Harvey, James

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Ju i- A R a j% F-i DREDGE i i i
GENE_RAL PERMIT Previous permit #
NNew -;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 environmental concern pursuant to 15A NCAC
[7 Rules attached.
Applicant Name
Address
State ZIP
Phone # Fax #
Authorized Agent____
Affected —I Cw EW El PTA Ll ES L1 PTS
AEC(s): 0 OEA HHF El 1H 11 USA El N/A
El PWS: 11 FC:
ORW: yes / no PINA yes / no Crit.Hab. yes / no
IType of Project/ Activity ' , jc � j,, "' .--. ' f" x-", n;:
Pier (dock) length
Platform(s)-l—
F
--
ep
-th
oe 0 e
•l0
cu. V '-
0
Boat ramp
Boathouse/ Boy 1),P.
V
Or/
Beach Bulldozing_
Other
---------
J+
Shoreline
Length
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no --L
A building permit may be required by:
Notes/ Special Conditions
Agent rApplicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check#
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City— ZIP
Phone# River Basin
Adj. Wtr. Body C (nat /man /unkn
Closest Maj. Wtr. Body
(scale:
, k `l I I i -I I
F7See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
alp

w
Al
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 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 howto complywith 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 Headquarters
400'Commerce Ave
Morehead City, NC 2855.7
252-808-2808/ I-888-4RCOAST
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)
Washing -ton 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to JA44 &--S VWNEY 's
.�- G12-0V 2LName of Property Owner)
property located at V
(Address, Lot, ock, Road, etc.
on 9 ELL 5 CJ7ZFE K , in F o%Z I , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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.
1 do not wish to waive the 15' setback requirement.
(Propertw Owner Information)
Si (mES3).Wy-U
Print or Type -Nam
173 !J c5 Gil-vr✓ ZJ•
Mai ' g Address `
Edi i � Z T' N C-
C. ip /Stat
phone Number
7— (0- 1Lf
Date
(Adjacent
Information)
Mai g aaare s e—
Teleph7 Nu1,5D, z
(Revised 611812012)
JUL 11 2014
DCM--VHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to's
��m
e of Property O ner)
.)property located at y � e S G-R(O E-
on j �" f5 C'ZL� {� (Address, Lot, BJs�etc.) , N.C.
(Waterbody) in 1� (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location./
;/ 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 ish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
rope Owner Information)
o4�r S �E
Print or T Nam
r lZMce,6ZP-0 sje kn .
M ;i orr M
/Stat op
_ S�-� 7.15-36��
e�ne Number
'7— 10 — 114
Date
JUL 11 201^
A
DCM-MHD CffY