60187_BARLOW, CECILIA_20120501

❑QAMA / ❑ DREDGE & FILL gd NO. 60187
GENERAL PERMIT Previous permit #
JNew ❑Modification L,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
r'_ ❑ Rules attached.
Applicant Name , ,
Address
City State ZIP
Phone#(�) IM%-� Fax#()
Authorized Agent
Affected CW EW 0 PTA I] ES ❑ PTS
AEC(s): — OEA ❑ HHF ❑ IH -_, UBA ❑ N/A
PWs: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length_ .,
X 10
Platforms
Finger Pier(!)
v
Groin length
number
-
t '
Bulkhead/ Riprap length
avg distance offshore
—rn
max distance offshore
Basin, channel
_� J►
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I{I}��! �� • 7i s
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_ ZIP
Phone # () River Basin
Adj. Wtr. Body _ (nat /man /unkn)
Closest Maj. Wtr. Body- —
(Scale: )
Shoreline Length `v
SAV: not sure yes
Sandbags: not sure yes 4 � .' � \ i �,j rT'•'t'' R-
i
Moratorium: n/a yes
Photos
yes go
Waiver •Attached: yes 'no
A building permit may be required by: t^I�'� I lu."t ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning]urisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar- Pamlico River Basin Buffer Rules ❑ Other:
E] 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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)

CECILIA M BARLOW
2125 N BRANDYWINE ST
ARLINGTON, VA 22207-2214
to the
4524
_ 15-7417/2540
date N
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doTars '0 F i
a«"
BANK -FUND STAFF FEDERAL
CREDIT UNION
1818 H STREET, N.W., WASHINGT , DC`J'04 3for
1: 21 4074 L701: 000 L74780704S 24

ADJACENT ARIAN PROPERTY OWNER STAT EM EN7
(FOR A PIRRIMOORING PiLINGSlBOATLIFTIBOATLIDUSE)
a
I hereby certify that I own property adjacent to �
(name of Property Owner)
6 a
property located at r e- -
f (Lot, Block, Road, etc.)
on �`),S { ri.t , in i:(,,liuil�jt�i. nS t3&o ( tt{qtij, N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the developmentihe is proposing at that location,
and, I have no objections to him- proposal. I understand that a pier/mooring
pilings/boatlifdboathouse must be set back a minimum distance of fifteen feet (15) from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I ido wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
y e
---------------------------------
si nat 96.11
O�2-�42:h J
Print or Type Name
1l6 -- 3U-'3
Telephone Number
Date:(-

ADJACENT RIPARIAN PROPERTY OWNER ST A' EMEN7
(FOR A PIa:RIMOORING FILINGSIROATLIt-II30ATI-10USE)
I hereby certify that I own property adjacent to � ., i�,,
(Name of Property Owner)
property located at J 1 !>� i ,
(Lot, Block, Road, etc.)
on Pato kirlf � LOL in r_' fit'', 4C A yr ol �+-� � �1) �� 6t , 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 hid°' proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I Ad_4 wish to waive that setback requirement.
]DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fallen in by individual proposing development)
hM
c r1GL� l:rn�.
)NOI
--------------------------------------------
Signature
3 b P +---i JA��£� ref
Print or Type Name
�— 3�r�
Telephone Number
Date:—�� `