31908D - Vereen

0 CAMA / DREDGE & FILL Nc 31908-3
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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 11't'‘. ,:Z.Cx; .
(y Rules attached.
Applicant Name Te4 r 1,1 \.) �x- c (\ Project Location: County ��(' U. f)5t&J iC V,:-.
Address & I?U�e
0 .t t" Teo L(' .. -zI Street Address/State Road/Lot#(s) i H LP
City . V1A Irin i:x�rt State ►\)C.i ZIP cP8 4("f _ 0 c e &cc-EA-vs L.-et-nc'
Phone # ( ) . Fax#( ) Subdivision Qe €llrfN r 6._e_JrN5
Authorized AgentC.),r,A("`.l E.. ?f.JI('{" ...\ city_Cif\SVJ C t` - e-AcGlr, ZIP 01824C06I
CW SEW APTA ❑ES ❑PTS Phone# ( ) River Basin CA , r
Affected f N.
AEC(s): EA ❑HHF ❑IH ❑UBA C N/A Adj.Wtr. Body._ {— ��(� /unkn)
�` -- i.c eD at man
❑PWS: C,FC: _ p
ORW: yes o) PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body I I�W�
n
Type of Project/Activity Nam) ,e I" I f 19C,) 6 nC � v k d F )r M n� c rx L--' fd
1,.,f,"-'t i F t" ,(yn( UVe•v-''d 1) COI (Scale: NOT Tb )
. 3
Pier(dock)length . 11 J Platform(s) 6 v... )U, 71t0)4 co
Fingerpier(s) X 11,..)
I klOK7 '...r
Groin length ® 0
number ( 8. 11
Bulkhead/Riprap length f 2) la V.
avg distance offshore 1 /�
max distance offshore W' �( V i Y/�( l i �(1
Y {I 1 {/
_ ,.nc.o\JC"ed 1 t tZ V ry \'
Basin,channel r
ii1 l ,' `3 k
cubic yards •
• - �/ _ .'s \' �f '�"' ' ) r
'fir r� �' i (�/
Boat ramp V -- . - 4.' -
Boathouse/ oatlift ) I Iv + t�
Beach Bulldozing YI \r' . i't
I� 1 V/ �/
Other I I I Y
r r
ii.
Shoreline Length -., , 1
\V ("...7-'....">''
t
SAV: not sure yes no --_ ( q(
iy\-etr -_(_ ir •
Sandbags: not sure yes no Y Ii
Moratorium: - n/as yes no V
�no� V
Photos: `"J yes (not tI�
Waiver Attached: 2 (e5� no - —— ' ---- — - _ . . + —
A building permit may be required by: GAS I..)C U B€AtC_IrN . P See note on back regarding River Basin rules.
Notes/Special Conditions f\\ •4T ICI C k-kC r'C \'.}ck- `�C) LA)1.\ 1,,41 r\ r . -~ c.4- -Y\ r 1 t1n 1 1 f
_,....t__, t I I cA n r i A I\ C U►rlcli 4- 10 Y\ 'x 1)1'1 . 12.OU LA
ate..:.) P « -� �5 , •
Agent or Applicant' r'inted Name 1 rrn( cesSignure
Signature "Please read compliariFee statement on back of permit** Issuing Dat Expiration Date
_ ki i -2--., -1,11 C/in P (f/ j J C A
Application Fee(s) Check# Local Planning Jurisdiction RoverFleName

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(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
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 I0/C

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. - GE.K.ERALTERMET C 0 MYUTER EQR1\11
_•=2P1.1 CAN'T NAINEI: -----Le4-, ,A Nre)re_ckf • .
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ADDIDONAL NANES:
AEC DESIG: P 7 Ew IY.EVELOP ART A.-. „0(0 PROT DESC: fl -
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(WEI caly Ili=6) (7a1 only:mkt.-D -
WORK:. P 316 )(Col EL. e v- 10 _
(cm caiy vskr 4) r .
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. That L NA 2260 . OuJ 80
(w.)crstruirr.6) • . .
0 kX) I b 2, CmAi 80 -
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ACTION =DIR_A.TION.
ri...—9,-02. 10 -9 -02-
7— 9 — °2- 10 - 9 -o.2_
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PW STON 9F COASTAL,MANAGEMENT
6DJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit:rejig l4J Jz#€n •
Address of property: /
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
Ietter.)
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. N9 resoonise is considered thy same as no
objection if you haveiaeen notified by Certified Mails
WA1R SECTION
(Does not apply to bulkheads or rip rap)
I understand that a,piar, dock,mooring pilings,breakwater,boat house, lift or sandbags must be
setback 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.)
i0f/Y6-- '
wish to waive the 15' setback requirement
I do not wish to-waive the 15'setback requirement.
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_...2:44ntv,sc-e-• CZ:,:/.423eei______
.Signature Date
• a -- 1 L4 q C( . • -7_.. s--. a
Print Name -
1 bPi ►-is ins oe-g,
Telephone number with area code

�} JUL—'09-02 09 :43 AM ST. JAMES. PROP. 9102533059 P.01
RON . PISfER I Of 1F I SHOO PHOFfe NO. . 910 ae7 5.*2 7,.,1. 08 2002 01:M t Pi
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AIirJACENT v or tV AIT�,I�> 'ti, GE N'
>SIIA .NPRO�wR'LK. V'' ili IO1rflCA 1U;�'/W JV F
Name of individual applri4 for ponrit {;r �► �_
Address of praperty:/ d �� i�� �' d�.��1• �r�.*-- ,= �-
I hsreb certify that I mola property acljac ect to the abovi-rdanzoca ts:apeswy. The Ind=vidua;
apP1Ymg for this gerratt has described to me as thowa an tie ttt".e drawing the dovolopment
tiny are prop . (A desetip6on 0r drawi s, 'vita dittensiowi, &aid be provid.d with this
letter.
I Live no abjetdors to this prupcsel.
If you have objections so yw]aat is boa% pzopooeil, please write tho Division of Ccastat
Maa agernent. 127 Cardinal Di1vt noontioa. Witafagton, Nob Carolina, 2$405 or call (9]0)
1034900 within 10 days of eceeipt of this ac:4co Plc moms.ssstatsiiere f they same ea no
obie Lion if Yulgejt hentunagratimgrateAltati,
WAiVF1t_5E,;, a'
glees not myy to heliaieeds er rip rap)
Y sunderstand*stapler,itock4notarislit pit3.og,Lreakmatet,boa<hone,lift or raMdbags ram be
ssvt' cram itadralini fists=a;3'bat=yarea ofsipatien a.7t::ss=less waived by roe. I'll'You
wlsh'4s a the setback,'m inttst knithl the appropCe L ZI*%4.low.)
r r f
I do wishto wawa t r,1S'setback requirement , . Ar la ^
I age wishte waive*:Li'setback requirement. C'k a - 4- v )4 � dt.(J�
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Telephone number-with area code:

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American Fish Company
P.O. Box 11046
Southport, North Carolina 28461 INVOICE NO. #
[phone]
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I' THE AMERICAN FISH CO. 69761
CHARLES H. OR KAREN Z. PERRY I1
P.O. BOX 11046,WEST BAY ST.
SOUTHPORT, NC 28461 7 ' '
G� 6c-30/5aiDATE / �� a53 ;i
PAY
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FIRST CITIZENS
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Fnat.Citimm Bank i Trust Company
t BANK Southport,t9.c zeae, }'
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FOR r piJirs(ciLizens.corn
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