Thingulstad, Eric

CAMA / El DREDGE & FILL A B C D
GENERAL PERMIT Previous permit#
—'New ❑Modification El Complete Reissue ❑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
Rules attached.
Applicant Name C i t , , Project Location: County
Address_
City / "J i
ff
Phone # ..'.
Authorized Agent
r
State i'f ZIP
Affected ❑ CW ❑ EW ,,PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no '
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 . `t} 1 6
Fi
cubic yards.,
Boat ramp
Boathouse/ Boatlift °
Beach Bulldozing
Other S
s
Street Address/ State Road/ Lot #(s)
Subdivision
City_- ZIP
Phone # (_ ) River Basin
Adj. Wtr. Body (nat (man /unk,)
Closest Maj. Wtr. Body` -
Shoreline Length '' -f
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no + `
Waiver Attached: yes n
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions ice:X (t"{
r
Agent or Applicant. Printed Name
io
Si N P greadcomRlianc�,staternentonback ofpermit
z f
Application Fee(s) Check #
(Scale: t f y' )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
Issuing Date Expiration Date

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 consistent with 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 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 howto 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: [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)
http://www.nccoastalmanagement.net/
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)
Revised 08/27/ 14

Adjacent Riparian Property Owner's Statement
Adjacent Riparian Property Owner:
Section Number: I Lot Number:
Name:
Cl/ l
Address: �/6 S rcc�CF� �y— A�Ge
Telephone Number: & / 7� .3 5-0? to
E-mail Address: GTh IYIQ��'� IVC 'e, - cam
I hereby certify that I own the property adjacent to:
l
Section Number: r Lot Number:
Owners Name: G �D r4.V e/� (,5
Address: I .© ✓ -!"-) V_"d e 0 1 A J V L2Av' 0511 0
Telephone Number: Z'fD (e Z CA —T J O Z
E-mail Address: � ((X%A.5 V I U� ��• Cc3AA
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed Work" form and have no objections to the proposed work. I understand that
docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (15'-0") from my
riparian line unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Adjacent Riparian Prope,wner:
Signature
Print Name ' I 6t,-6
Date i[:% Maw t,(, 201
/ `� �V'Ct I
PLA l� D�

Adjacent Riparian Property Owner's Statement
Adjacent Riparian Property Owner:
Section Number:
Name: M, 14 E L
Lot Number:
Address: 116 T
Telephone Number: GZ3-Q— 6.3 / — i .� , �.�
E-mail Address: .4&rtz � 4 _4
I hereby certify that I own the property adjacent to:
Section Number:
Owners Name: r�L�
Address:
Lot Number: 33
/A
Telephone Number:
E-mail Address:
//-I-W AG okJ'
S�40
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed Work" form and have no objections to the proposed work. I understand that
docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (1 S-0") from my
riparian line unless waived by me.
_ I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Adjacent Riparian Property Owner:
I
Signature — V V
Print Name MJ d,4RAEL. 60NN6 LLB
Date /Iq lIg J

1�b
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Dock Plans for:
Eric & Sandy Thinguldstad
1105 Caracara Dr
New Bern NC 28560
Existing Piling
I "
CU
10 .
a
0
a`
Existing Piling
15'
Riparian Boundary Existing Dock 20'
IIII
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 4142 43 44 46
e
Requested Items:
ED Add a floating dock within the pilings
1. Install extension next to dock
2. Install drive -on section
Dredge
Dredge
26x10
0
o
Existing Piling
• 15' Riparian Boundary
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