30453D - Fish

� CAI/IA / DREDGE & FILL N° 30453-�
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 '7/1./,QG .
`t,,Rules attached.
Applicant Name (, is, R9 Y �, - F 4 CN t' Project Location: County 84J'I OW
Address . 1 U 1%NNt"+I L t . Street Address/State Road/ Lot#(s) SA r' '
City C N ()'' iefx T State N( ZIP )0(.6
Phone#oil ) : J t/ Fax( Fax#( ) _ Subdivision S' A !'✓
Authorized Agent !If 11f City - 1h'v✓t ZIP
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Affected CW TA ❑ES PTS Phone # ( ) River Basin 1,44I740 lt\IG...
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA N/A Adj. Wtr. Body C,„1\kkb is k Ft tr..•- ,4P man /unkn)
❑PWS: nFC:
ORW: yes / n PNA y�/)no Crit. Hab. yes / no Closest Maj.Wtr. Body ( kJ (i� ��
Type of Project/Activity MI VA-to r i Ple
'` I
i (Scale: / = 3Q )
Pier(dock)length X 't/ . 3 O
it
Platform(s) 1 L'V I '
Finger pier(s) y X 13 1: x �.0 t"I
J / ?' e
Groin length I to
r
number
Bulkhead/Riprap length \ • I-e ,--ii
avg distance offshore J
max distance offshore ,�(,i L-_4. __
I
Basin,channel k
— _ —
cubic yards �jo 1
Boat ramp
Boathouse/Boatlift t 1 K 13 _
I I , i ; I s .
bAvit.)- -a —M) & _ ..
Beach Bulldozing _ __ pS4 �
Other �, r
C`
' l i . r _ _
•
Shoreline Length""0)1 j •I I ! -j
SAV: not sure yes Cno '�iJ>• �����_��
. AM_ I III �11���.�E� if
Sandbags: not sure yes no - • II —f-- Ell I
t
Moratorium: n/a yes Lno• r I.. { . I {
Photos: yes fig •� 1
Waiver Attached: Cno i { I 1 1 1
- I. i t -1—1 1
A building permit may be required by: 0 N S I O w ('D. 7 See note on back regarding River Basin rules.
Notes/Special Conditions
L.- i I U
i M ~\ram-eP ::>--
Agent or Applicant Printed Name Permit Officer's Signature
Signatu **Please read compliance statement on back of permit*�" Issuing Date Expiration Date
/ 0 lVS/01.0V 6, , .00 G 1 c' ;A e
Application Fee(s) // D 0• a` Check# �f f 5 Local Planning Jurisdiction Rover File Nam
Ill

•
•
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 27699-1638 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
9I 9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 919 733 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 10/05/01

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DIVISION OF COASTAL MANAC rm-7 T
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit : Ll R IR`'1 1. F. i
Address Of Property: 310 € N F_'T'T' LANE_
S N MDS FF.RR li N C. CE)Ntsi:O(LJ CM)
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
"Aid be rovided with this letter. ekL� df .e, VDtJ,t.,)
L/' I have no objections to this`proposal `
Tf you have objections to what is being _nropos_ed, please write the _
Division of Coastal Manag-ment, 127 Cardinal Drive Extension,
Wilmington_, North Carolina, 28409 or call 910 "i99- • within 10
days of renei pt of this nnri ce No response is considered the same
as no objection if you have been .otified by Certified Mail
WAIVER SECTION
I -understand that a pier, dock��o�g pilings, breakwater, boat
house or boat lift must be set(nacf�y 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. )
I do wish to waive the 15 ' setback requirement .
�I do not wish to waive the 15 ' setback requirement .
J
dZJ
am _...._-- Date
AAWAI
Print Name
�/, ' : , �..��1-
it"'
Telephone Nu er With Area Code
14CDENR.
ND-;r.-I :,AROLINA DART,.NT 0=
. =NVIR3NM=h i AND N.'TURA:.FC=SOUR-ES

n7-V7 IOIc OF Litz ," _Yztvz` :.
LD 'CE r_P1-_EIAN RO r:.i__. TY '7K N^T_w L T-n
Nam Of Indiv ideal Applying For Permit : L-.R I° R q FIBs }-}
Address Of Property: 31 (' E N N ZTT- L I N E
S r' ADS R R RI 1\j C (OrsiSLi cry)
(Lot or Street #, Street or Road, City a
• County)
I hereby certify that I own property adjacent to the abov_
e-
'-4--fr nced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
vrTL1 }•lava on-ln4j";on o what is ci
� np• n"-oDa.S?Ci,
"`iZri R; Qr. n' roast.pl Managm,mnt , 127 Csrdinpl ??rive FX�aTI i n
w; lm;ng`nn, l►inrth Carolina, 7R40.7 oT- ral l P10 -;9:-;--“ C?n wi t—
hiP 10
days or rce-pt of this noti r== No T'esDons is
C'QT1Sl dared t}l Sr"3mn
aG no Ohjec`- on if you taPVA bean nor if ed by rarti fi d
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 15 '' from
my area of riparian access - uLless waived by me. (If you wish to
waive the setback, you T1/7/ t initial the appropriate blank below. )
do wish to waive she s 15 set re_.a_k _ Qi1, ramant .
! do not wish to waive the lSTse�i-
�..�ack requirement.
/?7 -i w2 z- Q�d4xLi«,1 6_ "Z-
Name
(�qn
I.t. C. En") r e GeJ S 46.71E:priti
nt ame f
Telephone Number With Area Code
-NV DNP AND N.:. 1RA

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LARRY D. FISH 1475
DL 2331874 PH.639-2473
741 OLD STAGE RD. �j O 66-112/531
WILLOW SPRINGS, NC 27592-9219 "�� , 0 17�1
NC _b6- I $ OD �, o
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BB&T um
BRANCH BANKING AND TRUST COMPANY
cvs4z41S31,
O irOLINA fur '`�
�:053LOLL2 Li: 5LL2 200 9 9 3116 L4 5 /