39639_KAPLAN, PETER_20040727

J CAMA / 11 DREDGE & FILL
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GENERAL PERMIT�
Previous permit #
.�
QNew `_]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
J�
Applicant Name ! ` +i , ►` G nit'
[I] Rules attached.
Project Location: County If , 4
Address ''��X E K
Street Address/ State Road/ Lot #(s)
City_ Alt L., pt, 4 State ZIP ? 2 k 4 C
i t A4 a:
Phone # but- 04 Fax # (`)
Subdivision 1�0
Authorized Agent
City /'G, f ZIP 1
Affected ❑ Cw O EW PJ PTA ❑ ES ❑ PTS
Phone # ( ) River Bassiin r
nd k
AEC(s): EloEA ElHHF ❑ IH ElUBA El N/A
Adj. Wtr. Body ` c e r %c H cj 1 �iat /man /unkn)
❑ PwS: ❑ FC:
J
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: ? /; ,✓�
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
I
Basin, channel ' � ` ,`•
k.
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
i
SAM not sure yes no — --- ----
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes 6o --- -- -- - ---- -
A building permit may be required by: [ See note on back regarding River Basin rules.
Notes/ Special Conditions L, L ( �� Vi, -,F
.y,u L,
Agent or Applicant Printed Name
Signature I Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
I Z 7 - t I 'c, 23 W y
Issuing Date Expiration Date
(t►, jr: )(�2='- 1M
Local PlanningJurisdiction Rover File Name
)I

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, 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 (252-946-6481) 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
mm
66-30/531
Date 4"-r-?Zlo 133
Pay to the —tst (!- 0 $
a�
FIRST CITIZENSID
-CM—, B—k & T-1 Company%P0 BANK 'A't'lsat,fic Beach N C 28512
www.firstcitizens.com
Forc'(-Kl. Pc, "s,
Dollars
1100 1 D-rffl: 0 0 13 L 2 1 60 6 7 3110-- 0 3 98 9
�UARDIAWSAFETY Bi UE WDSt

JUL-11-04 10:55 AM FRAN KAPLAN 12528080462 P.02
JUL -11-O4 1N:47 AM FRAN KAPLAN 17S�L71�Lltl�62v P,QI
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AD„r.CENT R7p4RT. AN PROPERrfY OWNER STA'14E
NT
N r hereby Certify that i own property adloc*nt CG
-RVC A _$LIVI «off r✓ ,R property
WAAAr
Ion (Lot, Block, road, G
y�Vpft P"L(q�,�
(Town and or Ounty)
NP haS dcsccab•'o to -CI as indlcatea below l.l.t devcIopmcnt
: , pre�gosin9 at that locatjoYi and I have no abjection::
hp
he his proposal. z underzL&nd that a pier, pilings and
to
stance of f.iftecn fee[
dred49j r.-3 must be seL boc)c a minv'hdim
trom my �r.c'a o[ rlpa;ion acCesa UnieSs waived by m�.
T do nat w� s� tn waive thmt Setback requirelrlen:.
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-- _..�c�ct ��,�1.�.• _'.�. )in,� rlf n�tn_SP� YC�V nt =
`i I imod i n by indivl anal proposing dpvC�optnCrit . )
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JUL-11-04 10:55 AM
FRAN KAPLAN
12528080462
P. 01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
pe1-ir2- KAVLA4------ — Ta property
located at d• Dfi 7 5. lI - /NA L-,d-- _. on
- r_ _ Roa , etc.)
(Lot, Block, -
b
(Water Bo yd ) - (Town and/or County) 2$.s7o
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal_ I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement._
Description_ and/orMdrawinq of proposed develo merit :
(To be filled in by individual proposing development.)
�N�,Fr-t" �(AIICI✓ of 16-OP - �-rFT kW-EAC.
12'W x 3r' 2��t7Jr�� 3' DEP�4f dF SPor�S,
'Tcr, Aj. or r/7 e&. yos. 50 12Fl"0V 9 .
rJ�t Sit I L r Ft'
SYZ (a. yoS 'fie �b� riZ��70JiyU .
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