Harrell, James Jr.

❑CAMA / ❑ DREDGE & FILL NO 70472 A
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant Name , Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) E-Mail
Authorized Agent
❑ Cw
W ❑ PTA
Affected
AEC(s): ElOEA
❑ HHF ❑ IH
❑ PWS:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
r1W kUUCK) RVInUI
Fixed Platform(s)
Floating Platform(s) r
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length j
avg distance offshore
max distance offshore
Basin, channel
rai
Boat ramp i
Boathouse/ Boatlift X"
❑ ES ❑ PTS
❑ UBA ❑ N/A
Subdivision
B C D
City ZIP _
Phone # ( ) River Basin
Adj. Wtr. Body " (na /man /unkn)
Closest Maj. Wtr. Body
r
Shoreline Length j
SAV: not sure yes Ono
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes - --
A building permit may be required by: V('
( Note Local Planning jurisdiction) Jt
Notes/ Special Conditions i V
f c!
(
Scale:
❑ See note on back regarding River Basin rules.
r�
r
Agent or Applicant Printed Name Permit Officers Printed N
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
Issuing Date
lq,f^
r�
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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

Lot
Block Road, etr_)
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!'++lading Address: 160 3 -r3� fi pw
Agerrs
has des"ibed to me as shown below the and i no moons to the PmPasat. dev Patent helshe is PmPQsing at %t location,
DESCRIPTION AND/OR DRAVANG OF PROPOSED DEVELOPMENT
NT _ imposing development must fr/I in description below or attach a site drawing)
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0
Ifyou have objections to what is being proposed, you must notify the Division of Coastal Afanagement
MCM) in writing within 10 days of recelpt of this notice. available at Contact information for DCM offices is
1
/w h_ww.nccoasta/manaaemenfnet/web/cmistaff listinorbycal/ing 1-888-4RCOAST.
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No res onse �s considered the same as no ob ecbon if u have been noted by Certified co
(ProP" Owner Info ation)
i\gnature C
Print or Type Name
1403(%- Ei��
Marling Address .
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Cety/5tate/Zrp
Te%phone Number/Email Address
1
Date�
(Riparian Property Owner Information)
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Print or Type Name r
Zoe 5 0.,) bvr n;t
Madntg Aftess
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City/State0p
-71
Telephone Number/Email Address
3O �
Date
(Revised: Aug. 20I4)

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care propertyt to
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Lot, Block, Road, etc.)
in
(WaWrbody)
AqWs Name
(City/Town and/or County)
#:
Agwrs
Mailing Address_ 1 (oG 3Phone
has described to me as shown below the sievel r
and 1 have no objections to the proposal. opment he/she is proposing at that location
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT~�~-�_-
0 "� Proposing development must fly in description below or attach a site drawing)
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t
/f you have objections to what is beln9Proposed' you
(DCM) in writing within 10 da mustnotriy the Division of Coasta/Management
'available at ;/ of rece/pt of this notice. Contact information for is
DCM offices
/www.nccoastalmana emerrtnet%web/cm/staff-listin orbyca/tin7l gg8�4RCOA
No res onse is considered the same as no ob action if oU have been notified b iifiST.
Ce►ed Mail.
{Property Owner info ation)
ignature
Print or Type Name
14o3 `���c,E� � —
,vranmg Address, `
-7-
Co/state, Zip
-�-`;z- 476— 4 S51)
Telephone Number/Email Address
S' 1
Date
Information)
Print or Type Name
MaringAddrsas
C>7y/State/Zip 61-
Te%phone Number/Email AddresC s
Dat
U'V14J`-.
(Revised: Aug. 2014)

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