30358D - Stout

CAMA / DREDGE & FILL ri.V.firn f CoV'r%dof \ HS N® 30358
'GENERAL PERMIT 64a-e-'n done
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 I 5A NCAC ') tk , 1�..00 .
(1 Rules attached.
Applicant Name (e Q C C S U t kt'• Project Location: County P,C 0 11{,,1,v l C ...--
Addresscp 0 -,tok 2,(:, 2 l7 9 Street Address/State Road/ Lot#(s) 13'1 ,3(.)u-I-
City c,(N`At \- cC.Lj%\1` - Statep(I)ZIP 25 O 5hUry `
Phone # (-vvt;) �\ 1't `(1Th4)Fax#( u) 6142- 994? Subdivision 7 . }A . -0cIc(^_1-'\ � L''krtIU'fSi()(\
Authorized Agent M r . S•u U'k-- City i-LA(ck y\ t )C-!N C k ZIP -
Affected )CW 'EW )(PTA ❑ES ❑PTS Phone # ( ) River Basin
s ❑OEA ❑HHF IH ❑UBA C N/A
AEC : .Ad1 Wtr. BodyT l.i LAJ an❑ PWS: FC: I (nat nkn)
ORW: yes PNA yes ; no Crit. Hab. yes Jrno Closest Maj.Wtr. Body ek W LA-)no
Type of Project/Activity Nc ;is.,f)4.. i dv k.--- c 1 u AV,I\c\ d o L- ' 14\
l . .-re cl (b cc-t q i- ri,u,..: kJ.• c floc- u i, .\ het ` a-4 (Scale: Nt� T
1;�,r � ,i;- 8 Y. ( T U )
Pier(dock)length 1 G♦4
Platform(s) taj L 1 4' c)7 lF. )M 1/ ,
FiNg1PAeS-(s) �`X 1(c`
Groin length -- I i
number -------- --- -------- ��—r----------- t —
Bulkhead/Riprap length
avg distance offshore 6
max distance offshore /\
Basin,channel
• a {
cubic yardsi \ Af'"`� L
It' )C1 a
Boat ramp r. 1Mt`+ `•'IE'n
Boathouse Boatti
III X 1.. \l. `. * l _.
Beach Bulldozing y _ �f
Other V Y 1 Y . --V tf _-47—� —L - -
14,_
V ,y `�
s Y V
• � I
rn� �y �r
Shoreline Length 6t�' A V l 4 4 Y ` !1.- i \Ir ..
t
SAV: not sure yes no .— _ f -- __ — -- __- '.'._..."`_'"_".r` L _ _
Sandbags: not sure yes n ` Cr,O h to 1 k. h c_.t�c!d 10•' •'1
Moratorium: n/a yes no
Photos: yes no� ..
Waiver Attached: yes no --{�. ---- ` - 1 i -- .. c.
A building permit may be required by! k---- '14 h 16c..."f1 -- c k . E See note on back regarding River Basin rules.
Notes/Special Conditions uSA- M&..p *' P)O` -"jr.4 f\C L— t(o1 rs )1 l�'".:� E 11 v�w t'dr-,e i
..,k C \\Pt-\c'e. 1 No Yo
, cc ` r\P-v bO'_4S / �I,p1 PK' c \kuL•jrci
5c-e AEI (.: oNCa06( 1'\ ( c -Jc"cA ‘)r\ •-) f\ • 1200
,__,.....,,__ff,
Agent or Applicant Printed Name Permit icer's Signature
\ -- "d 1
Signature **Please reaa compliance statement on back of permit** Issuing Date Expiration to
,b) 1 00. CP: - ikt)kdeAbr\
Application Fee(s) Check# Local Planning Jurisdiction 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:
J 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 252-946-648 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 / I-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: 9 I 0-350-2004
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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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3..AIso complete A. Received by(Please Print Clearly) B. Date of Deliver)
item 4 it Restricted Delivery is desired. -,,?3 02_
• Print your name and address on the reverse C. Sign/l
so that w•.tt can return the card to you. .: �.ach this card to the back of the mailpiece, C. CI Agent
Addressee
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
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4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number(Copyfrom service label)
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PS`dorm 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail
Postage& Fees Paid
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Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired. '.
• Print your name and address on the reverse
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, I _ ❑Agent
or on the front if space permits. I.CIL�(,( ❑Addresse
D. Is delivery add it 1? ❑ Yes
1. Article Addressed to:J If YES,enter i cit�¢I : 0 No
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4. Restricted Delivery?(Extra Fee) ❑Yes
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PS Fc '595-00-M-095f

UNITED STATES POSTAL SERVICE
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CERTIFIED MAIL RECEIPT
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A mailing receipt
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A unique identifier for your mailpiece
A signature upon delivery
A record of delivery kept by the Postal Service for two years
nportanf Reminders:
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Certified Mail is not available for any class of international mail.
NO INSURANCE COVERAGE IS PROVIDED with—certified Mail. Fo
valuables,please consider Insured or Registered Mail. t
For an additional fee,a Return Receipt may be requested t'o provide proof q
delivery.To obtain Return Receipt service,please complete and attach a Returi
Receipt(PS Form 3811)to the article and add applicable postage to cover th
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
For an additional fee, delivery may be restricted to the addressee o
addressee's authorized agent.Advise the clerk or mark the mailpiece with thi
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cle at the post office for postmarking. If a postmark on the Certified Ma
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,January 2001 (Reverse) 102595-01•M-1N

CERTIFIED MAIL RECEIPT
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MAY 0 7 2002
OF
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DIVISION OF COASTAL MANAGEMENT COASTAL-DIV'MANN AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit: '- & 'Address ' Of Property: in • ' $t:74
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(Lol. or Street ,� , S�.ree�. 6t
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 to me 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 .
•
yIf You have-ob iections to what is be' nc proposed , please write the
T�' 1 �
Division of Coastal Manacement . 127 Cardinal Drive Extension ,
Wilmi nctcn . 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 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. )
x7
y I do wish to waive the 15 'setback requirement.
Vh I do not wish to waive the 15 ' setback recuirenent.
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I THIS CHECK IS DELIVERED FOR PAttAENT ON THE FOLL,.INC ACCd1NTS i
� ' STOUT CONSTRUCTION INC.
�,I _ 66-112/531
P.O. BOX 36207 910-483-4382 83502 °;
j_= FAYETTEVILLE,NC 28303
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9 Mom FAYETTEVILLE,NORTH CAROLINA e`er'
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