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IO LAMA / 1E DREDGE &FILL 1, t W
GENERAL PERMIT Previous permit #
f�New ❑Modification ❑Complete Reissue EJ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources!'
and the Coastal Resources Cort mission in an area o� nvironmental concern pursuant to 15A NCAC u
( ' �� ❑Rules attached.
_s r= !1 It
Applicant Name- Project Location: County
Address t"t� ".� (� u . .> r A Street Address/ State Road/ Lot #(s)
Cityy. �/ �" -'� r t� State,V( ZIP"+
Phone # (��`-)�tl"
ax # (_) Subdivision
f
uthorized Agent �` .f tor' City �s , /�'l ' c `� �^-" ZIP Xcpj
Affected
AEC(s):
ORW:
❑ CW eOEW ,-B.PTA CIES ❑ PTS
O OEA O HHF ❑ IH O UBA O N/A
❑ PWS OFC:
yesy no PNA
Type of Project/ Activity
cubic yards
Boat ramp
Boathouse
Beach Bulldozing
Other
Shoreline Length
1AV. notsure yes' r no,
Sandbags: notsure yes' noo' a
Moratorium: n/a yes' hd
j4
Photos: yam'
Waiver Attached: yes nA
Crit.Hab. yes / no
3z -X S" do
Phone # ( ) River Basin (-A i 1A
Adj. Wtr. Body orr nom. )IPi..iA J nat man unkn
Closest Maj. Wtr. Body ' N" t°"P 'w"
I
(Scale: /t/ ,r )
A building permit may be required by: rr.'p� t' ` v -, ❑ See note on back regarding River Basin rul
Notes/ Special Condition f'�� (3 it f `{ , f ., ( !' ! '4 t . t. ;s i� v i (� '✓G /l '
C n � � �• � / �" .fir-[ C
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7-1
3
ApplicationFee(s) Check# J Local PlanningJurh
Pier (dock) length a
k)V
Platform(s) rl�XlV
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
ayg distance offshore
'
max distance offshore
-�
Basin, channel
r'
cubic yards
Boat ramp
Boathouse
Beach Bulldozing
Other
Shoreline Length
1AV. notsure yes' r no,
Sandbags: notsure yes' noo' a
Moratorium: n/a yes' hd
j4
Photos: yam'
Waiver Attached: yes nA
Crit.Hab. yes / no
3z -X S" do
Phone # ( ) River Basin (-A i 1A
Adj. Wtr. Body orr nom. )IPi..iA J nat man unkn
Closest Maj. Wtr. Body ' N" t°"P 'w"
I
(Scale: /t/ ,r )
A building permit may be required by: rr.'p� t' ` v -, ❑ See note on back regarding River Basin rul
Notes/ Special Condition f'�� (3 it f `{ , f ., ( !' ! '4 t . t. ;s i� v i (� '✓G /l '
C n � � �• � / �" .fir-[ C
rf E
7-1
3
ApplicationFee(s) Check# J Local PlanningJurh
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 [)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:
0 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:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: 252-247-3330
(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: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall -
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
r
n
N.C. DIVISION. OF _GOASTAL_ MANAGEMENT
AGENT AUTHORIZATION FORM
Date q F— 7,011 -
Name
dl1-
.Name of Property Owner Applying for Permit:
1 � r L,L,2 i -M � Yi (' �y, Y j
Mailing Address: [I
1 certify that I have authorized )
(ag ent 4/e ro ` 'S to act on my
behalf, for the purpose of applying for and obtaining all CA LA ,Peerj�mits necessart to
install or construct (activity)
at (my property, located at) tit�lCf/i t DrW-e f <,
r
This certification is valid thru (date) /;-> - F — J 4
Property Owner Signature
Date
KCMVED
SEP 18 2014
DCA7-14f D M
nlVistoN op oC AsTAL MANAGEMSHT '
� R
b.1 o(;F.RTl lira MAIL. - RETURN RECEIPT REQUESTED ..
certify that 1 own property adjacent 19 ,Ll
i he Teb Y (Name of propstty 10016r). h* J
propertytocatedal •
l� (Addrego, lot, stocks (toad, ata )
thtl:�i•Afie- '
on
(YVatarbody) (rltylTown andlor County)
• ,4ganya Namall: 5
f L� �roOh MallfngAdd[as5:
p
�dNesvnl dr
-----
• Het8he hoe deso►ibed to me as shown below the developMeathe.Mats proposing 81that.106allott.
and t have no objections to the proposal.
