32510D - Ross

efCAMA/ ❑DREDGE & FILL 32510,E
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 I SA NCAC '-1 •a-0 D d •
❑Rules attached.
Applicant Name 1/2ak R.-C)‹.._ Project Location: County N(--isk..) H-t 1 SV'C Ir
Address /_3 c,9 )4('.. —r—O v ____: -A• Street Address/State Road/Lot #(s) 3(:,
N CZIP Z G ('n r'{ o(m {j- -Q
city �� um I n� � State y
Phone#(�10) $ 96 ax#( ) Subdivision NJ(-A -
Authorized _ 1 City t1Ll�i NI o> ZIP Z�L7�-0 9
Affected cw 0EW , PTA ❑ES OPTS Phone # ( D_ River Basin Qtql. F'c_Q..
OEA E HHF IH O UBA C N/A ter Qij- Sc /man /unkn)
Adj.Wtr. Body f��/ri L�
PWS: FC:
ORW: yes / no PNA es,/ no Grit. Hab. yes / no Closest Maj.Wtr. Body - I -.2-a
Type of Project/Activity & ) DOfl Fr 1•,.) 15. sL(
,f ,
/A-� II I
(Scale: t = c}-O )
Pier(dock)length n) r
in-r-i- . { . 05.- :ot Platform(s) - --t---....._. i -... T 7......_ _ � �- i
Finger pier(s) 41,t...* ),:.4 �!, .< , -�-i- __
;
_ y
Groin length I ,
"
number t I E � � ' � r _ r
1111 v1 1 T' ,r
Bulkhead/Riprap length I +4 I ti\t1 ,,,, t 'i'3� , ' 3 i r
avg distance offshore I I+
max distance offshore rt_ l �_ j I r
Basin,channel ? 1., - }
1
i r 1._ ,
__ f
- , gr.
cubic yards y^ • L, f ,;
Boat ramp / f . . . . 4. r
Boathouse/Boatlift !3 X11.ST'LN 6—
Beach Bulldozing j -- 1 i- �.,.• I i
I I '
I MI
Other I ' I I .I
it ME .1
I
�. 1 _ —`- �"'—..,.I. �rShoreline Length = �� l
SAV: not sure yes no s.- ----` _ 1
Sandbags: not sure yes 420 . * • '- ' Y -_-Y7 -
Moratorium: n/a yes �/ • I
Photos: yes no `_. —.--, �_ __
Waiver Attached: yes 1C. - 1—_ �.
A building permit may be required by: t"J J(,-) }14•1...140-11-rr CfD. C See note on back regarding River Basin rules.
Notes/Special Conditions
SC a I i t13 I\ LLI N C-,P- -
Agen Applicant Printed Name Permit Officer's Signature
•
`Signature 'I"I`Please read compliance statement on back of permit'k'I' Issuing Date Expiration Date
IC
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Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
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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(252-946-648 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
I638 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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 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
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: AU-5/4 1 O 5
ADDITIONAL NAMES: -�G6,TT W i4 - ^J
AEC DESIG: &'h, PT - DEVELOP AREA:_e �Z PROJ DESC: P - I Z
(Will only take 6) (Will only take I)
WORK: 81- /3, /3
(Will only take 4)
MAINT:
(Will only take 4)
IMP: OW 1 ?
(will only take 6)
ACTION EXPIRATION
DREDGE& FILL REQUIRED: /Z-/3-0 Z 3 -/3 -03
CAMA MAJOR DEVEL REQUIRED: /2- /3--OZ- 3-/3-03

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Name Of Individual "Applying poi- Permit: S7 GvRLC,�✓
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Address Of Property: 7J P 4.7Y2rlAr 20. .
(Lot or-Street #, Street or Road, City & County)
I hereby certify that .1 own property adj acent 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 prow ded-with -this-letter- -- --- — - ---
WI- I have no-objections to -this proposal .
'If you have nhjpr hams -t-a what is 15Pinsr nrapwLgkd, p1 Pasci writ-Q t-hc
n i vi c i nn of roa st a1 Mana gQmonf, 177 Cardinal Dri vP Ext Pnsi on
Wilmington, North Carolina_ .784C} or call 410 19' -1400 with n D
rIaya of rPrwipt ?sf- ti■is notiWP rrsnonsP is considprpd tho
pc no nhj ert i nn if you have bPQn notified by l'¢rt ifiPd to i 1
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I understand that a-pier-.- dock.. 'mooring pilings, -breakwater, boat
house or boat lift_st .be set back a minimum distance of 15' tram
mar area of riparian access unless waived by me. (If you wish to
waive the setback, you mustinitial_ he appropriates-blast-below.)
I do wish. to-waive -the -15-t si.tnark rc qui rgament.
CI• \7--- I do t wish--to-wai to--the- -'cPr_harik requirement.
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Name Of Individual Applying For Permit: 5ccrr. iz. ►vacCcni
Azern. aos_s
Address Of Property: `>.-a 9 .rn1;eT-c- 6-"rok-,s- rlo,�
lu�L,o,?NGrai., ,v _ 2,3*ai
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property . adjacent --to --the . ctbuv:-
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 _dr_awiag, with dimensions,
should be provided wiLli-this letter.
I have rib objections to thi-s proposal .
Tf vn» have nbj Pt onL5--ta--+vhat 4-s -3. pr-3ssad,- -p-4:►as4u
j1 i ti siren of Coas fi a 1 Man AgemPnr, 177 Cardinal Dri v_c _Extension,
Wilfaingrois,,'.AjIIrrh ea p]ina, 78444 or call 41c -9c-3.4n0 w3i=hindays„ of 171
oint --rrs_ncinsP is cbn5 11;aied
p G no ntn j 'rt i on if you have hPP2L nor if it'd by ri 1f if-d i 1
I understand that a pies,--1 - -3 • -breakwater, -boat
house or boat U t-must-be_-set back a minimum distance of 15' from
my area of riparian access - mess waived by me. (If you wish to
waive the setback, you must -initial-tee--appropriate-blank.be .4
I do vii -to -waive the- 15'-setback requireman`_
I do not wish to waive the 15 ' setback r,t' i e nPrit. (.? •
sign Name tf Date
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Print Nam 7
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Telephone Number- With Area Code
NoRno CARM.icu D rTp or
LNVIRDNMED AND NUR FUR..r'.

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SCOTT ROBERT
PH.910-799-9673 WALLEN
1,
902 SHAKESPEARE DR
WILMINGTON,NC 28405-2632 927
02503
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Pay to the Date /.1 3
68-112/531 ?
Order of -/¢m
$li
r,/ • 4- E'er LOLL �� f Ou*�!�
BURA.41.111
Dollars In
15
BRANCH BANKING AND
TRUST
WILMINGTON,NORTH CAROLINA 6i,P
q For___________ 13� !
�:D 5 3 10 1 1 2 3�: 5 1 1 - --- .
514363u' 0927 —__ Ar
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�. GUARpIyy n,E BLUE WM
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