75347_Jim Gillam_20200317

-CAMA/ I.'DREDGE & FILL TAD L95 Q53 No. 75347
GENERAL PERMIT 'ems Previous permit# A B) C D
�� % -New C]Modification iiComplete Reissue CPartial Reissue Date previous permit issued /
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 15A NCAC 0/�/. / J G4) .
[ .Rules attached.
Applicant Name j fr., (1. 7f,,.,M Project Location: County IL, ,/ .
Address yyo 6,.f,-,,r,40 ,„ 0C �I Street Address/State Road/Lot#(s) 'J. 1, I. ,.J I. ./ c 7
City -.,C r/,. 1 G„ State 1/6 ZIP .2 7, ' — /,,,(5‘r f'-( , i, <'..,i-'%,✓ 7 6 S/- c‘"? - :J 7
Phone# (7/9) _, /-5-6� // E-Mail , li. m _2" / ,.. Subdivision /�!
J
Authorized Agent ,t/`' City r'.. a,l, ZIP .. 7, 7s
Affected ❑CW DEW (k7PTA ❑ r,ES ❑PTS Phone# ( f/7A _ River Basin , //?-,.-,
9 ❑OEA ❑HHF ❑IH ❑UBA ❑WA �j" low^
AEC(s): Adj.Wtr. Body ' ' - (nat�/man /unkn)
❑ PWS: `
Closest Maj.Wtr. Body ,� -,, ,.. ,- .
ORW: yes / no PNA �/ no
Type of Project/Activity ,air ‘ . c-/ i . .,,. l j�, / N �, % ,,, . / f,
r- i t /Gf)6' - /..�, d// / /...it r,. L ' (Scale: /v I )
Pier(dock)length _ C v', 1 ,l - ■�■�
Fixed Platform(s) 1
Floating Platform(s) I .T� mMIPWati !
Finger pier(s) I I r /cIIII A �
Groin length f ! ■�■� �■om■ Ar■■!amom
number �!�� ■�■■■_ ■■�
Bulkhead/Riprap length —
�^
P P gt I=1..1.11.111WIMMP211:7111.—�� ■■Uavg distance offshore �j!4 _��55�... ■■
max distance offshore ■■ �A©■S11■■■■
Basin,channel /, G'v /r-:,, ■■■1=MEM= _��■■K—■■
de y[ - . ®1 ■■ ■ P LmIMEMu.11E111111M11111111EM,
\■=
cubic yards 500 = As�Ai.® ■■ ■'.� 1
alfi
Boat ramp ■■� __M1/ ♦2■1M ■■
Boathouse/Boatlift i�� _�,= ■■ :�;
Beach Bulldozing 1 r '11 _ 4,443,, ,'�`M■_ ■6-3. ■■E��
i
Other — , —.- ,-. I ® IN■■1. _.. IMMIE
ErAv
Shoreline Length /c:LU I ■, ■_'E
Pim- WI
SAV: not sure yes & ,__ 111 a ! t I - . ' ' ---- agirlimm
EMI - _-� .
Moratorium: n/a yes' no �-T ■
Photos: es no i mormi i .r- ^ wimajo
C)Waiver Attached: yes � v i !■ � 1 1 N''� -��
A building permit may be required by: f/>, c/.G . 1 I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) I / /
Notes/Special Conditions /(r„,,- ,Y.L/+ 1 r. ,Ise l,I. A-)7 J,. / / ,. _ C, ,, ,,. / Y; /ii
ice('�1 Ga, ., /... I L c'� , �e��.C�.I ,//f ,,,, i 1.,, / J / ••A- 1�:r1�«,.. /O✓.. /:��. ,-7 /k� �,I .... ,
/ / J , �
0ie01"sI , c, itn/,7,4/ ,X./i lln, / ,. r-)'rtr,‘FL Lai« /ify
''' '.L/..- •/14 —•5. c. G1'1 I I CA-.!' ^ — ; /- , /----- �4/4-'00/;,0
Agent Applicant Printed Name Permit s Printed Nam.. p
----/ [.�L/ C1� '
42'
ure
**Please read compliance statement on back of permit** Signature
hI (//W� — Gr .r ;l / :7 '6 -2 0 jr /, / 7 ?a,20
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(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 252-946-6481
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 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

