Mackie, Deborah

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O'CAMA / ❑ DREDGE & FILL 0'-f
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GENERAL PERMIT Previous Permit#
ENew ❑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
' 1.._.._ — p Rules attached.
r__ { ` lt'! _._ f
Applicant Name-- r >„ l J.� "' iz� ` r7 C Project Location: County
Address -' { e- r" i:� 1'. T �l d' Street Address/ State Road/ Lot #(s)
City State c ZIP
''
Phone #'O ' " I A�`' 'f Fax # O Subdivision
- r , l � , ; / N,✓ : ZIP
Authorized Agent j : ' t .lr+ � � City �
Affected ❑ CW -5 EW
[ PTA ❑ ES
❑ PTS
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
p PWS:
❑ FC:
ORW: +;yes no PNA
yes / no) Crit.Hab.
yes /^ no
Type of Project/ Activity
Pier (dock I n
Platt
Fingi
Groi
Bulk
Basil
Boat
Boat
Beac
Othi
Shor
SAM
Sand
Mor
Phot
Wain
Phone # ( ) River Basin .j + I1 G�1%
f
Adj. Wtr. Body——� < �' r �(nat Yman
)
Closest Maj. Wtr. Body
(Scale: Via )
w pie
i length
number
NJ
MUMMEEM
cubic yards
ramp
C
IBulldozing
NOON
MMOMME
oil
MOMMEMEMEM
MEN
:line Length —010
M
M
mom
IMMEM
0
0
MEMEMMENE
not sure yes no
NMI
MEMEMOMMUMEMI
*ags: not sure yes no
torium: n/a yes no
MINOMMMONEEMONFIF,
FORM
M
M
M
MMMIMMEMMOMMEME
WIS: yes no
mr Attached: Yes
A building permit may be required by: i i `� �'r c / j i ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
1
X _.
Agent or Applicaacf'mted N x e Permit Officer .Signature {
,Signature jjPlease read compliance statement onback of it Issuing Date Expiration Date
71,
/1
ApplicationFee(s) Check# to Planningjurisdiction Rover File Name

............................................
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 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/ 1-888-4RCOAST
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

May 05 14 10:44a Tony McNeill
252 725 4965 P.1
-A
MAY 0 6 2014
DCM-MHDCrrY

May 051410:44a Tony McNeill
DC7-01-2013 11:25 Frcm:DCM NKXTY
I
North
Pat McCrory
Govemo
Date
Apgiica t Name `J MY1 V--S
Mailkg Address 1001 1
U W &
1 certify that I have authorized (
purpose of applying for and obt,
a,0 o I !H ?P AL9 DRI
252 725 4965
To:93936146
if —
la 6t Departmenonmen and Natural Resources
Division of Co gal Manage enl
Braxton C. Davis
Ne, 2gi6o I
OWRWD I iSLU
This CcrOaWwo is valid airy (n
5ignatu re
Ajol
400 ComJ emo Ave., Mwehaad Cly. N0 265F
Phone: 252-B4B•20051FAX[phone] Ivrnet:
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`71
p.2
Pase: 212
John'E. Skvarla, III
Secretary
to act rni my behalf, for the
to 4nstall or. COMLrUU (activity)
(lorztit�n) RECEIVED
!J G
MAY 0 6 2014
DCM-MO CrrY
'�s fiL;C,Ei4�D
1�y2014
rcit.C=01ina
XdkrAlk

May 051410:44a Tony McNeill 252 725 4965 p.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORIVG P.tCEVGSIBOATLIFTIBOATHOUSE)
C.
I hereby certify that I own property adjacent to v+ToFg C . AA�9f6 0,410aP414 •s
(Flame of Property Owner)
property located at 2,110
(Lot, Block, Road, etc.)
on �l1W . in � 1.0 is NC (CAATCR6 "),N.C.
OVaterbody) ('own andlor County)
Applicant!s-phone OIL 520Ma-Hin- ,ddre s: 1001 CV0k'f*r'ST a'
KA 11 NG 2007
He has described to me, as sho%Nm below, the development he is proposing at that location, and. I
have no objections to his proposal. I understand that a pier/mooring pilings r boatliR! boathouse
must be set back a minimum distance of fifteen feet (I 51) from my area of riparian access uritess
ti`�aived by me. (If You wish to waive the setback, you most initial the appropriate blank
below.)
RECEIVED
1 do not wish to waive
•• I do vdsh to waive that setback requirement. MAY 0 6 2014
DESCRIPTION AND/OR DRAWING OF PROPOSED DF1`ELOPI ?1RDCrry
(To he filled in by individual proposing development) ,
(Information for Property Owner Applying
fo r P ermit)
Mailing Address
WAGH , NG g7�o q
City/State/Zip
I5 - 5zl-67
Number,"
101110
ES G—, A X PG .1rQ!♦ Date
Rt:MVED
.), ..9 ?.014
(Riparian Property Owner Information)
ell
✓ , 7' G
Print or Type Name
Telephone Number
y
• , yr
Date )

May 051410:44a Tony McNeill 252 725 4965 p.4
"1ey'P�ay. 2. 20. 4 10: 26AVIcN81'l 252 72549IN0. 6482 P. 2/2
ADJACENT RIPEN PROPERTY OWNER STA.TE.MENT
(FOR A .PIE&MOOR)r V PL--WaSIBOATUFTIBO. 790USE)
Thereby terrify that F own property adjacent tor&9 ri. Apale 4 4 r 940 "H f✓. i E
(Name or Property, Owner)
property located at o J I 0 15M04,10 pkl dI�
(Lot, Mork, Road, etc-)
on .�4G4 lii j U . LIP CTX�Lli * SU tic-
, N.C.
(Waterbody) (Town and/or County)
ApFlicant's p rome #: r� " �i'S--d� 1V[ailing iiiclress: !Of) 1 Copup "Ar DK
c �'f l SIG zq
lie has described to me, as shovro below, the development he is proposing at that location, and,1
have no objectiorts to his proposal. I understand that a pietlmooring pilings 1 boalfiiz / boathouse
trust be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me. (If You wish to waive the setback, you must iaitW the appropreia& bin-nk I:D
b�elon .) 4
I do not wish to waive MAY O 6 2014
i do wish to wane that setback requirement.
f DESCRIPTION ANDIOR DRANW G OF PROPOSED DEVELOPMF.N"I':
(Ta be f ied in by individualproposing development) � d
(Wormation for Property Owner Applying
for Permit)
i Un I CoNk1hul Dk
Mailing Address
- _ flFl Ni, '2l bD9
Cttyyl taterzip
Cq
Q�3 .
APR 29 7W
(Ripari2m erty 0 0
.Sign ace
4.
Pcint or T3 dName
jjs- Sao
pe A' UW
er Telephone Number
Signature 3W0 C>' . N�01E Datr 10111 t� Date
v; � C. 144C 1JE