Hamm, Alton

CAMA / ❑ DREDGE & FILL N2 71372 A B (�C D
6 11%
GENERAL PERMIT Previous permit #
,^ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /� x %
and the Coastal Resources C mmission inan
�an area of environmental concern pursuant to 15A NCAC Rules attached.
ApplicantL.(-/
Name 1O14 t -^17 —7 Project Location: County _rC-`-,
/
Address U ` A Street Address/ State Road/ Lot /#(s)
City/' M e? r f 4 State /(/( ZIP_ � tj� Lc��/' • 1
Phone # al ) Si>G _E((-(M(ail Subdivision
Authorized Agent r�l) i ! / r f 5 ° City ✓�P/- ` u ZIP
❑ CW L,44 ,,60�*A ❑ ES ❑ PTS Phone # O River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body ,-- ��_/ natman�unkn
❑ PWS:
Closest Maj. Wtr. Body 7::
ORW: es /)o PNA yes /.-(io )
Type of Project/ Activity
W
(Scale: Al—J )
Pier (dock) length (1 v
i
Fixed Platform(s) �^
Floating Platform(s)
I
Finger pier(s)
i
Groin length
i
number I
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatli _J
Beach Bulldozing
Other
1C- A --
Please read compliance statement on back o>�ermit;!
i Vee(s) Check #
regarding River Basin rules.
PermitOfficer k meted Name
Signa ore
Issu g Dat xpi tion 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 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/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to r-1 V1 Ob n 40, '`' s
(Narpe of Property Owner)
property located at Z�
(Address, Lax, Block4 f oad, etc.)
on :jr,' �`>Ci` x _ inrutrc; lt�F'�� �u� e(Q� Fo N.0
(Waterbody) (CityrTown and/or County)
The applicant has described to me as shown beaiow, the development proposed at the above
location
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)
z\
- l
h WAIVER SECTION
breakwater boathouse, lift or groin
and at a p'er, dock, mooring p'l'ngs boat ra 5, from my ea of ripanan access unless waived by
;, t be sit back a mini urn dd stance you `must initial the appropr ate blank below)
me (If you wis" to waive the
wave the 15 set"a& reqUirement
I do wish to
------"`""�" i� usrement
I do not vil,h to wtarve tine 15, setha<-_., rsq • neIn-----tlon)
in Z_r ant PrOger pw.,er
ation)
(property Ow
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rt Qr
date, _.
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m Addm s
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1,,,dar yeat after Kr'.a I
Ive 4 for
JUN 2 5 2018
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
n
n
I hereby certify that I own property adjacent to
property located at
5`roH L-vh,,diPx
�,, r4 0IA=t "m r" 's
(Name of Property Owner)
r' c, L. t'
11 (Address, Lod, Block Road etc.)
on ©gvle L50w,•d- in �iAA-e-' �c, she Cav+,re+ G.. , N.C.
—� (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
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m
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y
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U ' WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 Ow ation) (Adjacent Property Owner Information)
nat re Signature
7z�e-1,4�
Print or Type Name Print or Type Name
Mailing AddrPss Mailing Address
Y lve ra4 /&& 2 �
City/StatelZip City/State/Zip
ZSz S-10 Z-7L)_3 Se,
TelepPone Numberl email address Telephone Numberl email address
b/p
71
Date'
*Valid for one calendar

K\)O ;,rr ®hiv��s►�5 rac n�col`�
ADJACENT RIPARIAN PROPERTY
I.OWNER STATEMENT
I hereby certify that I own property adjacent to �! rl� i�l f l 1-6r\ �t"►-yyi s
(Name of Property Owner)
property located at _ L C'
(A dress, Lot, Bloc off¢, gtc.)
on e- ��wi d , in i�? �/d / 'r , N.C.
It (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing de,eJopment must rill in description below or attach a site drawing)
c C '�
z n
N `
oo Q
\ WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
(Pro
Print or Type Name a
Mail; Mev� �s , i'� �� 2- S S y
City/State/Zip
2 �z s-60 z -7 a;yg
Telephho%n�e N mber/email address
Date
*Valid for one calendar year after signature*
on)
Mailing Address
�
ity/State
z z
Telephone Number/email address cA
Date* —C
(Revised Aug. 2014)