36158_JOLLIFE JR, WILTON_20040305

❑ CAMA / ❑ DREDGE & FILL 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 15A NCAC
Rules attached.
Applicant Name J '1 ! r " 1 1 Project Location: County
Address I ;; - i Street Address/ State Road/ Lot #(s)
City_ ,g ,/` --;' =- ! -
State,,," ❑
ZIP,,
Phone # (24-93-35v'� Fax # ( )
Authorized Agent
Affected ❑ CW p EW
El PTA E ES
❑ PTS
❑ OEA ElHHF
AEC(s):
❑ IH ❑ UBA
El N/A
PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel r
cubic yards_
Boat ramp
Boathouse/ Boatlift -
Beach Bulldozing 1
Other
Shoreline Length
SAM not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no -
A building permit may be required
by:
Notes/ Special Conditions
P1,; I Sgwyekz
Agent or Applicant Printed,Name --
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Subdivision
City— ZIP % % S
Phone # ( ) River Basin -
Adj. Wtr. Body / L -!Chat-/man /unkn)
Closest Maj. Wtr. Body
(Scale: )
,4 Li i rt ."i,!� -
- r r a1.ac 14i-,�
f.
SQp/L ccJ tL J?P
a&ecl i orw
See note on back regarding River Basin rules.
Permit Officer's Signatur
/
y
v
Issuing Da
Expration Date
Local Planning J urisdiction
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 1) 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, certifythatthis project is consistentwith 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
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

Action Id. ocgob /
U.S. ARMY CORPS OF ENGINEERS 6
WILMINGTON DISTRICT
11� County e4-UA(5 Wi c ll
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner
,Address 1
616 1 , Kv 41101
Telephone No.
Size and Location of project (water body, road name/number, town, etc.)
-% � r n 1 A r
Applicable Law:
Pp x Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) X Section 10 (River and Harbor Act of 1899). MAY 1 7 2004
Authorization: 6 f I WD6,�o 9 1?Regional General Permit Number. l ' U cr`
Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is checked), before beginning work you must also receive a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity. within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone].
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State,. or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date S-9 —G -1
Corps Regulatory Official VA
Telephone No. 9 C291 _ L/ 91?6
Expiration Date of Verification Cr 3AAJ
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Revised July 1995