74180_John Sitz_20191008

0 2CAMA/ E'(DREDGE & FILL ��~ yr No. 74180
D
GENERAL PERMIT "� ° �y ��� Previous permit# ,v �A C
�� New .I1Modification CComplete Reissue DPartial Reissue Date previous permit issued ,v�
As authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ( !7/ .2 J a(.)
/ / l2Rules attached.
Applicant Name 1,1414 !i T e Project Location: County f/,. :/c
Address C/, /�2 _J7 Street Add ress/State/Rooad/Lot#(s) /6 V/ ,q,,.,l ,
City /,1✓(,.,, State,VC .ZIP- 79-15 7,c,r,s K`;- __ `
Phone#( ) E-Mail ri.ii i3 S@x�•r 00• e o P" Subdivision p4,.., /, J " -e r_ _
Authorized Agent
/ .2-- 40City Ul
���Hnvro f� �f C , !<. <le 1/��,.e ZIP -27760
Affected _Cw (lW i�PTA TtS TITS Phone# ( ) River Basin 1, r! `ro,
AEC(s): OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ph/co $i ,, at an /unkn)
__ PWS: Q
Closest Maj. Body Wtr. f`-,''/ ” G+
ORW: yes /05. no 2 PNA yes /
Type of Project/Activity ./6 e-• ,e /. di ;;.i r,� E i Li")/(4.1 . •
1
(Scale: / "vZQ
Pier(dock)length --•
I I
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) r-- i /li �„ t d 11(
.,
Groin length -- I a l 1 t I I
number _ I , -. I I
Bulkhead/Riprap length �9/ 1 -- - -- /'
avg distance offshore / I
max distance offshore'_- �,,.,( 1,'/ rif,/,
Basin,channel ) -- Al i tom_ i ` I i
1111
cubic yards —
Boat ramp — o/e,-�.r//„� I ,
Boathouse/Boatlift *
v — . ,
4I �` a r . r �/'
A-
_ -___.._.............
Beach Bulldozing �`' ''
i i'
Other �L,t �/I r o�+p � rr i t lad- I -- —
i
P A
Sc/ I I j
Shoreline Length i i 1
SAV: not sure yes C^ ? I —.{
Moratorium: n/a yes 0 i ' i di
Photos: yes no 1 I j — l �_ 1
i l
Waiver Attached: yes 6.)
A building permit may be required by: Wyr- /e -- ICJ See note on back r iEi ��y les.
(Note Local Planning Jurisdiction) t V C V
Notes/Special Conditions e. O%// .. )2 ) n e i.-- /. /I i, .1 k 7 /e z pi K At ,:1-� ZOCU
/ el Lid lii i-,.icl !1! 14 '„. /..( �/J try ;. '
J nCM-WARO
--) L-1 4 t,c ,-5;74 9/€ /
Agent or Applicant Printed Name Permit Offi r' Printed Name /
Signature **Please read compliance statement on back of permit** Signature
il9X /9 _.���/ /7 -,20/9
Application Fee(s) Check# Issuing Dat� / 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(910-796-72 15)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

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant ja/ S z
Date: /0- g- /?
General Permit#: 7 y/ ko�J
Describe below the HABITAT disturbances for the application. All values should match tie dame,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft l FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated51ral (Applied for. (Anticipated final
DISTURB TYPE Disturbance total • disturbance Disturbance disturbance.
Habitat Name Choose One includes any FYc.ludes Intotal includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or hemp restoration or temp impact
temp impacts) impact am curt) temp impacts) amount)
DOG. er Dredge❑ Fill[Both ❑ Other ❑ /b
544 `'re.- Dredge❑ Fill❑ Both ❑ Other ❑ 56( 5
Dredge❑ Fill❑ Both ❑ Other Er 54 6 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
• Dredge 0 Fill❑ Both ❑ Other ❑