30902D - Stines

0 CAMA / DREDGE & FILL N9 31902
GENERAL PERMIT Previous permit#
)1'G _'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 5A NCAC I 1 . { i. O0 .
Rules attached.
Applicant Name •.,)1,' - C 4 { C.• t'1 . 3i- t 11c' rI, Project Location: County I r to n; LA.) i C_E-
Address 1 I _ N f u U)(\ ••k"r%€'+ Street Address/State Road/ Lot#(s) j 81 3 C. . s CIA
City `_-.i(\r U CO LA Y (1 State N ()ZIP e I 3` 1. ',r v C.irt-n Q
Phone#(`•j i t-) 8 2.35 Fax#(1IU) (r5 t} ' LI 4 8L1 Subdivision �e..-n 11 1 C t1 C 71 A
Authorized Agent CA (jU In f\co S City 5 " ho I i ZIP f.)8 LI(" 2
Affected D CW VEW VPTA DES PTS Phone # (' i10 ) 642-'I J_DI River Basin LUJ1P16e-r
AEC(s): ❑OEA HHF ❑IN ElUBA N/A Adj.Wtr. Body N I Lk) (k) (nat /(nan)/unkn)
❑ PWS: FC: y� r ��
ORW: yes /(nod PNA yes / no Crit. Flab. yes / no Closest Maj.Wtr. Body t tI �/
Type of Project/Activity N te-r , IQoni I,f i , -rt Y.Cd AO( - Nro 4T1064 'i ii ci cx L.
(Scale: Q T rb )
Pier(dock)length 13 j
Platform(s) IQ K I t.l' (2) .
Finger pier(s)
Groin length t 1.1 I U
number — — _4_/ ______ _____-
Bulkhead/Riprap length 't1 t I 111ur t 1 C'
avg distance offshore ._ . __ . _
max distance offshore v0 0 tko „_,,,T i I
Basin,channel _A__-- t.•
tc.{toil,_
— .� Untc;�c.rrd t Q( i
cubic yards __ 6Boat ramp {
Boathouse/.Boatlift
Beach Bulldozing I
Other
i
I
:::ehine
Length ]V not sure yes a' yt -.-._-. t t nv. ,
Sandbags: not sure yes no r _ \- , AtMoratorium: 40 yes „Ad' fi 54- > .4.-_____ _-- _...._____:- !(r. 5 I - _ - t.
Photos: yes ,no i rl
Waiver Attached: yes (no __.. __.. I , i j i - ( - -._ (i
A building permit may be required by: 'I(u rS ht)1 C I- ((n,L r . I i`S'e�e note on back regarding River Basin rules.
Notes/Special Conditions 1 b ..fl1- 5 \t 1 S 11 i`1- `,or i 2f'd I r Thy l u Af k 1+- d
boi' \ 5I., p r1 ‘ 0 r(-1Tie f 10P-1 , ryi d o c k for f +v ( of 2 Mall,.
_. \ .p.),,,ji_a(2_______.
Agent or Applicant Printed Name -I / PermitjOfficer'sSigilature ,
tn({ ..
Signature **Please read comp ial nce statement on back of permit** Issuing Date Expiration Date
i C U
Application Fee(s) Check# Local PlanningJurisdiction 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:
I 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(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
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
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 1495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9 I 0-395-3900
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 I0/05/0I

GE ERkL ER COY PUTER FORM
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DTVISION OF CO AST AI,MANAGEMENT
. ATM&CENT RIPARIAN PROPERTY OWNT.RNOT[FICATIONTWI AINTR FORM
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Name Of Individual Applying For Permit: - • 14 arekt 6 qtG
561Lt'
Address Of Property: I rx •ifd •
(Lot or Street Al, Street or Road, City & County)
I hereby certify that I own prort•rty adjacent to thr: above.referenced propei ty. The individua:
applying tins permit has described toltie 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.
•
If you have objections to what is being proposed, ple.se write the Division of Coastal
Manaaement, 127 North Cardinal Drive, Wilmin5on, North Carolina, 28405 or call 910 195-
1900 within 10 days of receipt of this notice No response is considered the_same as no objection
ifvcm
have been notified by Certified Mail
A . - • -
(//ZL •- ZZ y /1/e- 141 i5/.0
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WAIVER SECTION
- iiiast be
'Jack a .,,,...;;tance of 15' from my area of riparian access Ness waived by me. (If you
wish to waive the setback, you mnst initial the appropriate blank below.)
•
_
I do not wish to waive the 15' setback requirement.
AA
Signature Date wIl/r
Print Name NCDENR
Area
NORTH CAROLINA DEPARTMENT OF'
. Telephone Number WithArea Code ENVIRONMENT AND NA:11JRAL RESOURCES
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Certified Mail Provides:
• A mailing receipt
• A unique identifier for your mailpiece
• A signature upon delivery
• A record of delivery kept by the Postal Service for two years
Important Reminders:
• Certified Mail may ONLY be combined with First-Class Mail or Priority Mai
• Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. F
valuables,please consider Insured or Registered Mail.
• For an additional fee,a Return Receipt may be requested to provide proof
delivery.To obtain Return Receipt service,please complete and attach a Reh
Receipt(PS Form 3811)to the article and add applicable postage to cover t
fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver
a duplicate return receipt,a USPS postmark on your Certified Mail receipt
i required.
• For an additional fee, delivery may be restricted to the addressee
addressee's authorized agent.Advise the clerk or mark the mailpiece with t
endorsement"Restricted Delivery".
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cle at the post office for postmarking. If a postmark on the Certified M
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,July 1999(Reverse) 102595-99-M-20

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) :. Date of Deliver
item 4 if Restricted Delivery is desired.
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• Print your name and address on the reverse -
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, X ' / V Agent
•
or on the front if space permits. . / .e� ; Gan-••__,.;
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
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L4 O1 Ir PO t !fir{ P
CtN t 3. Service Type
I `T I� �G 2c6y2q [Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandisi
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Transfer from service label) 1 Ob ' (g 4© L)C)L)+_ Z Ly I 5515
PS Form 3811,March 2001 Domestic Return Receipt 102595-01-M-14

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
S z EriE . SraDrsEs
C uizN, N2' tI31

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Received by(Please Print ►irr y) B. 9- =of Deliver
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse C. Sig re
so that we can return the card to you. • Agent
■ Attach this card to the back of the mailpiece, , _��■ Addresse
or on the front if space permits. ��� - -
D. Is d= very add: -different fro item 1? 0 Yes
1. Article Addressed to:
If YE ,enter di ery address below: 0 No
bEq. I l?o1D Comm A-c1&1 -
‘ G i l 501 /fit c tt 15m
J�PP I I NcQ y 62Servic
e Type
1 a V L1d Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandis
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 1()b 1 19 a C) 00010 Z 2L1 I m)a,
PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-14

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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