31025D - Stevens

0 CAMA / DREDGE & FILL N? 31025-�
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 15A NCAC 74 ./' Uc .
c DJ Rules attached.
Applicant Name (�/ ,fr( 5--lei,eA, ) Project Location: County ,)t/.T/U w
Address / C> /7 Cr----0t Y 1`r Street Address/State Road/ Lot#(s) / Jv H 6/Cu/ivy/PI
/PI
City SA,e..otto I r'C'/t gV State NC ZIP 211 C:7 U SA'
Phone#(9f N) t/S/)- Fax # ( ) Subdivision , /
Authorized Agent A ;4 o iml4RiNe City SA-el-0 � � `/fi� ZIP �b c
Affected cw EW PTA ❑ES ❑PTS Phone # (Urn) go g-y.57- River Basin 14,A ( C/'4<
AEC s : OEA HHF ❑IH ❑UBA E N/A Adj.Wtr. Body /A,/ ?O ek - nat)/man /unkn)
❑PWS: ❑FC:
ORW: yes 19 PNA yes / no Crit. Hab. yes I no
Closest Maj.Wtr. Body /(/ems" /f/ v-eye
Type of Project/Activity erg,"/ D,t- L, T / ,4Nc1 C� A.-i r-r- f/ 1"C 1
sr% 5-7 41/77 rD o GK (Scale: ) ':J O ' )
Pier(dock)length C.
_ . .
Platform(s) j ! p d act 17l v~ tr,.t •
41
Finger pier(s);'%/I1 �1 X 11
l
Groin length I �1 .4-
number - ----- --i----- ---—_ ti r
XtL I ' - P� ��
Bulkhead/Riprap length `?' if r" ~ ~.
1..i
avg distance offshore _ •
I CIVI
max distance offshore
Basin,channel
cubic yards -
n
Boat ramp i GXi S-1 F-f n&r f, r -\.s:.;i �.
�II,XI1 . pi'Pr - `fir
Boathouse oatli
Beach Bulldozing
Other
I
1
Shoreline Length >/
SAV: not sure yes
Sandbags: not sure yes no ) • �Y
Moratorium: n/a ,yess 6✓ ,Q —fir "
Photos: •y' V no � _ 1
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Waiver Attached: es/ n A building permit may be required by: O4/S�U6t/ Co • . I I See note on back regarding River Basin rules.
Notes/Special Conditions
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%' .,(r.�, /-.."6"/�jt�. _/ . l_/` .it-�/ 4+62 :! C)1'
Agent or Applicant Printed Name Permit Off is Signature
I /?_ Um1
Signature **Please read compliance statement on back of permit** Issuing Dat Expiration Date
U Local Planning Application Fee(s) /0
(], Check# / g)urisdiction 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:
U 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 252-946-6481
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 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 I0/05/01

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?Y OIN OFCOA5TAL MANAGEMENI
ADJACENT _ . p ELE TY N AI�Z RCATION/MVAIVEH FORM
fla'm' Of Individual Akppiy'rtpl For Permit: 1 4-i-/. c5.--fAIWI S
Address C�` Property: H.z_.c I<a�2c Rd .
5NE'erS 'uc - c)A,5c.oc,
(Lot or Street*, Street or Road, City and County)
hereby certify that i awn property adjacent to the above-referenced property. The individual
applying for this perrnit has daelctib0 to me as shown on the attached drawing one development
they are proposing. A description v draw.^ .,wIth di:~+enslons,should be provided with this letter.
11411- yA I Mw 30 obrtl 2 un to t3':2n proposal.
ou have cokstjgriepi who ia_pe na ►,poser_ oleos., write the Division of Coastal
Maniaement. 127 Cats trt,,ak,j i �d nsion Wilminoton Norm Cerrotina 2E4Q5 or call 910 395.
3900 within IQ den Ut !rglici_ Np ransiaired the Ana oboe ion
ifyou have tseeri tlne tit Carl ici Mall,
MR ..N
I understand that a pier. doa^, mouingpilh s, t l r, boat house, lift or sandbags must be
set back a minimum dams of 15'rt~`m my area of ripe—tilt access unless waived by me. (If you
wish to waive t e setback, you mot SW*the apyp • `hank below.)
I do wn n to waive the 16'.etbacfc requirement.
- i tun wish to waive the t5' s toacs. ,equirement.
�( ‘.‘..)(40,4,170 r,
Sigerture Date
A 7' 1421
Print Name Mtlqrt
Mee
Tel no Nnrh r 1MNt Anew Cede

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1,)111-T$19N,`OF COASTAL MANAGEMENT
ADJACENT RIPA*0*,0$10,1211itypiqUER NOTIFIcATION/WAIVER. FORM
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Name Of Individual. Applying For Permit: 46(xi,t4 ---.(:(A,LJ
Address Of Property:
(Lht:..qi. Street #, Street or Road, City & County)
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I hereby eertityIthikt :- I Own property adjacent to the above-
referenced property_;.:-:-,-.. e- indiVidual applying for this permit has
described to me at:''tsilouti.i'soiit:he attached drawing the development
they are proposing, -kstVesc.tiption or drawing, with dimensions,
should b provided. Wilt4 ;this letter.
)
I have : no..., qbijections to this proposal.
If you have ob-cect-jhiik-',Z.4.!'wh,at,is being preoosed , please write the Division of "C:Okat.,11 -,!Ktri-li?Ngilent, 127 Cardinal Drive Extension,
Wilminaton, Northz:.-0:0#510:-a . 28405 or call 910 395-3900 within 10
, , .
days of receiht df-',:thiis'ItOtid.p. s.No respense is considered the same
as no objection if.--_-y: i.i.--,hie.:'456e-:p notified by Certified Mail
-_—_---.. ..m..4.,..... ., ....-
pAtvgR SECTION
I understand that a :.pie ,t. dhC.,ki, inhering pilings, breakwater, boat
house, lift or sandbags must be . et back a minimum distance of 15 '
from my area of ,r.:4:Ijett.-ferrV:4.1,- Ces ..Unless waived by me. (If you wish
to waive the setb*6k,: yttu : nlist initial the appropriate blank
. .
below. )
_ .
1 14 d/
IV Alb I dowish:t0 .waive the 15'setback requirement.
. . . ,, .
I -do not .wish .6:), aive the 15 'setback requirement.
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Telephone Nutnbell. Tirth' I)Ne#4,;-.C,04e,. .
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ANTINORI CONSTRUCTION BANK OF AMERICA
3 0 9 6
896 HWY. 210
HOLLY RIDGE, NC 28445
[phone] 66-19/530
PAY
fi
TO THE
ORDER OF V L 6 &
(YA. Av-eyAteL/' t)c)401•0
DOLLARS
MEMO ` �J �10‘ 6
----- AUTHORIZED 910NATURE
111003096111 1:053000 L961: 0006SO5 2 L990n'