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WCAMA / ❑ DREDGE & FILL �/ ��� = ?-161
G,ENERAL PERMIT �A Previous permit#� !i itr'{
eww t7Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources qq,
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC %
Rules attached.
i pplicant Name ';� "1 ��' k Project Location: County
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Address �', i k f ? r`� Street Address/ StateRoad/ Lot #(s)
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Affected
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❑ OEA
AEC(s):
❑ HHF
❑ IH
❑rPWS:
❑
ORW: yes /� no
PNA
yes /
Type of Project/ Activity
❑ ES ❑ PTS
❑ UBA ❑ N/A
�ho Crit.Hab. yes / no
Subdivision r 6 A k. I I t
City r�1�i � CA ;It iS ZIP
Phone # (,� t River Basin ALA X1 L�
Adj. Wtr. Body ' � ��,� f �'a' � nat _ ma ..,
Closest Maj. Wtr. Body
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NUM it
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Groin length
number
Bulkhead/ Riprap length
avg distance offshore
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max distance offshor
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A building permit may be required by: _ M_ 1, akW 4 't._ a. E�.See note of back regarding River,Basin rules.
Notes/ Special Conditions $ 11 (� : ( , d I
d O'A .t 0 �:)1`1(: d 1-if,1-if, . m (701"',r) T-1 W
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:
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/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Ell,
///
Applicant:
Date:
3
Describe below the HABITAT 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.
(Applipd for.
Disturbahcetotal
includes any
anticipated
restoration or
-temn imp;Lcts
FINAL Sq. Ft.
(Anticipated final
disturbance:
Excludes any
restoration
and/or temp
a amouot)
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
mount)
redge [I Fill 0 Both El Other
Dredge El Fill El Both [I Other [I
Dredge [I Fill El Both El Other [I
Dredge D Fill ❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both El Other [I
Dredge [I HIE] Both'[:] Other ❑
Dredge El Fill [I Both [I Other El
Dredge El Fill [I Both [I Other [I
Dredge [I Fill El Both El Other 11
Dredge El Fill El Both [I Other [I
Dredge 0 Fill 0 Both 0 Other El
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge El Fill El Both [I Other El
Dredge [I Fill [I Both El Other ❑
13C
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
,i hereby certify that I owrL pro erty adjacent to s
(Name of Property Owner) aQUY
property located at r E
(Address, Lot, Block, Road, etc.)
on _ 13O C7U f1._ SD uN D _, in ME )1Z" S 4pC.a T,i 7 E iIv.C.
(Waterbody) (City/Town and/o County)
The applicant has described to me, as shown below, the development proposed at the above
location.
aC I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
/ I do wish to waive the 15' setback requirement.
n I do not wish to waive the 15' setback requirement.
(Prope Owner Information) (A ent Property Owner Information)
grr�l�tre alu
tr�2 A11JE� ,� . ,/�� "
Print or Type Name Print or Type Name
_ 1H 1_0_MAZt>VA- tabtNT in 5 .City _
M i/i g Add, M ilin A res
->�v 0ZUStAD 611 �G �, � C.i T� roc
C� p a 1 t— 1D-7 a tp Cify/Siate/Zrp
Tele ne mber Te/qpkorfe Number
Date D to
(Revised 611812012)
I of 1 3/18/2013 11:14 AM
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
a hereby certify that I own property adjacent to s
Lq� , _ _ _ ,. _ , (Npme of Propert Owner)
property located at
on 50&U (Address L�� ppt, Block. Road etc.)
Soo f►...� D , In�r'i'Ri�,d�i AAP C 1 TV CAArip—trN.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location:
,kC' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
K— I do not wish to waive the 15' setback requirement.
(Property Owner I formation) (Adjacen P perty Owner Information)
� L!`.._
'Sigagiz;re Q'4j IL I �� SI Gt / `
Yf
Print or Type Name Print or Type Name
1416 M APSIA ;b t &4 L` t-t_A" 4. _ i c--� Lj n C lr-
�tt�,���,liOn Ades s , tL Mailing Ad ss
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citylstate.11,1P Ci St e
442 411 (a �d Ce vet � C_ c T� � � �q�"� ?
Telepj7one Number Telep one umber
-flitI t 3- 318 l3 ��
Date Date
(Revised 611812012)
1 of 1 3/18/2013 11:15 AM
JOB
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NOTE: ALL PROPERTY BOUNDARY LINES, SHORBLIM
AND OFFSHORE STRUCTURES WERE LOCATED BY ACTUAL
INSHORE CHANNEL LOCATION DIGITIZED AND CALCULATED
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WN D. POM£RS, CERWY WT 7W PLAT WAS DRARN UNDER MY SWERKSIM FROM AN ACTW SURYFY
UAVER MY SUPER10M (DEED DESCRF7A71N RECORDED N BOGY(_,PAGE_): THAT 71E BOlWARES
�gRWM ARE 6YFi &Y MD017ED AS DRAW FROM AVIOMMIXIN FOUNDMIBOOK _,PAGE
iPE AWW OF FREC>; M AS CACCMA7E0 6 /: : 7HAT 7W PLAT WAS PREPARED N
OG
1, ACCORDANCE N77H GAS 47-30 AS AWAOED. MTTAE'SS MY ORMAW SrAW7URE,
g REWMA7A7N NE4WR AAD SEAL 77N _ DAY OF ,AD 20 .
S7FYEN D. PONDERS .L P9194
Ri7MGD
MAY 10 2013
MAY 10 2013
DCM MHD CITY
BaUNPARY & RIPARIAN SURVEY Aw- -
LOT,, 5 PINE BLUFF at B -
kOREHEAD CITY, CARTERET COUNTY, NORTH CAROLINA
-TOWNSHIP. MOJ HEAD COUNTY. CARTERET STATE: NORTH CAROLL NA
CL&xT: FRANK & FRANCIS GAINEY DATE: 5/10/2013 SCALE: V= 60,
ADDRESS• 123 CdRf DRIVE HEST PROJECT: 13001 JOB: 13001
MOREHEAD CNZ NC 28557 TAX PARCEL 6346.16.93.2338
PHONE: 252-247-5&b FLOOD ZONE:
'-STEVEN D. POWERS NC PLS L-2994
PHONE: 252-646-2660- - , PO BOX 261, HAR"RS ISLAND NC 28531 ATLANTIC.SURVEYS@YAH00.com