Vann, Leland

1> 62209(��
PA�MA / 0 DREDGE & FILL 42/
A
GENERAL PERMIT Previous permit #
L ew LIModification 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 15A NCAC
attachqd.
Project Location: Co
unty ounty
Applicant me
Xciclress_-� . Street Address/ State Road/ Lot #(s)
F
_V
City k J�U`o` A-, L I/
'Ci State 10
Phone # (I Fax # C Subdivision
Xuthorizecl Agent I
Affected El CW )Qi'W tTA El ES 10 PTS
AEC(s): El OEA El HHF 0 1H El UBA 0 N/A
El PVYS: 0FQ
ORW: yes / (n. PNA yes / pd''Crit.Hab. yes no
Type of Project/ Activity U-:
Pier (dock) length'
Platform(s) 10
,-)I
Finger pier s
Ll X,
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
City ZIP'
Phone # C
%1 ( . . �River Basi k 1) 1'
6 nat -/man /unkn) .( Adj. Wtr. Body
Closest Maj. Wtr. Body— -lefil-
)'�Yt f ia nn 1i M s W, t cceTAT
(Scale:
1■■■■■■m■■■
M.
t•��%��I����l■■■
�M
M�­l
M
MINE
IMNMWMMEMMMMMMM
ma'a
ME��,�1•�■■��■
IM
�MMKLJJ
!MMMEM16191VEME
V
EMISMA■EMMEME■M&MMENE
WIN
INEUM
EMNE
a W�NIWMMM
ON M "FAME
ME No MENEM
AMMMMMEMMMI
MIMEEMHMMMMMMMM
WOMMEM
�■■MME■■
ME1EM=
R MEN ME
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules 0 Other:
0 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

tr• � �-.3',���»Jf3 �, .a�:..::a`�� �1 � ��'�ef . �., �5'�.;.. �. � aiu� :l.'.>?a-a.e�t�=;b /1
Applicant:. /�✓ J V<��
Date:
Iv
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance -total
includes any
anticipated .
restoration or
temp im acts)
FINAL Sq. Ft.
(Anticipated_final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge [IFill [I Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ F111 ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both' ❑ Other ❑
Dredge ❑ 'Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
I/
v v-13- d. 0WILM/91

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER121I00RING PILLYGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at col
's
(Name of Property Owner)
etee,k---,
(Lot, Block, Road, etc.)
on v VL�� , in1. �� �C B67ACt-1 , N.C. CVX
(Waterbody) (Town and/or County)
Applicant's phone #: Q1 '� " Mailing Address: 3 A klaee, Lioe,
Ile has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I. understand that a pier/znoori.ng pilings / boatlift / boathouse
nnust be set back a minimun-i clistancc of fifteen. feet 0 T) frbm my.arca of riparian access unless
waived. by inc. (If you wish to wai��c the sc:i_back, you must izzitial the appz opz iate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) _
._.._. �..� :1� rvat E�tcet•2 e�C;Si'i/f� s�ec.'iu�� .
f _,an Np �psf-
t APR 0 8 2013
aN�y vsoro� �rah�n��s —:
,
DCM.MMCffy
----------------------------------------
UaN
(Information for Property Owner Applying (Riparian Property Owner Information) r'
for Permit)
ailing Address
Piti17� dC- a7sz O
City(Sitate/Zip
gtq- 6a6- 1
Teleph e umber
Signature Date
'r Signature
Print or Type Name
7-11 _ / 2 g
Telephone Number
Date

Alan G. Bailey
PO Box 93, Morehead City, NC 28557
504-0737 * 726-5443
�
&+ &a,,/ jaevs
jcu
j.,�Os va ---
ImcmVEID
APR 0 8 2013

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER121,1OORING PILIN GSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Ze441JV OLLI'l ,5
(Name of Property Owner)
property located at
e &ee
(Lot, Block, Road, etc.)
n c
on o C� �a(dddd , in /7'V&Uc. _ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:9145-1,�,06—%67g Mailing Address:
Ile has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I S') from my area of riparian access unless
waived by rne. (If you wish to waive the setback,.you must initial the appropriate blank
below.)
I do not wish -to waive
I_ I do wish to waive. that setback requirement.
z
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by -individual proposing development) .
• � :11 Na't' E�tcee� C�ciS" J S�edur� .
�ti/tl/ d1o,�ps �al�o�rhs ----I
(Information for Property Owner Applying (Riparian Property
for Permit) N
,e?3 PAaA4c, LALL,�
Mailing Address
Ci tate/Zip
?62V
Tele h e Num er
-�-i
1AY
Si nature Date
RECE M
APR 0 8 2013
DCM-MHO CITY
ier Information)
Print or Type Name
z�2 - z -J's1.�2—
Telephone Number
Date