Town of Emerald Isle (3)

P
PICAMA / ❑ DREDGE & FILL K w ° 10 73
GENERAL PERMIT Previous permit#
PNew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources / r ,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -7 / / d l `
QRules attached.
PPlicant Name rQ�r Project Location: County
,Address �' ;¢� : 'i !_'" /' r--! Street Address/ State Road/ Lot #(s)
City �- State,;,"(' ZIP
1
Phone # (' )� `1 " �^ > l Fax # (_) Subdivision / ` ri < (- 1 I
authorized Agent �.>� �- �r �r°�J j City i' ��' ,', -'r 1 (r P
'Affected
AEC(s):
❑ CW DEW II PTA
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
❑ ES ❑ PTS
❑ UBA ❑ N/A
Phone # ( ) River Basin
Adj. Wtr. Bod(gat-/man /unkn)

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, certify that this project is consistentwith 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 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/ 1-888ARCOAST
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 /dyjw of FiJ9F"I'd bzrg is
located at TfM— 6.4wr / Name of Property Owner)
property �dA�Q O �oA D
(Address, Lot, Block, Road, etc.)
on 130C UE ,SaUrtp , in Fie AL O ISLE , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I 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)
I NSA «x�T e Q� A 1AY, x,169'Vo' �ii✓�Ir1 d� Tf-1 E
1:XISTrIr1 RDATIN6 pock 01- —Me 1Q0RT1qi5ArJ END
6F --/�E S00NAS)PE PIC-R AT TM-ERALO ISLE- -Woods.
MAP AND PROP05eD LA dN CH A�'7 Ci4en -
` zE RECF-Tvm
SEP 15 2014
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.)
do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requireV
(Property Owner Information)
Signa
LE5/A SA,d,o ERSa �J
Print or Type Name
fsoo Em EiPAcb TAR)yE
Ma& Address
Cr�EAP1,11 ISLE NC 2951+
City/State/Zip
252- 35+- 6 3s6
Telephone Number
oko31-f
(Adi,44ent Pro
Print or
Mailing -Address
City/State ip
Telephone Number
Date Date
r Information)
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to of ��F�?ALO I54E 's
(N�f a of Property Owner)
property located at q ��' �oAST 40AR,0 ]�O,A D
// (Address, Lot Block, Road, etc.)
on 8060 urJ , in r iNtFAALQ )SLE , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I 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)
�n/ST�LZ��io� ©� A Jr"Y)9k% (Alv0 E Lxtldc;1 0/V
#URIM--RN ErJD or- -M6�
C,m 6 9A UJ 1S LF 1f/o0495 ,
L-01)1\1cl '0�"q0),6D-
po 'eJ< Ro-' -MF
�GVn/iD SJ,� pI Eft
12OR P A1114 )°RD joas E J
x
SEP 15 2014
�A
is
DCltis•I�iIiD CITY'
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner
ation)
(Ad'a en
Pro
O er Information)
Signay{ture
'X F5JA F
! io?4&QSo n1
Signature
Print os�ype N�CneERHLtl fiRlllE
Printor TypCC4a a
Maili ddress
59�"
Mai- leg Address
� 4,,,GwQ,
s L
CitylState)7b
Z5 z 3�`}"
- (0350
City/State/Zip
'7_�2 3,S'q
3S'142-
Telephone Number
Telephone Number
D &
D
1 i�' 3-� 'mod (q
Date
Date
(Revised 611812012)

Page 1 of 1
Parcels - Updated 02-20-2014
Certerlines
County Boundary
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Other County
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Cart
Acreage
Parcel Dimensions
Lot Number
SEP 15 2014
DCM mn CITY
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EMERALD WOODS PARK
EMERALD ISLE
DPAWN By, c3c
I DAM 6/13/14 ease! 1 of 1
NOTE: ALL BOLTS REQUIRE ANTI -SEIZE FOR INSTALLATION