61046_ALLEN, JUNIOR AND KATHY_20120907

❑C:AMA /' DREDGE & FILL �u NO. 61046
GENERAL PERMIT Previous permit #
❑Neal ❑Modification DComplete Reissue E1Partial 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
u Rules attached.
Applicant Name , Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # (^) Subdivision_
Authorized Agent _ City ZIP
Affected CW ❑ EW G PTA ES PTS Phone # (_ __—) River Basin
AEC(s): OEA 1, HHIF =1 IH UBA N/A Adj. Wtr. Body_ _ (nat /man /unkn)
L] PWs: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number —
Bulkhead/ Riprap length
avg distance offshore '
max distance offshore {
Basin, channel
cubic yards
._
Boat ramp _ma�yy
Boathouse/ BoatliftA
Beach Bulldozin
S,_=
Other
Shoreline Length
SAV: not sure yes no -
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
_ _ N_'
Waiver Attached: yes no
t • .- _
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
.rti. an..ti k�'
Issuing ate 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, 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)

Describe below the HABITAT disturba,7.ces `or the application. All values should match the narne, and units of measurement
found in your Habitat code sheet.
Habitat Flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
a
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Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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A IViSION OP COASTAL T-ANACHM� NT
•J�iCFNT R,PARIAN PROPERTY URNER
e of Iildividual applying for Perrnit: t r i c* {P r;,, ,.,J
ems_ If 1 �
t , v
(� of Dr Street #, Street or f=Road, City & County)
I hereby certify. that I own property adjacent to the above reference
applying for this permit has described to me as shown on the attach ed property, The individual
they are proposing. A description or drawing with dimensions, shoal �a drawing the development
c4 be provided with this letter.
—y_ I have no objections to this proposal,
If you have objections to what is being proposed, please writ
M.a.nage-went, 400 Commerce Avenue, Morehead City, NC, 28557 a the Division of Coastal
90 days of receipt Of this notice. No response is considered the s Call (252) 80&-280i� within
p er have been notified b Certified Maii, ne as no objection ifyou
WAIVER SECTION RECEIVED
SEP Ot�2 I2
rFCM-MHD CITY
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
be set back a minimum distance of 1 5' from my area of riparian access must
you wish to waive the setback, you must initial the appropriate blank below unless waived by me. (If
�.. )
`- - I do wish to waive the 15' setback requirement.
I do not wish to waive the 15, setback requirement.
(Applicant Information)
rk 12C�
Marling Address
S �J c
City/state/Zip
Telephone Number _
1g— L /?mot (
Date —
(Riparian Property Owner Information)
gn6ture
Print or Type Name - J
Telephone Number
Date

,,,ENT RJRARI.A�i PROPERTY OWNER NOTIFICA—rioy1fi�\1V
�lar-ne of Individual applying for Permit..
Ci
^., ir3ra� ,Of P�-rr,e. .� l� is LB .� i ii
(Lot or street## Streei or - -•
woad, City & County)
I hereby certify. that I own property adjacent to the above reference
applying for this permit has described to me as shown on the attach ed property' The individual
they are proposing. A description or drawing, dimensions, cj drawing the development
' ons, shoulZ1 b� e provided with This letter.
I have no objections to this proposr)l.
If you have objections to what is being proposed, please writ
Management, 400 Commerce Avenue, Morehead City NC 285570- the Division 8 Coastal
90 days of receipt of this notice. No response is considered the s � call (252) 808-28pS within
have been notified b Certified Mail. p �'r1e as no objection if you
WAIVER SECTION
RECEIVED .
SEP 0 6 2012
I understand that a pier, dock, mooring pilings, breakwater, boathouse be set back a minimum distance of 15' from my area of riparian access boles or sandbags must
You wish to waive the setback, you must initial the appropriate blank b unless waived by me. (If
elow.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
Mailing Address
City/State/Zio
Telephone Number
12//S/Z.
Date
(Riparian Property Owner Information)
Signature
��zi�Nl
Print or Type Name
-25). -%25 2
Telephone Number
I' - 15"� i
Date