30487D - Shaw

eCAMA /
DREDGE & FILL N? 30487-D
GENERAL PERMIT Previous permit#
>Z 'iNew 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 1 4� . ! '"C)
C Rules attached.
Applicant Name _ 1Zfj-1 �hA tAl Project Location: County k runS\,JiCf- (t)t n-t'���
Address °� '.3b t � c t1\ 1--'R✓1C Street Address/State Road/ Lot#(s) p?O 12_ S c4q
City LU'(Y1\0 -V0et State tJ(JZIP o/tgc�b Atrc Cfrnf\1 k,Jest-
Phone#(t9 U) r1'.Sc1-973 Fax#( ) Subdivision 6 A;1 f' ) r- 4-A c c,
Authorized Agent L‘5 Pr ` eT t1 er iY1 City .LA. 'd k v1 ZIP ,---.2j b 2_
CW ;ow xtPTA DES ❑PTS Phone # ( ) 1 River Basin L vt C`\b'e_r`
Affected OEA ❑HHF ❑IN ❑UBA ❑N/A
AEC(s): PwS: EFC: Adj. Wtr. Body \fl 1 (nat /unkn)
ORW: yes /(irio PNA yes /-f8.1 Crit. Hab. yes / no Closest Maj.Wtr. Body _
Type of Project/Activity N e t t A \ o v&re a boa* \i I t
c.,.A., a 11 c I \A\a INS be eA4 . V1.00 (Scale: No T (L )
Pier(dock)length _
Platform(s) ;5 4.\n cy -4 1 .
1 i
E�
bAs1(.1
Finger pier(s)
Groin length r-- k-- --- 1— -i-
number
Bulkhead/Riprap length
avg distance offshore i- a--...-�
•
max distance offshore t_ r ls
Basin,channel i �
j O O ,
cubic yards — EK\SA 1,,`f1
Boat ramp pCOPRSed If^,
Boathouse Boatlift ` O `
� — _
t?. x 1'1' -• L.1�c cr c�
\‘\'t S O
Beach Bulldozing •
I
" } •
�� 6 cs `t n�
Shoreline Length ,y()/ ca�t
Fi kid
SAV: not sure yes no ___ ... .
Sandbags: not sure yes no -- '
Moratorium: n/a yes no 4
Photos: yes no �-"
C.X\S4t'N'�\ 1vt_-� qei I
Waiver Attached: yes no _--. 1
A buildingpermit maybe required by: , i
9 ��to f�Sul a C k.. �U tNn T'-1 El See note on back�lregarding River Basin rules.
Notes/Special Conditions Ian Y. 14' Call e7(\ Sit# c bo A-k- 1 t i- And , .51 . �+.LA: '. (r(.( v.,-1 6(
( ) f i- c 2 eN e'- '17
j---cuck.\reJ; Pr p •f�, 1, i- l- b c-. 1'inC_,) LH,il. 'r, A;s '1.,c1 CI0fl+-''6 drft-t1n
l`'15Pt v fr(r\ei-�m. -,y1~
Agent or Applicant hint d Name Permit fficer's.Signature
/
Sia "{"Please read compliance statement on back of permit'" Issuing Date Expiration Date
[-
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

r
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 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
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 10/05/01

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MAY-29-02 08 :06 AM SHAW OFFICE SUkPLIES - 9106714087 F!. 02
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` DIVISION OE.C.OASTA, bJANA.OtMtNT I
1 L . 4DJ T.ACE aIPARIAN.PROPERTY OWNER !SOTHFI`CATIONJWAIVER FORM
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I Name Of Individual Applying For Permit: .j, .�., . _,.
• Address Of Property: 073, -it, ,, 11 C&t .L..1) , .
1 t s trfl� c f•ii4E1 .�.�, k► � _ ..�o,l. N G
j . (Lon or Street-/Y, Street or Road, City 8► County)
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I hereby certify that 1 own property adjacent to the above-referenced property. The individual
'app ing for this permit has described to Wu. as shown on the attach,d drawing the development
they are proposing. A description or drawing. with dimensions, shoiild be provided with this
i •lettc r,
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1 VI S. I have no objections to this proposal.
! lf-.+ou have objections to wh.1t is being proposed, please_rritt the Divis o... f -Coast .l I ,
i 1 Mahagemcnt, 127.Nurth_CardinaLDrive, Wilmington, .Nonh_Car_olina, 2840S.ot:.ca1L410 395-
I 3 l.within 1i�_.days.of.zt ipt',.of this trnice,_Ro_respo.tise_ls ccnsidered.tlie same as no.objection
iLybu have beer.notici4d.by:f ertificd At.il
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I R WAIY SECTION •
1 understand than .i pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be i
set back a minimum distance of 15' frc,m my area of riparian access unless waived by me. (If you ,
.• + wish to waive the setback, you must initial the appropriate blank below.) ;
.
.
vpY�` _Vit $t I do wish to waive the 15' setback requirement.
1
f T I do not wish to waive the 15' setback requirement,
i mis
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i Signatur, Date _
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Tephone Nurnbe. WithArea Code` T^ c.rIn11.1, oo-or*mwr o•
i ENV1ACh MVMT qN;J FIVVR.,1 et lA1Yt^[J .I
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- MAY-29-02 08 :05 AM =HAW OFFICE SUPPLIES 9106714007 P. 01
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DIVISION OE COASI,i.i .111F.:\
. 51AtiAG 1
ADJACENT RIT''ARIAN.PROPERTY OWNER NOTIF.LCATI.ON WAt.l.'.R FDRtil
.
in For Permit: Q `
Han Of individual Applying . �' ���k� -----, - - - 1
i
Addr,:s5 OfPProperty: � � � _Q__. ......__....—.
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(Lrc+r or Street #, Street or Road, City & County)
I hereby certify that ! own property adjacent to the above-referenced property. The individual
•
, apol)ing for this peri lit has described to itic as shown on the att.ch i drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this i
i ,
‘ s,._ ___ I have no objections to this proposal, ,
If y'�u have objcct.iotts to what is being priiposed.. as# .writs the 17ivis tl�f .Coastal i
• Ist age:ncnt, 127.NordLeardina:Dxive, Wilmington, North,_Catelina, 3840$.ot.caIL210 3957
. 3�L .with1't 1(ldays_Qf r ipu f this notice._Noacspon-te is considered same as .no.obicciion ; .
! if.yOu have been.notified.4_Certificd i—
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. - 111110111.
WA VER SECTLON
• i I understand that s pier, dock, mooring pilings, breakwater, boat house, lift Qr sandbags must be
. l .set!lack a minimum distance of 15' from my area of riparian access uttic s waived by me. (If you
wistA to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. . .
i ' �,.re
( : �� I donut wish to waive the 15' setback requirement, •
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Telephone Number With Area Cade E,rviwotirAE.R 404: N,,rvR.ti aEfoJRcv

_._.__ -,,_ -.--m....c.__ rrr3 1- _""A❑ 5 r.u rily en II a nccd docr.rren I.SS I—bock - ^. "_.-_._VARNAMS DOCKS & BULKHEADS INC1812
C PH.910-842-6007
1
86 VARNAMTOWN RD SW ,
SUPPLY, NC 28462 (/�_ 88-t 12/53t
DATE . �1Op� s2tot `�
I PAY
TO THE 1A\/ $Tit ORDER OF lb ! ' I 300
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p" DOLLARS
BB&T c
BRANCH BANKING AND TRUST COMPANY
SUPPL ,NORTH CAROLINA
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FOR 3
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II800L8L211° 1:0S310LL211: S2LS792872ii'
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