75336_James & Heather Hall_20200228

• CAMA / flDREDGE & FlLL
= fl A L 5/70 y$ No. 75336 A C D
GENERAL PERMIT Previous permit # ,A1//1
New Modification Complete Reissue Partial Reissue Date previous permit issued N 1A
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 )J. i -LC 0 .
I_.Rules attached.
Applicant Name Y,ivy E S 4 ) r/+p-I r Je 1k LL Project Location: County jj/L/✓]Lit . C e A AITY
Address aQ3 I IS/A C CarikiZi2 Street Address/State Road/Lot#(s) 020? I( 17/Ar K L'FAk'/)
City D R I i'ju lAt- State AK ZIP 5-7I
Phone # (201 ) ?1 7 '917/ E-Mail _ Subdivision- MU(C A A) (. L%C.
Authorized Agent City 01 1 r> � L ZIP '/0'S 71
Affected ❑CW ON f`PTA ❑ES ❑PTS Phone # ( ) River Basin /V F iA Sr-
❑OEA _-.HHF IH ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body St1 )111 ( RF E K _ ar4 an /unkn)
❑ PWS: A f
ORW: yes no PNA yes le SEtvopN1Y Closest Maj.Wtr. Body 'll CU r k1l1f ''''
Type of Project/Activity W`'1)10f IZ 1O 13
'_ r13 Ud(OV k rO ,, i I
(Scale: 'it. 3 p ' )
Pier(dock)length — it✓� ,Itf
Fixed Platforms) — on 13 t�} i
Floating Platform(s) ' /AI{V1f l Sr ffi 4
Finger pier(s)
Groin length ' $1 1�
number
1 I' I
Bulkhead/Riprap length ' - 1•.ri C
avg distance offshore M"'� & S, 1
max distance offshore — I �} r'r�/A� �`'
Basin,channel — If
cubic yards ��� I
Boat ramp I ,
' i/ I 1 I (-
Boathouse Boatli '3 • 1 ' —
Beach Bulldozing - j - i
Other / iI fISTIN , 4,100,11
'
u rcm.
w
—
7
""
I
Shoreline Length t- 0D 4' I j
I
SAV: yes no ��Vd 7' ---- — <. I 4P �. r -- —
Moratorium: n/a yes ut� ! , AL�0�,3)
Photos: yes 44-iiarr, 1 .
P
Waiver Attached: yes no
A building permit may be required by: PALICO r OV lit/ F. See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions S JL( OW 1 'ZOO (O/V D i-1 G.1 5
a
e yy� 0 . e / j i � V(A) )1f
Agentplicant Print' ame PermitOffic ' Pr' ed Name -
Signature *Please read compliance statem ton back of permit** Signature
f -----1--- .g FIE 2 '20 2s Jq.1 7njD
Application Fee(s) Check it 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 0-796-72 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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT /
I hereby certify that I own property adja nt to� l M? •f /Jl�,�/
(Name of Property Owner
property located at ,� e 3 y (j�y -C' � b r z.v f- 3 tf ,Owner)._
S (Address, Lot, lock, RoQa�d etc.),,,
on �� (-�{� , in 0 A,' eat � / Ka.-/J cc ecti , N.C.
(Waterbody) (CityRawn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
ejc%L�i�l h ///
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be t back a minimum distance of 15' from my area of riparian access unless waived by
me. (If y u 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) (A j e roperty Own r ation)
•
Afftu ure J/ Sign e*.
OCirn, /�_/ Ri &ibb (2u02(�'CCZ✓2-
• Print or Type me Print or Ty me '//
..aS y /5l�t.c t is-eC/YJ � �ZL13� �A G KYJ`?A
rLfai'n Add ss Maili Addre
Ad49 gc 2 2rs � , AA) C cb's?(
Ci /Sfte i City/State/Zip
c Ia- 7 336- v5 - /73
Tele hone Number/email address Telephone Nu ber/ mail address
Clore r �j Date*
1L M v 's ► fir` vc4orm, I.��,
(Revised Aug. 2014)
'Valid for one calendar year after signature'

Applicant f4i C s TNCY N A(
Date: .8 i iI3 Zoz
General Permit#: 7 3 t
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 i TOTAL Feet I FINAL Feet
(Applied for (A aced final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) _ impact amount) temp impacts) amount)
3FEJli i iJAr n Dredge❑ FRH❑ Both 0 Other l6?F
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge-0 RI 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fil❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both ❑ Other 0