32354_KIVETT, JENNIE_20020731

CAMA / DREDGE & FILLBf�54-r .
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
E Rules attached.
Applicant Name - Project Location: County lr„-o. I, - - --
Address 117 ocjz; 51. - Street Address/ State Road/ Lot #(s)
City State N't ZIP /b Qz -
Phone # ( ) --Fax # ( ) Subdivision /
Authorized Agent City-- ri :uri +< 15SPa+r ( ZIP
Affected El F EW N PTA ❑ ES ❑ PTS Phone # ( ) River Basin /k
❑ El
OEA HHF IH UBA N/A
❑ PWS: AFC:
AEC(s): Adj. Wtr. Body feu H) /i'' i ifw,I (nat /man /unkn)
�
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Mai. Wtr. Body kUlf, fGtrn-{
Type of Project/Activity .10 UMrt: Ve
--r
do l' .
(Scale: 1JC o )
Pier (dock) length
Platform(s)
Finger pier(s)
-
Groin length-
-
number
-
Bulkhead/ Ri ra len h
P P length
I
av distance offshore
g
- -
- -
-
�l
max distance offshore
Basin, channel __._�
_-�_ �—_
f T
cubic yards
Boat ramp
Boathouse/ oatli�
YCI-+
r
Beach Bulldozing
-
- -- -
-- - _
- -
Other
i
Shoreline Length I ✓'
SAM not sure yes
Sandbags: not sure yes 60
Moratorium: n/a yes (no
Photos: es tho
r
tl`ili -
Waiver Attached: yes no ill
__._ _`f _
A building permit may be required by: 'jet0
See note
on back regarding
River Basin rules.
Notes/ Special Conditions A ij d! ►( j( t'Mf Y1-j (Ad M /t pop
lf-J W-4,t
!.. (I ki iI. [ru��(,
L !� W t 6, 6
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
h f _�
Permit Officer's Signature
7
Issuing Date Expiration Date
Local Plannindurisdiction 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, certifythat 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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 10/05/01

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ISSUING BRANCH 93541/920
DATE
PAY TO THE
ORDER OF
SIGNING YOU AGREE TO THE SERVICE CHARGE
BY
DOLLARS AND OTHER TERMS ON THE REVERSE SIDE.
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BfSER
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P O BOX 9476. MNNEAPOLIS,SMN 505480 NY, INC. � ) �
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. , JUL-19-2002
15:19
COOPER STANDARD
9197358170 P.04iO4
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I hereby certify that I own property adjacent to -,5e.,),,a +e K'tut 7i 's
(Name Hof Property Owner)
ProPem' located at i <
(Lost, ,$lock; Road, etc.)
on rn 2fa _7' �/ry.�ad t,5•J _1, , a� -_. �,�a�.+�:' c r_ .a�l, N.C.
(Waterbody) (Town and/or County)
He has d=n'bed W me as shown below; the development he is proposing at that location,
and, I have no obi ections to his proposal. A al � -V1,P4 ?,;,erg f .mod V ? e.'rc'T
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indarviduud proposing devetopmenx)
'��.� 2 ���'►, `}tom ��, ' 7-700/-f% —S
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Sign e
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Telephone Number
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TOTAL P.04

JUL-19-2002 15:19 COOPER STANDARD 9197358170 P.03iO4
ADJAXENT RIPARIAN PROPERTY OWNER STATEMENT
r hereby cei tify that i own property adjacent to %6
(Name of Property Owner)
property located at 12 ,
(Lot, )3[ock', Road, etc.)
(Waterbody) (Town audJor County)
He has described to me as shown below; the development he is proposing at that location,
and, Z have no objections to his proposal. 1 cl r� >J 7%'e-ry .,�'� �r+. ` �.. i
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DESCRIPTION ANX?/OR DRAWING OF PROPOSED DEVELOPMENT
Vt (7o befilled its by indipidual,proposing development)
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Signature
Print or Type Name
Telephone Number
Date-, d /! a
PP'1FR ' d 0LT852L6 T6 CIZJUGNtilS 83d00D 20 : T T 7eoz-eT-Nnf

. JUL-19-2002
15:1e COOPER STANDARD 919735ei70 P.02/04
JUN-26-2002 a9:10 CUUHl-K !;iIHNUHKU J1J1� uric v�
I hereby certify that I own property xdja=t to 3 e.a....c c 7 5
(Name of Properly Owner)
property located at 112 � � •, iC � i, .� _�
(Lot, .Brock, Road, etc,)
onmo..� .J .u.�.�%.s,��rr+S,..�.: in � •'„[�:: C
(Waterbody) (Town and/or County)
He has drxribad to me as shown below; the development he is Proposing at that location,
wd, I have no objections to his propasat. ► 'F-e 7':'e^.W r ,Re ov , eo .ram r
DESCR.>p•I`YON ANY]JOR DRAWING OF PROPOSED IAVELOFMTNT
. V1
(To be filled in by iridi"41 preppMi r devetapmcstj
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Nfit or Type Name,
'telephone Nvrnber
TOTAL P.02

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