Body - I IA)R..)
Type of Project/Activity te.v1 9 -c ) cAUCN c 1Q1' ,_ C/ku( L. Prr.6 l&v'c t)�1CtPr( \;r f
• J
S— - 1 c)U c k- t L)k �\ 1r)( Gcx i c:-rr d (Scale: NOT 1 v )
Pier(dock)length rr,15 to lrfe
Platform(s) r';J U 1 lie;y I�1 `_ ( (' '` 1 , �/ ti�/�,
g pier(s) 131 � If 1t. (-) 1 i 1 OV r I&x •4:✓
Finger ier s
Groin length -lit"--'-'-'"). t
number _
Bulkhead/Riprap length — !- - NIP— •I`:. / ' nT ' '
t
avg distance offshore _ r l ` T.
' ' — L
max distance offshore ; 1 ( IL I Basin,channel
i —
/ u 7_-(7c3r.
,
'C' ur
cubic yards
Boat ramp I [; ( it �•
i r
Boathouse!BBoatlift •I1 ( 1 • t t �, —
— i ' C1 nT
Beach Bulldozing -T —_— . -I . —+—
Other r
+ ` v
Witt__1� 1 1 4. t .V. t
Ir r �.
Shoreline Length )� 1 \ v 1jNV y
SAV: not sure yes no ---- --y- .- -_ V\ i
Sandbags: not sure yes no 4 1 11j IMoratorium: n/a yes no 1 , V Vi' Y
V �u4 q v tY ".,; - \Y ap�
Photos: yes n,�o `' 1 • V '1 W li' :W.
Waiver Attached: yes tnol
A building permit may be required by: 'T)t/..)( ')f .1.IC\+2' -1'N, 6.--(y . C See note on back regarding River Basin rules.
Notes/Special Conditions ( V r t .- f^(Sy( _,A ' (Y'1'-P- '4(,C)-(\c I,.._ (", c 1s
- Cxc ed IC x VOI
1 lL ( :, (-,j, C )-(-i , `)(-) ' Ill„1 t"\u[' ' -6 V1>A r1 VNI'M l.` ) V k
k._I
Agent or Applicant Printed Name ( Permit lcer'sSignature
Ili 7
Signature Please read compliance statement on back of permit** Issuing Date Expiration Date
y I ,
Application Fee(s) Check# Local PlanningJurisdiction 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:
U 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 252-264-390 I 252-946-648 I
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: 9I 9 733 1495 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

GENERAL-PERMIT COMPUTEI2_EORM-
APPLICANT NAME: j [ eX re. t
ADDITIONAL NAMES:
AEC DESIG: PT E (A)) CI ) DEVELOP AREA: ,d.3 PROJ DESC: p - iZ
(Will only take 6) / (Will only take 1)
WORK: pit,. 115 )C co £ l_ 8' .x. Ud
(Will only take 4)
"re 16 V. 1le b I 12% 14
MAINT:
(Will only take 4)
IMP: . Ci lam) (o Ci O b u) 2-8
(will only take 6)
d 2 66 Co W 168
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 11 .-(p 0 Z. 2- CO-p 3
CAMA MAJOR DEVEL REQUIRED: ', "O Z 2 (D 'OS

I X ILI 650c4li Cuv6-fre-d � d k
Ilk X lip 7-head
Xi I°
C3 0 ( P
T I
ICI'
a a
lls
8s ) 4 = 52-
Itox0
Rol, up = 2.5cP 224
42) ,c Ica t ? 8
38 '4
1_0 4- 90 OunC5 COi
P

