75338_Susan Henry_20200303

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. LAMA / DREDGE & FILL Dog A KS No. 75338
ENERAL PERMIT :7_0 4 051 r17 Previous permit# iI AA 65 C D
)G ew ❑Modification ❑Complete Reissue L IPartial Reissue Date previous permit issued AyA
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 0 7P.p/Coo .
❑Rules attached.
• Applicant Name.?LA fn") H F/v-'( Project Location: County L I /,0 --�
Address P.o• O� �Z; Street Address/State Road/Lot#(s) 1i1/O jJi// 1 IAKCIt
City 31Z)0.11-AL State IOC ZIP)05 71 PcIdr
Phone# (2( �) o/ ' . 1) 1 E-Mail 20.0 i Subdivision 1�1/ 1�/k K i FC f'b I�1 7
Authorized Agent PtC,tiU,•f _jm+,J6 Li-O Qi1-7z'/-') City OJ01-A1fAL ZIP 28c7I
CW t EW PTA ❑ES ❑PTS Phone# ( ) River Basin NC. A$(
Affected OEA ❑HHF —IH h UBA ❑N/A
AEC(s): Adj.Wtr. Body UP 1 ITA K ti R ( let f 4,man /unkn)
PWS:
ORW: yes / no PNA yes no Closest Maj.Wtr. Body /J/- SSE �i 4-
Type of Project/Activity if)012►AA), A1,.'{1 ogf � :iI7 IOU ixs/ fJ/f'n t Co "X7 'pc ' Fr-0 ,4.
(Scale: ) "�'3 0 / )
Pier(dock)length 1 d0 l}"i
I 1
1 —
Fixed Platform(s) 5-0� / ff
/Ni '7)1' i
Floating Platform(s) j EMI - /
Finger piers) - { p- d
Groin length i— PI
, },' f Kt fJ f"{�KCft
i
number {{{111 : 17 ('
I_ �►7►1f rJ _4
Bulkhead/Riprap length — — .i,! ■
■■
avg distance offshore — M v
max distance offshore i MIN I
■ E
iMIIIII
Basin,channel ME ■
.- -
1
cubic yards 31W In II IIII_ MilII
`, 1 a. .,■, —
Boat ramp 11 1 : M: i
•
Boathouse/Boatlih_ } ■®■ ■
i .1
4 ' _ ■ To
Beach Bulldozing - -- ■ M '■
Other `r ' ' ii
. r ,--.. i
• i .
•
,� Q
Shoreline Len h I ' I ' I
SAV: not sure yes no — -- -- j_ {
- -- i..—. { ._._
moratorium: n/a yes �rr
Photos: yes /-
n E 1 .._ ?Pop I III I
Waiver Attached: yes no
7
A building permit may be required by: t AMC I/ O (0U 4 TY . Li See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
Notes/Special Conditions .S L I O 7 j-I. :2 S00 C O&t)01 t-)Oaf. A I( ;-�
)k21 I z F 4 ..$XOF/ 0l-_
Pl/1 I7 AQr`^
NU 5 3/vi cleAl I( q Kr, ✓)ti 1 Myr-
Agent or Applicant Printed Name Permit 's ' ted Name
"Signature Please read compliancestatement on back of permit Signature
t n(VM NT- --- .✓7 ,N)A► lJ :OS 6 r S[ 1'T 'oZ 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:
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(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 9 I 0-796-72 I 5
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

Applicant nA SAP) N i J R
Date: .3 Mgl2C1 2OZO
General Permit#: 7 S 3 e- 13
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.FL J TOTAL Feet I FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Mama DhOOSe 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
ternp impacts) impact amount) temp impacts) amount)
6 Rai 1,,I4 /t Dredge❑ Fill❑ Both ❑ Other t 3.Su rT Z 3cor- 2
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill Cr Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ RO❑ Both Cl Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ FiN❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0