Steinberg, Janice

OCAMA 0 DREDGE & FILL
GENERAL PERMIT
Previous permit #
EINew ElModification El Complete Reissue
ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources /_ I- , /-- -
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NC.AC
D Rules attached.
Name
Project Location: County If
Applicant
Address
Street Address/ State Road/ Lot #(s)
�C ty "J, S :ate
-A
Phone # Fax#-(
Subdivision
�Authorizecl Agent
ZIP
0 Cw Ej EW _Z] PTA El ES El FrS
Affected ; W1,
Phone# River Basin V.4, i
0 OEA 0 HHF ❑ 1H 0 USA 0 N/A
AEC(s):
Adj. Wtr. Body 4 1ti (nat Wman i/unkn)
0 PWS: OFQ
ORW: yes no FINA yes /(no.l Crit.Halb.
yes Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier
Platt�
Finge
Groi!
BulA
Basii
Boat
Bow
Bea(
Othi
Ilength
number
ead/ Riprap length
■■■■■■■■■■■■■:■
avg distance offshore
No
MENNEN
mom
OHNIM
M
max distance offshore
,channel
■��■■■■■■■■■■■■�■■■■■■■■i■■■■■■■■■■�■■■■
cubic yards
ramp
,ouso Boadift
II
�iBulldOng
�
rf,
-line Length
not sure yes no
iagS: not sure yes
torium: n/a, yes
yes no'
:tr,Avv�6ed: VAS
r­
A building permit may be required by: + 0­1 4 r, J
Notes/ Special Conditions , I x
❑ See note on back regarding River Basin rules.

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
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
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -Al I e- b n't c,-, eN)L> 's
(Name of Property Owner)
property located at l o (o f2edw oed
(Address, Lq, Block, Road, etc.)
on Cav�a�� , in ,one Kk,o 11.611cYe.s Kati ?N.C.
(Waterbody) (City/Town and/or County)
The; applicant has .described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
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)
&k-tat q,�; C." oQ- b a o--� 1 t�+ a } 2x is v, flack as ' ho W n;
Loomis Property Line Durham Property Line
i \ 1
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.) RECEIVED
do wish to waive the 15' setback requirement. OCT 2 2 2014
DCM-MHD CITY
do not wish to waive the 15' setback requirement.
(Pro erty Owner Information) (Adjacent Prope Owner Information)
Nature / = Si ature
kev%
Print or Tyype Name Pri r TypeNa e
16 (P Ke,&kv-> o mac . C -
ling Address M ' A dress
�tk es ; mac, ag�►2 SLL 2,
City/State/Zip Cit s telZip i n
Telephone Number Telepho e tam 1
Date Date

_,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to eve & .� G��i �.,_, . a, 's
(Name of Property Owner)
property located at l o to R edw Cocd C
(Address, Lg(, Block, Road, etc.)
on in Y,-,vNe- V-v%a11 Sk►evr-s �Carlave.rN.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
locat(
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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.)
RECEIVED
1 do wish to waive the 15' setback requirement.
OCT 2 2 2014
/
I do not wish to waive the 15' setback requirement.
DCM-MHD COY
(Pro�ner Inform ati n)
(Adjacent Property Owner information)
tl T
r q
4te
p r
Si `tune / `C Si
`� / JCf. % tR Sit v%
a
Ski 1
Print or Type Name
L (A , i eAL-x dJ� C_r
Print or Type Name
t 64
C� r%
Mailing Address
9 vie
Ting Address
IGnol1-��or�s
uUC �Ssl2
City/State/Zi
(009 = �3S(-gog8
City/state/Zip
���- 34,4, 0 7S_(j-IZ
DFy - cqee
Telep one Number
Telephone Number
4 (y
2aly
Io
Date
Date
(Revised 6/18/2012)
M

RECEIVED
OCT 2 2 7014
DCM-MHD CRY