Latchford, Brian

❑OAMA./ ❑ DREDGE & FILL No. 73983 A B C D
GENERAL PERMIT Previous permit#
V&& ❑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 ap area of environ ental concern pursuant to I SA NCAC / 1 ❑ v
1 / I Rules attached.
Applicant Name ' JV'G� 4'J( �' ,:/A Project Location: County ( ✓���'
Address 11- l- /J(^ � I (e
City StateAff ZIP )
Phone # (-J1 77 � I '. E-MajI
Authorized Agent J - 5
Affected .71CW ;EW PTA El ES ❑PTS
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS:
ORW: yes /(ng PNA I�yef / no
Street Address Stato oad/ L t # s)
Subdivision
City ZIP% ';;
Phone # ( ) River Basin/S/(,I,
Adj. Wtr. Body /� V�•/r rnat man Junkn
Closest Maj. Wtr. Body %jN t
:::::�C::E:::E:
®:
■■::::CC:::::■.:::IC
■■1■■■
■■■■■■■■■■■■■■■MEMO■■■■■■■■■■■■■1
111111
�
M■■MM■■M■■■O
■■■■I■■■■■■■�■■■■�■�■■■■■
■■■■■■■■
SENSE
■■■■ w■■■■■■■
■ ■M■■■■■■■ ■■■■IMAM■
MEN ■�■■■■■1■■■
■■■■u ■r�■■■■
■■■■■■■■E■■.■�i[1,I■WIN•••��C.■■■C�O�.....■
■■■■■■■■■■■■■■
■■■■■■■■■.■■■Llilliillill■a1771■i(
®:::®MEMMUMCCMEMEMME
IEMMM MM
'I:��MENINIFINIF Is
■■ ■■■
■��■�IrO/rr�l►'ii .�,ira
. t iilrllrrr�i r•r■� ��■■■■■■
Agent or Applicant Printed Name
Y ` .
Si//YryYryJ�����yyp//ptare "Please readcompliance statement on back of permit"
Application Fee(s) Check# )�
1L 1TcGr,�l.� y
Permit0(fi is int d Name'
Issuing Date / r '.,

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 isinspected 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/I-888-4RCOAST
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(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

11-12-' 15 09:36 FR0i1-
ADJAC
I.
I herebycertify that I own roe adjacent to T' t r Q
fY property rtY 1 Q 0.� ,/Q�-Crh�Ul2� 's
(Name of Property Owner)
DIVISION OF COASTAL MANAGEMENT
T-063 P0001/0001 F-145
)/perty located at �(10 J l h r }e- p0. K K /sF - K
l WWiv- OaaK 9'%e) (Address, Lot, Block, Road, etc.)
15/a�-t'I4 in tG N.C.
(Waterbody (City/Town and/or County)
ant'sName #:-GILP,Mailing Address: Fe? BDZC il
ent's phone A� a 8 ss7
(She has described to me as shown.below the development he/she is proposing at that location,
I I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
propos,'ing development most fill in description below or attach a site drawing)
,T 4C
)o
y
r
��pt� ago
�o
n you nave objections to what isbeing proposed, you mustnotW the Division of Coastal Management
(DCM) in writing within 10.days of receipt of this notice. Contact Information for DCM offices is
av�llabie athttn://www.rtccoastatmanaaem6ht net/weblemistaff listing orby tailing 1.886-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
(P operty Owner Infor atio (Ri ria operty Owner Information)
St�nafure Sign
Print or Type Name Print or Type Name
Mailing Address Mailing Address
I
City State(Lip /State/Zip
Tel phoneNumberli=matlAddress Telephone Numberl Email Address
Dais Date
(Revised: A6��14) ,
pGM N�Hp Clt`�

C4(N)N
�RL.Ao
uo alo

11-12-'15 09:36 FROM-"` T-063 P0001/0001 F-145
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM . .
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
i
I hereby certify that I own property adjacent to �P IAA C.lT✓�;'s
j (Na,{rlq of Property Owner)
)perty located at. 10 ((_I/JH i ff () A k K / I F
DWG 1� at-K AWE (Address, Lot, Block, Road etc.)
N.C.
(Waterbod/y�) (City/Town and/or County)
ent's Name M i5 �i E, Mailing Address: ]Pb B
ent'sphonekaSa- 5— 3y1.,5- Moeh&a Ci/-y o"tgSS�
fShe has described tome asshown, below the development he/she is proposing at that location,
I I have no objections to the proposal.
DESCRIPTION AN DRAWING OF PROPOSED DEVELOPMENT
Proposing development must fill In description below or attach a site drawing)
� aai �
O,
J,
0
i
y
have objections to what Is being proposed, you mustnotify the Division of Coastal Management
in writing within 10.days of receipt of this notice. Contact information for DCM offices is
ile athtto:lAvww.nccoastaimanapem®nt.net/web/am/staff lisiino orby calling 1.88s•49COAST.
Owner InformRtiorg
or Type Name
. .i .I
c 021.�S�
Qgc�Q
2 - /rf - � 7pp ..GCi
0�v�O
Date
(Revised: Aug. 20�41j 6 TO
Address

W
C -H--v c. k W 1 �-�- � �- m S
C`�`�3� yet- y6�1