........pE,t3GR}P71ON AtJnlatt p1tAWINQ op PROPOSED DF-OLOPMONT
(lndlvlafualpropvsing develophientntrtst ,III" deparlpilon below oraftaoh a silo drawln�)
16a:e_ ch
In wrltinii vrifltin 10 ghyo of
oaedyournWstnoiltytheAlvlsiono CoaetA)N1onaDamoi,t
tot dila notice, Couteat intbrntallon ror Pam oftloe§ !s
odaAnfactdon),him or hY oalllno 1-0094RCOASr. No
(Property OwnBrinEorrnation) (E;ipari roperly oWnar lrtformatlan)
r
S snaiure 5 gnaiuro '
n� 1� I- L
Aht or7ypa Name
PilAI or7ypa Name '
s ng Adress Muf i Addmss
Oj % lF • C1fy/Stala/nZlp
Tele lions umbar RECEMED
Te epholro Ntrrtlbar p ��-°
Date ogleEP 18 2014
PCM MHD CITY
DIVISION OF COASTALtMANA WENT
-- CPRTIFIED MAIL. - RETl1K1`{ RCvrr
{hereby certify that 1 own property adjacent to
(Name of Property owner)
property located at
(Address, Lot,13iock) Road, etc)
f't P4 N.C.
��►rt'e. In j e-
(VYaterbody) (CLtyl own and/or County)
R� 6V �aeId�'r
gganYe Nam
it ooh Ma ingAddress:
Agent's phone #: �5�-- la �•_ . _ -
He/she has desoribed to me as shown below the development he/she Is proposing at that focatlon,
and I have no objections to the propose . .................... :........... M --- -----------------
..-
_....�......_-p�8CR1PTi0N ANDIC7R pRAWiNQ OF PROPOSED DEVELOPMENT
(Individual propos/ng development must f111 in deSerlA�On below or attach a site drawing)
l
SEP 18 2014
DCM-rim CITY
ifyoti have objections is what[$ beingproposed, You mustnotlfytha D/vi$[on of Coastal management
Is
(L)CM) in writing within 90 days of receipt of this notice, Contact Information for DCM offloo.calling q,B88.4f2COA3i: No
aval[ablo at www,nccoastalmangement.not/contact dcm.htm or by
resbase !s considered the sama as no ob ect[on if ou have been notlfiec7b Certilled Mail,
(property Owner information)
-NA� �r �
swature
LU &
Print orType Name pp o
Met ingAddress
Citylstatwip
T olephona Number
Dale
n property Owner IntorI 'jma�ia�r�f_
Pam or 7 ype tvame
-3o3
MallingAddrass
• c/lyistat�zip
,
TelephoneNumb r
119 X
Date
zz.
"}v-leit
Sj
10.
/*
DIVISION OF COASTY o MANAGEMENT 0 pR
•DJACENT R PR
CI^aTIPIED MAIL. - RETURN RtIur-1 T RE4llE8'CEq
6-
I hereby certify that I own property adjacent to
(Name of property Owner)
property located at 0G 1
(Address, Lot, Block, Road, etc )
In -CM
on '
(Waterbody) (city/Town andlor County)
• Agent's Name #1: —42f �`Q, �il'o 0 ky _ Mailing Address:�� , /meq a n/ +`� —
�1�D
Agent's phony: - (0 6 '--
He/she has described to me as shown below the development he/she Is proposing at that location,
and I have no objections to the proposal,............. ,.....__ r ��...
_-_-- ..........
..........
......
DESORIPTION ANDIOR DRAWING OF PROPOSED DEvELOPMENT
(individual proposing development must fill in descriptlon below or attach a site drawing)
REECENED
SEP 18 2014
DCM-NmD CITY
lfyouhave object/ons fa cvhattsbeingproposed,you must notify the Division ofCoastaiManagernent
(AGM) In wrning w/thin 90 day$ of receipt of this notice, Contact Information for DCM oft7ces Is
!s
avaliagle at www.nocoastalmangement,nedconiacr rlcm•ht it or by calling 1-888-4RCOAST. No
rhsnonse Is considered tha same as no ob ectfon 1f ou have been notlfleii b Certified Mafr.
(property ovmer information)
Agkk�c.Pir
signalure
Print or Typo Name
M tng Address
AtiTTI'durd A61
c�y�sratomp
Telephone Number
1410-•/ u
Data
an Property Owner
Sig tare
Print or Type Name j
Malting Address
AI
• lty/statQlZtp
Teiephone Number
.Ad. Id"Vay - -
,#n r;
1
1
,` lriST vVr� • sWl"� "'tel
i7 �46'
x Ib
Y ��Fo -
c/�
cc � 1
Na
�, QArr
FIT 20he .35on �.7 a lnb '%L RIT'ni ;haw l
• Applicarit: OICG'� 1' 1v✓
Date: _
L'I I I(-/
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 NameCho
DISTURB TYPE
ose 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
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem • acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
ow.
