Isaac H. Terry - Trust

�ACAMA / ❑ DREDGE &FILLU4/ a' 2781C
GENERAL PERMIT Previous permit#
$1New' ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ' ' 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j {—j
❑ Rules attachgd.
Applicant Name ; `"' • Project Location: County
gddress' "° "rtf i r Street Address/.State oa /Lot #(s) /
,City S State t ZIPr�} -" ;' i 1 ( Ji t
x-
Affected 'tACW <UW gPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / !') Crit.Hab. yes / no
Type of Project/ Activity
11 li
IPier (dock)
Finger pier(s)
Groin length.
slumber
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp '
Boathouse/ Boatlift
1
Beach Bulldozing
Other ' +'N_V no
!Shoreline Length _
SAV: not sure yes no)
Sandbags: _ not sure yeso�/
Moratorium: n/a yes na1.
Photos: yes
Waiver Attached: yes Vo
t
City��
Phone # ( )ZIM—
Adj. Wt� o y �t-t11
Closest Maj. Wtr. Body
ZIP .-,A0
River Basin \ L,d1 l .k_, - (
(In -at man unkr
(Scale: !% 0 j )
A building permit may be required by: ►. �f( , "� ( "� / T ❑ See note on back regarding River Basin rules.
Notes/ 8pecia Conditions f 1 i t - 1 1 _ !�' S 1�i 11 ! f.. ) �t ! "o
L f I v. r
"( r�? { kT(1 f Cfd (� t E ( t't _:..t,(I h` zr� Zvi ;i Itt (t4-\ ( i-)/f

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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules 0 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
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 28557
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)
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

VIC Mvislaaa Asa Con jal 6 V`�®'t. P-3 Knt hrjvp:nv� comp aor 0-&-azt
A licant:-
O
D9te: 1
1
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.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp im
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
Aemp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other ki
/(&
/�V
�Ah
redge ❑ Fill ❑ Both ❑ Other\A
go
Q0
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 ❑
232-808-2300 :. 1-886-4€ICOAS tl :: !?JL 16'J.rae�c��s�=:B6:aar36,��era _rs�.re� revised: 02/03/10

Nodh Carolina Department of Envir6nment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvaria, ill ..
Governor ' Director Secretary ;
• .RECEIVED
Date �1�Sl�.al SEP252013
DCM 11IHD CITY' ,
r
Applicant Name a ��
Mailing Address
63
I certify that I bate authorized {agent)-p F;'o lYi rlx�%L! ~ .act on my behalf, for the
purpose of applying for and obtaining all CAMA Penuits necessary to install or construct (activity)
r- R.s at (location)
230 otpCs o ,4i,r.7-(rr 3C-ot, Me- C)q0t `-CD ;
This certification is v4id tbru d )
Sigtraturet�'G
400 Ccmmeroe Are., Morehead CIty.NC 28557
Phone: [phone] FAX 252-247: 3330 h temet:;mw.nocoastalmanagemenLnet 1 iQ 1
M GwWCPOdudylAAMm9ivsActonEmployer
i
i
200/200'd 60DO 069 6t6(Xti3) SW88A U11 80 DE:01 (03M)E102-S2-d3S

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RECEIVED
SEP 2 5 20Q
'�`'6PjA2M- 'Ml PEEn QW0 UMMENT DCM-M.MCITY
l hereby cer#iil, that t own property Glace& to isk&e jerr�( is
propefty located at Z3 a Otck &ys tie of Pro owner isjes �' �p� tdr__I �_2 3(,�ckl� �ndyievt
{Addran ` tangy l�=
on In N , N.C.
afA dyj t (City/Town andlar County)
The applicant has d—.Cribed to me, as shown below, the development proposed at the above
location
! have no objedion t4 thisproposal,
I have oilodions.to this proposal.
(tnavid'ual ptopoeno d a wopm nt rr=t rut In descriOf%n below rfr a#tach a site dra g)
LV.e Lo.' 'D e.�{ t _
c" ; r
-. 'Los
rt O
M�j
t--
WME3 §LC -ON
t understand that p€er. dads, mooring pilings, breakwater, boathouse, lift. or groin must be sat
back a minimum distance of W from my area of riparian access 'uniess waived by me. (if you
+wl*to wave the setback, you .rt) t Initial the appropriate blank below.)
I do wish to waive Ow 15` setback requirement.
v i do not,wish to wawa the IV setback requirement.
f.
r'eiepiw N rrrfer
%�f / 3
Information)
(RevisedVIW012)

RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT S E P 2 5 2013
I hereby certify that I own property adjacent to __i5� ti, 7�y~ r�trT
_ _ 1Narna of L��nnar►// r1,./M,.s.i CITY
property located at
on
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)
. 6
k'i Ls tffi. H ^1 �,rp w
I
5 i
,
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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.
I do not wish to waive the 15' setback requirement
P e Oyerg nfo maw (Adjacent Property Owner Information)
Signat e v, T: &ik Sign e
Lot .�.t — /z .E, GGivS
Print or ype Name " Print or Tye Name
Aoieto,roMailing A dress Madin ddress
City/Sfa�p Citylstate2lp
��s�3 .e'/6
Te��� u� bar Telephon$ Number
Dare T ,____?
Date
(Revised 611812012)