78577A_Sciacchitanano, Robert_20200319

CAMA / DREDGE & FILL N9 78577 �) B C D
GENERAL PERMIT Previous permit #
XNew ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �y
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0
O Rules attached.
Applicant Name j1O ber i' i caul 171 a 00 rl r'�
Address 101 t e 1. rn r,
City n ion State ZIP �!
Project Location: County l i! 11 Uxi r\
Street Address/ State Road/ Lot #(s) Lo J 1
N.
Phone # Q E-Mail i
t`-I Cf N 1 � ,J UG e&,Y • neSubdivision 1`a j U1.ro i C
"e 's
Authorized Agent "-
City Ld P o }O Y'\
ZIP
River Basin
Prl
ElCW ® EW Ed PTA ❑ ES
❑ PTS Phone # (�) —
? 6;0r 6 of
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA
AEC(s):
❑ N/A
Adj. Wtr. Body IQ (�f 0 0 t (e
�
.auk CJ
(nat,,/man /unkn)
El PWS:
Closest Maj. Wtr. Body �1 1 g
i-ro r (F
S' "J
ORW: yes / no PNA yes / no)
Type of Project/ Activity
(Agent or Applicant Printod Name
Signature Please read compliance statement on back of permit"
If � Oy; " '7 �0l
Application Fee(s) Check#
(Scale:
❑ See note on back regarding River Basin rules.
C, r.4--
Permit Offi is Pri ted Name
Signature
3119/zy 7�lG�ro
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 1) 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 - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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

ADJACENT RIPARIAN PROPERTY gMER STA E4MNT
1 hereby certify that : own property adjacent to
(Manse of Property OwPer)
property 3ocased at e.1 ,' '' /�,�n% C7'
(Address, Lot, B�Road, eLc.)
or: ��y" ic'�i`% C- (l t' , L-1 / T� `�Cit% N.C.
(woody) (Cityrrotian andlor County)
The appUcant hm described to me, as shown below, the devek�prnent proposed oat the move
Lion.
&A have no objector to this proposal.
I have objections to Yli5 gr;vp:sal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
f7rxF Wual proposing developmwt'must fill in descript/o» below or attach a site drawhio
J i
& 7_ AFT
WAIVER SECTION
understand tiat a pier. dock. mCo&.,9 pi5n9s. boat ramp, brealetater. boathouse. FdL or grain
must be set back a rririmurr distarce of 15` from my area of ripa.ian access unless waived by
me. (ff you wish to waive ttie setback, you must initial the approprate blank below.)
— I do wish i f :naive'ne 15' sotba ck requirement.
! do not viish to waive the 15' setback requirement.
(Prop er Information) (Adjacent Property 197or trtforrnation)
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Peurscd Aug. 201a}
'dad for one calle:.idar year at!er sigra!uru'

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