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d-1 CAMA / ❑DREDGE &FILL �� Noe 31569 _t
GENERAL PERMIT Precious erh,it#
❑New Modification ❑Complete Reissue _1Partial 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 V r 6, W. I ir, Pr _ Project Location: County
Address -73�S `' r• fdrE Street Address/ State Road/ Lot #(s)
City < Ilk State WE ZIP
Phone # ( ) A 33 Fax # ( ) Subdivision
Authorized Agent �4 K P'j,u , rat rc y {iAr t��. N , �-'�•� llJ j�r~E' City ZIP 7 t
Affected CW ❑ EW ❑ PTA -7 ES El Phone # ( ) River Basin L'4 ci, K j
OEA ❑HHF -1IH ❑UBA [I N/A
AEC(s): Adj. Wtr. Body VV[, {,(10 %c K'' fat'/man /unkn) I
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body LJ 004e
Type of Project/ Activity IDS r V V41
i
(Scale: Ak yr )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number , r y t--
!11
Bulkhead/ Riprap length {
avg distance offshore
max distance offshore
Basin, channel --- - ------ . _.:. -. --- - --- -- -
cubic yards
Boat ramp
Boathouse/ Boatlift
i
� L
Beach Bulldozing LniN.�
Other — F-1
—'— -`� 1 - _ �_ 'j )ri✓�11e� - —
117 - - - ),F/, I I
Shoreline Length "J.
F
SAV: not sure yes--
�`-
Sandbags: not sure yes nd
Moratorium: n/a yes fio
Photos: yes no f
Waiver Attached: yes no t'tf
A building permit may be required by: i,C f ❑ See note on back regarding River Basin rules.
i 11
Notes/ Special Conditions %Njc 4 urr It, {�{ -Ir "' �,�n� n/✓' ' h '� dr4 ��' '`rt �4.y,�,r<r�N f
) ,.
Agent or Applicant Printed Name
Signature a Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature ?
Issuing Date Expiration Date
Local Planning Jurisdiction 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: Fax: 252-264-3723
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:919-733-1495
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax:910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/C
DOBKINS & KRIEGER MARINE, INC.
525 DEER CREEK DRIVE
CAPE CARTERET, NC 28584
PH. 252-393-2960
a n11-1 I —nl IKIT
66-85/531
3022
f� CHECK
DOLLARS AMOUNT
9 DATE r TO THE ORDER OF DESCRIPTION CHECK NO.
;Z.2�z PG Peer, fl 3dz Z $ 1�lia
C9r'"3Z007 (Jiro �A�Lc.=�
Cenhn-aBank- �-
000 30 2 210 i:0 S 3 L008 S0l:0 26 209 3 7 101"
AMAC;EM' WFARLIMN Y'ROMKi Y VWivr,K J1AlL'1VM"41
I herebycertify that I own roe adjacent to ��/h �J� �' L� 's
fY property rtY J
(Name of Property Owner)
property located at � 5-1-� 1 WC� n %D� /✓19i�,
(Lot, Block, Road, etc.)
U r-7L
on 'd I � / P , in �, _�1�� �1 , N.C.
aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
2 'Jvo l � U dlf
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-j (�fI J e J./
At�J
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T; d ` e H T;
�.} Sipatnre
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Print or Type Name
S 2 1 �2 /O9�
Telephone Number
464• ,
AD JAC ENT K1YAK1AN YKOFEKI Y V VV INEA J 1 A l EIV r N 1
I hereby certify that I own property adjacent to ��/n r- (e I 1
(Name of Property Owner)
property located at
"-� 9��-
(Lot, Block, Road, etc.)
on l,l) r►-�I Vm t/ , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
a� C
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��- Ae`J1`1�
�y
Ti d t 1 T;
Signature
WA tee 4 Doa.P- 1bje-11,P.a. 1&4
Print or Type Name
;�5Z 3 7 3 - S-Y
Telephone Number
ADJACENT RIPARIAN- PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �Uh J-'� r is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
s N
OeL�'�/& l�`
w 11 Tid
fk&. ate F
k4ow
Ilk s IJ n��
Signature
Print or Type Name
e elr
iPe-
Telephone Number
30-2002 08:44 AM P.02
vw-iv-i.r ..a va : s r rrP . 01
(FOR A PIX)tIWOPJNG PIL MONOA7VFP/EOATHO&II)
I hereby aerdtjr that i own property WIacent to �,�
pVaroe of Proo�r3
property i cWW u
T
an , ire 5- 7��' dR, N.C.
(W rbadr) (Town and er County)
He bas dewfimd to me, ss thown below, the d waiopment ho 4 propodri at ti'ac locadon,
snd, 1 have no objecdons to his proposl. Y underseartd that a pier/mooring
pilings/boa r/boaMouac own be sr. back a minimum disemce of fif to &et (13') fom my M
of sipariu eccan unless waiveQ by me.
Y daid wish to Wive the setback requirement.
149 wish to w4va t v 9etbuk nquimment.
DF.SCWTION ANDrOR DRAW G OF PROPOSED DEVIEI.OPSfEN?:
(7'o h XW In by tndtvtdual prvposinl divekpnunt)
s�
A4dgk & l3� -8
Print or Typo Name
_r9- 3
ii 22 OZI y y Telephone Number •.�..`
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