31043D - White

OF CAMA / DREDGE & FILL N9 31043 -.
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 1
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC '1}-I . 1 i{ (, t .
Rules attached.
Applicant Name �--0 i4 Crt +i, . kA.)h t � I Project Location: County .P r ,,a n 5 t.t}'i( L--
Add ress P r, �.--,� k U- 4
UU Street/yAddress/State Road/ Lot#(s) 4 0�
City `i�F\ ((�,c 1-C- States.)CrJ State ZIP 4 fsci C:JY\A d Lk)+C�- t'J R" (✓'-
Phone#( y IU) '► t- ,4`I')C, Fax#('t t u) 1 z iI - LI 5(t,3 Subdivision
Authorized Agent ((,,j h 1C .T nuc-, .e,.& �� City f-,Fl \\U+ f(./ ZIP _ _
Affected :Cw )IEW TQPTA DES ❑PTS Phone # (_'1tC) )'/J14`.5?2CO River Basin LA-fib-:..(
OEA ❑HHF IH ❑UBA ❑N/A J �,TCJ F-
AEC(s): PWS: FC: Adj. Wtr. Body ,'�h A l O i` -+U �(nat /man /unkn)
ORW: yes / no PNA yes r� Crit. Hab. yes / no Closest Maj.Wtr. Body J�A \ :){ � r Iuc_r
Type of Project/Activity tv Ec.iJ 10 U 1 (`_�Cl\Gt a t.v (Y\ N ti,), k. d V.1 a'Yr! rs ! ' ''a j f\- 74
!`-''.r, F) i C-c f (\O C - I ly`_14 1 r (t7 PA t n� �0 C L (Scale: )
Pier(dock)length 1 On 1
i
Platform(s) 1 O x 1 (r: i 51,
Finger pier(s) (. Y.. LI 4 1U 1 _
Groin length t.['' 2 1 1 tun
number —
Bulkhead/Riprap length \3 U
avg distance offshore ()
max distance offshore Oi .
I i)ru}pu cf
Basin,channel _ �� f U�1e� CLSj,Z`4d 1
a ;
cubic yards -- - �' '\ , fn tk s't' N l U 1*k-c
. ' T _ ,yam-
Boat ramp `1 (4, �,(c__._1L'-). L1..C_p. A } '-�-�"- r
Boathouse/Boatlift - it 1' w �• i 1ai
I rf i
Beach Bulldozing 1
Other 1 T i
,
Y �� ' R.-'-
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Shoreline Length B3O 1 I i- �� ,). j ll, _:__. ._ .
SAV: not sure yes no ] �/ II. J Sl .,j
_ _. _7. _. _ I -t �._i.,_"
Sandbags: not sure yes no 1 �.: :..._ - � _ ,. _ _. ._ ,....4— — - :..... -1-
_.1...1., i+ .j...
Moratorium: n/a yes no I6/ N 1 ` } t _
W JIS. a _ _
r i i
Photos: yes no �` :t n _ aS5 C ' _ r_
Waiver Attached: yes no -- —i_ I
A building permit may be required by: +b C tA 1'\St,J i t ..- C v U-r\ ❑See note on back regarding River Basin rules.
Notes/Special Conditions IN\il* t'- c;l i )t).(11 S ( 1 ,-{ hV3 '{`n Cu t _
Agent or Applicant Printed Name Permit Officer's Signature
--`..11 '..\, 1---' ‘ _ a'• , .6 1 c` ;-- .: /5lo
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Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
I3c i , 1,=,)t cA.4ni _ 1c1 tr
Application Fee(s) Check# Local Planning Jurisdiction , Rover File Name

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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 I 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 252-264-3901 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
919 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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 10/05/01

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: White Investments, Inc.
Address Of Property: 4084 Chadwick Way SW
Shallotte, NC 28459 Brunswick
(Lot or Street#, 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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
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�,, I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilmington, North Carolina, 28405 or call 910 195-
'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.)
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I do wish to waive the 15' setback requirement.
I fio not wish to waive the 15' setback requirement.
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Signature Date A
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Lester O'Neal Milliken
Print Name
NCDINR
"°"'h cARouNA:
Tele hone Number With Area Code °F
P ENVIR°NMENr AND NQU -RES°URGES
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DIVISION OF COASTAT,MANAGEMENT
ADJAC1 RIPARIAN PROPERTY OWNER NOTWICATION/WAIVI FOR�,r"
Name Of Individual Applying For Permit: white Investments, Inc.
Address Of Property: 4084 Chadwick Way SW
Shallotte, NC 28459 Brunswick
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
-- ----:appl-ying-for- this permit-has-described"to=Die 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.
Jf you have objections to what is being proposed, please write the Division of Coastal
Management, 127 North Cardinal Date; Wilmington, 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 j.
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.)
I do wish to waive the 15' setback requirement.
• I do not wish to waive the 15' setback requirement
Signature Date
Frank Causey / nC/ Assmi.r_
Print Name
NORM.C.4ROLINATEFARTMENT OF
Telephone Number With Area Code
P ENVIRONMENT AND.NPTURAL RESOURCES

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ROBERT H WHITE 1309 .__
PO •BOX 40 `
66-30l531 �
SHALLOTTE, NC 28459 Date �—S 665
to �J I
Order of -0.�—js),R 1n e� I $ 1 00, Od
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