Radio Island Marina Club

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ENERAL PERMIT io rev P" " us permit
J
lete Reissue -1 R, Date previous permit ssued
ew ElModification OComp El Partia eissue
�As authorized by the Stat.eof North Carolina, Department of Envir'onment and Natural: Resources
and the Coastal Resour
ces C mmiss!?n inaenvironmental conce wr-suant to 15A NCAt )V
,.n area of
h clae
eL
Rules ad
Applicant Name County nty
Address
Street'Address/ State Road/ Lot #(s)
City
Stat ZIP,
Phone # 0
ail Subdivision
Authorized Agent City
ZIP
Affected 1:1 CW '[ ,,EW *TA DES ❑ 1 Phone # 4, -3-,� River Basin
1-122,
El OEA El HHF 0 IH 0 USA 0 N/A
AEC(s): 0 PWS: Adj. Wtr. Body _� Lk A-1 l")A, (mat, /man /unkn)
ORW: yes /0PNA yes Closest Maj. Wtr. Body—
(.)
-n 3
A 60
Type of Project/ Activity I
caleA
(S:
P�
ier (dock) length
Fixed Platform(s
ENERN
WIRRIJEW,
I ININVAR"
LOPAIleffic
MIN,
FloatingPlatform(s)
"
Fingerpier(s)
Groin length
number
Bulkhead/ Riprap lengt
avg distance offshore,--
ax distance offshore--�
i C n*15�)Q
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'AN
0
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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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-888ARCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

Pit— �p
r
ENERAL PERMIT Previous permit # B ''
ew (]'Modification ❑Complete Reissue El Partial, Reissue Date previous permit issued
auth6tized bythe. State of -North Carelina, Department of Environment and Natural Resources
Ohe Coastal Resources C mmission in an area of nvironmental concern pursuant to 15A NCAC . 'f' 1=' -✓
Rules attached.
plicant Name ' `; { ~ i ;` Proji;et Location: Countyi`�Q
dress `' ti }.%' • f,,, ' Street Address/ State Road/ Lot #(s)
t State ZIP
one* "" EMail Subdivision�-
thorized Agent City ' ,;t t_;�— ZIP'( Ve
`ected ❑ CW [EW TA ❑ ES ❑ PTS Phone # ( `� River Basin i,,;4
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �` `
C(s)::: Adj. Wtr. Body A 1 �'ww� at man unkn
PWS:
tW: yes / t) PNA yes /
Closest Maj. Wtr. Body a�,ti t t
ape of Project/ Activity.
(Scaled )
%r (dock) length X,
fixed Platforms)""
Ioating Platforms)
=finger pier(s) ``'--- - — -
Sroin length
number
8
3ulkhead/ Riprap length`��
avg distance offshore
ax diR' stance offshore'
s !
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AWMENT RIPMAN PRbPEMMER U8=MT
I hereby certify that I own properly adjacent to o Zk.j
6 t� yo 'Pa of Propwty Uamer)
property located at 5 _
.....
on -Jef in hoc _., N.C.
'(Waterbody) ',(Cltyltown And/or County)
The appl has described io me, as shpwri below, ,the development propo dd at th9 above
I have no abjection to.this prbposal
have objections to this proposal.
pFSCRiWON AND/pR "D WINO fJF PROpb390 DEVEROiWENT
jlndWc(dal propos/ng develop rxt * ffliln dewddt(on below or Attach a site drawing)
R � I"I D
E �, �� .
Mi ,. 01 2017
DCM- MHD CITY
IVER SECMON
I understarld..tti lt. a'piier, dock, moorings in$g;,.Oreakv�ra er,"boathouse, lilt, or groin "must be set
back" a minis �m d rice of 15`. fccp, :rriy.ai a, of.Ai rran', access unless waived by me. (if you
wish toiaiiie" the setbaclt, -you intrust. Initial the; appropriate" blank below.}
' I do vrn to waive. this 16' setback ;requirement.
I do tiot wish to waive the 15'setback requirement MAR 0 6 2011
{PrQpeetn) o� A � ®CIy Ownrr IrorMAigrt IN
Si iltura SY ne j i
o64 dna<<i�M To asa )
Print or. Type Name i
-- AdaN1ng AcYdraW
27 TV)
7'a�apfibne`�Vranber 3
D
Date ;
(Revised 6110012) }

JACENT RIPARIAN PRaPERFY QWN6t STATEMENT
I hereby certify that I awri. property 40cerit.to �►n�i�`i a � �fuj
ftrt i tk t l 4 & .TA) Q "S
. .(Ni#yne 9f Prroperty OWner� T
property located at I b� D S
.� (Addr?ess, Lbon B1ocgG, Rd;
(City/Town- dnd/or Couni�►)
-"
The appijcant has •describedd tb ine,. as shown below, -the. development propo$ed at the 'above.
location. :.
>;
l-have, no-owqon to:this rii as 1.
3
I havo objecAbns td 910 pfopas
PESGR[ITIQN.Ai�itIpi �Ri4111CINQ"Q 1�ROp�S�D DEVELQMEi1fT
i P p 9 •_
Iridlrildtlsl rb osin deve/o merit JA(f 41. In •descrf j�tlon bjOgfow dr aftaclt W sfe drAwing)
0 1 2017
)'ry'
I uhdersi6nd t6gt.a'plar,•dock, rrioorin ' 1 iri`"' ;:�3rQakwater, boathouse; Oft, o�l�r�rtt+s �� CITY .` : �•
`:
back a �niriiC um dlsiaitce of i5;f om i i er, 6f-ho- i d-- ccm uni.'ess waived by me. (if you.
wish to walve.the.settiagk yQy itttast:iiiltie, 6.6. p tQ rfote'blahkbelow.)•
,
l0.wiSh RWaivQ.tiie l5`s®t ackreq�+irement.
'
WO,to waive the 15 setback requirg'rhent.
;
( operiy burner IrifoitYtation) " Ad)acon Property nor Info ` n) ., a
S+ 'r
;re'
a u
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Prinf•gr • 'Name Pifhibr T)ps Name
M 1tg A rem ) Mallln dress —
7"e ephgns 111 'tuber
1. .. �� 0m�
3o" 1;7 .
Date C IVE ® 3 ;
(Revised 8/18/ M)
MAR 0 6 2017 ;
DCICI- MHD CITY

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MAR 0 6 2017
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