30391D - James

® 1rCAMA / DREDGE & FILL ;� 30391 --
GENERAL PERMIT Previous permit #
)C New Modification ❑Complete Reissue Piibartial 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 SA NCAC ' Al • /. L-1 .
( Q'Rules attached.
Applicant Name 71 A L Y . f 4\E'`) Project Location: County ON SI o w
Address 5 {/b 1 3 . fJC i-kW`( , _) Street Address/State Road/Lot#(s) (s0 7 tom' Sf
City _ .0w kV State n)C ZIPc35` ((-
Phone # ('V) ).) S- 4177 Fax#( ) Subdivision 0 /c-A 't1l!PR- ( -JLk 1-
Authorized Agent QtJ'h0 0,4, , Nk{z t1J{ City .S tA lP F CHI ZIP 2 P/V 3
CW PEW N TA ❑ES PTS Phone # ( ) River Basin C. P p-
Affected DEA ❑HHF O IH -UBA N/A
AEC(s): PWS: FC Adj. Wtr. Body ( A MIL- (rut /man /unkn)
A
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj.Wtr. Body "7OPS—I ( SvLANI
Type of Project/Activity 1- U'\t.e 'i e K
r g (Scale: / "- Oi)
Pier(dock)length (`
Platform(s) i ,) X I re'
Finger pier(s)
Groin length
number _ .
Bulkhead/Riprap length '
avg distance offshore
max distance offshore
Basin.channel - -
cubic yards
Boat ramp t
•
Boathouse/Boatlift /) '
Beach Bulldozing ril
Other
•
Shoreline Length SS ,' 5 7--
_,., �V
SAV: not sure yes no •___ . • _ - - . _- -. °'1-
Sandbags: not sure yes no
Moratorium: n/a yes no
rL_ pt
--
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: -10i A/ 01-7. 3
u4Pc G./7' 'l/ . See note on back regarding River Basin rules.
Notes/Special Conditions
Agent or Applicant Printed Name - Pet r's Signature
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
oN� 1Cl- 50(//ii 4
Application Fee(s) f/U D, U v Check# 3,y y- L Planning Jurisdin 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
1638 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 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 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 10/C

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ANTINORI CONSTRUCTION BANK OF AMERICA
3242
896 HWY. 210
HOLLY RIDGE, NC 28445
[phone] 66-19/530 (/—//n�
TO THE ORDER OF Arc D 6
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AUTHORIZED SIGNATURE M+
,es SPD 30391
000 3 21, 21I' 1:0 5 3000 1961: 0006 50 5 2 19900