75647A_Shaddeau, Cecil & Delores_20191106

_ ' CAMA / L DREDGE & FILL
GENERAL PERMIT
New -Modification Complete Reissue CPartial Reissue
No. 75647
Previous permit #
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 SA NCAC
(Rules attached.
Applicant Name C Q a ' -I 'Oe l f 5
Address % Srri n S `� - -t t'1A Q
City State Nc ZIP 2 7 y Y
Phone # 42V: ) `'/.2 G- ' g 5/,8, E-Mail .---
Authorized Agent 4:5 (o. I d o G� % n
Affected El Cw � "A S $PTS
AEC(s): o oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no )
B C D
Project Location: County Q (cc %A M -�
Street Address/ State Road/ Lot #(s) L o T- S4 j %
Subdivision ,- i 5 Ica
city 4 �'_ .4 f zip 2 -7 7 1 Y
Phone # ( ) . River Basin
Adj. Wtr. Body 0-V l at /man /unkn)
Closest Maj. Wtr. Body
i�
Type of Project/ Activity 1
Pier (dock) length
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Agent or Applicant Printed Name
Signature* Please read compliance statement on back of permit
Applicat�Fee(s) Check #
Permi Officer's Printed Name
Sign ye
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 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 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

Name of Property Owner Requesting Permit: ,41C I L--
Mailmg Address, 111 41 S11 T- C L i C
7
Phone Number-, -2 41)- 'F-S- d—
EmaN Address,
I certify that I have authorized 49--"P-)AJ /(V :A , A)
Agent J Contractor
;iIIIIIIIIII
necessary W the following proposed development:
et my property located at
I furthermore certify that I am authorized to grant, and do in fa;ct grant permission to
Division of Coastal Management staff, the Local Peri7W Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application,
I-- Sigrulboo
PtInt or T�J* AWM
Date

*' 0 * ", * AXW04AAFM14.141'
I hereby certify that I ovvn property adjacent to s
zz d
(N f Pr
prop" located a(, Vsu' C ikcx�— 'e-j *C9' C--17�1xo4ze7wro)
(Address, Lot. Block, Road. witc.)
(Walerbody) �R�(C�ftyffo�wn snzdlor Cly)
The applicant has described to me, as shown below, 0* development ptoposed at the above
locabon,
Y I have no objection to this proposal
I have objections to this ptoposat,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individuot proposing doyWopment must (01 in deswiption below or allftch a site drawing)
U to
WAIVER SECTION
I understand that a pier. dock, mooring pilings, boat ramp breakwater, boathouse, lift, of groin
must be set back a miromurn distance of 15' from my area of nparian 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) 0A4ft*"Pf0P*rtY ion)
glia SN' I
�c - , "I ;Sfiajd�)--dy, , i YAM.
Pnrit or hype Name Pn Olt T IV r-L:k"-"
444*n Adftss-
0O3'S1ak,,,Zp
TWephone Numt*t i em&O ad&t -7s Telephone, SM&I address
-Vald llor one calendar year after signalLW (Reo-sed AW 2014)

1 4 7*1 �*�N4"1141" I i
I hereby certify that I awn property adjacent to Zfe ej l 4 L'/ s
(Name of Prop" Owneo
property located at / e 1-/ J-� w
L
(Address. Lot Block, Road, etc.)
on L C. / , it, I — -- I N,C,
(Wallwbody) Town Co }
The applicant has described to me, as shown below. the deve4oprrient proposed at the above
locat I have no objection to this proposal.
t*$CIWTION ANWOR DRAVANG OF PROPOSED DEVELOPMENT
(Individual pr000sing development must fill In description below or attach a site drawing)
.1.tOL
60
E��EA
WAIVER SECTION
I understand that a pier, dock, mooring pilings, Wall ramp, breakwater, boathouse, Ift or groin
must be set back a minimum distance of 15' from my area of riparian access uriless waived by
me, (If you wish to waive the setback, you must Initial the appropriate blank bellm.)
I do wish to waive the 15' setback requiremeriL
I do not w4sh to waive the 15'setback requirement
(Property Owner Informatiow (Adjacent Property Owner Information)
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