30981D - South

CAMA / DREDGE & FILL ,N9 30981 D
.. 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 I5A NCAC //0
. Ruies attached.
Applicant Name .`gyp 'L - 1-1 f R",o p_ o wkeY- 'v' t , P4c Project Location: County P-P+v1 I.'''12
9� Jw
Address — d j .4.wC�x i'-SSA- -3IUi Street Address/State Road/Lot#(s) 70.E -- j 'd
City -- QSiC, , Ls+f( State 6..0 ZIP.. -St/Y S, 4 CRze 31Vi
Phone# (5I ) CI b- . .x>1 Fax#( ) - Subdivision So I.Afil` r??_04f f r If;I/A y /• ( /Lt b
Authorized Agent t t l ,(vA(2t_q P City —7- 1 t A.1 I _ 'C I-I ZIP ?8 q y1
Affected LiCW Fiji* :_-PTA [ ,ES I PTS Phone # ( )- - River Basin '"'-''-7:
AEC s ; El IDEA HHF ❑IH TUBA r N/A Adj.Wtr. Body ?,A NK S I I-!.1/,/NP I
ElPWS: C FC: I ',Oman /unkn)
ORW: yes / t) PNA e / no Crit. Flab. yes / no
Closest Maj.Wtr. Body 7'»PcA 1 0 ,,i,...
Type of Project/Activity , 1k4€4 i.) _Q.P I,A.[.¢wee,-1 .. ' h,44toptk„ c r Yi s-4,ti (1 1AA 11I
(Scale: )
Pier(dock)length __ --_
Platform(s) C 1 • - j
Finger pier(s) i
Groin length _
number —
.
Bulkhead/Riprap length ��/P -
avg distance offshore .2.
max distance offshore 5 " . . - I t;5 1 p�
Basin,channel -- — — ..,._.._ ,..,_,_a -.�_.
i
cubic yards 1 90 A/41 t If'} �l 1Boat ramp
t I
Boathouse/Boatlift \al ,
i
Beach Bulldozing
Other ■ . ...1
F L
Shoreline Length ._l yv e L.-
SAV: not sure yes ® —
Sandbags: not sure yes �yn -
Moratorium: n/a yes ed
Photos: 'Yes ,tilyl -
Waiver Attached: yes rid _i _._ --_._---.-.-_---
A building permit may be required by: ro yr - (-)F —r?'SA.,1 fr 14 7 See note on back regarding River Basin rules.
Notes/Special Conditions
tAltii: ///t r_i/e .xLti __
Agenf or Applicant Print N - Permit Officer's Signature 'V
� �/�
-01- 09- OD-
0 (1—v y-
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
-•4p 44 b-fitI/
Application Fee(s /6 U r '- Check# yJ5 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:
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 252-264-390 I 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
9I9 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 9I0-395-3900
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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ACTION EXPIRKSION
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CERTIFIED MAIL •
RETURN RECEIPT
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
tcir.t— Vt7 1�
I hereby certify that I own property adjacent to v l- ?r
(Name of Property Owner)
Property located at S c) e c -
(Lot, Block, Road,.Etc) r/
U Z 9G d S/� N�✓�S'c/�
on 13 cu.A. L s C fv N.2y-l2 , � p.5:9--c L 1 c_L�
(Waterbody) ,N.C.
(Town and/or County)
I have reviewed the survey or drawing on the project he is proposing at that location,
and, I have no objections to his proposal. •
_ - __CURRENT SURVEY OR DRAWING OF PROPOSED PROJECT AND
COPY OF PERMIT APPLICATION
(ATTACHED)
Signature
Print or Type Name
Address .
fro �'`` �Z� .
• Telephone Number
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Date: a r

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- BUSH REPAIR CENTER
Marine Sales&Service -
EVINRUDE OUTBOARDS PO Box 3330.912 S.Anderson Blvd.
SUZUKI MARINE Topsail Beach, NC 28445-9831
[phone] • Fax[phone]
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