74059_Ralf Heit_20190801

OF
AMA/ LI DREDGE & FILL rLo9l-'`kC No. 74059 ' D
GENERAL PERMIT =D-# tO459a s� c
Previous permit# Al I
�� -New _IModification f 1Complete Reissue JPartial Reissue Date previous permit issued to IA
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 I5A NCAC 0 ?1-1 Z. e1
A E Rules attached.
Applicant Name gy\�F ! Project Location: County ?A lM I.i C d
Address / 7 / FO j< K PO'"I 7- R u Street Address/State Road/Lot#(s) /7/ FoJ )C Pd,"Y
City 4PffiVTA(- State/VC ZIP 2R5? I i?J)
Phone#( ) E-Mail _- Subdivision
f oiz P' '9
Authorized Agent r i C)(`/ S f-YOtiSLI City G)ZI[ /4 C- ZIP ;Q57I
Affected ❑CW (EW IITA ❑ES ❑PTS Phone# ( ) __ River Basin N1[(;...Se
=OEA ❑HHF ❑IH ❑UBA ❑N/A `
AEC(s): Adj.Wtr. Body EP°GP, ( ( -£I 16 (nat _ an /unkn)
PWS:
ORW: yes C� PNALI / no
Closest Maj.Wtr. Body .E'(A ID C RI. F /
Type of Project/Activity Al-, i?I2C7 /D ' >O/ .L{A�U% IF /70 six s' I'// Z
r!( I! EA)cc
(Scale: / ;30 )
Pier(dock)length 130I'A
1Dff 30
Fixed Platform(s) - --' - l
J� -..
Floating Platform(s) _"" 0 I a/ a �
Finger pier(s) - �� �I rL a
Groin length -
number - l
Bulkhead/Riprap length III 1 1' 'A
avg -' III
{ ,ten._' -.. IS f4
distance offshore - I
max distance offshore S.
��X 7 C91I/i(
Basin,channel I 1 13 l LAP
cubic yards � ��-I--" I l
Boat ramp - {
Ir
Boathouse/Boatlift
jilt_
- __ ,-
Beach Bulldozing _ 1 4
Other }
a(9
Shoreline Len h /�`�, - � +
' , l I SAV: not sure...) yes no t
g. 1...,tot �'�ll I 1 I
Moratorium: n/a yes �■l — Z.f f _ �t�� I
Photos: yes e� 1/ �f/h f
Waiver Attached: yes `� rr�/� d/ 1 y
A building permit may be required by: PAS L I TO (pc.pf7". . C'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions J I' I. C> 71) 2 lc?"
Agent or Applicant Printed Name Permit Officer's rinted Name
Signature **Please read compliance statement on back of permit** Signature
L..
rXEMi' / 1 AUK 1019 as SLPr Zol1Application Fee(s) Check# 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 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- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: --P .VI h
Mailing Address: I 11 1 Aoki _ pCL,,, .: u s)(6 )
DQS' (V 1 i)( 2 cif / 57 )
Phone Number: 49fig " ,)^i q 'J / Zvl 9.`)-J- - / 36t7
Email Address:
I certify that I have authorized % _ °' ) , c y 5 ,,::... ) -<--
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at ,
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
)10-1L1 ik La.
Signature
Print or Type Name
Title
c
CS I =9 I 19
Date
This certification is valid through / I

Applicant: r NC (r
Date: Attic Zoi
-General Permit#: 7 4..tO _p
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
0 PrA) UA /L, Dredge ElFill ElBoth ❑ Otherit— SOO F r2 Soo
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