Lanier, Brent

❑DREDGE & FILL iv 2 i 85<f
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources / ` /,G
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / ! V
.ples attached.
M
Applicant Name f 46^'� ffif r%'�' w Project Location: County fi et t--1
I : _.
Address U ik j / I) � ` Street Address/ State Road/ t #(s)
City, . c,r i r State A/C ZIP �U�n1
�� �> I
,Phone # '` 0 '"t^ t d Fax # (_) Subdivision
Authorized Agent City ; , /I ZIP
t�CW tJtW �2,11:`TA ❑ ES _ ❑ PTS Phone # ( ) RTeo
tar Basin t
Affected ElOEA ❑ HHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body L.',4 V t nat man unkn
❑ PW�. ❑�FC:
ORW: yes %(no /
, � PNA yes Closest Maj. Wtr-Body
no Crit.Hab. yes / no
of Project/Activity 7' ,��Uu CJ� C� C (�. 1ig�r %� �f�60-1 f.,
(
1 ,a r �elCjl#l�tI 3,/y �("I t i 111#_— 0, i%Ir'ly
Pier (dock) length "K/ UU I
Platform(s)
Finger piers) l — .t\ 3 o
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatli
Lax ►�
Beach Bulldozing
Other
Shoreline length �✓
iSAV: not sure yes' no
Sandbags: not sure yes
Moratorium: n/a yes no
;E
Photos: yes no
Waiver Attached: yes no�
A building permit may be requires
Notes/ Special Conditions
(Scale: 7C )

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 ❑ 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 28557
252-808-2808/ 1-888ARCOAST
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

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' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to leap /' t - C-1 /I( C/ci 's
(Name of Property Owner)
property located at '' `� r'�Q t' r "V 91';J -
(Address, Lot lock, Road, etc.)
on I C � , in �.�� a / ^r T— , N.C.
Ft�
(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.
[have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development/must fill in description below or attach a site drawing)
,�^ �! �• ,/) G Lc.j � !! ._. � :vltt=,�k...- �%? C/'"- Dom.% !��;�! � /�-�S
e -?
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.
(Property Own Information) (Adjacent Property Owner Information)
JnQlitt'e r�_
}-u 'l -i 07 } G ✓ '
Print or Type Name Print or Type Name
F� i'y Cf e. I2 n % / �' i h
Mailing Address 4 Mailing .'Address
)
C afelzip CitylSfatelzip
Telep one Number Telepho e N b r
&7�V s
Date Date
(Revised 6/18,2012)
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