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[I CAMA / I DREDGE & FILL 6 3
GENERAL PERMIT Previous permit #
El New LModification LComplete Reissue El Partial Reissue Date previousy perrgit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
H - ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ') U I 1,
WIles attacKod.
Applicant Name -GProject Location: County A�- I I-,--- --------- -' L''\I"
Address --------- Street Address/ State Road/ Lot #(s)
City__
Phone # Fax #
Authorized Agent
Affected El CW El EW E] PTA El ES El PTS
AEC(s): El OEA 0 HHF El lH El UBA El N/A
El PWS: EIFC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)--/—"
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshorp,
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other 'r
lk
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
t
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent-r-App)icant —Printed Name
Signature Please read compliance statement on back.of permit
Application Feels) Check #
Subdivision
City ZIP
Phone # Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
(Scalle:�
F-1 See note on back regarding River Basin rules.
b Ni
-o�--— rm--it—Officer—'sSign—atur—e
Issuing Date Expiration Date
Local PlanningJurisdiction RoverFileName
b
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, certifythat this 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 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/ 1-888-411COAST
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
GP Habitat Sheet
Name: Gunkhole inv. LLC Permit #: 63837
Date: 6/11/14
Address: 1410 Front St
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
234
234
N/A
N/A
RECEIVED
JUN 16 2014
aDCM 11D GUY
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: &A,)e -:z�n✓ef' owk, LLC_-Wv',ACw� eaC�&-
Address of Property: I !JGD Co., I- Sl' S
(Lot or Street #, Street or Road(City & County)
Agent's Name #: f ct haagf Mailing Address: Aaz2
Agent's phone #: 4.;Z
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are roposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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 wai a the setback, you must initial the appropriate blank below.) I
I do wish to waive the 15 setback requirement. (.�( (ePUl/S JD
I do not wish to waive the 15' setback requirement. ro e)yay13t-D^ l v%A} �
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
&'I'4 L /(//(� -5/,
CitylStatelZfp
Telephone Number
5J�31i�
Date
(Adjacent Pro rery Owned Information)
/ At"e s I- 9��a4 w; It
Print/or Type Name %J
31" Svsl�z
Mailiinl
Mailing Address ,/ n
City/State2i1 r
Telephone Number J U N-10 O 14
191-y,717t Zd&
Date TTY
Revised 6/18 W
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
Lu . k/;111101
(Lot or Street #, Street or Road, Cify & County)
Agent's Name* f VC+er Mailing Address: Zaa JF 6roxf S F
Agent's phone #: All�,-
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
c✓ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanapement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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.)
RECEIVED�✓ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. JUN 16 2014
111a6 F,2,H f- S} PCiVf4w G
(Property Owner Information) (A jacent Property Owner Information)
Signature ign tune
W "I awl I n,64-e!
Print or Type Name
Mailing Address
fve- �s>6
City/State i
;�.SZ - Ef2Z
Telephone Number
SIIs
Date
±k �
Print or Type Name
-+0i
kuln I �'(', ii'6 >l5 2 h
Mailing Address
opecmy'lle- �✓L 2 ���
City/ tate/Zip
a5-2-J 75-&- 7303
Telephone Number
g/rqI P14
Date
Revised 611812012
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