30331D - McDavid

0 CAMA / DREDGE & FILL N? 30331-C
GENERAL PERMIT Previous permit #
I'Jew 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 15A NCAC / • t 20
Rules attached. •
Applicant Name L. - n b - ProjectCounty t3 Li k ( k. (�
Pp It IL- 11 I C U I RR[�-� Location: (C I a,
Address �.-Os pc K1 I r l SULLA 1�* . • Street Address/State Road/ Lot#(s) 2.r)
City,Ir1r 01 1 N A BR State 1..1 C....ZIP 2s4 . P +Pe NS U t 1?
Phone#(11.C) •�G `Fax#( ) Subdivision e.,4^s.LI t y
C. A
Authorized Agent Witt- - City''- h LOU►Jrl CSe�C c., ZIP/ 2--a4-1 L
Affected 0CW XEW C'4PTA ❑ES ❑PTS Phone# ( ' r`L (. River Basin ► N 1 e.
❑OEA HHF ❑Ill ❑UBA N/A
AEC(s): Adj.Wtr. Body �T 1`_a5u Y e CO.y •C_ier L (nat anjunkn)
❑ PWS: FC: (lit N y
le
ORW: yes / n PNA yes(1 no Crit. Hab. yes / no Closest Maj. Wtr. Body �0u1.1AIS, SLOcirl X I �T
Type of Project/Activity �"���I l,j PtT , pica.
Pier(dock)length l - a..
_ (Scale: I I( � 3 U f)
j _l
Platform(s) 1-. )( ti
Finger pier(s)
Groin length ��A`NIA L- ` _
number —-- --- -- - (`+` i
Bulkhead/Riprap length
avg distance offshore ,
max distance offshore .
Basin,channel I s 14-9
. . .__. +
- ( -
,f_____...} i ( t
cubic yards { + ) [ • rf ! _ �;
Boat ram _ - _-y� - .�_
Boathouse/Boatlift tSil c 4 I
j I
Beach Bulldozing _ _ ._ ..1, T___. — i
T It L_. ..
Other ` / : ti {,.
,
I t 4 . 1
Shoreline Length rt (t./v t i 1
SAV: not sure yes _ — — I
} _..Y
Sandbags: not sure yes . l
Moratorium: n/a yes ZO �6.t k ti ;�x- a )ce,
Photos: dyes no —..
Waiver Attached: yes no I j — ---- —__-
...)
A buildingpermit maybe required by: 1 q _,jAVOu t..ei � G� ❑See note on back regarding River Basin rules.
Notes/Special Conditions
1 ) K'p A Y I A c', S 140►.l 4"TU•re,
t, 1m tc I-fe ' _pe A-w i e -3 I
t. • mc‘ I.)A I )7
,agent or licant - t e Permit fficer's ignature
�'�' ** Issuing Date iration Date
_ Ex
10 - - -0")....,.
gn ure **Please read compliance statement on of permit g P
f rn - ./�•-(bv c ''?oul�,A ('
(1\
Application Fee(s) Check# 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:
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 252-264-390 I 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Berrie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
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 II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I0-395-3900
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 I0/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: V i t c V t,CQ,
ADDITIONAL NAM?:
AEC DESIG: , J / DEVELOP AREA: _.1_ PROJ DESC: -
(Will only take 6) (Will only take 1)
WORK: T cC, Pl \I a.
(Will only takes_ A_00, i
MAINT:
(Will only take 4) __
IMP: ow �,V
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 7-"2j Z ( 0 3 t) 2
CAMA MAJOR DEVEL REQUIRED: kit 11

ENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signa ,
item 4 if Restricted Delivery is desired. x / CI Agent
• Print your name and address on the reverse �Iy�,cCcC S v ❑Addresse
so that we can return the card to you. B. Received by(Printed Name) late of Deliver
■ Attach this card to the back of the mailpiece,
or on the front if space permits. 6
D. Is delivery address different from item 1? ❑Yes
1. Articl dress
��e If YES,enter delivery address below: 0 No
A'iyn'e 7)// A ?IL-
S35-6 1VeA• ��/M
FZ, .5asv a 3. e Type
4fCSlJN� N/�/
Certified Mail Cl Express Mail
Registered 0 Return Receipt for Merchandis
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-25.

UNITED STATES POSTAL SERVICE ,.:-•.;`_1 L.
First-Class Mail
Postage& Fees Paid
i ;--,,., USPS
Permit No. G-10
• Sender: Please print your name address, and ZIP±4.ir.... box-•
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A__?..1OW � NO1- T T
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Nam_ 0_ individual Applying For Permit: ,� ./ /. M C0gy/D
Address Of Property: C 1
A 64,0A,wd a8
(Lot or Street #, Street or Road, ,City « County)
•
i hereby certify that I own property adjacent to
' reTQrnnc�d 'Property_ the above-
P ty_ The individual applying for this permit has
described to' me as shown on the attached drawing c
the development
they are proposing. A description or drawing, with dimensions,
should d be Provided with this letter.
•
1 have no objections to this proposal .
if vwn havp Obl.m.f:tinnc
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sazmER_mazramunderstend tQat _a :pier, dock, T-
:m�o_.zag• -Di�ing5, .bre3kvat�, aoa=
:house .or boat lift :must be set .bacl_ -a .min:
__ mua distance o=- 15' yam •
lg..'a='a QL parlan .access -- mtless -waived
• by me. (i= you -vzi.Za
. sTe': .e ':setba.ok, :you .1mrmtt ph -oar ate b1-enkial the 'appropriate t below. )
I do wish to wa4 v `hc 15 ' setback .iecuireman-
do Twat wish to waive the 15 '.setba.ck -requrAmant..
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GALL H. McDAVID NCDL 2780679 7968
APRIL P. McDAVID NCDL 3762716 / 66-30/531
403 PENINSULA DR PHONE [phone] /p
CAROLINA BEACH,NC 28428 Date "``"'�«<
Pay To The /0 // /('
j $ ne-bOrder Of
erheLla,
Dollars 8 =NW
FIRST CITIZENS RANK & TRUST COMPANY 353
WILMINGTON, NC 28401
ror PD
1:053L003001: 35367L239Lill 7968
:I":ii iJEFi CIIEU(61:(iEµ E51 A;1

GAIL H. McDAVID NCDL 2780679 7968
APRIL P. McDAVID NCDL 3762716 66-30/531
403 PENINSULA DR.PHONE [phone]
CAROLINA BEACH,NC 28428 Date "`���
• Pay To The /0�// ( $ �� ��
Order Of /
•
Dollars 8 ��
FIRST CITIZENS BANK & TRUST COMPANY 353
WILMINGTON, NC 28401
For GPI 2033r •�.,: -� 1►.
1:0 5 3 L00 3001: 3 5 3 6 7 239 III' 7968 j
DESIGNER CHECKS c•REAL ESTATE

uuu- _ - - - - -,

GAIL H. McDAVID NCDL 2780679 7968
APRIL P. McDAVID NCDL 3762716 66-30/531
403 PENINSULA DR.PHONE [phone]
CAROLINA BEACH,NC 28428 Date
eZ/ / I $
Pay To The
Order Of •
DIVAite4ge• /
Dollars 8
FIRST CITIZENS SANK & TRUST COMPANY 353
WILMINGTON, NC 28401
For
S 3 L003001: 35367 239 Lill 7968
'tans 7.•iLtit FSIAIE