71448A_Robert J. DeHanes_20180425

E GCAMA / ❑ DREDGE & FILL No 71448
-^� GENERAL PERMIT Previous permit# GA B C D
klNew ❑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 15A NCAC 1;)oc) �!y
� I ® Rules attached.
Applicant Name 90ho'rhr3
Address Y IvC
City x:_( j 10 State—Ra ZIP r'7, 2
Phone # ( ). `i-7 1 13jg E-Mail
Authorized Agent
L3 CW
Cs] EW
® PTA ❑ ES ❑ PTS
Affected
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ WA
AEC(s):
❑ PWS:
ORW:
yes /(rfoo]
PNA
yes / (D
Project Location: County_
Street Address/ State Road/ Lot
5o)S� Ki,5S poi 1 1)-
Subdivision jil r S Qq.
City `/ , Cu ZIP
Phone# (— ) River Basin 1" ahI!
Adj. Wtr. Body c. (nat / an</unkn)
Closest Maj. Wtr. Body 11-1 1 1 (1 o 501t cA
Type of Project/ Activity rc n 5 a 0 Ll X a `j 5'< ()CI)I c,A \ o r m c, w v d
of (Scale: j olbt )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length —
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshorE
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length —7(n 2 B
SAV: notsure yes no
Moratorium: n/a yes no
Photos: yes, no
Waiver Attached: yes ) no
A building permit may be required by: 1-m itn w�
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
6�rs
Agent or Applicant Printed Name
Signature* Please read complia ce to ement on bac of permit**
oo . o�- 655
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
( r:�k � +fzu.
PermitOffl ers ranted Name/
$ignatu�
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet (� Permit #: y119 A
Applicant: Rpbe�f J De NAnes
Date: y/y5//3
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 impacts)
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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
UPen Worter
Dredge ❑ Fill ❑ Both ❑ Other 0
a� SqF�
272 SyA
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
2S2.anR-2808 :: 1.888.4RCOAST :: www.nccoastaimanaoement.net revised: 02/03110

I hereby certify that I own property adjacent to �OM127 J 1)tJ QIP�r
(Name of Property Owner)
property located at
. n 1 ..i M1^1 [ RnAd_ B a.l
i.,..,.. ln,---- N.C.
on p�—M�i Pa
I— (Waterbody) (CityITown and/or County)
The applic t 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)
oE?a�r%
y�
�! i � RooI,rr�
I�0Cu
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 waiv 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.
Owner
City/state2iR) 3-Z � ? 9 3 3 G
Telephone Number 2
Dare
Signature
P - t or Ty
Telephone
Property Owner Information)
L
4 d
-8 79-L77,�
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �1
property located at 50 5� 146(Address, Lot,
on �n
T1'1L1 C in
(Waterbody)
etc.)
and/or County)
I
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
:16_ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing dev lopment must fill in description below or attach a site drawing)
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.
not wish to waive the 15' setback requirement. x
Print or
cnyis'5'3
Telephone Number
N-5-19
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
t.
Mailing Address
City/State/Zip
i GL,r-S'i -
Telephone Nu ber
/'a� I-E
Date
(Revised 611812012)

/P/�\:
\\ /yj
«� «�
. «,.
�
\t M

http://gis.darecountyne.gov/report.html?parid=028515000&lat=35.26440261840941 &ing=-75.59447119608195&z--21 &bas=2012&layers=Par... 4/26/2018