Dredge ❑ Fill ❑ Both ❑ Othe�
V�
•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 El Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
a�a.Ment.heq
,A tea) ` f c
WG
AMA • ❑DREDGE &FILL Pa.wti..zC ro'E"'�t�: CQQ1=
._
E; EF�AL PERMIT Previous permit #
evv ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources, f
- 1 .:mow ..... _...
and the Coastal tiResources-Co minion in an area of nvironmental-toncern-pGrstiaiht wl SA NCAC-, `- "" "
❑ Rules attached.
Applicant'Name Project Location: County
Address Street Address/ State Road/ Lot #(s) f
City" #3 State /i ZIP '-g'�•'� j~ 3`' d r" t1,141
3
Phone Fax #'
(_) = :; Subdivision
Authorized Agentt�` Cityd"Y.t x ZIP "4
�,—..........�.....d ........ , f _. _ _
Affected 0 C OEW aPITA OES ❑PTs Phone# ( ) River Basin + " A
❑ OEA ❑ HHF . ❑ IH ❑ UBA ❑ N/A r
AEC(s): Adj. Wtr. Body ?c it R ��` �'� nat man unkn
❑PWS: OFC:
ORW: yes no PNA yes no`j Crit.Hab. yes / no
Closest Maj. Wtr. Body
SigrAture Please read compliance statement on back of permit
Application Feels) Check44
a... ..,. .,�r.....t..._ .-__ ,�.. _.
s
IssumgDate >
Local Plann ngJunsd�cuon
O'piratio Date '
Rover File Name
A building
permit may be required by:See note on back regarding River Basin rules.
e of Project/ Activity
IV
A,� 1,
r '
'Agent orlppli t Print d Name Perms Officer s Si ature -
Pier (d9ck) length
Platform L-KIU
■■■■■■■■■■■■■■■■■■■■■■■Finger
■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
number
■■■■■■■■■■■■■■■■■■■■■■■■■■r�■■■■■■■■■SEE
Bulkhead/ Riprap
■■■■■■■■■■�
■■■■■■■■■■■■■■■■■■■■■■■■■■
avg distance offshore■®
, 9MM■■■■
�r�
rl■M■■■■■■■■■■■■■■■■■■■■■■
max distance offshore
■i■i■■■■■■■crrr�►��u■■■■■■■■■■■■■■■■■■■■■■■■
Basin, channel
■■■■■■■■■■■►�►�■d■■■■■■■■■■■■■■■■■■s■■■■■■
■■■iiiliiMM■■i■i■■iiiiiii■�i■■■■■■■■■■■■■■■■■■
cubic yards
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
Boat ramp
hili[i�L'�L'iSflti■■■■■f+•■\■■■■■■■■■i■iC�i■■■■■■■■■■■
■■■■■■■■■■■■■�7■■■■■■■slil■t��l■OMO■■■■■■■■
Beach Bulldozing
■■■■■■■■■■■
^C�
■■■�Wllitfiii■■■■ii■■■■■■■■■■■■
Other
■■■■■■■■■■■■,iEa■ill■■■■■M■■�■�■�■■■■■■■
WW
■■■■■■■■■■[�■■■■■■■■■■€
!l ■■■■fi i
-inn
MWE
ANNNI EiMN
-
■■■■■■■■■i;�lir'
�1���T��7,i!.�1r!�;w14�1�'i1�.�1�
iii■iiii[!!i
•
MOE■■■■■■!r�r/i.'"��+rbl!JrLrSi`r:i"�iiii■■■■■■■
MEMO■■■■■M■■ME■■■■■■
- •■M■■■■MM■■■MMM®■■■■■■■■M■■■■■■■■�■■■■MMM■
1M■E■M■■■■■NMENE■■M
SigrAture Please read compliance statement on back of permit
Application Feels) Check44
a... ..,. .,�r.....t..._ .-__ ,�.. _.
s
IssumgDate >
Local Plann ngJunsd�cuon
O'piratio Date '
Rover File Name
A building
permit may be required by:See note on back regarding River Basin rules.
Notes/ Srecial Condition§ b .d' . r<` f..) l� o v --r 4 i r — /e t r` r �. , 1
r '
'Agent orlppli t Print d Name Perms Officer s Si ature -
SigrAture Please read compliance statement on back of permit
Application Feels) Check44
a... ..,. .,�r.....t..._ .-__ ,�.. _.
s
IssumgDate >
Local Plann ngJunsd�cuon
O'piratio Date '
Rover File Name