74199_Steve & Sally Breedlove_20200108

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r. 1-:LAMA/ i DREDGE & FILL -.Tv 4 to500 Y No. 74199 A C D
GENERAL PERMIT — Previous permit# /j/4
-New -Modification Complete Reissue -Partial Reissue Date previous permit issued //r
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 I5A NCAC 07)11 ))t9 0
❑Rules attached.
Applicant Name S '4 SAL(.( Rl .1)IQ VC 12AMLf f 0 (W A/7/
pp �1/C Q Project Location: County
Address /83 I 4U 150/ 1.11 T i /A II Street Address/State Road/Lot#(s) ,SAME
City A9 AN°CC -- - State Pk- ZIP a i?1 v
Phone#(/15.) 6 0(. > b(0 E-Mail Subdivision 11 NO Is01J (((
Authorized Agent TT VS/ 1-121-S(G Tf City /l gA)2'!}10 C ZIP 28 S/d
Affected A ai s ' PTS Phone# ( ) River Basin /VC(//S.!
AEC(s): —oEA HHF IH ❑UBA 66 N/A Adj.Wtr. Body /V k Vsk R 1 Vf I C)man /unkn)
PWS: r
ORW: yes / no PNA yes / n Closest Maj.Wtr. Body Ali/SL �j vL fi
Type of Project/Activity /-1t l jl1k)e.taf) CI CI BUL)(}jc ,) L At'JV jl/() OF IZiP/QAi2
if /
(Scale: i •j O )
Pier(dock)length -
Fixed Platform(s) - — T c Ai t of x
Floating Platform(s) _ f I✓C ' •
Finger pier(s)
Groin length
number ' -
Bulkhead/Riprap length , "
avg distance offshore © ' j
max distance offshore. 0
Basin,channel )Z 9 Z b I
/ , - fr
cubic yards '
Boat ramp — .,,ram n�L -
Boathouse/Boatlift A'tPd A fi if
,
_ _.T_�........
Beach Bulldozing s - sV
t- t
Other .,/ E.9i "h •
y
c C" CC" cI 0--
" p
Shoreline L- 4_0v
SAV: dB) i
yes not S lam'[ /
�L4�tdV� /]�a�,el�
Moratorium: n/a yes y A ? fi 09 ' `r ,p,�
Photos: yes TI'r` r K� ' f'
j •
Waiver Attached: yes
A building permit may be required by: PAM L I C 0 C CV J r/ . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ff
Notes/Special Conditions S IL 0?I-1,1 j 00. C Ai)A) 6 R AS S .,
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Trt114- rItt56.44' k k)I A) iltkiel
Agent or Applicant Prin ame PermitOff cer' in Name
Signature **Please read compliance statement on back of permit** Signature
4ZOO DO JAPI tq® _ R AfiX
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 I I 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 9fiti1 's
c (Name of Property Owner)
ZS
property located at t-A-A
y� (Lot, Block,/Road,etc.) �o `
C-
on J l-ew�r� \J�� , in Imo'
(Waterbody) �`�� � ,N.C.
(Town and/or County)
Applicant's phone#: Mailing Address: ) t H �J L
11.M Lo6L-1<-3 Lot
He has described to me, as shown below, the development he is proposing at that location, and. I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
� i�C
�
Vb*yut I loatkkAtzl
too '
-------------------- ----------------- ---------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
01-1 1rernw30 �� .
Mailing Add3 �
Signs
Q,cooe, • (I C—
City/State/Zip 51`/ Print or Type Name
V -(Pv-1 - 3oL2o /
Telephone Number
1 3 ; Telephone Number
S gnature Date
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
✓C—
I hereby certify that I own property adjacent to 91:4
(Name of Property Owner)
property located at M CC \rm
(Lot,Block,Road,etc.) r4•r7.10••
on n-e ry , in 1 ?• ,-.1'1J( - _':_C_
(Waterbody) (Town and/or County)
Applicant's phone#: Mailing Address: �`"� 'cr n.,�
He has described to me, as shown below,the development he is proposing at that location_and_
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
l� 1
1 [l S /
1.7
f i eifr
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1
Mailing Addres , Signature
.5 L tz.L,ti c.t_ Mil 1 C c
City/State/Zip 7 y.-i Print or Type Name
Ct V1.-Lo v-1 - 3 Q-; G7 51#3 A 55.0
Telephone Number
I c ; Telephone Number
/J
'Signature Date Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson, Director Dee Freeman,Secretary
Date I I -A3 " 2 I `�
Name of Property Owner Applying for Permit:
l
Mailing Address:
V`1 �e t�n v30 OA - RA .
C .‘ ` ( A
I certify that I have authorized (agent) < < to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity)
at(my property located at) C1 `-T7n�c �a✓1 �-c L "w�
Y t C_,
This certification is valid thru (date)
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

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Applicant:S V e� SALLy 1I t IDLO L)
Date: g j,ArU ZOZ�
General Permit#:7 c1'9,0
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. 1 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 indudes ! Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impads) amount)
Slid, Lr d Dredge❑ Fill❑ Both 0 Other ❑ l'SFr
/ 4 Lcoie 1Fortg1 Dredge❑ RiII Both ❑ Other ❑ 50 FT t eF5b F T
Dredge 0 RN 0 Both 0 Other 0
I
Dredge❑ FiN 0 Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ FIN❑ Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other ❑
Dredge❑ RH❑ Both ❑ Other 0
Dredge❑ FIN❑ Both 0 Other ❑
Dredge 0 FiN 0 Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ FiN❑ Both 0 Other 0
Dredge❑ FiII❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other 0