73085_Terry Norville_20190605

iSC
0 `LAMA / DREDGE & FILL =0 140oa No. 73085 COC D
ENERAL PERMIT Previous permit# iki
) ►: ew OModification _JCom lete Reissue ❑Partial Reissue Datepreviouspermit issued /V A
P /
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 07 I).)ZO D
❑Rules attached.
Applicant Name 7E)KR 1 ijDtzkiILGI. _ Project Location: County 6 FAI/1 FogT C 0
Address 300y 3FZKLEy oK-. Street Address/State Road/Lot#(s) j df-Jc,N kD Al
City .►� P1 CKy i10u State A''& ZIP 21pp �Q O3 (SR-0176 4- A5-ACf!s1T Lo i 777 se✓n1
Phone#( ) E-Mail _ Subdivision Sc F) S E Ji Ac I-J
Agent ent fZ 17//k) 1IT[/2City
�/J g L t vim IJ/ ZIP
` CW YEW 71CPTA ❑ES ❑PTS Phone# (__) River BasinTA1Z/ rA/41
Affected _OEA 0 HHF r0IH 0 UBA ❑N/A 1
i AEC(s): Adj.Wtr. Body PMMn1t.0 R' OCR_ dit an /unkn)
PWS:
o Closest Maj.Wtr. Body Pu6)(7O gI✓El2
ORW: yes / 6 PNA yes /
Type of Project/Activity A U TNo F_I2 j p 7 'X 5 , pi':r2 d 1 Z 1.1 GI P/A r rag
' (Scale: 1'.30 )
l Pier(dock)length 70 )'f�
Lir
Fixed Platforms) 17'x I m ' / © j 1
Floating Platform(s) — / ---I 7i r2.‘ I
Finger pier(s) — I •
i Groin length t,1 W
l II w f
j number ~' , � ,/�
j Bulkhead/Riprap length '� 1 / ! l �� ^ ILPI"
r�1y �1 avg distance offshoref + lit
max distance offshore
Basin,channel Pork 1
� � I
1 cubic yards --- , I . I I f i
1 Boatramp — 444-CP I K��,�loic� T.t7
I Boathouse/Boatlift — — I �'
I la xS
Beach Bulldozing f
Other I I
I 1
A ! ---i
' Shoreline Lengthhh 11
SAV: not yes no __
III --, � - --r 1t,� ��Jl � I
Moratorium: n/a yes Oh D�
Photos: yesf• , { l
Cili
Waiver Attached:/, no { I I POP
A building permit may be required by: aL,�N r012T 6.4047y . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /u1740 0,24 1.) 7C Ix S' I'I( j2..- �d j Z /./I i ►'/4T 0 IZ,/N f cc��
2 F 1 o f
A110WF Z 1 z
�OoFT I�II�N n10 _< rn�GcF <T�lsc��� � �xcFE ►, ICoFra
pi' ,rS Dc / 1 Cj �CrVI �I���'
pR t Printed Name Permit Officer' Printed
, Clij
Signature Please read compliance statement on back of permit** Sig ature
420o. oo 11692 s )E 2,011 5- ocT toil
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 I 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
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Beaufort County, NC C GPIN:7612-36-1151 LAND_VAL:70030 DATE:10/12/2009
GPINLONG:7612-36-1151 BLDG_VAL:0 DB_PG: 1700/00391
NAMEI:NORVILLE TERRY R TOT_VAL:70030 STAMPS:
Disclamer: NAME2: TAXABLE_VA:70030 SALE_PRICE:0.00
Beaufort County online map access is provided as a public service,as is.as ADDR1 :3004 BERKLEY DRIVE DEFR VAL:0 REID I :1611
available and without warranties,expressed or implied.Content published on
this website is for informational purposes only and is not intended to constitute a PREV_ASSES:70000
legal record nor should it be substituted for the advice or services of industry CITY:ROCKY MOUNT ACRES:0.12
professionals.The County of Beaufort and the Website Provider disclaim all
responsibility and legal liability for the content published on this website.The STATE:NC PROP_ADDR:SR 1764 OFF
user agrees that Beaufort County and its Assigns shall be held harmless from all ADDR2: TOWNSHIP:07
actions,claims,damages or judgments arising out of the use of County data.
9
beaufortnc.agdmaps.com ZIP:27803
PROP DESC:PORTION OF RIW
MBL:76120061
p
A 110 m May/31/2019 _ PIN_1 :15027
61200 90
o ft Scale 1:622 STRIP LT/ADA W SCHRAM

