75328_James Fuclie_20200218

• CAMA
/ - DREDGE & FILL 7.11) (1951 33 No. 75328 A B C D
ENERAL PERMIT 7-4-5 Previous permit# A/ 4
>G ' Jew Modification ]Complete Reissue Partial Reissue Date previous permit issued N.//i1
' 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 03 j i, J - b O .
_ _ ❑Rules attached.
Applicant Name am C f FP (I L I Project Location: County PA AIL I(O C OV A/Ti'
Address /d/ AM SIZ(1 W S K.Y7 Street Address/State Road/ Lot#(s) 3) Et Awj / I
City AS`6N1= I State PIA ZIP fi 96' / Ni !i KV
Phone#( ) -�- E-Mail Subdivision
fI
' Authorized Agent i(/ j''K 1 _5(0/-7-- City ' G k'AA1 T s a e 0 ZIP 23 5 If
Affected
GC,CW XEW *PTA ❑ES E PTS Phone # ( ) River Basin /)To$F
OEA /❑HHF 0 IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body 0Mi i7 . C?CL K nat man /unkn)
PWS: ,, / �
� Closest Maj.Wtr. Body /V t j 1_r iz I vc/y-'*"
no/ORW: yes / PNA yes /lAll'
o l
Type of Project/Activity /1 i I'/o(l ( V (z) 1_ 'x 1 i ' L,, ,J(o Uf/?L i,) )70A R. )I %5
,,
(Scale:I :3 p / )
Pier(dock)length
T� I I
Fixed Platform(s) - -- �.i Ol -n ' it I 1 ,
1 , 3 j; .
Floating Platform(s) _ YA,4 { t 3 l f �i __
Fingerpier(s) �j L ii�� Zj �^jR I
. Groin length v (K:-t 1.
!" __-
number 1 _—`F
Bulkhead/Riprap length - el
# ; ,
avg distance offshore — p
"
max distance offshore '� i l ��,' ► f �� -. •, .
? I
Basin,channel - j r 10lX/0/ .
i'. cubic yards -
- I Pl A{YAM {
Boat ramp _ I j
Boathouse/v ? , — 1
l3/x 1 mi S1
—
Beach Bulldozing - - _ -C 11 it V 1
Other + F ll�''�1�'
• ,
` Shoreline Length ;2('o . 1 .
SAV: not sure lip no .I 1 j i
Moratorium: n/a yes I
Photos: yes IAiw L1 ve! $ L tl 1��'/1-/'�'
Waiver Attached: yes D�l° -
A building permit may be required by: 17^ ��1/vit I(Q (D i.' 'U ff See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions Sr r 07
I. 7 Z 00 Fr Jim /j (eA)p 1 /7DN s r l A 1)/L ('k i15 S
4 roAs 7A ( 1-' r rzAA)75 .
I'rV IA) tiliel-
,
Agent or Applicant Printed Npcne/ ,i Permit Officer's Printed Name
E
I Sign re **Pleasw read compliance statement on back of permit** Signature
'��Po. 00 363$ IQ I' I1S 70Zo /8 J7j,Jf ?ozd
. Application Fee(s) Check# Issuing Date Expiration Date
t

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
landowners).
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 (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 1 5)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

ACII•WaisA
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 3
Name of Property Owner Applying for Permit:
,.,%r s /u ,'16
Mailing Address:
1'�lss 242 f c t6 l
I certify that I have authorized (agent) 7-/e /�i..es C.c) i*,L//lie to act on m)
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) boa j1,T/s
at (my property located at) '3 / rds (re e /4 4/
This certification is valid thru (date)
C) —
P erty 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 1 10%Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'n'es Tucj/e 's
�� �� /) ()game of Property Owner)
property located at 83/ Be,,ve /Y 'c h
// (Address, Lot, Block, Road, etc.)
on geo d.' C1.c-e , in G-.i rT7sbos.o , N.C.
(Waterbody) (City/Town 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 ANDIQR DRAWING OF PROPOSED DEVELOPMENT
//1 - -Y---- ------- -----------'.
e r-re k
•
',...„,arsi.
► 1 q-K F3az4 Lift
7//;
Zik
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& k. goat 11`q -
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 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) (Adjacent Pr perty caner Information)
/ • Signature Signature*
J,nes FFc , le /To do e j. Al L e e
Print or Type Name Print or Type Name
/6 ? /t/ss-a wS L' Po L k- 75.
Mailing Address AM / Mailin Address
/7 P SSD ivc r, -2/p 63/ ff,fyL o Mco .� 3_l _
_
City/State/Zip City/SMte/Zip
6/7- (5'32- 66,3 7.-P- 6/7 3' '/ Z 1-/ee 3 5?c y47..0,/, ec Al
Telephone Number/email address Telephone Number/email address
3/ .Tiles ,?D.70
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to � tS2cG," l� 's
/ (Name of Property Owner)
property located at 'J t' 06EA/AJe c /
eez
(Lot,Block,Road,etc.)
on ,S eCt r'C/S e.;c gk , in a-4k iR ID , N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: /7—F1.3 T-''s Mailing Address: /a? /iA/1sdDu1S
,4SS:I✓/7` /?'14- e9 Y T J
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)
11 a c{K Saes-4 Lill f /11: >%k_
P) gthOct-
(Information for Property Owner Applying (Riparian Prope ner Information)
for Permit)
9 /VI -o
Mailing Address Signature
f4s so,Oef/ /14 £9 k $
City/State/Zip Print or Type Name
40 a
Telephone Number Telephone Number
nature Date Date

Applicant 1.-,1 iy k 5 r(i C f Lk-
Date: f g (cj3 Z c Z a
-General Permit#: ?r3
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 FINAL Sq.Ft TOTAL Feet ANAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Marne ChOOSe One
includes any Excludes any total includes i Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
�7 �,,( temp impacts) impact amount) temp impacts) amount)
C I'fin/ /A 1112- Dredge❑ Fill❑ Both 0 Other Ind` 3 3 8 F 3 3O Fr'
Dredge 0 FiN 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fib❑ Both ❑ Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ FiN❑ Both ❑ Other 0
Dredge❑ RH❑ Both 0 Other ❑
Dredge 0 FiN 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ RH❑ Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ FiII❑ Both ❑ Other ❑