30429d - Gordan

0 CAMA / DREDGE & FILL No 30429
GENERAL PERMIT Previous permit# c2(03O8 —
) CGNew Modification if Complete Reissue Partial Reissue Date previous permit issued 8-2.'-1 'UU
As authorized by the State of North Carolina, Department of Environment and Natural Resources ,'11
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1f , 110 U
_ Rules attached.
Applicant Name J I 1'I prr �.. , 6 1U d Cl t1 Y`\ Project Location: County -6r u r1Sc4 le 1.-
Address 07�3 6) N A ri S &Aril U Ai 5) Street Address/State Road/ Lot #(s) 20 3(v N fICI5
City 5 u vseki State 06 ZIP `-Art Imo.0ACI `
Phone#(q IU) all 2- 2 ?Fax#( ) Subdivision 4-i 5 he_, (y1.P}-, PPrf{j d t`JG
Authorized Agent V\ r . CI-p r d Pr--r1 City 5 u? P 1 ZIP C9 e)L4(02—
-.CW -EW 1APTA DES OPTS Phone# ( ) River Basin N16 C-r�
Affected OEA -HHF El IN ❑UBA IF N/A a
AEC(s): Adj. Wtr. Body P! I t4)(A) (nat an /unkn)
PWS: ❑FC:ORW: yes / PNA yes / no Crit.Hab. yes /-no Closest Maj.Wtr. Body A -
no
Type of Project/Activity 0 cc r+ Pr \ Act r ,A-l D nA \ l Se--c-0 r‘d' LA)
i\c ove,reel
In h A,A- (1 F e kYcki1\ C A#tW? 11 ._, (do Pi►) ' 1 (4, P(o ftT (Scale:N UT T )
Pier(dock)length E.-,X i 5}t nti ,t
Platform(s) V...}(-ic�4 , n
Finger pier(s)
Groin length
number • ! —...
Bulkhead/Riprap length E-XI�'I l r\et E-Y(,ksi%r•< A 9co po d
avg distance offshore r l ` 2l l 1
max distance offshore L- t t -b { L,A` cooe-re.4
ilBasin,channel i- 41 ( O _. . R
cubic yards �a' /�) _�„ 1
Boat ramp_ { 2: 6 Al .. 2- y►t4C
Boathouse Boatlift I 1 g
Beach Bulldozing CA P\' _. • - i . f - ' L
Other —i— — I _-i
41 t !
n
Shoreline Length '4 0 i r •
j
SAV: not sure yes no -
t� ,,,...4441 --
Sandbags: not sure yes no ,_ t* r- 4 4-
Moratorium: C.V.,!) yes no `�� '1 _' \r Y }Photos: yes no Y ` _l \ • .
Waiver Attached: I (yes) no
O Y \ -
A building permit may be required by: -Br LA_(\SllJ 1 n
C k-- `.d W14-1. L See note on back regarding River Basin rules.
1
Notes/Special Conditions R, C 0('a°Al0/1 LAA6-e- do c+'ior``E 2 0 frecIlLi
WaL M C • Gocd,A-f1 —I
Agentnt oorr/Ap , itillevz......„)�pl�icaant Printed Name Permit 4; icer's Signat
e f
'ttl
Signature Please read compliance statement on back of permit ` Issuing Date, E ciration Date
' `
N
Application Fee(s) Check# Local PlanningJurisdiction Rover File ame

ti
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(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 252-946-648 I
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
919 733 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 I0/05/0I

1-. -Litr L YJ -UVII 1s CUNT U 1ER FORM
2P1-3 C�� N-12`E: (Aj4 ! fr-/1
ADDI l l OVAL N Asp:: • .
AEC DES/Cr.. P Ti e DE1 -?OP Ra • . 0( 3 PROJ DE SC: f -
(Wa]aah- 6) �`-
(W,Z)oa;3-1.ic=1)
WOR . bl I(o 7, I10' P1 ZY. ICa - GFifwA- It—
(vim aah-tirx 4)
P r 2% 1 Co
MLAT:
(wit,aahy 4)
•
•
•
: oL.k.J a540 .
b W 32
ACTION IR :11ON
DRYD�€FLP3QUIP, : - - --14--02 8 - I'4-o 2,
OA a M_EJORD P3QLJ '. J- 14-p'2.

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X =(��4 ��f ❑Agent
• Print your name and address'on the reverse h% L` 0 Addresses
so that we can return the card to you. B. eceived by(Printed Name) C. Pate o Deliver
• Attach this card to the back of the mail piece,
or on the front if space permits. p �Y r[_SSl►7�� S 3
D. Is delivery address different from item 1? ❑ es
1. Article Addressed to: If YES,enter delivery address below: 0 No
'VC 2t
3. Service Type
/t// 0 Certified Mail 0 Express Mail
•/V("! (, 0 Registered ❑ Return Receipt for Merchandise
-
/ r( 5 0 Insured Mail ❑ COD.
f J 4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number 7001 2510 0008 8523 3672
(Transfer from service 1aoew)
'S Form 3811.August 2001 Domestic Return Receipt 102595-02-M-oa:

UNITED STATES POSTAL SERVICE First-Clads Mail ,
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please
, print your name, address, and ZIP+4 in this box •
eI -
i1,g1tI1, 1,hIj,,1,i,I,,I,l,l,,III1,11,lJ,,Jt,,l11,1ll1I
: w.=:-'t• '4+Si

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For Permit: td �( 7'`--/c•lSeWc 7
Address Of Property: /e-z/SAr
(Lot o'S eet , Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toirie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions;should be provided with this
letter.
have no objections to this ro osal.
P P
•
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilmin¢t.on, 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
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.)
e% I do wish to waive the 15' setback requirement.-- - _ •
I do not wish to waive the 15' setback requirement.
Signature Dat
f X 6 ice, / ' ky79vve AIMImmima
Print Name
c
fD- NCDENR
Telephone Number With Area Code NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES

William E. GordvT�!p-88
Sharyn H. Gordon 66-30/531
NCDL His 1635764 8B5 5075 2836 Nags Head Rd SW
Supply,NC 28462-2461
DATE
PAY TOTiIE
ORDER OF !//
Look for:Micro Print signature line,gray type and llncwork.First liens Bank not prowl.do not cash.
logo on back.If -DOI-CARS
FIRST CITIZENS 685
iowFirst-Citizens Bank&Trust Company CtieSt
t Shallone,N.C.28459
FOR
1:0 5 3 100 3001:0001369 ?403 ?u■
D 50 7 5