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DCAMA 11 DREDGE & FILL
GENgRAL PERMIT L-L-C—P. Previous permit #
DNew od fication Co plete Reissue El Partial Reissue Date previous permit issued
As authorizedhe e oVcojk�a Co p I
RonRepartment of Environment and Natural Resources
and the Coastal Resources Commission in an area of.environimental concerrt pursuant to I SA NCAC
Rules attached.
k County 1
Applicant Name -v- Project Location: Coun
Address *Street Address/ State Road/ Lot #(s)
pty—, State ZIP -
Phone
City Fax Subdivision -,-`-
Authorized Agent zip
Affected 0 Cw ❑ EW �11 TA El ES 0 PTS Phone # A_ River Basin
0 01EA 0 HHF 'E] lH 0 UBA 0 N/A
AEC(s): Adj. Wtr. BodyV f (nat Lman /unkn
0 Pws: DFC:
y
ORW: yes ltj no PNA yes Po ) Crit.Hab. yes Closest Maj. Win Body' no -1-
Type of Project/ Activity t k;
Pier (dock) length
Platform(s)
Finger pier(s)
GrI 1p length
number —
KuW. ead�/iprap length5t YS,
119 distance
max distance offshore —
Basin, channel
cubic yards. —
Boat .ramp
Z f
Boathouse/ Boatlift'
Beach Bulldozing
Other .4 1 1
Y'f
i Shoreline Length
7,-
i SAV: not sure: yes no
,Sandbags: not sure yes
Moratorium: n/a yes
no
Photos: yes no
-Waiver Attached: VPQ no
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A building permit may be required by:
Xing, Wr asin 4i6T
E]See note on back reVar rules.
Notes/ Special Conditions I)L)-q:-k,�-i-terLl,,,It
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J-1
)Agent orAppHcantPrinted 1,Jame
it Officer's Signature
Signature "Please read compliance statement on back of permit"
Issuing Date i
Expiration Date
Application Fee LV
gLe,�k #
Local PlanningJurisdiction
Rover File Name

h - t
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:
❑ 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/ 1-8884RCOAST
Location:
Fax: [phone]
2728 Capital Blvd. `
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
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

`-,,ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 14i k,
hereby certify that I own property adjacent to
(Name of Property Owner)
props located at--'-�/c-� -, �l
(f(Address, Lot, Block, Road, etc.)
on t 'wt 4 in 4rYl v,e1 � . N.C.
_iWaterbody) (City/Town andlor Coun
The applicant has described to me, as shown below, the development proposed at the above
€1 I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descApdon below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dodo, 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.
i do not wish to waive the I & setback requirement.
:T
(P rty Owner In"Otion) (Adjacent Property Owner Information)
01
e_� z__,
Si hp'e Q
P�qt or Pdnt or Type Name
ilinAddress:/cU� � 7 ��. -
S Mai ing A
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p
cr�!tp I _ ct f` 6�
Teleph N u m e r Telephone Nu/nber
Date Date
RECEIVED
OCT 0 2 1014
DCM-MHD CITY
(Revised 6/1WO12)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DMSION OF COASTAL MANAGEMENT
ADJACENT.RIPARIAN PROPERTY OWNER NOOTiFICATIONNVAIVER FORM
Name of ProOwner: 5LLZ494-)ne--- atyl ✓ � �� s� 4,eIxrtY�� .z Z.. ` L
Address of Property:
2ss01 C, vr�.+,� S 'SA--r�
(Lot or Street #, Street or Road, City & County)
Applicant phone #: Z 2 i _ 3 C' Mailing Address:
.2 K�;-7
1 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 drawin the development
they are proposing. wino. with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
►f you have objections to what Is being proposed, you mustnotifythe Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastainiangwnentneticonbcLdcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Cmtitied Mail.
WAIVER SECTION
---I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
I do not wish to waive the 16 setback requirement.
Owner
c, lebs
Print or Type Name
-70-7 f�r
Mailing Address I/\
IC
City/Stata0p - -
7 i `l -3
Telephone Number
g-/l - 14
Date
(Ripad Property Owner Information)
ignature
cCC v
Print or T me ,
Mailing AddreSf
c
City/3tate/Zi
o�
-elep onh a Number
?-�-/�
Date
RECEIVED
OCT 021I11#
DCM-Nf OOV

5uzanne Pecheles • 707 Bremerton Drive - Greenville, North Carolina 27858 RECEIVED
OCT OE 1W
DCM-MFD CITY
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RECEIVED
OCT 0 2 1014
DCM-MHD CITY

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RECEIVED
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03/30/2015 10:31
(FAX)
P.001/002
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O DREDGE & FILL l0 i�I 6 5 24 (
ENERAL PERMIT`" `. Previous permit#
New ❑Modification ❑Complete Reissue OPartial Reissue Date previous permit issued
As auth� rized by the State of North Carolina. Department of Environment and Natural Resources
and the Coastal Resources Commission to area of environmental cone pursuant to I SA NCAC I
- - -
AppUcant Nam Project Location: County
Address+Street Add fate Road/ Lot #(s)
City AnState ZIP
f �'A L4.
,Phone # , Faz
-_` Subdivision`.
Authored Agent.-
Ctty�
O CVi/ W PTA O ES ❑ PTS
Phone #
Affected
❑ OIA O HHF �❑ IH ❑ URA ❑ WA
AEC(s):
Adj. Wtr. Body
O PWS: OFC:
ORW: yes / no PNA yes / CriQHab, es / no Closest Maj. Wtr.
Y (�
Type of Project/ Activity 1 w , 7(
Pier (dock)
Finger pler(s) `—
Groin length v
number '—�
Bulkhead/ Riprap length
an distance offshore
max distance offshore
Basin. channel
cubic yards` —
Boat ramp
BoathouseJ: oa
�� r �—
Beach Bulldozing
Other�n X j,�"l� LilM ot-VI
a"Vzf)Vl1.0
Shoreline Length
SAM not sure yes no
Sandbags: notsure yes
Moratorium: n/a yes _
Photos: yes;. o
Waiver Attached: yes o
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A building permit may be required by:
Notes/ Special Conditions i_/ !�
❑ See note on bade regarding River Basin rules.