73189

LAMA / DREDGE & FILL NO. 73189
,ENERAL PERMIT Previous permit # A� -,,8 r- C D
4ew-- Modification )(Complete Reissue El Partial Reissue Date previous permit issued 61 — f
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Com sion in an �rea of a ironmental concern pursuant to I SA NCAC / -
f ❑ Rules attached.
Applicant NameProject Location: County
Address
State / ZIP
Phone #1
(--)
- /
Er -Mail —„
f'
Authorized Agent
D CW Ot* ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s):
ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A
❑ PWS:
ORW: ' yes / no PNA yes / no
Type of Project/ Activity 6, X 1- ,, '
Pier (dock) let
Fixed Platforn
Floating Platfo
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channel
cubic yai
Boat ramp
Boathouse%$(
Beach Bulldog
Other
Shoreline Len
SAV: n
Moratorium:
Photos:
Waiver Attact
Street Address/ State Road/ Lot #(s)
Subdivision }
City � % I. - ;'�� . ZIP
Phone # ( ) River Basin
Adj. Wtr. Body ' 4 (natt /man /unkn)
Closest Maj. Wtr. Body
� ,
1 -� . (Scale: f `,, j , )
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
L_] See note on back regarding River Basin rules.
PermitOfficer's Printed PermitOfficer's Printed Name
✓„ J
Signature
Issuink*Dat4 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 I) 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

VIA / DREDGE & FILL
A B CC D
is A FERAL PERMIT Previous permit # �
A�lew 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 Comrpiion in an area of envir nmental concern pursuant to 15A NCAC
f les attached.
Applicant Name l Project Location: County c r `
Address '�( i` Street Addre State Road/ Lot #(s)
City " r_ r ti c �r L Stat ` ZIP -
Phone # (�� �jc��.=� i.t"l E M it Subdivision
f l Authorized Agent - - )"�'� ��`�. �`s City 1 �'G�e r _�' � ZIP
,.ETA ES PT5 Phone # (- ) Riv r Basin �- • '��
Affected `
OEA _. HHF _ IH __ UBA N/A d L': .�tf j
AEC(s): Adj. Wtr. Body _�J .__ aL /man- unkn)
PWS: �Gj! �.� c'•
ORW: yes no PNA yes no j Closest Maj. Wtr. Body
Type of Project/ Activity �' , !` 3C 6 t, t k 7 Ix
(Scale: , f )
Pier ,dock) length- _ ✓ V
Fixed Platform(s
Floating Platformks)
Finger pier(s)
Groin length
number
Bulkheads Riprap length
avg distance offshore
max distance offshore 1 ( t
Basin, channel
cubic yards
Boat ramp - --
Boathouse oat 1
tc f r�
Beach Bulldozing
Other
Shoreline Length j_r %�-
SAV: not sure yes o
Moratorium: nsa yes o,
r
Photos yesq 0)
Waiver Attached: Le,;/ o i I -
A building permit may be required by: See note on back re rding River Basin rules.
( Note Local Planning jurisdiction) F r'1,�
Notes/ Special Conditions / Vs` ' `G`4 L
Agent or Applica P Narpe _
-f - - - --
* r ease rea compliance statement on back of permit
Fee{s) Check #
PermitOfii r' Prt Name
Signatur
Issuing Date E piration Date