73864A_King, Wilson & Ashley_20190917

CAMA / DREDGE & FILL
9ENERAL PERMIT
New ❑Modification El Complete Reissue ❑Partial Reissue
No. 73864 !�P B C D
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 I SA NCAC N , I S UCi
,4 Rules attached.
Applicant Name VQA,,,. s ASh1�X k+
Address 5oS tit-, 3!«1•, d Re4 c k
City Chcsoineckk_ State VA ZIPa331a_
Phone # (j5_ ) %q- VLO-O E-Mail
Authorized Agent k ey j.n '. c, G �
Affected ❑ Cw EXEW )� PTA X ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /�fio.:% PNA yes /O
Project Location: County
Street Address/ State Road/ Lot #(s) �?1 bS Albo [ Ov e 12c3
Lot Si, sc,i- 6�
Subdivision Cc, 0y4 i3cc ( i-.
City. Cur of la ZIP :1 -49 1'4
Phone # ( ) River Basin v5 a4o., t
Adj. Wtr. Body (1.,, \ -lam B3 V (nat�)
Closest Maj. Wtr. Body Ow • • )NJc k So�f
Pier (dock) length
Fixed Platform(s) 1iDn—wi—►,iii��i■
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin,
IOUX3� K I, �
cubic yards I S b C., y d s
Boat ramp
Boathouse/ Boatlift
011111��■■MEN
■■■■■■■■■■■■'��!■ ■
Shoreline Length
■■■■■■■■■■■■■■
SAV: not sure yes
all 111M IRON
Moratorium: a yes no
Waiver Attached: yes 7n_Q
A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions (i) 50.)S f,> 6L 1214u iQuIV i—c'I
d r < �icn �) c� [ ✓ ��s, (uY.n�, f .c c1� at
j� Q,VI )A
Agent or Applicant Printed Name
Signature "Please read compliance statement ck of permit
. V
i5�ino.vy 30H
Application Fee(s) Check #
ip4irrMtOffii er's Printed Name
ure
9)II' C;
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/ 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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
APplicant: I A", Permit #: -- 3e 6 y
Date. -
Describe belo4V 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
p
7 6 -
Dredge Fill ❑ Both ❑ Other ❑
3 SOO
-2 SOS
" `j-
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 ❑
252-808-2808 :: 1-388-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10

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DIVISION OF COASTAL MANAGEMENT
ADJ CF _kO
RIPARIAN PFPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTF-Dor t-LAND DELfVERED,
_KiI hereby certify that I own property iadjxant towd_�Aftz__'s
{Name of proporty Owner)
property located at _,2JL5 JU
on _1(Project Site. Address, Lot, Block, Road, etc-)
n mfs T4 In �Jjifac
(Waterbody) (Cltyffown and/or County)
Agenlks Name *P,
mairq Address:
Agent's phone#: leo,
He/She has described to me as shown below the deve[cpment he/she is proposing at ghat k)cabcn,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
4D el*J0
C ce- 5-5 a<xt J0 C
+0
- 4L At �1,6:-
,117— 4 6A _t —' --,— 1.0// cc3/7 7
I e -I--
it t have objections to what Is beffig proposec( you must notffy tho Division of Coastal Management
esp a
In wr#fng With117 10 days of receipt of this notice. Correspondence should J u d bo m i le d to 40 1S
G'* E1Jzjbeth City, NC, 27909. DCA1 rqproswta-� can also be contacted at ps2) 2&4-
q�i? Ste 300, considered
the Same
een notified by C4alVfied MWI_
3 �Ons& �Iscqnsraerw no objection If X2!��hava b6__
()wner Infornn2ti0n) (Adjacent Property Owner Infomation)
Sigritfuru Signature'
prfnt or Typo Name Print or Tyo Alamo
C L)ciAewZ&_a1a_KJ Peioel EL Jo a Y,
Va5&ng Address' Mailing Addre,-_s
W-V
ht
cilly/slate/zip
67 —3 Lq

CERTIFfED L F
I hereby certify that
Property located at —Q1
on y
s � ►t c
(Waterbody)
Agent's Name #:
Agent's phone #: 3-7t 7_
DlVlstp
NOFCO
ASTAL RETURNr!"RzO� RTY OWNER Np ANT
T REOI ic��.__ TIFtC,
property adjacent to
(Project Site: Address L
Lot, Block, Road etc.)
—�CtV in �' I I l
(Cih'R'own and/or County)
Mailing Address: r 7 C -
7P YJ�t try ,
1 to -\ 1 '
He/She has described to me as shown below— he is
development he/she r r
and I have no objections to the proposal. proposing at that location,
DESCRIPTION AND/OR DRAWING OF P Y---------------------------- -------`-------
r_, ROPOSED DEVELOPMENT
�t�►QDSjflat;dx�tis�ii�ti.r:"
+D CtC C e 55
- rrs. �••� �.Y.._ o-�r
Pj/ .boa+ clod
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.
Grfffin 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) i (Adjacent Property Owner Information)
i�nature"
Signature
' print or Type Name
Print or Ty�—,AI-114
Mailing Address
Mailing Address VA Q 3��� 7/
City/State/Lp
City/State/Zip
Address
1 d Telephone Numbers cinanl nuureSS �
Telephone Number Email Address f 0
L o pate` Revised Jan 2017
Date nature'
Vafid for one calendar year after sig