Daniels, Mark (2)

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MCAMA El DREDGE & FILL A B D.
GENERAL PERMIT Previous permit #
ElModification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ' K,11 I
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC r)
El Rules attached.
Applicant Name Project Location: County 0
Address— Street Address/ State Road/ Lot #(s)_ c1/5
City I I State )J ZIP
Subdivision
Phone fl OL E-Mail r
Authorized Agent
Affected
AEC(s): El OEA
� EW _.tj PTA OES 0 PTS
0 HHF 0 lH 0 UBA 0 N/A
0 Pws:
ORW: yes (no FINA yes A no
Bulkhead/ Riprap length—
avg distance offshore
maxdistance offshore -
Basin, channel
cubic yards
Boat ramp f I
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length
SAV. not sure yes
Moratorium: n/a ye: no)
Photos: ye no0
Waiver Attached: yes no.
A building permit may be required by: _A
Note Local Planning jurisdiction
Notes/ Special Conditions
N
Agent or, plicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check#
City_1 L t �V 0 7 ZIP
Phone# River BasinVib'!) 'f
(n_a?/man /unknJ
Adj. Wtr. Bo 6
Closest Maj. Wtr. Body
MEN
EJ See note on back regarding River Basin rules.
I .. (A
C', (A
Cbyi
Permit Officers Printed Nam t
Signature.
Issuing Date'
Upiratio6i 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 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
❑ Neuse River Basin Buffer Rules
Other:
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 how to 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/ I-888-4RCOAST
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.netl
Revised 08/27/ 14

ADJACENT RIPARIAN PROPERTY OWNER STATENIE1' T
I hereby certify that I own property adjacent to
(Marne of Property Owner)
property located at l / /�� n�� LA.�,E �k ��._/y� Zr-rl(, _
(Address, Lot, Blo:r,:c, Ro , etc,)
on in I , N.C.
(Waterbody) (Cifyi-rovrn andlor County)
The applicant has described to me, as shown be!ow, the development proposed at the above

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adJacent to %44/ J 5.4��� ��/r s
,, { arr3e of Property Owner)
property located at(o - G � � � %�AX� 2
(Address, Lot, Bcad, etc,)
on ,%�- in rI-Fv-.vn
N.C.
s{Waterbody) (C1 aridlor County)
The applicant has described to me, as shown ce!ow, the devaiopment proposed at the above

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