71290A_Marx, Audra & John_20190724

�7CAMA / _- DREDGE & FILL
GENERAL PERMIT
New _ .Modification ❑Complete Reissue ❑Partial Reissue
No 71290
Previous permit #_
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
X Rules attached.
Applicant Name Aw )all i Jom N M ✓ /4x
Address
Ciry f 1L Z . C i ,.State,.Statet& ZIP
Phone # (Ki) 3/2 - 7CIC E-Mail
Authorized Agent
❑ CW
XEW
* PTA ❑ ES ❑ PTs
Affected
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW:
yes
PNA
yes /&S
Project Location: County / ;? S,:;s4caT -1 !u IC
Street Address/ State Road/ Lot #(s)
B C D
Subdivision
City f=112. C, ZIP
Phone # ( ) Sr -I 41 E" River Basin OLS4?u TAM k
Adj. Wtr. Bod( W, Zt at)/man /unkn)
Closest Maj. Wtr. Body Ali✓'
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Agent or Applicant Printed Name
Si ature * Please read compliance statement on baFk of permit **
Application Fee(s) Check #
1 JlNo /AA 7- ri i�
Permit Officer's
.`Printed `Name
Signature JJ
Z� r Il` 2 Zc
Issuing Date I 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:
j_j 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 - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Avzl/c, ' JS&n Ntk/r- 's
(Name of Property Applicant)
property located at
n (Applica s Addr s, Lot, Block, Road, etc.)
on ���c. K �JC in 4�wil� .lz,(C C_ N.C.
(Adjacent Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. Please check one:
have no objection to this proposal. �' I c�
Signature */Date
❑ I have objections to this proposal.
Signature */Date
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SEE ATTACHED SITE PLAN FOR A PWC LIFT, FILL
AND STORAGE BUILDING
Received
WAIVER SECTION (If placing the lift within 15' of an adjacent property) ",rkl-FC
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 wish to waive the setback, you must check and sign the appropriate box below.)
I do wish to waive the 15' setback requirement. —
Signature
❑ 1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
r 'y _n",
Print or Type Name
1 " D&A
r
Mailing Address
City/State/Zi
Telephone Num er and email address
1jZ(1��
Date
(Revised Mar 2017)
Signature*/Date
(Adjacent Property Owner Information)
b-'U 14D !�
Print or Type Nathe
i
M-.-AdingAdd e
City/Stat e2i
Telephone Nu ber and email address
-)h_1hq
Date*
*Valid for one calendar year after signature*

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to
property located at j k
1\� 173k, M4rx I
(Name of Property Owner)
L
(Project Site: Address, Lot, Block, Road, etc.)
on �.�� 12�� inal< CO , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Received
l � r
MEC
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901 No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature*
irk a Sbh� M
Print or Type Name
Mailing Address
�-I, a-- , Z74 V1
City/State/Zip
Telephone Number / Email Address
Date
at,nd'." F� AP
Print or Type N me
Mailing Address
is Z- C C-- �?1 OS
City/State/Zip
Telephone Number / Email Address
17 L1 L
Date*
Revised Jan. 2017
*Valid for one calendar year after signature*

Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) ' ,y
Floating Platform(s)
Finger pier(s) yth : i -41L
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
1
Boathouse/ @oatlift7
Beach Bulldozing
Other-t I I
i � U Ll`` _—
i
Shoreline Length
SAV: not sure yes do .
Moratorium: n/a yes fio
Photos: yes no I I
Waiver Attached: yes no ± '
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
�1
(Scale: I
C See note on back regarding River Basin rules.
Received
DGM-EC

Type of Project/ Activity
Pier (dock) length t
Fixed Platform(s); .' E
Floating Platform(s)
t
Finger pier(s) ° '
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp y ��
Boathouse/ {3oatlift
Beach Bulldozing_
Other ' ri ' A t
Shoreline Length "'? �7
SAV: not sure yes . ifo
Moratorium: n/a yes !_ffo
Photos: no
W ' r Attached ; ' no
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A building permit may be required by: ==> J
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
Received
DCM-EC

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to
property located at
on L-hle- I
in d/4 -1 C c.>
\-JeZ
(Waterbody)
Agent's Name #:
Agent's phone #:
I
(Name of Property Owner)
(Project Site: Address, Lot, Block, Road, etc.)
in ��st�u� �+-• �'o N.C.
(City/Town and/or County)
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
IG;, /v ski (A-,), -AJ1 1,4-a4 /(Q�
Z 1, /0 )ZI7,-Y- / -bob Z-- f
Received
ME C
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
11-7 l��►�zS A:1 Z\
Mailing Address
City/State/Zip
Telephone Number/Email Address
(Adjacent Pro
All" , J
Signature*
yy
(A
Print or Type Name
Owner Information)
115
Mailing Address
- -;'I, z_ (;� l\)L Z75OS
City/State/Zip
Telephone Number / Email Address
Date
*Valid for one calendar year after signature*
7&t
Date*
Revised Jan. 2017

NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: ")U'9/z'9 6/7 MAnx Permit #: 712 Jib
Date:
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 im acts)
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
0 "
Dredge ❑ Fill ❑ Both ❑ Other E�'
5F
« 5�
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 ❑
-d, 02