30448D - Weathers

0 CAMA / DREDGE & FILL N9 30448 r
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 j //. /..)0 V
[;Rules attached.
Applicant Name_ y/ / .L f 24- W e4 I A°ie 5 - - Project Location: County '7'r'/'T -
Address L `z> S LA r -yt- A t— _ Street Address/State Road/ Lot #(s) �3 Co Su k S e "
City S 1 State /C ZIP 3 `"yi A v-f
Phone # ( %/') ( �C- D. O9ax#( ) Subdivision
Authorized Agent I " [c ,* 1\ c tJi City Iv eS4-4 / ? t II ZIP ,.).(f fly S
Affected E'JCW L .fW L P1 ii DES ❑PTS Phone # ( ) River Basin l^ P/'`
AEC(s): ❑OEA 7 HHF ❑IH ElUBA N/A Adj.Wtr. Body 70 PS f SON&k)
❑ PWS ❑FC: an /unkn)��� �� Closest Maj.Wtr. Body --tt�Ps �ON�, I
ORW: yes / no PNA yes '�� Crit. Hab. yes L -
Type of Project/Activity PR t -te `'f 49(2-
(Scale: )
Pier(dock)length 1)(55 /- `.
Platforms 1 �� p �� �. Q i t ;_ 1 1 ,
Finger pier(s) ! ' t -
Groin length
number i
1
Bulkhead/Riprap length t . f
/0 I
avg distance offshore _ 1 .
max distance offshore r _
Basin,channel Iv, /5 I
cubic yards I __!.
Boat ramp LU/4 1 j —t
i _ i
Boathou /Boatlift ) 3 ' L_..
Beach Bulldozing z e j 1 I- f ,
Other r%/C7 " /Q �4_: - 1 I
1 ,
i ,
Shoreline Length i QY , —+-
SAV: not sure yes (no 4
Sandbags: not sure yes (no i ,
Moratorium: n/a yes C,_no 1 r) t , n
Photos: yes (no '
Waiver Attached: yes no ----'
A building permit may be required by: 7 /4,A- U rc `ib PSIC ' - See note on back regarding River Basin rules.
Notes/Special Conditions yr(or A.p-f ce 'I L ch.Grf/ dt A 1J tr ell-1 /i ts/.
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Agent of nt Print Name 5,' ' ' Permit icer's Signature
— / V t/ y v L U
Signature **Please read compliance statement on back of permit** Issuing Date / Expiration Date
L r 5
vj 't2) -r - �" fi" r d (� °y�7
Application Fee(s) I/O Chec 0 Local Planningf 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:
I Tar-Pamlico River Basin Buffer Rules Other:
I 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(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 252-946-648 I
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
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 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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REP: DAILY CALL / ORDER REPORT
No. of Pages (including cover) Date:.
Day: M T W TH F (circle one) Fax to: 800-554-8833
Account Name & Person Order Key Product
Time called Account No. Contacted Y/N Discussed
Manuf Rep
worked with
No.of calls: No. of orders placed:
IF NO ORDERS,PLEASE FAX IF NO CALLS MADE DUE TO ILLNESS,
REGARDLESS WITH CALL INFORMATION VACATION,ETC,.. FORM STILL REQUIRED
AND 0 ON ORDER LINE BY 8:00am TO BE SUBMITTED.

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Ir — 5 e c u r 1 f t n pe N c e d d o c u ru i n 1 See e6•ck_ eLein i I. rr)-_-.— �-�—ram t-.-.- _
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PH. [phone]
P.O. BOX 528 8931 WILMINGTON HWY
HOLLY RIDGE, NC 284456 J
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