74058_Ricky Wilson_20190730

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elgicARAA1 DREDGE & FILL t D-4 I1`T k,0 15 No. 74058
GENERAL PERMIT Previous permit# A BCD
> . New J 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 Commission in an area of environmental concern pursuant to I 5A NCAC .
®Rules attached.
Applicant Name i-, i=4= .( LA--"r - -._ - Project Location: County (' _t L- '>r -,—
Address "1- (_ /- ✓-I-_.' , t.-) 11__)J.-. _ Street Address/State Road/ Lot#(s) ,-,F r Dry i 1 to Le
City C 4.__._ ..-,,_. .T- ( State IQ L ZIP _. ) i - _ A
Phone#( _ "j;-; ~6,4..Z—C>E-Mail Subdivision -+ —-, , . 1 .Y
Authorized Agent i\I I A City - L--), , — / ZIP 2 - r- 0114
Affected j Cw gfEW E PTA VS )PTS Phone # ( ) River Basin-7 u 0,,�1 c J
�OEA ❑HHF ❑IH ❑UBA /❑N/A
AEC(s): _ Adj.Wtr. Body jA + A L rr>ar�/unkn)
— PWS: ��tiIV1.. J �' J C1�
ORW: yes / no, PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity /"/ ,4-z_,
I ,.
(Scalle:) =2-v ' )
Pier(dock)length - -
Fixed Platform(s) r '
j 1 I
Fin er pier(s) f/ — — ...._.. �. i —...._.
Floating Platform(s) - iJ
g P O
Groin length -r3
'
number //Anil" ""� I LI
Bulkhead/Riprap length -70 TJ� �71 J J
/i r i • A-'4,...) .-. A P 1 A 1,.. / -
avg distance offshore L
I +
max distance offshore - — ,
Basin,channel — I
cubic yards _' i `
7 r K .1/4�i -a t
Boat ramp F V iriN , { F L r-J i
',4
Boathouse/Boatlift i Oki X�r-, ,i
Beach Bulldozing
I , . ___
Other
I
�1 i
1U2^h lJ': I - { f '
- _1 L.
Shoreline Length It -7 Z")
i
SAV: not sure yes n10 _. --c- --- lr-.J I c 5
j 1
Moratorium: n/a yes -"no j 1 , i '/�.JLi'r
Photos: yes n I
Waiver Attached: yes no ice- i I -r i : iMED1 . . l
A building permit may be required by:13-,1 L J->",71;21 ��0,-1-r 7 . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions f A, • q-,,.4,/7 (.-4 wQ .
CA
• Agent or icant P•nted Name Perm it Officer's Printed Nafne 1 -
Signature! ease read compliance statement on back of permit Signature
Application Fee(s) Check# Issettfig 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 (252-946-648 I) or the
Wilmington Regional Office(910-796-72 15)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 252-946-648 I
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
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: 9 I 0-395-3964
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r—�
I hereby certify that I own property adjacent to 1 �(,�, �� w �L5 b s
(Name of Property Owner)
property located at 2—J L f Y-e-(✓, e ,�� C.r1 (-Jr v w n',� v L Z1 `f) 7
(Address, Lot Block, Road, etc.)
on , in \�� `a y , N.C.
(Waterbody) (City/Town and/or Co nty)
The applicant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION
PT ON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
\Z) 6)- alkiage/.40
Signature Sinature ,�(]]��� ..�� �
�D mez. t j 1T��5 o C..› r"\
Print ,Type N me Pri t or Typ Name
M oiling Address, Maili g Address
Cityry/State/Zi City State/Zip
Telephone Number Telephone Number
Date Date
(Revised 6/18/2012)

' ADJACENT RIPARIAN PROPERTY OWNER STATEMENTic
I hereby certify that I own property adjacent to ���\\Clr`� LPL' �°'�1 's
1 r - (Name of Property Owner
property located at '-t RI U .i.�e �1.�.� C \Q Cow i tO Tt i RC . u_`? s-I -7
• (Address, 149,A, Block, Road, etc. l
on , in Q,0.L r� �c)(-(�1 , N.C.
(Waterbody) (City/Town and/or Cotnty)
The applicant has described to me, as shown below, the development proposed at the above
location.
L!' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings. 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 you
wish to w ive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
((Property Owner Information) (Adja nt Property Owner Information)
ck;Vei..-,\;' 11) —,Si...a.cf-)•,--- lio
Stature Si azure
'11\ i c-1,-....t ,J.; 1 6 YN ,(. /a/)G(42_, A7 .46,e G e)/(._
Print or Type Name Print or Type Name
(o 'r 1 i/t-( 1/ , C t, c Q_ �4 J` /•/J 1/i t_41) lie.
Mailing Address Mailing Address
City/State/Zip City/State/Zip
z-rZ- - g 1'1- azo W.4-1?- 976 - /J-46
Telephone Number Telephone:Vumb r
7-4- ) i -1/ 9 moo/
Date Date
(Revised 6/18/2012)

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant:'1 G LI LA-7 t LS e r9
Date: 3 v
General Permit#:
� v c 3
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 1 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)
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c301-7 v Dredge❑ Firq. 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 El
• Dredge❑ Fill❑ Both ❑ Other ❑
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