Porzio, Stephen

AMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
RINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1.J f ? C�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I/ %
►ii �pRules attached.
FlV t t- <.'� b ..
Applicant Name"} t t'► �I— Project Location: Countyl
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ddress (i Ci t ` �e,# a Street Address/ Stat Road/ Lot #(s)
f �+
City .t t y, ,� State VA ZIP C''%� ��"'7 r 1J�9 �` 8 (
Phone # C703) 13 t "" c V:;'fax # (_) Subdivision
Authorized Agent J V—(-� ! )r t ! Cie,- ZIP /
_ �Tcw o w [anA ..En ES ElPTs Phone # ( ) River Basin <J -A
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ,
AEC(s): Adj. Wtr. Body � ; _ �-' � t :: - � 6 P4 na .man unkn
❑ PWS: ❑ FC:
ORW: yes/ ;/no PNA �esj/ no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity r 1 /-J 0 t 1'r x i2 e t1"! 4u!" Wi /1" f
Pier (dock) length
Finger pier(s)
■■■■■■■■■�■■■■■■©■�t■■■■■.
Groin length
number ■■■■■■■■■■■■■■■UMMU■■PUpd-d ■■N
Bulkhead/ Riprap lengthe■■■■■', ■■UPOkowl<■HEMOMMIN■■■■■MI
avg distance offshore■■■■■r1l11101.1 .�tf■
max distance offshore -
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift WJ
Beach Bulldozing
Other —
Shoreline Length m
:SAV. notsure yes ! no
Sandbags: not sure yes no
Moratorium: n/a yes rnoPhotos:yes
Waiver Attached: yes'' ( no ,°
� l
A building permit may be required by: G� / : i t �•'
Notes/Special Conditions ,
t A'ICi (J. 1 r! r IV
(Scale: /L/ )
on back re arding River Basin rules.
pLl
Agent or Applicant.Printed Name Permiy9ificer s Sign a re
�tii'''' j
CY
' "Please readcom liancestatementonbackof permit" Issuing bat Expi tionDace
Signatu�e,� compliance
Application Fe(s) Check #
Local Plannmgjunsdiction Rover File Name

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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 how to 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/ 1-888-4RCOAST
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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
4/29/2014
Date
Name of Property Owner Applying for. Permit:
Stephen Porzio
Mailing Address:
9003 Bluffwood Ct.
Burke, VA 22015
�EC1:IV1~D
MAY
DCM ,N!ffD CITY
I certify that I have authorized (agent) Bobby Bright to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
dock
install or construct (activity) ,
at, (my property located at) 222 White oak Bluff Rd., Stella, NC 28582
This certification is
Property Owner
6/30/2014
(date)
Date
RECEIVED
MAY 16 2014

I hereby certify that I own property adjacent to RX 1^ Nol0� 0%
property located at (,V 1.�,-� �41c �L(Nama o Property Own0r)
on �(Aiildress, Lat, Block, Road, etc.)
(Waterbody) in tJ,C,
(Cor'w au
i
The applicant has described to me, as shown below, the develo to prop
location. developto p p����he aY,r�vh
-�, I have no objection to this proposal._ MPS
I 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)
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WAIVER SECTION N
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.)
-5• 4. 1 do wish to waive -the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Proper er Information)
Signature
Sfti��N (Or'2► p
Print or Typpe Name
Marling Address
City/State/Zip quom"'
Telephone Number
Date
�lr�l►�
(Adjacent Props or ormatio )
Signature
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Print or Type N e
Ma�S9r< 4V jl/d
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Teleph no Number
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Date
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t(Eeft W 012)
MAY 16 2014
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Generated by CamScanner
DCM=Mn CITy

I hereby certify that I own property adjacent to S-re4e
property located at W -�-f r� �i� �N 0 Property Owner)
onHAdN�% (Address, Lot, Block, Road, etc.)
n� Crr;
(Waterbody) ' In r.► , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development pr POMF94 a above
location.
---— I have no objection to this proposal..
AV I 201�
I have objections to this proposal.
M
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site
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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.)
(Propel
S�l
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
r Information)
Signaturd
S-rephow Pdrzio
Print or Type Name
goo 3 f3z-, l-r - tJ o#J CT
Mailing Address
6u,r�e Ui- -a-01S
Crty/State2ip
-70-S= r3a-STO(19
Telephone Number - _
Date ka.
MAY 16 2014
(Adjacent Propert ner Information)
Si e
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Print or Type Name
.MCP w
Mailing Address
0 Rypors, g� Ft, 3 z t
City/State2ip
Telephone Number
H IZO1k4
Date
(Revised 611812012)
IjC N,t4D CITY