31808D - St

4;AMA / DREDGE & FILL
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 I 5A NCAC 1v• 1200 .
E,Rules attached.
Applicant Name U1 • Rte-Ne S OG'J. . LL C. Project Location: County J(IA 1SWi c K--,
Address 4 Si • JPrtr,e!S (‘Vv` Street Address/State Road/Lot#(s) Nirrk.- c
City '�.a U t.���'Xj f State )ZIP U 4(o 1 Cp('n� o non ntc '' ..`` c S.J Q�1'est../'
ty � � 1 W
Phone# nil)) 253-01-4(t3Fax#(91U) 2 53"( (,' Subdivision i ' P1'(�'' \ 1 tV
Authorized Agent e--cf 1 -4-1614n N S City 60 To r f" ZIP D;8 1-1(DI
Affected Rai CW K1EV/ X PTA ❑ES G PTS Phone # ( ) AA River Basin��e� �C..�}r
AEC(s): ❑OEA ❑HHF El ❑UBA C NIA Adj.Wtr. Body rl I U) (A) (nat man /unkn)
❑ PWS: ❑FC: 7 , , J
ORW: yes / of PNA yes / no Crit. Flab. yes / no Closest Maj.Wtr. Body W
Type of Project/Activity New ?► i T 1 led, d 1x k., T 1 CAA T 1 nci dor
(Scale: N Ur To )
Pier(dock)length 1' _- in.........47
1 It �� i ��Platform(s) -\LY X I U( .LFinger pier(s)-T_ `1, At 1V' (.^i x \U+ (UI 0' .
Groin length _ —
number y
Bulkhead/Riprap length
avg distance offshore qq
max distance offshore if - -- • NJ _..
Basin,channel V`'' 'V `1' f V' 1(`Y`rVi — Ar Pr ' r i w tr+.*,.__ f
cubic yards Y Y V Y �! Y Y 41 T ,,r. �)
Boat ramp 1
V' Y - V 1 �' s ir- ‘t
Boathouse/Boatlift r re Y
Beach Bulldozing \Y 1' y'• v; J f
Other iy
'r
Shoreline Length '+ Y V,{/ 1I, I I : \V \ ,y V 1r i
SAV: not sure yes no Y ti` w -t{f V `ri•— f V
V V 1� i
V
Sandbags: not sure yes (no �1 11.E �� �l ' ii; t(� V 1 f i v �y �� w \ I
Moratorium: n/a , yes no V t� T,V . V
Photos: yes no
•Waiver Attached: yes no ` 1 fl r A' k �� 1 r eJ
A building permit may be required by: l;ifN 1\ t.jtCk.- d0 ti.�r. P,See note on
back regardingr � River Basin rules.
Notes/Special Conditions 6--a i' 'c o nd 1 1' 10�J l c. 4Sec A-;U,. 1 T)c . 1w• No
)c,,, c. t,►..- 2 by fk crAI hei c''1UUr°d 1-v--r `, cl u C 1e_ o� S /\ Io nc k_
c. f \ k } Cvns-tyuckd t coduc*- t uS+ c Mc lr e,-,,,;,i- cjrfruJ'1 cj
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Agent or Applicant Prted Name Perm Officer's Signature
Signs Please read compliance statement on back of permit** Issuing Date Expiration Date
-t 100. %- (-I. _ C 0wr•41
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:
1 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(252-946-648 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 252-946-648I
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
9I9 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 I 0/C

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SENDER:.COMPLETE THIS SECTION COMPLETE THIS'SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete ignatur-'
Pin 4 tritan Delivery re is desired. � ,J ❑Agent
I Printyour name and address on the reverse ' C. ❑Addressee
so that we can return the card to you. B. Received by(Pnnted N- e) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: •
D. Is delivery address different from item 1?• 0 Yes
If YES,enter delivery address below: 0 No
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0 Registered ❑ Return Receipt for Merchandise
0 Insured"Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
• 2. Article Number j I
• (Transfer from service labeq 7001 1940 0004 3549 7233 j
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-08351
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UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig ature
item 4 if Restricted Delivery is desired. i ❑Agent
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■,Print your name and address on the reverse X r�'"�
• so that we can return the card to you. ❑Addressee
a I Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: 0 No .
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3. Service Type
I O 5 d Li B C rtified Mail 0 Express Mail
0 Registered 0 Retum Receipt for Merchandise
❑ Insured Mail 0 O.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes .
2. Article Number — - _ I.
• (Transfer from service/a 7001 1940 00.04 - 2549 6$92 . i`•
PS Form 381.1,August 2001 Domestic Return Receipt 102595-02-M_O835
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