75410_William Slade_20200122

CAMA / bREDGE & FILL 0
-�D: (�, -p s 1L' No. 75410
GENERAL PERMIT Previous permit# A `�� C
A°
:,.New Modification Complete Reissue Partial Reissue Date previous permit issued to, I
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 5A NCAC G ) l-\ I L.�.-
jE Rules attached.
Applicant Name 'cik-)i L- -`AA'` 'iDL-A,/ Project Location: County -t=-3t-A- - rcma c- l c--) _
Address :1 O 1-7a4 `-r i-t - Street Address/State Road/Lot#(s) cy,-4� 5-e I-1 (p
City .A-r 3-1 State iJ SIP:1--)5s v-=,<- r -5 -A Li v I t ) T ,
Phone# ('< -z}=1 +3 -"l LI C I E-Mail tY ' c j qGe 7
1_0? 5,%,A ,) Subdivision TJ 4 ,(v r cl.----
Authorized Agent - r! -(=`t--- City -� A--t-1-t ZIP -1-`-) lc 05(
Affected CW �)EW ,erPTA (fS r Phone # ( ) _ River Basirr 1 _ , - v
OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Lt 'v =I c( C{ .2 an /unkn)
PWS:
ORW: yes no - PNA yes Q no /
Closest Maj.Wtr. Body__Pn..., ` ' " -�`)CYO
Type of Project/Activity ry r,l -ri/Zc, T; . /
= , • i.//�-r 1 =+ /' ' //•.) ::,"?-'7-1-
A r
i.- , t--✓c.�1-- i T AC"' -'*�.1/' t-1-t L-, 14 ;i �-', ) ,a ' • (Scale: I ?J )
Pier(dock)length
l I I i j I
Fixed Platform(s) .,
Floating Platform(s) { f-
Finger pier(s) / 1
Groin length �! `j /
lei/
Ns
number I ' -
Bulkhead/Riprap length // EX r :T /~
mil
avg distance offshore Q „^L. q -= ! '�' 1� �T .
max distance offshore /)
1
Basin,channel ��
b.L r'� tj> l
cubic yards
Boat ramp la
Boathouse/Boatlift
A.,^ !='. be/5'7704
Beach Bulldozing t JP i- 4 * �! '� / i�
Other i /4/4 NI 'r I j a I j
j CD 1 i W
-,. , . OP . ,a e__
Shoreline Length —// `— ! , • r. .
SAV: --of sure yes no A 1
Moratorium: n/a yes p -§ .c, I 1 k i 1+/1;r 5
Photos: yes . , - 4,Ac P+Z 4 I' L. i R(.,13,::
Waiver Attached: y) no
A building permit maybe required by: gA-c, Pe)a2..r-- (c , See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions ,rp-T /) - - n-7 rti1-Ari7+-_1-
y7 L4a.J Iti. . 4- 1!-, 7-1
1C /J It ;r1,.vAL 4) f7 N<.,J/ (4/".-.7
W/LL/ / M 0, 190& �� Iv 7'
Agent • i Printed'Na Permit r Printed Name •
Signature Please read compliance statement on back of permit*x Signature
i-zI ( 1)� +/ /y L)4 —_" 3 J 2 +^ /./,.,-i7 a,/ , L., Z- !`�►A1-2 3"0
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:
1-1 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 (252-946-648 I) 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 252-946-6481
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
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Wil.Z/ft/Yl /D. 's
nn
(Name of Property Owner)
property located at d 1 0 0 £&v-I127/(1_42/
Pa4Sv(Lot, Block, Road, etc.)
on /2 ,in Øaé� ,
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
try
I do wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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________
Signature
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Print or Type Name
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Telephone Number Date: Q 1(/y. / Z6 -2-17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner) „)
property located at / 1 3 /U/b--iU Re) /9
(Lot,Block,Road, etc.)
.n //2/22i/CO ,ei I/ � ,in �i)9 TH 63/9y0/ N.C.
(Waterbody) (Town and/or County
He has described to me,as shown below,the development he is osing at that location,
and, ave no objections to his proposal. I understand that a pier/moori pilings/boatlift/boathouse
must b; set back a minimum distance of fifteen feet (15') from my aiea of riparian access unless
waived .\ me.
I do not wish to waive the setback requirement
Vdo wish to waive that setback requireme
DESC ' 'TION AND/OR DRAWING OF 'ROPOSED DEVELOPMENT:
(To be filled in by individual 1 oposing development)
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Sign.. e
Print or Type ame
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to V✓)Lz irn' D- S L 0 's
(� /36Wib1J (Name of Property Owner)
property located at 1 34-y ON EXp k o31
(Lot,Block,Road, etc.)
on i /)/I)LiCU ,in g6LTl /1�/�7 i�i�� ) ,N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (I 5') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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V A R_ c n i CL AA k 'N(3
Print or"rype Name
(R.5 7 cEt 2--
Telephone Number
Date: 161 a,oD-(
1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to / 's
(Name of Property/Owner)
pr. •erty located at f'2.1 / / y (/ 2n 0-1
(Lot,Block,Road, etc.)
on f/VL-/ c o g1 l I&(2`-- ,in ,8 /" g Lf V/L=1-1) ,N.C.
aterbody) (Town an or County)
He ha described to me, as shown below, the development he is proposing at that location,
and,I have no ••jections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set bac a minimum distance of fifteen feet (15') om my area of riparian access unless
waived by me.
I do no wish to waive the setback req ement.
V I do wish to ,aive that setback requirement.
DESCRIPTION AND I R DRAWING OF PROPOSED DEVELOPMENT:
(To be fille, ' by individual prooposing development)
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---------------
Signatur
�11��GcuJ� - ellt( k1
Print or Type Name
Telephone Number
Date: //6 I a v av
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: I.J t L.L. I A,•n SLA,CD
Date: 2 ? .)2-
General Permit#:
SOLD
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft I FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfinal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. •
Habitat Name includes any Excludes any total includes Excludes any
Choose One
anticipated restoration any anticipated restoration and/or
restoration or and/or em p restoration or temp impact
temp impacts) i impact amcunt) temp impacts) amount)
�t
1SN�,t,�.rf,. Dredge❑ Fill CI Both ❑ Other ❑ � } )1 Cs h, ,
(� 12,...) ,f, Dredge❑ Fill CIBoth CIOther CI ), $ Y o
Dredge❑ Fill❑ Both ❑ Other ❑
l Dredge❑ Fill❑ Both CIOther ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I i
Dredge❑ Fill❑ Both ❑ Other ❑ i I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
•
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
5