GO •
'ARIAN PROPERTY OWNER STATEMENT
A .?7r/i adjacent to --' 6k, 11)
(Name of PropertyOwner)
”." �2d, P/N 76 s/-9 9 - 537
(Address, Lot, Block, Road, etc.)
, in Hy& mount , N.C.
(City/Townnd/or County)
ie, as shown below, the development proposed at the above
irori nave 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)
Pt0.4g . 5Oil _ i5>t-s � Jcut Jl3 C.ts.w�
44 l t advs.. �p v,op R„ - - 1
..D r c-W ;-1 at
WAIVER_SECTION
I ,•erstand that a •ier, dog 1., .nee,;, gs, boat ramp, br- . .• - __-_-.-..:; e, lift, • roin
mus • - - """ - •• •i • • - • - -n access un es aived by
me. (If you wish to waive - - .- - • • - appropriate blank below.)
I do wish to waiv- •- • . etback require - . No+
4 . . i c0t4
do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
per, 6') 1 . ec)
ignature i ture*
hocr�,_ s -F ( )'a,.,,�
Print or Type Name Print or Typ Name
Mailing Address M ng Add ess
5 v a.,-,+an N C 2-7$7 D e r.L�� �/ . v7 7d',D
City/State/Zip /State ip
Telephone Number/email address Telephone pumbe /email address
Date ,.yl a,;►, C,B m Date*
(Revised Aug. 201/
*Valid for one calendar year after signature'

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1 100 ri, 1 Jan/21/2020
1 400 ft 1 Scale 1;6626
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENTy tires 's
that Iown property adjacent to a Owner)
I hereby certify {Name of Prop
property located at
63--C-C gok.g" Pd Pi,'" 7'. .5-`-9q - 5-3 .
(Address, Lot Block, Road, etc.) N.C.
�l,Cyt"r'y
an g.,*y,,‘r,,n`atn ram. in , (City/Tow ndlor County)
(Waterbody)
The applicant has describe
d 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.
NT
DESC
RIPTION AND/OR DRAWING OF PROPOSED
E or O attach site drawing)
(individual proposing development must fill in description� � � � )_
� � wi a. �f a x ' v,a' .-+0( �� o_G + r a a.� �i,,.,
�. _ i S-f- 3 f O��-) sZ.�.
1&�' g L -
j ra-tAi ' .q
,
WANER SECTION -, lift, rain
cgs, boat ramp, br--••, - - ..:
I , -.erstand that a •ier, d +r**' , . --a . - an access un es waived by
mus •- . , w a
•
Qt� artiti. e appropriate blank below.)
must i•'
me. (If you wish to waive - - .. _ • i
- . etback require !� , /i c a�
I do wish towaiv-_ _ i1
do not wish to waive the 15' setback requirement. )
j c r
(Property Owner Information) /(Ad ;ent} pe /
iAl
caner infqtmafi•on
Sigrtatur•ex;��1- a k e C 4/,ci
ignuture 1 ��� �U� . !/S�
o�m ' �� Print 9r Typ��ame
Print or Type Name l /t/ e e c r1
AgaQr,mG �ov>v� �- Mai' A�dr /`. �'C ( fl �,(�
Mailing Address G �� C�L/t l
Spy a �-Z a�, / 7g City/State/Zip
' O� re
City/State2ip
~ 31 ' S 5 S� Telephone N tuber mail address
Telephone Number/email address
Z O 6,, .s. i 1 4 G.,,�.
g
1 9 e Date
ate ' .nn a,; 1. G©rv-,
G` (Revised Aug. 2014)
*Valid for one calendar year after signature'

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant:
Date: /LGr,/ / 7 2 _2e
General Permit#: 7S y 7 v
Describe below the HABITAT disturbances for the application. Ail values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfieal (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 amcuatL temp impacts) amount)
c`4. fr"4 Dredge Fill❑ Both ❑ Other ❑ ! / SbU j�� U
Oil ,ert Dredge❑ Fill Er Both ❑ Other El 6,
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El All❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El Fill❑ Both ❑ Other 0
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other El
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both El Other ❑
Dredge 0 Fill❑ Both ❑ Other El
• Dredge❑ Fill❑ Both ❑ Other ❑ •