31911D - Lindsey

CAMA / DREDGE & FILL N4. 31911
GENERAL PERMIT Previous permit#
Q' 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 I5A NCAC 1 A , 12(X) •
At Rules attached.
Applicant Name f,t' 5 Al UE Li"cl Project Location: County '1 i u N'a(,) %LL-
Address CO OU1 S.11k-woo c lA. ph,1\}Street Address/State Road/ Lot#(s) 44
City. 'c ( State JZIP l 2- / f\E eta('C1 _k1^:'C >r_-_-k7
Phone# j) -18i- 521l$ax#( ) Subdivision
Authorized Agent J e,,41r1 `,.__;C\C.I City GC eA n'1 T'1 C / ZIP
cw ;OW X PTA ❑ES E PTS, Phone # ( t lU),51 c'00 l l River Basin
Affected DEA 0 HHF ❑IH ❑UBA ❑N/A (�� _ ^ ,
AEC(s): Adj.Wtr. Body _- (nat nan unkn)
PWS: ❑FC: lot)
V.)
ORW: yes / no PNA yes //"�cn Crit. Hab. yes I no Closest Maj.Wtr. Body FIX
of Project/Activity it..)ezti U nCUUC.,Ird bo iA+ t ici- 1 r '
-� e~nLA \)fe;i:\A qv, crory,* IS ( r pt111 ry C \ cO( 'H '(YMCA, (Scale: W Ur TO )
F�(Pier(dock)length S-4(1 _ ___ J
�p
Platform(s) i����
Finger pier(s) 1
......----/
Groin length
number 5‘10 I t'..11 VLCr
Bulkhead/Riprap length —T— '3Ve U- e 1\S4l('C
avg distance offshore
max distance offshore . . . . . . . .
•
Basin,channel -- __- ,- -------
cubic yards .i.--...."-1 1i
Boat ramp ^ .
f
Boathouse/ oatlift - �� �
i Inc)
Beach Bulldozing 11 \�
Other ----- -- V* — •___� . - -�--'-^ -•• _ I
C? CAP•.�voc.4—c
rx t'e--1,nt 5hc� U
Shoreline Length . V '
{
SAV: not sure yes 0 - -
Sandbags: not sure yes @ J O 1 .bUl -t\(-4V:\ord Li- -T
Moratorium: n/a) yes no
Photos: - yes no
Waiver Attached: ' yes no — i— i
"7 I_
A building permit may be required by: (' CePr-rsts ) C r l . L See note on back regarding River Basin rules.
Notes/Special Conditions ..k`1' 1/4..,!Ic. di OC V...... 0 t`tA d 1- e,v J('\ 'k r1 )\\ 15 4 u Ines l Ov P d O lit O F
-i,e__J u...3 R e---,(" ' f ke,C t.J a- sj t I'i r S mu ,-;- \ 4 c-X .4-\CI p A S-i~ 4ilc
\of\k t (No, hoc k---) .6 1 E \\ C()Ilai-4'tur)(-1 o+ 1-74-4 . 12-00
Agent or Applicant Printed Name 1 / Perm Officer's Signature Q:2--'
f t<,,�.e/., ..,� _ 10- 11-mz
Signature **Plea read compliance statemerit on back of permit'"' Issuing Date Expiration Date
.:AL:` 63,29- 0 _ n Vs lc.) of Pciiii3 A
Application Fee(s) Check# Local PlanningJurisdiction 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:
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
I 638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1 638 252-264-3901 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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 151-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 IO/C

CTENERAL PERMIT CO? FORNI
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DEsict T Eut.) D.E-VE.DP AFk DI PR_OJ DESC: P
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ACTION. =PIR_41-101
D=M FILL REQUIR - - I -0 2- lb - -02-
CAYLA..KAJORDF.Ara.RE.-7QUMM: 0 2- 0 2-
•

