30626_GAINEY, CATHY_20011130

.T:'�1.�n-:a"Fe,`�"�a;A*7Vs�`%u5eifi,�',��i:rrA�'°.:'•�++s;}�.�.+�y°ui Ali"�.. r3 i�iu+' 9. Y <
CAMA / DREDGE & FILL gtr it R0626r'
GENERAL PERMIT er •
Previous permit #
New Modification Complete Reissue L 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
i L Rules attached.
Applicant Name �t 1, t�. Project Location: County 1.{� ..�_
Address a �.- i (.f \ L i.l` A City '-':� fs �� ! I. State-, C ZIP
Phone # (_=): )r,.. Fax # O
Authorized Agent;'i.
CW ©,EW UOTA El ES ❑ PTS
Affected AEC(s): ❑ OEA ElHHF ❑ IH [IUBA ElN/A
❑ PWS: ❑FQ
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 -
cubic yards
Boat ramp
Boathouse/ Boatlift I liv y.
Beach Bulldozing
Other
Y,
Shoreline Length
,
t
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
t
Agent or Applicant Printed Name
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # �)) }(=r River Basin j
Adj. Wtr. Body 14 `. ;+ i �_ (nay/man /unkn)i
Closest Mal. Wtr. Body-i—i
—L ` —
C Vf
�♦ \ki � `lei
1
Signature Please read compliance statement orb backof permit
Application Fee(s) Check #
(Scale: �A 5 )
i
E See note on back regarding River Basin rules.
' 1
PermitOfficer's"Sign tdir4 ° r3� E)Z
�} 4^
Issuing Date Expiration bate
Local PlanningJurisdiction Rover Fie 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, 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 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)
Revised 10/C

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DAHKEH AHEA5 DUIH IUH ANU UUI IUm
mimm�mm�nl � � I I n•nnm q••, -, i, Imi• - - �:: i / •nnii I- 11- 111- i';i_'I I I' 1111 w, q r as\�
NOT VALID OVER $1,000.00PE'.-IT
_• . _. -.({��{'�
ISSUING BRANCH r;h, fMorehead 1, i #'; h•1a i. n6'1-ll`U 6 7 7 5
DATE NOVEME ER 29, 001 93-541/920
PAY TO THE � *%r $1. I III ,1yll_I 3 #:
ORDER OF t��, $
ONE HUNDRED DOLLARS AND OU L.•EN rs DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTH R TERMS ON THE REVERSE SIDE.
DDT
DRAWER: TRAVELERS EXPRESS COMPANY, INC. RCHASERIFOR DRAWER
P.O. BOX 9476, MINNEAPOLIS. MN 55480 0 • _ �_1� S(}j�1� _
TWEE: FIRST INTERSTATE BANK, HELENA, MT /� j) /1 �� 1 / - l - E -- ' S `
l� � l_ CL-}-�j RE
:_ly _ d_-i �A--_—__—___.� $STATE
11'E,100677511' 1:0920054L0:0LTD 7L01.5L09211•
■ II 111 IRA I IMF.N IIIAS AN AR I II UTAl. WA I@tMARK VWN 11:11 t1N IIn n:11 K IIIII I-RONI III I111. IHN IIMFNI IIASA M11 la I I '1111 t;1(.NA I t 1141. 1.INI'. ANU ItO1?1)1%14 AWAMt It I)I' II II:';I, ILIA II IItHti WII.1 INIM All A c )I'Y. ■

'NOV-28-01 11:53 AM DRCHERRYLADAVIS 9192474935 P.02
Lye. C
TF
(FOP" A P ER/UN
I fitereb v Ct, Zi `y tk at I a -t �rac cv ,tdiac; n; I0 1.. _ —. v
�e of pf ro4
y l 5
prCJe"tv tCed 3C--qrr BIc�R, Road, etc.
N C.
_7
an � (Ta•�m-n and/or Cow &
aterb.�dyi
cn ;:;en' i!e is propc�s'is',d a: 'ra"
He 5as desc ibex to me, as shd\v; , be;o�� " IL1nde and ii ac a Ater/unCove:'.� bo?' is
i�r.;nn, and. T have. no obj�sons to his pr,.;�cs4 o� n a-ian ac:.tiss-
rnust be se- back a minimum distance or rig �t (15') fror,,
waived by -
I da z Wish to waiv� the `c bac,� c „3,�tzVment.
x 've that se -back
ao wish to __ _ __.____�_�____-�_------• •- -__ N-------,-- -----
T=
-- ----_ - R -I ?.;+!,_tiZ�IpR DRAY'-D G O PROPOSE IDtiEz-oPNr�
me.zt)
DEC
(7o be f7lted in T Ell,
✓ 1 \ ' IP
J a YYY�-'i
�1-------- -------- ----- ; - -------
is - 1
~mad. 're
� 7 F
Prig or T N3ime
T'laphane N4mo r
I�ztc.: I ! 28 b ,-
--� -
1 � 9

