Stone, Randal

5
MA / ❑ DREDGE & FILL
yr-10' -07480 A B D
GENERAL PERMIT
Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j
Coastal Resources Commission in 15A NCAC /
and the an area of environmental concern pursuant
to
Applicant Name '� K" s
❑Rul s attached.
Project Location. County' p'
Address`-�'� �' ` s t
Street Address/ State Road/ Lot #(s)
State/, ZIP "'IVC'
City `; t'f'`l.l"ar>V,C"Cf
Sc ...
^ )
Phone # (aDl ) "_� ! E-Mail
Subdivision
Authorized Agents C;r� �, A' r
°.,4WY�c
City. ZIP )�°` d
Affected ❑ CWW ❑PP17A ❑ ES ❑ PTS
Phone # ( ) River Basin. ^c r t
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body - • " ma`n unkn
❑ PWS:
ORW yes / jno I PNA yes
Closest Maj. Wtr. Body
NE1111EMMIN1111
Nor
No
MMINMMIIIMMMMIMMMMMMI
MMMMEMN
A buildin permit may be required b :77,
g p y q y'' ❑See note on back regarding River Basin rules.
Note Local Planning Jurisdiction)Notes/ Special Conditions
ce s Pr)Jed Name
to : E iral

r 'd
W
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:
0 Tar - Pamlico River Basin Buffer Rules 0 Other:
El 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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14

1
AMA / ❑ DREDGE & FILL Ld3� A B C D
GENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Reissue ; Date previous permit issued
As authorized by Stawoi North Carolina, Department of Environment and Natural Resources / / 0
and the Coastal Resources Commission in an x a of environmental concern pursuant to I SA NCAC
*a l t j ,� &Ruff attached.
Applicant Name ' s (c , / }"� Project Location: County- C,,.,� C:.e 7.
Address f l ci � ("� Street Address/ State/Road/ Lot #(s)
CiState ZIP f
cj
Phone # ) a —NO E-Mail Subdivision
Authorized Agent Q `V t"m'i City. VC ' ZIP
Affected ❑ CW °5�V RggA ❑ ES ❑ PTS Phone # ( ) { River Basin P l
❑ OEA ❑ HHF ❑ IN ❑ UBA ❑ N/A m unkn
AEC(s): El Pws: Adj. Wtr. Body J
ORW: yes Closest Ma Wtr.
/ o PNA yes nd 1• Body
Type of Project/ Activity
Pier (dock) length ^^
Fixed.Platform(s) "
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp '
Boathouse/ Boatlift A
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes no
Photos: yes n —
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Sprcial Conditions
1Ac f �
PPiicant rnntea Perm
-� Please Bead compliance statement on back of permit Signatu
❑ See note on back /regarding River Basin rules.
f s P ed Name
9 ,
Chi
:# Issuin Date E iration Date

Feb 13 15 0i1:3Op Sylvia Stone 336-275-5590 p.1
4
11MUNK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Division
C. Davis
Governor John E. Skvarla, III
Director Secretary
Date
Ol�i/ f�S
Applicant Name
Mailing Address
IVG a'A.
e_1
I certify that I have authorized (agent) hd 0H Q S /,Q W J W(I C C— _ to act on my behalf, for the
purpose of applying for and obtaining all CAIVIA permits necessary to install or construct (activity)
L c I,/ 1
.3k
This certiri
Signature
Vc:
, at (location)
el 9f;S-110.
RECEIVED
FEB 18 70?5
t)CM-MHD CITY
400 Comm. rce Ave., Morehead City, NC 28557
Phone: [phone] FA.X: 252-247-3330 Intemet ,Aww.nccoastalmanagement.net One
North�FCarolina
An Eq,ral Opportunity t Afri malrre Adon Employer Naiil i4

Feb 13 15 01`30p Sylvia Stone
336-275-5590 p.2
'Feb 07 1,5 10:18a Sylvia Stone
336-275-5590 p.1
cE nFIEf ) KAlL RIEiIIRIV �OEIPi ��c�ru>��TE�
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiOhl/WAI'VER FORM
Name of Property Owner.
Address of Property; 297
i �:i7,L✓ CT i!c- catr]Z�'T"
fLot or Street#, Street or Road, City & County)
Agents Dame #:
-Agent's phone :9:
Railing Address:
I hereby certify that I own property adjacent to the above referenced property. The individuat -
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A desCription or.drawincl, with dimensions. must be provided with this letter
I have no objections to this proposal I have objections to this proposal.
if you have objmctions to what Is being proposed, you mustnoWthe DjWsroir orCoesfa/Msnagerttent
MCM) In wvlfting within 10 days of receipt of this notice. Correspondence shouid be mailed to 400
Corinne&e Ave_, Morehead Cirlr, XC, 28557, DC€i<l represe??tatlaes can also be corrtacW at (a52) 808-
28D8. fIo res�orrse is corasltlered ffresaMe asno abAc#bh ifYou'have been naafiedby CertifiedUall.
WAIVER SECTION
I understand #hat a pier, dock, mooring pilings, breakwater, boathouse; Lift or groin must beset
back a minimum distance of 15' from my area of riparian access uniess waived by me. (If you .
wish to waive the setback, youmUa the appropriate blank below.)
do wish to waive the 15' setback requirement.
RECEIVED
I do not wish to waive the-15' setback requirement.
FEB-1 2 1015
(Pc Omer I n) (A 'scent Prope �Dwrrer ile�iarmation)
Sxgnat ee V s rP-
Print or -type Ivame
mailing Address
CZ S/3A6e-) eN C- -2 WNC
ry/`tafe2ip .
fefephone Number
Data " I
• •
Telephor,� Number
Revised 611W012

Feb 13 15 01:31 p Sylvia Stone
336-275-5590
p.3
01
-
cp
RECELVED
-- FEB-t 8 2015---- -
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61.