Authorized Agent Consent Agreement
I' !I R g V l Y 412, V)L L 6 ,herby authorize Tobin Ja
(Property Owner(s)) y Tetterton of
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
' .8�Re/f Rb Az N
136-LHA vow IV['_ ,27g-1D
PROPERTY OWNER'S MAILING ADDRESS:
\Day
kV 111oOki r ni 'L
?,Y03
Phone No. , ,5 03 - 17�'
PROPERTY OWNER'S SIGNATURE•
A UTRORIZED AGENT SIGNATURE:
TOBIN TETTERTON
DATE: j L` 20dg
W/Authorized Agent Consent Agree.
4
L

ADJACENT RIPARL PROPERTY OWNER STATEM t
I hereby certify that I own property adjacent to t g d YP.v
{Name of
property located at 6 � �a � Property Owner)
on p ? v (address, Lot, Block, Road,etc.)
dy) iR 6€ Rv N AuFoQ-r-
N.C.
(City/Town andfor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
-:. .._ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTJON 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
g 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 b
- me. (If you wish to waive the setback st Initial y
' you m�--��...._..the a PProPR�blank below.)
t J 5 ! do wish to waive the 15'setback requirement
t do not wish to waive the 151 setback requirement_
(Property Owner Information) (Adjacent Property Owner Information)
igna e
T n-R y Na ie v/L L4. Signature*
Print or type Name
Soo y BEQK a ti P,er v� Print or Type Name
M r7ing Address Mailing
�s
oe K y /It v u IVr / 'r 7/o Mailin Address
City/State/Zip 4-a /Zi nlA N /h i. O o.27
.,?mot-9p3-c/'1j TRNdPV ,ri4iQ4.r�Pr)L.co � `
Telephone Number/email address Telephone" �6 /e
q Number/ mar7ad
Date �✓��J`/ S ��-,y
Date* �p} �1 /
t-rq/ICrS 4./ie lie I_�udc�rgil ma i 160j�
`Valid for one calendar year after signature* evrsed Aug_ 01�
L-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to / ><R ` /I(o V I L L
s
(Name of Property Owner)
Property located at e 16/ C tf RDpV
(Address, !Qt, Block, Road,etc.)
on UA/�o >�i V t in R /5
t f tl H✓E i✓ NG ��AFa ie7 , N.C.
(Waterbody) (CityiT&vn and/or County)
The appli has described to me, as shown below, the development proposed at the above
location
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, 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 you wish to waive the setback, you rrt st filtiaf the appropriate blank below.)
t- N- I do wish to waive the 15'setback requirement,
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adja Pro er Information)
A /
Signature c��i
7 rev Noes/ L£ //Gnllra . Cy
Print or type Name Print or 4pe Name
3 00g 6��.k�Ey 1,e l v� �6b t Dr
Mailing Address Mailing AAdp�dress. ' //
6'.ackc�r Ii)ovN; WC �7�v3 tip?
Ai(
City/- gstq 0u +—en atY06�6dR.Qma,i... �a j "I7, /t66
Telephone Number/email address C041 Telephone Number/email address
Date Date*
(Revised Aug 2014)
`Valid for one calendar year after signature*

Applicant: I G)Z
Date:s 00i
General Permit#: 6 gs3
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)
pp Du wArrit, Dredge❑ Fill❑ Both ❑ Other a $Lj Z F 2 - /Z F/ 2
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both D Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0