MAR.18.2002 16:36RM NCDENR WIRO NO.141 P.a
• CDT tOk t. #ru Ot•Kt s+r —
■ , r1 y 2N 7 _ : : e : : N • :i:v• ; L, • •3 WA/9PM liffi f
Name Of Individual Applying For Permit: i[i� STevc �l/%)65L-/
l
Address Of Property: 41 IA6F0'
(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 to me as shown on. the attached drawing the development
they are'praposing_ A description or drawing, with dimensions,
should be provided with this letter. •
• C.Al) '- I have no objections to theee proposal.
Lyi as 1 erg of C'oaGi-a 1 r a n A Afn „ y 7 7 a rr);
;rA• 7 R4 n K or gall q'I n �gr.,�q n n ; ,„ , n
Avm of rPep-1pt.of this run? OF No itcrplaUS- is ec►nsi raarprl 1-bP_mat E
am. re eb arr{en if y al haba hrkian hat;fiPB bar Cfrtified>urAi l '
•
sRtgrr _
-understend that a pier, dock, mooring pil qs! breakwater, boat
house or boat lift must be .set back, dietanee of 25' tram ::
my area of riparian access - ua.less •wai'tred
by me. (x£ youy wish to
waive •the ®atback, you it initial the appropriate blanks .below.) • t.
C,II 1 Z do •wish to waive the 15 setback requa reme t. ;.
.do�ot wish to,waive the 15'setback requirement.. h:
r;
C 7-
ga Na lye
Date •
SSE �%y' �� 1:
Print Name AT;Cirli
/6— 5-7q- a wit"
Telephone'Number ith Area Code •
NCDENR
145Per 0 LRDI-1Na Dmarr or or
tNwtRDNrawr AND NAUReL l '1:1L1RCES •

MAR.18.2002 1e:36RM NCDENR WIRO NO.141 P.
TZymTpw OW reAR'r i. nand+,
• a1,311 _ • :.c: 1a • :I:i- . L. • •�. 1110sji: • ;
Name Of Individual Applying For Permit: )7 / e SYi t'L.itN per= - '
•
Address Of Property: . XAeP,gio
•
(Lot or Street 4, ,Street or Road, City & County)
I hereby certify that I own. property adj acent 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 '•pzoposing- A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to thins proposal.
7f rotAAzm d,jprHrna t•e what• i hping_prornizat3, p1eaip vrrii- i-11get
Di er i aion n P Coa�,tr31 I�SnH�Alflpn+ '177 arr7i naL 1)ri R ,
4lmingt om, Mort-'h Carolina, 2940Ni or call 910 19�..14D0 ww tti;n 7 [�
days of r tunp{pt`of th a s►nri_ce 110 _ram 11m
as fn a7tdanri ert if You -hasx+ barn _moti fiPd by ['girt-if:Lad M 1
.
I -understand .that a pier, dock, maosing pi iAga,r 'breakwater, boat
house car boat ligt moat be .net back a ninimvm distance of 25, 'tram
zey area .of riparian access - unless 'waived by me. (xf you wish to
waive the setback, you muutt initial the appropriate blank below.)
h o' 2 do -wish to waive the 15 setback req iirement.
f
.de..nnt wish to,waive the 15'setback requirement.
•
Name //4//c41q)---
gn Name Date •
Print Name • AWA
'e
- 9'S'SL Telephone„Number.,Number With Area Code NcE)E1-7.-LR
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Nv►F mir:encr•NA NICI.Itla RGFS

Initials Date
. . - Prepared By
Approved By
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---rt--_ _._ ------ --- 68-30/�, 8327 .
099
Philip B. Lindsey /(0 .�
Nall 521855 Ph 919-787-8995
5811 Glenwood Ave., Ste 102 DAT — —
Raleigh,NC 27612
PAY TO THE N• "*.f6Pc...
ORDER OF ....."'-'...'"—DOLLARS o on bxk If not present.do not cash. .
Look lor.Micro r riot signature line gran type J°`f I cwork.First Miens Bank log
FIRST CITIZENS .99
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FirslLiUmm Bank 8 Treat Company SJ � • - .._.kr
BANK Rdai9h,N.C.27612 fftt .
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