75622A_Piney Island Gun Club of Currituck_20191106

CAMA /I DREDGE & FILL
GENERAL PERMIT
*New ❑Modification El Complete Reissue ❑Partial Reissue
No. 75622 6V B C D
Previous permit # 7 A
Date previous permit issued S/,c1d,�lV
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
Rules attached.
Applicant Name �,ruy 1ti1c..t1 G r Ci-lo of OwProject Location: County Curr• It
Address k0o 1Zo M a 1 e CA. i S'J, U_ i u o Street Address/ State Road/ Lot #(s) 34g Q,+,c ,.1 i til, d i?rJ
City�yo r rt-^}-V-N State VA ZIP a0l�?6
Phone # (aSa ) a. C) a`O 1 _+ 3 E-Mail
Authorized Agent
',r. 1 I r I� V�o r �, i r D P OUb90o000 S 400L:?:_>
Subdivision --
City ZIP
Affected ❑ CW XEW PTA 16 ES ❑ PTS Phone # ( —) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: a AEC(s): Adj. Wtr. Body �',;,, IL c V man /unkn)
ORW: yes /: PNA yes /t Closest Maj. Wtr. Body
Type of Project/ Activity R rc �� �,
�.' roi•+, i-, �- �^ Qj Su.1h �rv� o�� ttiwv
12,1'-'2 O1,<nrN.r i (Scale: 1J.T,S, )
Z:c
Float
Finge
Groir
Bulkl
Basin
Boat
Boatl
Bead
Othe
Shore
SAV:
Mora
Phou
���!':J■�
OMF
..III■■■■■■■■��■■�■■■�■■
WW�A4
12312
Air
■■nME
���1!!■11■■■■■■■■■■■■■■■■■■■®■■�!■■
OMMMON
avg distance offshore•
max distance offshore •
,channel
■■■■■■�'■■■■■■■/_�
■■■■■■P`
• '
©%pia■■■■■
■■■■■■►■■■ems■�®■■r�=�'����■■■■ram
BMW
MEENEEMP
cubic yards
Qanienaa
ramp
■■�Hli/11�■n!!l133l�►�■i■i■■■■■■■■■■■■�/"■111�!'lclR�!
Bulldozing
i
not sure yes <±p
torium: (5P yes no
Ws: awep
A building permit may be required by: 01r ✓ • "c k ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions � � �• g+c 1) a l ,� n rrunt Mc N ,,„ 1 iyc 7!0 r w. �! t, o+ C' ,, no_f 1 �a� 1� r) rc h r► no f
0jatcc� 1,..,11,,E 1n.cllcncl Vt c ,T7� %c/
rrti m,iis ic �5.,� t~k CruiSirti t ticnord•.t
ln.rt1-� rrioc i�rnt iv TJ
Agent or Appli r' ted Name
Signature eead compliance statement on back of permit
w0 - -- 71/
Application Fee(s) Check #
PermitOffi ted Name —�
ure
Issuing ate 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 ❑ O*her:
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/ 1-888-4RCOAST 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: AYA, 1s<<^(� Cl—lb Permit
Date:
Describe belo',�r 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 impacts)
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)
Dredge ❑ FRIZ Both ❑ Other ❑
3 d
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 :: 1-888-4RCOAST :: www.nccoastallmanagement.net revised: 02/03/10

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
trat 1 own m.onery iofRrfn- tr.
I.NamP of Properly Owner)
VUVIZ:1 ly 'UCa"ea W
(Project Site: Address, Lot. Block. Road, etc,'
(Waterbody) (CityfTown andior County)
v rl e
1"t S
.-V-4 4
JeSCrlbed 10 Me 3S t)eiC-VIHE.
tr,, vie or,M)r)s&
-------------- ---------- -----------
DESCRIPTION AND,'OR nRAWING OF PROPOSED DEVELOPMENT
(individuai proposing development must fill in description below or attach a site drawing.)
k /141
jam; 1 C,
to yvu stave uplecuons ro wnat is oeing proposed. you must notify the flivisinr? o!Ctaasta/ Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Grittin St., Ste 300, Elizabeth City, NC. 27909. DCU representatives can also be contacted ati252) 264-
3901- No response is considered the same as no objection ifyo
u have been notified by Certified Mail.
A;
V
7o
(Adjacent Property Own I er WIT ation)
r"Of nr 7yre Na-ef
; ';'4 To'
Rewsec Jar 2C, 7