30386D - Ferrell

0 CAMA / DREDGE & FILL N9 30386
GENERAL PERMIT Previous permit #
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'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 o o,-J .
&.,Rules attached.
Applicant Name 'j1/0r 14-S /--e r r I k Project Location: County OA.S1"t,.,
Address_ P. 0 `-li c) Street Address/State Road/ Lot#(s) ?L)U 5 -irk S 7- .
City :'I\-1 0 k‘V 4 State NC ZIP `b?cog
Phone # (f`%) G.tila - ill Fax#01`1 )( ' 3 - 713 Subdivision
Authorized Agent City 2•-ii- C C CI '( ZIP 6"/'r 3
Affected t_.CW SEW B'PTA DES ❑PTS Phone # ( ) River Basin ( f _
/
❑OEA ❑HHF ❑IH ❑UBA ❑WA
AEC(s): Adj. Wtr. Body Ws/1 N- LAAA %)r' C.4 niA I (nat Jamaz�/unkn)
IIIPWS: ❑FC:
ORW: yes / mo PNA yes / fo Crit.Hab. yes / no Closest Maj.Wtr. Body_'"Cb PSA C�O LA �,h
Type of Project/Activity D p; L,' -t A.8. c-‘. Jr,"
(Scale: / c.) . )
Pier(dock)length - -
Platform(s)
Finger pier(s)_ -
Groin length ! N ` L
number - --,
i
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel —
cubic yards I p
Boat ramp . . . . - �; l u�vf
Boathouse/Boatlift) I,-‘i' .- .-g
j .C1
Beach Bulldozing , ;S.it' ' cPGI(
Other
Shoreline Length .7`1 .5;5 <!-^ I et '.r- .
SAV: not sure yes no ...{ 1
Sandbags: not sure yes no ` '
Moratorium: n/a yes no
Photos: yes no . . .
•Waiver Attached: yes no )- '
A building permit may be required by: ' -- '4 ` . E. See note on back regarding River Basin rules.
Notes/Special Conditions y r
ca7- 4' `� .)
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Agent or Applicant Printed Name Permit Officer's Signature
r
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
_ r ,.11 5 3 -7avi _
Application Fee(s) / Check# L5 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:
1 1 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 252-264-3901 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: [phone] I5 I-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 10/05/01

GINLERALTERMIT COMPUTER FORM
.P1..1CANT ---rtvo-vvA-% 7C r r-e 4 S
ADDi iI ONA NAMES:
L=C =SIC: pt D.7:1� OP_fr l FROJDISC: P -cac?
WORK: Q 1_. 13 i 0- _
(rru"1 city.,)
(�=:ry1=4) - -
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4CTION �?r�'ZON
CA M M JOPLDI_?F`:12U 0 / •Y-kc)) 0 —D 7-4))--

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. 1 A11L&CENLRJL& gNpATIgNJ
FORM
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Name Of Individual Applying For Permit EL) epe-Tirver"04 -'Petrv-e._,t,t.33*,. - .--
4144
Address Of Property: '104 5 i'st.Ni tytk-v-\ Sk-.
,.'
Sur P C;t:1--1 i kilc-- (7)".5 ‘Q ci.3
(Lot or Street ffStreet or Road, City & County):if!,, - - • ' , '
I hereby certify that I own property adjacentp the above-referenced prOperty. The individual applying for this permit has described to-Mei§ shown on the attached drawing the development they are proposing. A description or drawing' , with dimensions, should be provided with this
letter.
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62/5)1 I have no objections to this prop6ial.
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If ye ) have objections to what is heinE pi:oposed, .please write the Division of Coastal
1900 within 10 dav ofr=tipt of this notic NI)regmnse is considered the same s no objtatirin '''.',' '
if you have been notified by Certified Mail
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• wArvER SECTION .
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I understand that a pier, dock, mooring piling,s,lireakwater, boat houie, lift or sandbags'must be
set back a minimum distance of L5' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you mist initial the appropriate blank below.)
i.,..) I do wish to waive the 15' setback_requirement '
J do not wish to waive the 15' setback'requirement.
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/1).-.--6"--e-- -.4---, l'-'-eli-4-7'.---<-3— 7- z V-•--
Signature / Date
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iv,77,'.‘iff 1kc/7-1-0,,--t_ Ailllimmilftwink Allminmemim• a.
NcDENR,
Print Name
9/7 6 ..Z-41- .2--. 310if
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NORTH CAROUNA D--a.AFrNmefr OF
Telephone Number With Area Code
ENVIRONMENT AND NATURAL RESOURCES
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CERTf IED MAIL RECEIPT
(Dbmestic Mail Only;No Insurance Coverage*Provided)
0kCT4L M4N4GEMENT
m Y O\\ TR NQTIF ICATIOINI'«'ATV-ER FORM
rs-
9 Postage $ 3�f pr./,-----
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CI Certified Fee ,O Postmark
Return Receipt Fee 1v L1 tf•,ej1C -VI L/v.16- f
r- (Endorsement Required) b �'� \,
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p Restricted Delivery Fee
(Endorsement Required)
O Total Postage&Fees $ 3 q U s PS S� e�
Li
= Recipient's Name(Please Print Cle (to be completed by mailer)
m
t t,Apt.No. PO sox No.
a p `-00-4\* #, Street or Road, City & County)
O ,State,ZIP+4
f PS Form 3800.February 2000 See Reverse for Instructions nt to the above-referenced property.
.IIe 1 I. or is permit has described to tie as shown on the attached drawing the e development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
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I have no objections to this proposal.
If you have rib • a
M3naQPmCIIL l77 Nc�t-{h C`arri� , North r
na 1 nny�, Wilminotnn •
'3900 within 10 dams of reeipt of this_notice No response is considered_
if you have been notified by Certified Mail g�� no objection
• W 4IVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
'CI 0
_ I do wish to waive the 15' setback requirement.
- I do not wish to waive the 15' setback requirement.
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Signature Date
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C arIes Joky) se,-1 ,..„_
Print Name
(llC qX 3 - 8 ) 1 NCDENR
Telephone Numbe
r p.,r With Area Code NORTH cAROUNa Da-PaFtrat✓NT OF
ENVIRONMENT AND Ntiruua_ RSOUR�`5

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---- ---1 ---
E T Ferrell III �DL 994039 19 43
Ph 919-658-2260
110 E f`Ohn St Q_2 7-G., 66-258/531
--� 1�.a Mount Olive, W 28365 DATE ✓
Cat PAY TO THE �" ,p
ORDER OF /Jc L E N, I $ /d 0LION
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amml (6121 - /4/4-641-6/ Cl°/) I ' a Za."::::"
Southern$marls
Dudir:ML Olive/Calypso/Oranlhem
setven sag stag Run,NC
FOR 441 4 /41 6Pb 32s?-0 (P-
I:0 5 3 /0 2 5861:4908005 i99ns L943
t OHARLIND IBM
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