Paul III, Alvin

CAMA /f DREDGE &FILL
..
GENERAL PERMIT
Previous permit#
New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ( -,
the Coastal Resources Commission in an area of environmental concern pursuant
P _
to I SA NCAC 1- ' t �
rYand
e a Rules ttac ed.
��
Applicant Name ' I 3'/� I�
Project Location: County 04
gddr ' f `r`3' ! , �_
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Street Address/ State R ad/ Lot /#(s)
City, V- I } i . -t ` State ZIP ; Y" ? �
C ,
! Ci s f J i ?✓/(
Phone ax # ()
Subdivision
u#
At
CiZIr
Pt
❑ CW '1� EW ]PTA ES ❑ PTS
Phone # (' )� � L �'"SI—-ver Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
t / ^, nat (m n kn
Adj. Wtr. Body I t) t tt E (n /un)/
❑ PWS: ❑ FC:
If, 1
Closest Maj. Wtr. Body
ORW: yes / Vo PNA yes / o Crit.Hab. yes / no
�i
Type of Project/ Activity 't; Ir : ('.f j l fN:
(Scale: ;... )
Pier (dock) length
Platform(s)
Finger pier(s)
!
Groin length
`r.,...num�ber
(Bulkhear Riprap length
avg distance offshoret
max distance offshore
,T
1
i
Basin, channel
-vifZE
$
S/FTi
cubic yards i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing - 'f-
Other 13 kdark, clan,>,
.*% 4t54
.�.
Shoreline Length � X f'' -
SAV: not sure Yes n�o `�
-,Sandbags: not sure yes kno I ? I
Moratorium: n/a ' yes ( no :
Photos: yes i v 1
Waver Attached. yes no '
A building permit may be required by: j 7 i r` ' • El see note pn back regarding River Basin rules.
'7 tt ,.
Motes/ Special Conditions !' ti. i r' r._) v)
e-(
g P* FJ r f 2
k�nt or Applicant Printed Name PermittOfficer s Signature `
1 �
i
3�-- i Ex ration Date
* Please read compliance statement on back of permit Issuing Date p
!Signature
j 1, �' , ' % �F/ �- t i '"`.
if ---•
Application Fee(s) Check # Local Planning junsdicuon 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 andvoid.
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
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

as
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F10Zi 'P';1"7J"!rA- - CI '-Ow r ,?� S ii i?? j r a c 3 :i :%iL Ii a1,3 F t; 4 'S.—mi `ip�7
Applicant: Tq
Date:
R
L
l�
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 impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any -
restoration
and/or temp
im act•amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ FIII 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 ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
IM
MAR 12.2014
DCU-MDCrry
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M.C. DIVISIO OF COASTAL MANAGEMENT
AGENT UTHORIZATION FORM
Date 1 T�
Name of Property Owner Applying for permit:
fl Lw1tj
Mailing Address:
tzi
I certtfy that I have authorbed (age t) '�) c rJ k i--�� { bK. ky'� to act on my
behalf, for the purpose of applying I br and obtaining all CAMA Permits necessary to
install or construct (activity) C'LL
at (my property located at) 100 i L% nl iQ 'ZU%1 1- C�} G : �'l' f�. 3 W
This certification is valid tiara (date ('3\
Property Owner Signature
-}i t.CtI+
Date
PMA
M ZD .
.R 12 2014
DCM MHD Cr,
6'd tVLbti09Z9Z
6u16paaa SN00j8 EZVoL t,6 06 MY

ADJACENT RIPARIAN PROPERTY OWNER STATgMENT
I hereby certify that I own property adjacent to X xr ,, • cT ! al,
property located at(Name of Property Owner)
(Address, L B ock, Road, etc.),,,
ti_r-�L'ri?
on at'Lt n6 in 2awce•T' L.4 N.C.
(Waterbody) ity(Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
Iocatia .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descripdon below or attach a site drawing)
Rep / ce /'go -9, k' f t�} �;S �'� ,s-ekz yytz l/
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of W 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 I& setback requirement.
I do not wish to waive the 15' setback requirement.
roperty Owner informati djacent Property Owner information)
/SSG
t.
Print or Type Name ��))P n/t /Q� ype //1p
1(3C7 1 Line. e_-11,rt Lf -� 14`� y� )�
,V �
AAaIft Address , Ting Addre s Q
Q r rp g(s3 084 cr-01-110
;/ �
Tolephoge Numr f Tel h ne Nur e
Date T Dare ! i
(Revised GrIWO12)

ADJACENT RIPARIAN PROPERTY OWNER 91ATEMM' ENT
i hereby certify that I own property adjacent to
(Name, of Property Owner)
property located at
f� n (Address, Lot, Bock, Road, etc.)
on _ JU DtiLt aund� , in br¢ N.C.
C
(Waterbody) lityffown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descripffon below or attach a site drawing)
r /ace
.
o
N `
C �gz7y
�
H r
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.)
do wish to waive the 16 setback requirement.
1 do not wish to waive the 15' setback requirement.
Property Owner Informati (Ma copt Rr p^ ! caner Information)
ti
S!*1na1we Si nature
Print or Type Name � � Print or Type Name
i CJ rj L r n �..- i �F-:� z t-ire.'; -��`S t-�:s:�. �,''►a��'� i� '
INaUin Address U ing Address
City at Imp $ Ci /State0
_ M- ?63- 'T r� ff;'0 ENV,
Teleph e Numh�sr Telephone Number
$
Date e
(Revised 6tlaQ012)
MAR . 2 2014
DCM M M CITY

Mar 1,0 14 09:29a
Brooks Dredging
2525044744
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MAR 12
2014
Dchf.mncrry

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