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CAMA E) DREDGE & FILL
GENERAL PERMIT Previous permit #
W[New DModification ElComplete Reissue El 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 i SA N 7 2
E) Ulesattach d.
pplicant Name Project Location: County i� I
Address
Street Address/ State Road/ Lot #(s) (' dA iL
!City s rJ1 fl-I �O I t� State —Ak' zip
Phone#( ) Fax Subdivision
('1101 It
,774
Authorized Agent 111)10101, Cityzip 17/6'
—
_,:'q ES Frs 0 CW C1 EW PTA Phone # River Basin
Affected 1:1 OEA 0 HHF 0 , 1H 0 UBA El KJA 4Q, /man /unkn)
AEC(s): Adj. Wtr. Body VP -
El PWS: OFQ -, k *
Closest Maj. Win Body E fir?no, Crit.Hab. yes,� �n ORW: yes./"no PNA yeq7i��
Type of Project/ Activity r1 11/
(Scale:
Pier OU
low
length
i
number
iead/ Riprap length lr�7■■■■■■■■■■■■■l�®■■■�■■�■■�■
avg c we_
LAI-Go
INS
distance offshore
max
channel
cubic yards
ramp
-lineLenjiih
not sur 6 yes no
Fags: not sure yes,
torium: n/a, yes no
• es, no
d:
A building permit may be require
Notes Special Conditions A
d by: (.k
r" 117 r, (71
EJ See note on back rfgarding River Basin rules.
Ir o
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 I) 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
❑ Neuse River Basin Buffer Rules
Other:
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 Morehead City Headquarters
Mailing Address: 400'Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd. -
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -above (Serves: Beaufort, Bertie, Hertford, Hyde,
New River Inlet- and Pamlico Counties) Tyrrell and Washington 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)
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
i1CUMP.
Borth Carolha Departmnt of Environmelnt and Natural . Resources
Divisicn of Coastal Manrgement
Braxton C. Davis John E. Skvada, III
Pat McCrd.ry Director Secretary
Governor!
k.
JUL 10 2014
Date
l--.7,
DOM-MIM CITY
Applicant Name
Mailinaddress 1"�- g
�_e —e— —ks to act on my behalf, for the
i certify tW i hav -, w6ic. rized (a gent)
purpose 6f' applyii ig JW rind obtaining all CA MA permits nec:.. I ssary to install or construct I (activity)
This ce# tLficatjo rl i,: vai lid thni (date) —
04
signatore,
400 commera Ave , Mci -ehead City NC 28557
Pone: 252-80 V-28, 81 f: tkX- 252-24'1-3330 Intemet., v wnccoastWmanageM ?nt.net
AO Equal Opportun to % k kvd ?a Acrion Empi iYer
VXCErVM
JUL 0 3 2014
DCM-MWCffY
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a!D_JACI;ATI RIPARIM PROPERTY OWNER STATEMENT
horeby cer.ify that I own 1:1roperty adjacent to I r °� p,� `
�' .� (Na a of Property Owner f s
property loc rte l at � � �! e G- )
n- , (Address, Lot, Bll:rck, R ad, etc.)
on �.� e , in CCk
(Waterbody) (City/Town and ' N.C.
City) s
They applicar t has described to me, as shown below, Ilie development proposed at the above
location.
hale no ob,ection to thi.� proposal. JUL 10 2014
iax a objections to this proposal. ACM=MHDCITY
I �E� GF:IPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual E r of ►as ing development trust fill in desc, j�ptlon belowor attach a site drawing
1 I
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W,�IVER SECTIOII _�
N nd rstand t aat a Bier, doc c, mooring F ilings, breakwat �"Ir, boathouse,, lift, or groin must b set �(V��
�JJ back la minimum distance of 15' from mar area of dpanai► access unle:3s waived by me. (If you baG�
wish�71
lie setback, you must initial the appropria:ia blank below.),,
ao vris h to wai*,re the 15' se tback requireme nt.
�. I Jo not: wish to waive the 15' setback req uhement. JUL 0 3 2014
(Prop!erty Owi rer Intorma ctt : u
(Adja r.:ent Property. OrAn��n#�1rVation)
Signar�ure
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,AI;fJACEPJT R_„ IPARIAN PROPERTY IjWNER STAI•EMENT.
I he0eby certi y Viat I own pi operty adjacent to -.42tun�1 � 4ihdL_�'s
�Q
(Name of Property Owner) / propberty loci ed at _� .sod � i dCF-•
(Add
on U (h _ el—
Lo�Iac oad, etvAU in CN.C.
(Waterbody'. . 4:::: -(City/Town and/or County)
The lapplicani hEs cescribed to me, as'shown below, the developmeit proposed at the above
'on.
1 t ave. no objite ion to thi` proposal.
havo objeclims to this proposal.
DES -#RI PTION AND/OR DRAMISIG OF PM)POSED DEVELOPMENT
(Individual pi iop osing devalopmenf m vsf fill In description below or attach a site cawing)
cif
A
e
WhNER S CT1Obj
I Torstand ti rat a per, dod; mooring pilings, breakwater, boathouse, lift, or groin mus k�i%RE_
back h minIML m •iistance of W from my area of riparian access unless waived by me. (if you
wish -to waive tie -setl)ack, you must initial the appropriate blank below.) JUL 0 12014
I io 1 vish to wane the 15' setback requirement.
1 io iot wish to waive the 1:7 setback requirement. AM MRDQ
Propbrty Owr ier Infiarm on) (Ad rent Property Owner Informati )
SignaC�,..� �'. • �f% -� ure
Tohjablo5o N47 or
11(41 t�f_
Date
T1
�. T"Z7xQ r Aj
Date -
RECWM&ad 611812012)
JUL 0 3 2014
I)C IMmenly