78512A_Mahan, Ronald L_20200212

ZCAMA / 4 DREDGE & FILL
GENERAL PERMIT
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue
N9 78512 l;o,
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 fr i��'
Rules attached.
Applicant Name
PP k �n Q l a L 4 �, Q tit Project Location: County 064 S1 tL64t. nle-
Address i U Lfj 9, vey-S �c - AVf Street Address/ State Road/ Lot #(s)
IZ/L ✓
B C D
City EMI Zai�.4 cState W ZIP' 9 _ -futi k,v- Q .Ur.
Phone # (3c6) GO?,-73 gy E-Mail 0Q)nctl e. rtcAbG neLt Koo ,roSubdivision
Authorized Agent -�~ City z a bG C, ZIP of -% 5c
Affected ❑ CW MEW 5d PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / 0o
Type of Project/ Activity L L
Phone # ( ) '— River Basin _ z, ski, ,. � , k
Adj. Wtr. Body ;-, . - I cA : %z.- i, man unkn
Closest Maj. Wtr. Body A 16' Q' (e & ' r.
Pier (dock) length
Fixed Platform(s) 15 i 5
cc'
Floating Platform(s)
Finger pier(s) "
Groin length '
number — -- — —
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse Boatliftl (V 't 10
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes% no
1,
A building permit may be required by:�
( Note Local Planning jurisdiction)
Notes/ Special Conditions
rod*I& L.
Agent or Applicant Printed ame
Signature Please read compliance statement on back of permit*
t 0-1i i' W
Application Fee(s) Check #
r
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t0
(Scale: I -_ cj 0' )
❑ See note on back regarding River Basin rules.
Permit Officers Panted Name
64 1 /- -
Signature
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 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/ I-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

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: XoN�k t 4/40' "
Address of Property: /D ��UG ,S/�� i 11f- ��/��g� C / � j��f j✓f�
(Lot or Street #, Street or Road, City & County)
Agent's Name #: 1W,11P16 Mailing Address:
Agent's phone #: 2' 3 � 3g�f� NC �-- .968
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawin the develo ment
they are proposing. A 3
V I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived JAY
me. (If you wish to w ive t setback, you must sign the appropriate blank below.) Received
I do wish to waive the 15' setback requirement. F=3 0 3 215-20
I do not wish to waive the 15' setback requiremenDCM_EC
( roperty OwnerInformation)
Signature
Print or Type Name
�o'/ I: t". fvx "-
Mailing Address
City/State ip
ro/?aU, IvQ has R 1P60 m
Telephone Number/Email Address
// -29 2c/9
(Adjacent Property wne formation)
Signature *
Print or Type Name
Mailing Address IIIYA(APO-L S, M�
i
04State2ip iz/
301, g��l • 0�(5% � S, r�u�,rd /��90�`M�,�,coti
Telephone Number / Email Address
11 ,2q ,?o1q
Date
*Valid for one calendar year after signature*
Date*
Revised 2017

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to'/t�V4� is
(Name f Property Owner%
property located at 94r'I ,�!✓E�SIf (/F�/(l�� rMIW-7/ <- /7 /(.
P� f (Address, Lot, Block, Road, etc.)
on j7�`'� tom- in CU?fi&%/ Cl U, I N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Received
F-3 © 3 2i-20
rDCM-EC
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must initial the appropriate blank below.)
�) r` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
SiCr L,YA
Snature
lt X
P{(�� 'nt r T
Lq U e g P 'nt or Typ Name ,, fir►
Mailing Address Mailing Address
Stat `lZ1p Ml}tl� @ t� Oyr
City/State/Zip
`^ ;�R 1 • �G� � g4 0 I
Telephone Numberl email address Telephone IVumber/email address
-7 7a-LID
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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I Henry Cuningham- registered surveyor -
do certify that this map was drawn from
an actual survey by me and that this map
was drawn in accordance with NCOS-47-30
as amended, that this map is drawn from f/ooseoLot On
DB. 146 p. 249 and is the eastern50' of 90t River,%dt Ave.
land ahown as Kramer Mill Lot on the map 6&;,7 solJ al
DB.67 p. 519 in the Pascuotank Co.
public registry. Witness my hand and seal TD.Cowcl/ sr. -re
this 28th. day of July 1984. �rA�sf L;nwr.i Grefo/r Ti.i�
X-YO y Ir-1358 Alm,* 5. Gre7orr
Gay OfE1;&#i4fA C;fy
1605 Sdgewood Drive �Cli=`_,F_ pista.t•e� Cod N,c.
Elisabeth City N.C. 2790961gP�fi�,`r`
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