30317D - Warren

0 CAMA / DREDGE & FILL N°. 3031171
GENERAL PERMIT Previous permit #
> % New A''lodification 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 7 H- . 1 1 0 0 • ('-F r- .
E,Rules attached.
Applicant Name -�i:SU 1 _..Y W#R G t.i Project Location: County N F-W t-i A tJj' u€' r Cn
Address I lah- -1(N -pol tJrt ' _-__ _ Street Address/State Road/ Lot#(s) ( - E J
Vvt.11
(t
City 1 Lin i tit f tom) StateNJC ZIP 2 -1 1 21)1 t.l"(
Phone # OM) 2,,C ,'7-1) - Fax#( ) Subdivision A e LAY- c� S 'Ti e:4__IA-taiTh
Authorized Agent F S 0-,Ay t N City J t vet N 6.Tr 1.\ ZIP 7 9) 1 t
Affected
❑CW ; EW PTA (�'ES PTS Phone# ( ) River Basin 5• 1
❑OEA HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body C-At\A-L._ (nat man /unkn)
❑ PWS: ❑FC: l
ORW: �/ no PNA yes no Crit. Hab. yes / no Closest Maj.Wtr. Body (-.1-1 IeLr4 L�. . Ola I•-�17
Type of Project/Activity V NAT U 1 (tZ l\'"iJ() \".j(AL 1-L 1}f'
11 I
�� (Scale: I : 3O )
Pier(dock)length +' X (p
�
Platform(s)
I ' I I X lL_ y: 1 ! ,
Finger pier(s) 0 0t I.. '
1 .. /11121
1
Groin length ��q�I r , i",
number f A �-��V r �� p rig _ .-
Bulkhead/Riprap length 1" /`+ D [N6,. -f i .-
avg distance offshore L.
max distance offshore (/ L1 " +7.) ti S
Basin,channel t -_.__ —___.___----___
OE s 12,xi 1 -i - -
cubic yards T I
Boat ramp- { o Lr-1,321- / .
Boathouse/Boatlift �kk,�rv-��,) SSpice/- �',� �/l —_---
Beach Bulldozing_ 1 �•4 1
Other pt a4• 7 Io
-J LS Sc-i$ -- 44
Ps_ rti trT 12,x 13
_-
Shoreline Length 7.S
SAV: not sure yes no ✓!
_ , -= 1, `a-1-:- . -
Sandbags: not sure yes Cp
_ .-
Moratorium: n/a yes �-'S�''�1, � �
WaivPhoter: no [7u -4 IC D -- 1 K (� .._
I
Waiver Attached: yes no - - ----- --�
A building permit may be required by: Nam( ) 1-•t,1XcI)4)r Cr) E See note on back regarding River Basin rules.
Notes/Special Conditions
c....-d 1---Li ti A) ,..,_,_)--- -Y -z-
or plicar t Printed Name Permit Officer's Signature
Signature Please read comp lance statement on back of permit*e Issuing Date Expiration Date
� � `� NH a - IXogIL+A�
Application Fee(s) Check# Local Planning Jurisdiction Rover File ame

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(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
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: 9 I 0-350-2004
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

CODES FOR AEC DESIGNATIONS
"OH" - . Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW Public Water Supply "OR" - Outstanding Resource Water
CODES FOR PROJECT
"P"- Private-usually an individual "F" - Federal
"C"- Commercial "L" - Local Government
"U" - Utility "H." - Housing Development •
"S"- State "0"- Other
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads,Riprap "16" - Utility Lines
"12"- Piers,Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
"15"- Maintenance of Basins,Channels,Ditches__ -------- _ — - -
GENERAL PETIT COMPUTER FORM
APPLICANT NAME: 64,,,,(3
ADDITIONAL NAMES:
AEC DESIG: D R Es DEVELOP AREA:__,1_ PROJ DESC: p - '1 Z
(Will only-take 6) (Win only take 1)
WORK: PP, 38 , 24,
(Will only take 4)
t 32
MAINT:
(Win only take 4)
IMP: (9 C)J ,
(will only take 6)
147 S-6/a
ACTION EXPIRATION
DREDGE&FILL REQUIRED:. `0 7 cD"e—0 z,
CAMA MAJOR DEVEL REQUIRED:

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C COASTAL MANAGEMENT House "`�'a
gektizooNoP.O.Lisa 868/�j w�gtswlNa Beach.N.C. 849p elttail ef1YCs .cof1!
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit B /fAé ) dt/n-,41P1,.
Address of property / i� '� D%�'+J r ate', rro -J/43 O
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 should be provided with this letter of notification.
Please initial below if you have no objections.giAgb
I have no objections to this proposal. X1114~.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum 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.
%� Q71-(:)1/tikf1 f r' Signature & Date
J\ri Print Name
outc, - ( Q`gtp- oU36 Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc.
P.O. Box 868
Wrightsville Beach, N.C. 28480
Phnne/Fax [phone]

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit p)1� r�� W / (-) '-i-itJ
Address of property ) "?r0tki5" Pb. ^\ "t:vvid� 607-1 0,10
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 should be provided with this letter of notification.
Please initial below if you have no objections.�n�,� ' tip J4
I have no objections to this proposal. y 01%
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
(1) A(..rA! &. tSI (u tk ) .to (n rrl,r "lit
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1VA tkcv �co z✓ 1,0- r lk ta.
WAIV R SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum 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.
V. fbliti Signature & Date
11) l !'lc {ec DDi eierce Print Name
& to) / (R— COI 3 Telephone Number w/Area Code
PLEASE SIGN AND RETURN TO; F&S Marine Contractors,lnc.
P.O. Box 868
Wrightsvi!!e Beach N.C. 28480
Phnne/Fax [phone]

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F AND S MARINE CONTRACTORS, INC.
P P.O. BOX 868, TEL. [phone] / 66-85/531
WRIGHTSVILLE BEACH, NC 28480 (({� G 0272005809
DATE
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PAY E/ �' f� _ $s��
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ORDER OF 0 D° � amp m '
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