74020_Alta Ross_20190624

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LAMA /DREDGE & FILL (1-U(t `L No. 74020 /`� t
0 .8' C
GENERAL PERMIT zD44h44(0 / Previous permit# it)
��—% -' C Dateprevious permit idsued A/ .�i
�lew ..Modification (_.Complete Reissue 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 5A NCAC r ?I f 2$OO •
E Rules attached.
Applicant Name AL TA )&05 3 Project Location: County 1%F�u1O/2 T
Address 15.28-A Q u Al I- 12(04c 'Z!) Street Address/State Road/Lot#(s) , L 1 /SCa,Ip
City 611 fr_dVIIL E State A)C ZIP fl958 )i/(UJ R 17
Phone# ( ) E-Mail Subdivision I SL A"9 U I(Li
Authorized Agent 1 QL CAgt/L C City gATH ZIP 2 7S O 8D
CW ''TA 6ES 2'PTS Phone# ( ) River Basin IA(Z/PAM
Affected J OEA ❑HHF ❑IN ❑UBA ❑N/A AEC(s): Adj.Wtr. Body r p Afil I/C P ) 1 It,/ Ci/man /unkn)
- PWS: 1�
ORW: yes / �� PNA yes /� Closest Maj.Wtr. Body P Cl CO Rhirk
Type of Project/Activity A PIU11 9 "('
(' J C j (A L ()-1 CA 0 Z k/4 77i n(,1A1242
�t()ftIt,CrG (Scale: I��zp r )
Pier(dock)length ' /�
/" i I
Fixed Platform(s) •`
r - . j . .
Floating Platform(s) I i , i
Finger pier(s) • I I
Groin length — pA pi )C n, e0 I r/(12
number /"
{ — j
q f/ { T j i
Bulkhead
iprap length I ) I — —. —_I I
distance offshore 2 " �I i — ,
max distance offshore 2 i I I
J 1 I I (. l -
Basin,channel i
i
-- ._... ,
—H l
cubic yards 1 I 1 j I
Boat ramp — - ! 1 i I - f / t/�g f?.
Boathouse/Boatlift L
ft
fi .__ I i i i [
�ri
Beach Bulldozing I
Other — - I . V l
iI f I I f �.
s/ - y J
f
Shoreline Length I '
, � ok,s L/1 , S i
SAV: not su.- yes no i I �- — i -, S—�
i i 1
•
Moratorium: n/a yes no I I ! 8 —
Photos: yes -
Waiver Attached: yes no —--- '
A building permit may be required by: D E AU Id r2 T C D lA tv ` ( . E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions • E 0 711. Z1O0 (2 17 (ON Jl n(A s 'b 0 ? 14. 110D co,o12 I I)ON }
)(Ev IA) I-IMI
Agent or Applicant Printed Name Permit Officer's Printed N
Signature ease r d c mpliance statement on back of permit** Signature 0 /2 0 0.D
Application 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(9 1 0-796-7215)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 252-946-648 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
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

Hart, Kevin
From: bob carlyle <[e-mail]>
Sent: Monday,June 24, 2019 2:32 PM
To: Hart, Kevin
Subject: [External] Fwd: Storm Damage Permit
CAUTION: =rnaI email.Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Forwarded message
From: Brooks Drywall <brooksdrywall l @gmail.com>
Date: Jun 12,2019 1:02 PM
Subject: Storm Damage Permit
To: [e-mail]
Cc: [e-mail]
Alta Ross
561 Island View Road
Bath,NC 27808
To whom it may concern,
I, Marsha Hoffner give permission to Bob Carlyle from A-Wall Marine to get a Storm Damage Permit. We
need this permit in order for A-Wall Marine to repair the bulkhead at my mother's waterfront home.
The permit needs to be issued in my mother's name, Alta Ross. She is the owner of the house, and she is
currently in an memory unit in an retirement home. I am her power of attorney.
i

Thank you,
Marsha Hoffner
[phone]
2

Applicant: ,41 T/t ICoS
Date: 2 C( flit n!k 2.01 9
General Permit#: 7 y 010-6
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. FL 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)im amount)
.C110 Dredge❑ Fill-Both ❑ Other 0 q✓ I J 9SF7
SIAL(t)W Ro i-k Dredge❑ FiIIO Both ❑ Other ❑ I?b FT 2 , gofr
q Z
14)6Id GFdl,nrn Dredge❑ Fill❑ Both ❑ Other 1 coF I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