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AMA / ❑ DREDGE & FILL t/*
A B D
ERAL PERMIT V , Previous permit #
ew ❑Modification El Complete Reissue ❑Partial Reftsue Date previous permit issued
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 15A NCAC !��`
ul attached.
Applicant Name a"► �%" /o r Project Location: County 's� .
Address ° �f tf'&' 117 Street Address/p State Road/ of #(s)
/`� City 4 14A � f c State /V C ZIP�
Phone #-�� E-Mail Subdivision
Authorized Agent City" '" 1 ZIP
Affected ❑ CW r24tA ;;4: S ❑ PTS Phone # ( ) River Basin
OHHF ❑ IH ❑ UBA N/A '
AEC(s): El FA ❑ ❑ Adj. Wtr. Body rcl• y""t"Mat`" man unkn
ORW: fe no PNA yes,/''noy Closest Maj. Wtr. Body
Type of Project/ Activity, #t< C/o to
Pier (dock) length 6
Fixed Platform(s) 10 A 1
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/
Beach Bulldozing
Other
Shoreline Length i
SAV: not sure yes,,^ np
Moratorium: n/a yes .................................
Photos: yes n
Waiver Attached: yes n
A building permit may be required by:'� "✓° '"
( Note Local Planning Jurisdiction) f
Notes/ Special Conditions
(Scale: -7 )
❑ 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 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El 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 (252-946-648 1 ) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14
A4AMA El DREDGE & FILL
GENERAL PERMIT
A B D
Previous permit #
il�iew F-IModification DComplete Reissue DPartiall Reissue Date previous permit issued
A authorized by the, State of North Carolina, Department of Environment and Natural Resources
Jiid;t6 Coastal Resources Commission in an area of environmental concern
pursuant to 15A NCAC
attached.
4-�
Applicant Name a w- C-Yhys
/-F,011ules
Project Location: County 4—
7
g'4A
Address -A-T
Street Address/ State Road/ Lot #(s)
City.. State ZIP 0
5 —7
VA jr
Phone # all 2 L E-Mail
Subdivision
—a
Authorized Agent
city 't,-t e"s" V ZIP 4^"J
Affected 11 Cw 'avw 9PU a�ES El PTS
Phone# River
Piv Basin U,
AEC(s): 0 OEA 0 HHF El 11H [I UBA L1 N/A
Adj. Wtr. Bodpp y man unkn)
11 PWS:
ORW: =yes no PNA yes noe
Closest Maj. Win Body JI
Type of Project/ Activity
(Scale:
1Vfw
Pier (dock) length r
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
Beach Bulldozing
Other
. I I
Shoreline Length
SAV: not sure yes 9sr
Moratorium: n/a yes
rp
Photos: yesng
Waiver Attached: yes a
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A building permit may be required by:
Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name PermitOfficprs
'<2 f
Signat Please read compliance statement on back of permit" Signatu4
V
Application Feels) ,
Check # Issuing Date
El See note on back regarding River Basin rules.
Name
4
V
-1-J
Expiration Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to P__ 's
( ame of Property Owner)
property located at
(Address, Lot, Block Road, etc.)
on C6IT 915 CA n � , in � � � f'1 `�"/ G; � (��,����1 � �" 'N.C.
(Waterbody) (City/Town and/or County)
Agent's Nam #: l -hf Mailing Address:Vyld2j`fC, 0(9k
Agent's phone #: I - ! q� Dl . Gl0 Lf DJ .Sf �c�Ylr's �� �If C t et,
He/She has described to me as shown below the development he/she is proposing at that location, a174d
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
MAR 2 4 2016
DCM- MH® CITY
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp://www.nccoastalmanapement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
rty Owner Information)
Print or Type Name
Mailing Address
Af -) iclC1', 21 jj
City/State2ip
Telephone Number/Email Address
Los / ` Vi6,
Date
(Riparian Property Owner Information)
4ez� , C� 1� i
Signa f re
-4cf il,,, 0J -
Print or Type Name
Mailing Address
City/State2ip
�.--
Telephone Number/ E ail Address
Date
(Revised: Aug. 2014)
Egg
3
4
L s
MAR 2 4 2016
CCA#- AOID C
STY
DIVISION OF COASTAL MANAGEMENT
' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that 1 own property adjacent to _L l/4 1 n d d, Uz zie 's
(Name of Property Owner)
property located at
(Address, tot, Block, Road, etc.) //��
OnWiP. \�C'1 � , in 1laa 15, � t;l�r-ngeP� , N.C. �
(Waterbody) (City/Town and/or County)
ff � R
Agent's Name #: _ I J by- /G' Mailing Address:&L. ) Cl J
Agent's phone #:) q I9 `} T� �� ��l IS�s n j rtl�,—/V C,
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
------------------- ----------------------------- -------------------
DESCRIPTtON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
it you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athtta://www.nccoasta/manaciementnet/web/cmistaff-listing orbycalling 1-888-4RCOAST,
No response is considered the same as no objection if you have been notified by CertWed Mail,
Owner
bilcla T4V,far --
Print or Type Name
132Z Hou5e.boal�-J-
Mailing Address
Atlaw f c
City/Stateop
lephone Number/Email Address
Date
(Riparian Property Owner Information)
Signatu
Print 6r4rype Name
"P--yp
Mailing Address
��ef.� ��7s�.
City/State&ip
2zg- gz �(-- 9,7 7!
Telephone Number/Email Address VED
Date MAR 2 4 2016
(Revised: A4)
0 CITY
ou
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RECEIVSD
MAR 2 4 2016
I)CM- MHD