R-,
(FOR A PIEPJUNC-70 E RED BOAT LjT, I)
_ s
I hereby ceca`y that I own property adiacent to L�*Xf�L_e of Yro t� Onerj
property iccated at_ —
(Lot, Block, Roaci,, et
in �C-' N . C .
on Uj
'�_4'Ater ody) (Town and/orjCof�
He has desc-bed to me, as show below, the deve!opf,;lent he is proposing at r� at
Location, and, I have no obj�tions to his propos,al� I� ndfrot�ttanm,✓l4area ottriparian arc:es�onless
must be set back a minimum distance of Cl tern fir (. ) I
waived by me.
V the s,
I do not wish to waive eiback requirement.
I do wish to waive that setback :e�tuirament.
----------CR=IiDN �.N-D/OR DRAWPiC, OF PROPOSED',DEyELOPNLE.,�
DES
(To be filled in by individual proposing development)
II
13
----------------------
y
-----------
--- - - - - --
S:­natur
Pint or Nalme
_�S-n- 2G- G
Tel?phone Number
Date: //1A
0

I % CJD)C�_

PERMITTEE
LOCATION:
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMIT It
FIELD . r
PHONE: DATE REPORTEDLY COMPLETE: O—LO
DATE OF INSPECTION Z
1) Do th easured dimensions of the development differ from those indicated in the permit and workplat?
Y NO [circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE MO NG & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y NO [circle one].
COMMENT:

PERMITTEE
LOCATION:
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
' S NAME:r()L�0�PERMIT #tU'yo
S
FIELD REP.
PHONE: — DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION , D
1) Do t easured dimensions of the development differ from those indicated in the permit and workplat?
Y NO circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE MOMTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YE/NO [circle one].
COMMENT:

[S/E:AMA / ❑ DREDGE & Fil L
GENERAL PER 1
New —]Modification ❑Comp to eissue lParti
As authorized by the State of North Carolina, D art ent of Environmen
and the Coastal Resources Commission in an are f vironmental conce
Applicant Name-0 )
Address n
City State_ ZIPS
Phone # (�`1� —�" Fax # O
Authorized Agent —VP/TA
Affected VJCW G ES — PTS
AEC(s): — OEA J HHF E IH UBA — N/A
_ p FC:
ORW: yes no . PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
a 30626-t
Previous permit #
al Reissue Date previous permit issued
t and Natural Resources
rn pursuant to 15A NCAC
Rules attached.L
Project Location: County T __
Street Address/ State Rod/ ILot #(s)
� L'
k ad�
Subdivision
City (1 _ zip
Phone #Riv Basin
i
Adj. Wtr. Body nat /man /unkn
Closest Maj. tr. Body `')-�
Pier (dock) length
Platform(s) II
Finger piers) �� `�1 �` el
Groin length }•• it VV ``
number \\\
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore 'I
Basin, channel
cubic yards
Boat ramp —
�y 1
Boat" oatl' J
Beach Bulldozing ( /
Other �/ v \/\�
Shoreline Length ,
SAM not sure yes o
Sandbags: not sure yes
Moratorium: n/a yes �v
Photos: e�s o
Waiver Attached: yes S
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
M
Signature Please read compliance statement o ck (permit
I ---
Application Fee(s) Check #
v0
C
�l
1 bI
(Scale: )
�(l
4 '�SooT I s L*�.A '
See note on back regarding River Basin rules.
If
f
Y
UA
Permit Officftl
Issuing DateE irati,
Loc I Pla ninQ Jurisdiction Rover Fi