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Y
DIVISION..OF.QOAS.TAL.MA;'VAGF.MF.I T
ADJACENT.ELPARIAN.PROFLRT ':'OWNERB.0.11.iiC.ATYON WAivy;
R-EORM
- J
•
Name Of Individual Applying for Permit: t
•
ifekall____..._.
•
Address Of Property: L -'�
� ---- TL e A-0f 1-IL)
„________________
.•
..
(3
._,.. .__________
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced ert _
ra
P P y The individual
applying for this permiChas described to itieias shown on the attached drawing‘thc development
they are proposing. A description or drawif'g, with dimensions, should be provided with
letter. this
•
,`. I have no objections to this proposal.
•
- IL.you, Iwve_ohjec'tious....tq_ xhat is. be'
Management. 1x7_dorth CardittaLlhiveWprQuoSed,...Irlease_write._the_Division of:Caasta!
3 within._1fl tiays.of.rerei .c Qf _not tgtott, IYc�rth Carolina, 2�4D5 or ca11410..324-
if.you.have.been notijed-by._Cersified Mail
No./wpm
o/ Se cansuie>ed tlusam
. t�as.rto�b ectia� ,,
all
E.
WAIY.ER.S.IECT DN
I understand that a pier, dock, mooring pilings, breakwater, boat house,
•
set back a minimum distance of 15' from my area of riparian access unless lwaift ved by me. must bu
wish to waive the setback, you tn=st initial the appropriate blank below.) y (If You•
•` '�p,i I do wish to waive the IS' setback requirement.
f7
• :/= I do not wish to waive the 15' setback requirement.
ANclicar. ii .
‘'
J, ._,..1_2
g lure Date
P We4errd:� op
NiccIENR
rtrrt Name -- ---
_______2,02,f_egfg_gz,:________- __
Telephone Number With Area �""
�e Sarni GROUNA DCpwR7
E...w.lOhtMF NEH7 or
�fl'nrU kA7 Uq�QESUUPUGs

NOV-04-02 LION 01 : 11 PM • MEDOATH FAX NO, 7047085027 P. 02
Bulkhead 910 842 72b P. 02 a
N�G4-04-©2 ©9 : 1v AMVarnam Ducks i.
•
DIVISION OF.COASTAL MANAGEMENT •
ADJACENT RIPARIAN.PROPERTY,OWNFFR.NOTIFICATION/WAIVER FORM
Of Individual A plying For Permit: I 1 'I'_ , ..(LLL__..,...,-,., ..--- K-----
Name 1' _,
•
Address Of Property: +�--�3 S.._..._.,�-l_-,- ;-
• (Lot or Street N, Street or Road, City & County)
•
1 hereby certify that i own property adjac i.it to the above.referenccd property. The individual
applying for this permit has described to We as shown on 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. i
11.._yau have ..objections .to what is. being proposed,..please...write.sae Division-of Coastal.
M.attiagemcnt, 127.,biorth,Cardinal,Drive, Wilmington. North.Carolina, 284.05 or ca11..910.3.95..
•
39a0.within 1a days of xeceipt.of shis.notice..._No_respanse is considered The.same..as..no_nbjection
. if.you.have.beMn_notif-way. Ce,rtifiied Mail
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WAIVER_SECTION .
I understand that,.1 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 mc. (If you
wish to waive the setback, you must initial the appropriate blank below.)
•
` ` . 1 do wish to waive the 15' setback requirement,
. (-Ass _ 1 do. wish to waive the )5' setback requirement.
•
Alm
. ..„.....44,,t!„ , _....___..............__A04.152.i,....... .._...._,.. 4,0,
Sign iu Date
�fin? Time . tCDEHR
- . .. .... .- -- -,...-._..—...�... NQ{-rp1 tam....drf'MTML'nT Jf
Telephone Number With Area Ccxie� (^1V,r40Nr+cwT AK.hiATUG-+.1RGe061riCe5

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' ril." 'NfIllEdire(T 6./ ,iIn1.iii1.... �trc.► rie;'Sis.lpei-k for leta:ls. 19
VARNAMIS.Deem&ButiofEADS plc •.. •2070 . ..
Pbi_9t[7 84�60Q7 .
s'1 NAMToWNk RD SW { It �j
..': 'SUPPLY,NC 284fi? ! !'"i/ GAT 62�Q1
. •_ DATE
PAY si
TO TktE 1
ORDER OF. I $ [�r
C41•✓fA . IIOV DOLLARS 8 Er..
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i 4i- FOR � 8L-1)2.-' ' : . ._ • ` ,
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