75469_David Corriher_20200303

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/ ❑ DREDGE & FILL =D 4 1062 t4'° No. 75469 -
GENERAL PERMIT Previous permit# A B C D
i
��= .. New El Modification ❑Complete Reissue 1Partial Reissue Date previous permit issued n1 1 -4-
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 ' 1 • I i'`' .
®Rules attached.
Applicant Name DA v ( r D'g-TJ3--t- c Project Location: County _B-A..41 o--r rt-
Address p 3:-) r3t_.n z.w i=, 'L2rc 1--)2 . Street Address/State Road/ Lot#(s) r I i IL-
City ria r C-r3 r/1z State IL I L ZIP Z`z7 S-7 1 i._, -, ,, • ,L,, r ry Al ✓?
_ ,• , "S-7e1-_
Phone#('.1 ,,) i'-l. - I c.7} E-Mail Subdivision
Authorized Agent , ' . - City 0 i= - t 'tz- ZIP Z. 9 5-7 I
❑CW ,$lEW PTA ❑ES ❑PTS Phone# ( ) River Basin *4 t"--. s E
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Ste' , i G P•><'t--r (nat /man /unkn)
PWS:
ORW: yes / no; PNA yes'/ no ` ''4 ` ' Closest Maj.Wtr. Body 'J t"4.S r'"LT,"-
- t -.r-----
Type of Project/Activity
\(Scale:) )' . 4 0 ' )
Pier(dock)length
Fixed Platform(s)H x IS I I } • _
I Floating Platform(s) 1
Fingerpier(s) ' =u %ir ty,jr.,,-, _i , i
Groin length k J 1 q I i _
number
� h-
'T,42..15'o3c-O �)TIDa.
Bulkhead/Riprap length 5 - '
`F--l1.o et",, /
avg distance offshore i f . 1.,„,,, t, ,t 1
I
max distance offshore I 1 I �
Basin,channel t.'-� r , 1�.1 tt► 1 1 }l m
I juS ' . ; Iu !� �A1MAsf ��
,� t-7 Lam- f`t!.rr' A.
cubic yards_ I —._ i
Boat ramp Cll.,7 (1 1 „.. t
Boathouse/Boatlift �.k-T + ' e `4 . . � j — j
Beach Bulldozing - - -
. � _ _
Other
1 _•
—�__ . ._.._...._1__,_4
l
Shoreline Len h b U !
SAV: not sure yes no �.
JD
1 _ l — — ---I —
_ r I t I
Moratorium: n/a yes no- :jl/4-r\ L.I 1 ` q 172tiyT
j
Photos: yes ,aD� "✓ _
Waiver Attached: yes no\ I
A building permit may be required by: .I--If
a\-'L.'/ ✓ .0 o s '.'c , . [See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions '7 /'.-'ck-,, -'I- ,-,, , 4 tt. 0 L-A-w 1 P 1 r -
0 t. - .- - t, M ,_.r1 L ,v.. PT,T7 L U w w7 'L 5 Y 0 6 I -r--y N 47 `-,, I r7! r-
,rS-'4i////j ( , if/f14.- _ J ig
Agent or,Applicant Printed Nam Permit Officer's Printed Name
/ to
Signature **Please read aripliance statement on back of permit** S na re
`, S�-!L ``,"\\' ILUc:�y ;J /✓^tyzt,, :Lu2Q jc.J -�k.. L`- ---2 oz..to
Er•
Application Fee(s) Check# Issuing Date Expiration Date
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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(9I0-796-72I 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 252-946-6481
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 44p L0i^re- s
(Name of Property Owner)
property located at 0)4,3/ le/oci-hgate @ a f
(Address, /Lo�t, Block, Road, etc.)
On 5;.,. F� Cee p . , in t1 '.'Gilt� / N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
�/ 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)
I WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you 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.
(Pro erty Ow er Information)
• r � (Adjacent Property Owner Information)
nature
C A dt . Signat re*
Print or Type Name 1V s
P-rint or Type Name
M ins'Address ' -!cs tee.
Mailing Address
City/State i
R. City/State/Zip
Te ephone Number/email address
Telephone Number/email address
Date
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to '.4 4p {o/'r,•' en
s
property located at c?#0,39 /3t'y4i/.eeret,� Ar,
• (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on S^',' , in 0f.'ti�k i . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
17" 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)
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
f do not wish to waive the 15'setback requirement.
(faro erty21c-L-4
er information) (A ac t Property Ow er 1 fo n)
1. 4,, •,,,,,, ,,,, ._ 1
ature �— ( l
a Si attire"
l- M///0 O11t- Ag //Idle)A.t, .� _ _
Print or Type Name J� t 0�`}`�/G GI t ��--�
Print or Type Name;3-2 J
0), Q/�alip t,�/. p, .2:1 6, a4c/--L-Aa�.( r2 .
Ming Address Mailing address
Cif City/Staten i / L c s 7` U,aE'aJ/�4 ( vf,/t'_ .2 s'S'"7/
City/State/Zip
/P` .795' 7693 3°E/
', r/S-6,/g 9
Telephone Number/email address Telephone Number/email address
,3-2i-;o do 3 -21,zeo;IA
Date
Date'
*Valid for one calendar year after signature" (Revised Aug- 2014)

NC Divjsiona of Coastal Mgt Habitat Impact Computer Sheet
Applicant: 'V A v r f, G.012-g?}�
Date: 3 o Nlii2.4-
General Permit it:
Describe below the HABITAT disturbances for the application. Ail values should match tie name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft ' FINAL Sq. Ft. TOTAL Feet FINAL Feet .
(Applied for. (Anticipatedflnal (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 am cunt) temp impacts) amount)
Dredge❑ Fill❑ Both ❑ Other ❑ p _ 11z �. -
• Dredge❑ Fill❑ Both El Other ❑
Dredge 0 Fill El Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i I
Dredge El Fill❑ Both El Other ❑
li
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other 0
•
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other 0 •
•