Hallquist, Brian

w.CAMA / -' DREDGE & FILL
GENERAL PERMIT
El New ---Modification JXComplete Reissue El Partial Reissue
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_
N
No71380 A
Previous permit #
Date previous permit issued
attached.
Applicant Name i i r'=tr` (� I ` ; Project Location: County
Address Street Address/ State Road/ Lot #(s)
B C D
City
State '�"�' ^ ZIP '�✓'`
Phone # ( )
E-Mail
Subdivision t
Authorized Agent
City ZIP
Affected ❑ CW 11**
f1l PTA ❑ ES
❑ PTS
Phone # ( ) River Basin `f
❑ OEA ❑ HHF
AEC(s):
❑ IH ❑ UBA
❑ N/A^,
' Adj. Wtr. Body �'_" ' - (nat /man /unkn)
El PWS:
ORW: yes / no PNA
yes /t o
Closest Maj. Wtr. Body
Type of Project/ Activity;C7(
�'' S 6
i `• /, ' r
" "1
Pier (dock) length
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channel
cubic yai
Boat ramp _
Boathouse/ Bc
Beach Bulldoi
Other
Shoreline Len
SAV: n
Moratorium:
Photos:
Waiver Attac[
A building pe
...... ... _1 __ . _'1_.. __ _,
( Note Local Planning jurisdiction)
Notes/ Special Conditions
no
Agent or Applicant Printed Name �.
Signature� Please read compliance statement on back of permit
-fR
Application Fee(s) Check #
(Scale: I" ,fir'! )
nT
Permit Officer's Printed Name f f
Sign atute f r
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 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/ 1-888ARCOAST 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

1
-. `CAMA /, k' DREDGE & FILL -:
GENERAL PERMIT Previous permit 696# A B D
'New 'Modification ❑Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources O ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
les attached.
Applicant Name_._4- " _ Project Location: County
IAddress x" VP Street Address/ State Road/ Lot #(s)�z
City- NeA State_ C ZIP ----- — --
Phone # ( )E-Mail __ Subdivision _ ____
IAuthorized Agent
Affected L_l CW EW - t! PTA
AEC(s): i_i OEA i HHP I IH
PWS:
ORW: yes /("no" PNA yes I
IType of Project/ Activity
Pier (dock) length
Fixed Platform(s)
ZIP!
]ES L I PTS Phone # ( River Basin '
IUBA _,N/A Adj. Wtr. Body-��—n /unkn)
Closest Maj. Wtr. Body-_---- -�k
(Scale.
J U L 13 2018 `G(6V CO/I hell
S
Agent i rimed Permit Officer's Printed
DCM-MHD CITY
---
P1 read ementonback ofpermitSi t
Application Fee(s) Check # Iss ing ate xpiraUon Date

a= viiimt tmtut# my mspemetan i rom m acTum survey
iption recorded in Book 3245, Page 672); that the
as drawn from Information found in Map Book 13, Page 5:
,hat this survey is of on existing parcel or parcels of land
ings on existing street; and this map mats the
tice for Land Surveying in North Carolina (21 NCAC
2014.
Attachment B - Riparian Line and Dredge Area
Scale: 1 " = 20'
;ection 2
tadW X & X per Flood
00, Community Nmtbw
Effective We: July 2.
*" Feet
btained.
' LINE
ENT
IT AGENCY
ER CONDMOND*
N NAIL
.r
LKHEAD
FLOOOPLAM BOUNbARY
scxmmm
FMM 372D640OW
I , , X'N
2ND STORY DM OVER
CONCRETE PATIO
Z—
k
�_
14VAC 40
4r& 1
RECEIVED
JUL 13 2018
DChA-MHD CITY
FAIRFMO HARBOUR
V

or
vd
_
- - —
— A;-
10
IZ
-
ci
}}
it.— �--' --- -- --
- -..
i
—_ U
a_-
o
9
CITY
®CM-MHD
\