Creech, Hardy

�U,�AMA/DREDGE &FILL' CM�:�:5 C 'jai i,9tRa{�
r.s v¢fi�J A B`C D
GENERAL PERMIT Previous permit#
�jew ❑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 environm ntal concern pursuant to I SA NCAC
/ i ❑ Rules attached.
Applicant Name Project Location: County = --
Address Street Address/ State Road/ Lot #(s)
City i _ t t State 1�:% . ZIP J
Phone # (' .) E i `W �� ' E_Mail Subdivision
Authorized Agent t 1 City _ } �( t t ZIP / %
❑ CW ❑ EW ❑PTAES ❑ PTS Phone # (� ". L } `IAffected River Basin'
t
AEC 5 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA Ad'. Wtr. Bod - `, i ' ` % nat /man /unkn)
O j Y
❑ PWS i
`.- Closest Maj. Wtr. Body
'
ORW: yes /ono .. PNA yes / now '
Type of Project/ Activity '
t
(Scale:
Diem /
i
Fie
r p r (s
i length Fj
MIME
iead[Riprap length
avg distance offshore
max distance offshore
N=ENN=ENNE=NEE
NEENNEWW"
"�M=
Qrs
h
boo
ramp
oil
W11111111
u
113ulldozing,
i�i�
MEN
iiEMMENER
e�
sline Length
err
e�r�rr�
u
A building permit may be required by:
❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
5 r t
`
, 4If
Notes/ Special Conditions
4 S
1
� t
Agent or Applicapt.Printed Name
PermitOfficer's Printed Name i!
Signature ... ; Please read compliance statement on back of permit
Signature
Application Fee(s)
Check`#
Issuing Date
Expiration Date

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 andvoid.
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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943•Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-8884RCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14

ivaniC ui riuperty uwnerHppiymg for Permit: fi'`'X-1�1 �---4LCC"y.44
A Mailing address: 1'
clif
Telephone Number: 'zjs2,.. Zug —1 ?zq
I certify that I have authorized LJ I MUS (a genticontractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of _ �Je3UDC-,LL.-
at my property located at l d ��12 ��
This certification is valid through
(Property Owner Information)
"()LI-J- 01-�Sx�
--
Signature
W. 4CLY41 C-oet ,
Print or Type Name
Title, co. owner or trustee for property
In to tS
Date
2-S& 2M1� 1221
Telephone Number
VIQQ 1oArJ j(!NM 60.r% Ma, (, cam
Email Address
(date).
RECEIVED
OCT 2 8 2015
DCM- MHD CITY

Y .Yv.ovr �:rnury tnat � own property adjacen:.�'��4�-1 t.. ,
property located at i bl X) e—+ "Si- b8(N6me of Pro '
party Owner)
's (Address Lot t�
on ' 1�� in !.A Read. 0 'Bl 1 a N.C.
(WAbrbody) (CiWrown and/or County)
-The applicant has described to me. as shown.below, the devebpment proposed at the above
Iontion.
•�,I have no objeCgon to this proposal.
I have objecdona to this proposal.
DESCRIPTION ANW6A DRAWING OF PROPOWD DEVI`LOPMENT
(hicA'Vc'dlwN PrnPoafng devetopmwn must rut in. desedpBon below or attach a site drawing)
ex i-At a.,., Gip ).ti�W
Wall 1w sstr,s.'�lt:.�
WAI R SECTION
I understand that a pier. dock, mooring piGng3. boat ramp, breakwater. boathouse; lift, or groin
must be set back a minimum distance of 15' fitim my area of riparian access unless waived by
me. (If You wish to waive the setback, you must InlUal the appropriate blank below.)
V7 __ I do with to waive the IV setback . nequiroment.
I do not wish to waive the IN setback requirement.
CP (Property Owner Information)
(Adj nt Pp,!7X Information)
• __ to
S�g>latirre --
Pdnt or 7]4w Name
fiWh grAddmss
Talaphale Number'/email toss
A�att
"Valid for one calendar year aver 8lonaw
-M N'&*IVLJ&JGSoai
Printorffff_e-"!:xd-,j
Alo
,ng2x_ulm�AG.,,2-7(a /�
c, tat "
�- � _ . -
Teldr+e l3 //S mall addmss
Date
(Revfsed Aug. 2014)
RECEIVED
OCT 2 8 2015
DCM- MHD CITY

property located at t ut Tj V•.(Addffts��
V "' -on �x>D in �4�l.T1 G b� , N.C.
(VYater)ody) (Cityrrown andtor County)
The applicant Pas described WaxWaxk as ahown,below. the devebpment proposed at the above
to
Ql I have no objeWon to this proposal.
•- I have objections to this proposal.
DE6CRlP11ON AND/OR DRAWING OF PROPOSED DEVELOPMENT
tliiidrifz�P,gveliri:d6o4:lflow o i a: drei!V!`ir$1
lzak,J
I iia SAV G Ttg cfs
• lflfA�/ER SECTION '
1 understand that a pier, dock, mooriM plUngs, boat ramp, breakwater; boathouse; lift, or grotn
must be set back a minimum Inca of IV from my area of riparian access unless waived by
Z�711'
h towaive the setback. you must Initial the appropriate b" below.)
cIo wish to waive the IV setback teQuirement
-p I do not wish to waive the I& setback requirement.
tp
(Property Owner information) (AcQa"M Prqperty Own inf rmation)
Signatwe
PrfntorType Name
Malting Add=3 -
Telephone Number/email address
'Valid for one calendar year after signak W ,
Telephone Ntnn6arl emaff eddress
Ale* q.S' evised Aug. 201
/ (Revised u9 4i
RECEIVED
OCT 2 8 2015
DCM- MHD CITY