Dickerson, Louis (2)

14CAMA EIDREDGE & FILL 02252L
GENERAL P E R M I Previous permit #
New El M ocil ficatli on El Complete Reis Jr '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 I SA NCAC lob J
`),Rules attached.
Project Location: County
A pplicantName
Address i C Street Aciclress( State Road/ Lot #(s)
StateA�L Zip
Phone # Subdivisiqn,
IA
Y') City 'Authorized A&,ent + 'i \1 zip
Affected
0 Cw ow 2PTA— OES El PTS
AEC(s): 0 OEA El HHF IH DUBA ON/A
0 Ts': OFC:
/F
ORW: yes /',no PNA yes / 0o Crit.Hab. yes / no
Type of Project/ Activity ' X
I . \' t*%—) ' " I\\_.'- ­�C
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift \KI
Beach Bulldozing
Other--.
;Shoreline Length - I'
SAV. not sure yes no
i Sandbags: not sure yes not
,Moratorium: n/a yes /,P?
Photos: yes
Waiver
Attached: 0
A building permit may be required by:
Notes/ Special Conditions
Phone #
Adj. Wtr. Body(
Closest Maj. Wtr. Body
k, S (L) k, I
NM
EI-4e note on
-Basin
NOW (nat man-/
(Scale- 0
Ing River Basin rules. .

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:
F 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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)
Revised 08/09/06

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Applicant: ,(� �` alkv
Date:
Describe below the HABITA disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Appl ed for.
Disturbance -total
includes any
anticipated .
restoration or
temp impacts)_impact
FINAL Sq. Ft.
(Anticipated_final
disturbance.
Excludes any
restoration
and/or temp
a ount)
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
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 ❑
SSA �f'J�-�w�'� ,. �-�e�e�-�SE�:ts,�?l� a .. �nr�-��s>����z;� �;:�.;t��uG;����v P�a,4,�� �•�zlad�� i��/a��!•3 �.

04/22/2013 10:34 9196764617
Monday, Apni lb. 2U13 8:44 AM Tim Grimes [phone]
C
N.C. DIVISION OF COASTAL. MANAGEMENT
AGENT AUTHORIZATION FORM
Date _W-- /- fn -a
Nuns of Property Owner Applying for Permit!
, lD4/5 31 eke!! a So,Aj
Mailing Address: ,,
/S�p B#/;%&/7%6
::R,qL0 Z6 &. A/ - 7/10
�7
certify that T have authnriml (agent) ! ) 'l /_l•%'1 � J to act on my
PAGE 02/03
P.03
behalf, for the purpose of applying for and ahtaining all LAMA Permits newsary to
install or construct
at (my property located at) ':: t�
``
/V• �--
Tht-4 cortincation iy valid thru (dntu)
/-:�5
acr-mo
Mp 01 Z013
%M1cny

Monday, April 15, 2013 8:44 AM Tim Grimes [phone] p.ua
a
'` \ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to!/b/G!�'� �� S
Name of Pr2Rely Owner)
property located at
(Address, Lot, Block, Road, etc.)
on -.in ; L4=Aq' r riG jiGAtiC.0 . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location:
have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing) l
C/f IDU�' D
cl
L�
ti
WAIVER SECTIO ______
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or g oin must be set
back a minimum distance of 15' from my area of riparian access unless waive I by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback racluiremont. -�
I do not wish to waive the 15' setback requirement.
r_&
Print or Type Ndmq _ _
fling A� cirylsratel-���
_
Telephone Nu ber
.C/-,//19
Date
(Adj porty Owner Information)
77, _, _._. .
Sl�,'1tl7itll"4'
Print or'rypo Na o
3.-flf •ceL—�f'•
Mailing Addiess Z SLR
CitylStatelGp �f'
retaphane Nqm� �f
Date /
Mona
MA"' 01 2013
(Revised 611812012)
DCMAMD CITY
. Ti.am

04/22/2013 10:34 9196764617 PAGE 03/03
Apr'fi 1301:34p rliffseers 0106770151 p.1
04/21/2013 13:17 9196764617 PAGE 02/02
MmcWy. Wo 15, 2013 &" AN rod crimes lass) 2+? 0=2 a•
11ARIA>a0!'t7tTY WANE TATEMESL'[
I hq" ceM that l own prop" adjacent to y
' '�50N_S
INaftiv Pro,,�•,tsy Owner)
pn?pWV lusted at.
(AddMU, LOL, Black, Imo, M-11
on (kl►y) • in �ownandlor county)
The applicant has desetlbad to me, as shown below, the dtltreloMenl proposed 01 the 6bow
rocat+,
✓,_� I have no objerdlon to this proposal.
I have oboctlons to Mis proposal.
DEWRIP nW AKDfoR DRmKG OF PROPOSED DEMOPMENT
(/poltiAtstuo/ p/IDpt►sr'tfA detrWapnttaot must Klr 43 desv#prron below crests sif+E dr✓d.eM" ^v
� I -If
I undemand Jimt a pier, dock, mooring pilings, breAklAt 6ir, boatfidttse,118, or g oln mum be sat
back a mirdrrwm distance of 15' Mom my ors* of ripnAdn WAMS u"WOMa wa by Mo. (it you
wish tv MW IMO Setback, you Mont ]Niel the tapproprlate blank below)
do v►1sh to waives tho 16' 6Qd=
t t *0 rrOt vvilih to WAivB tit& I& set{ mk requiro m�mnl.
ramphoae f � fi,�
M
jAdjaceq1l Property Owner t.+tsormapont
r;
omft
Adephme Alumber
icy
O
"
O
N
,
A
(ftvrsed 6118M20f2)
RECEIVED
f.. L.:3
DCM-NAHD CITY