75464_Kirby Harris_20200323

CAMA / 'IliDREDGE & FILL ���
GENERAL PERMIT �0 (05 R7a A c °
Previous permit# 14, ) r46,
)11C ` .New EModification ❑Complete Reissue EPartial Reissue Date previous permit issued 1..1 i;�
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 `i ti
} Cules attached.
Applicant Name eig '7 -sl-Clle_,p.-a. Project Location: County .:.> L
Address )a 2- i 4L4-, 'Dz. . Street Address/State Road/Lot#(s) L-,
City /: �;:.,,A:%i> i v,-Li State at:- ZIP Li t 612 Stec: . 1-t:`
Phone#(z;2)-1 ig- 4cy'? E-Mail Subdivision -g4-/ L At,
Authorized Agent A -L.41/4-1-,- City=r:.--�-:z :;:y.-t1;'t--; ZIP Z"7 1--)
Affected L CW ❑EW 2P PTA ❑ES ❑PTS Phone # ( ) River Basin -1-712.-2.A Pn 4..L, j
s : ❑OEA CI HHF ElIH ElUBA ❑N/A
Adj.Wtr. Body r;• -VN �';-.j (nat,%ma
AEC /unkn)
II PWS:
Closest Maj.Wtr. Body'I (-.-'i* 'l'c.� i'i-L
ORW: yes /.,no j PNA yes-/,no t
y
Type of Project/Activity . - , A ,/ Pt: .-'ri-- J2..+n , i'Z `i. n ,t,-- C✓:i6 .----rD
P-Jq- ?T- • (Scale: I """' 3 ' )
Pier(dock)length _
3 ! I
Fixed Platform(s) ?t' r� -- - I- I 1 ---j --r ! •' 1 { I ! j i 1 -' I I
Floating Platform(s) - � i r-- -I I +-i- -- F-I ---f_-I-__-__
Finger pier(s)_ \ 1 rt I i , ' I - F i I I -.
Groin length i i I 1 T
I I j
number 1 -�-+ j- -I I i I I i I I i 11 .
Bulkhead/Riprap length -- -1 I — i - , I ! j 1-
j I 1 ! L I ! , i 1.1 I
avg distance offshore ! y\ " I
max distance offshore 11 1 f 1 -- i--
i i I i i
Basin,channel 1
f _ �� I
I + i i _'- I I I , 1-4 .. 4_ I i
cubic yards { --� - -�i - - ._�..t I I j
•
Boat ramp I I I r -�-
Boathouse/Boatli ' i_ 1 I - -r.
Z.i I
i2 � i2- i 4h4i
I I
Beach Bulldozing 1 !-�._ - - _y_I ;_ -_ ®- __L._J _ I i ' .__
f- , j -1' ----
Other lry -
,T
1 i '
_.i r --- -- _. _,
Shoreline Length >-'-' - jI
SAV: not sure) yes no IF4 ;L y l
- IV lf.,;jO+ • .r I f �
_ x -- ---------. -- !
• w7Moratorium: n/a yes no I t`' I ! 4+-1 �+! �r ,� C. P•1 ! l
--
� ,I 1
IPhotos: yes n , 1
; i ! j
Waiver Attached: ye's no L—__! 1 I I j I I I , ' ' '-
A building permit may be required by::L- -s i v r LA.A c e-l-i!4-4./rs NI . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions - - - ;-r ,i}.-� ' ,,..) '�p'_,-,-]4 e..� 4::_"v,1-'4>4-v; .� 4i"s- --, _--- -.. =
/
ri7 y(�'tL J4-1- --e^ - -9- v t
'3^8 6A-p i j,--,l..4'',\ t-s__>^q .mil 2_1.4 . ,,Lie:-_- ;}+,1;,1 'x Th\j'Th LI? ")\ fit 1. ` -
6 j) C
>. 1 I e A (A) vz i 1 . Sit l_'.
Age or pplica ri ed ame Y Permits 3fficer's Printed Name
Signature **Please read co pliance s tement on back of permit'** Signatl)re _�
.,-) `.,-k+� .._.,.�•- 7 5 4,--� - ' ---'��L-`-4 7-21..
Application Fee(s) Check# Issuing Date Expiration Date

41 LAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#p A 8-•� C, D
)G .; New ❑Modification ❑Complete Reissue ❑Partial 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 -'-';r-i -
7 Rules attached.
Applicant Name -11E-1, 4-l1 .t i Project Location: County 1�j 1.-t.-. --s-1.-i
Address J 3 .z.v '0a - Street Address/State Road/Lot#(s) el.:7T- c ri.-i t 1,
City / jc,:w..i% r1;1-i--t State f l ZIP'z.-) i--) Sat. S t L� ram-z-L-
Phone#(z 24`)i4 - tic ? E-Mail Subdivision ,}-z L t5
Authorized Agent IN - L.,,k--z-•- City'-r-) s:-:.A...)R T-,...; ZIP 2..'7`6 I-)
❑CW ❑EW PTA ❑ES ❑PTS Phone# -fir --'
Affected /� ( ) River Basin ,��iL
AEC 5 : ❑OEA ❑HHF ❑IH ❑UBA ❑N/A❑ PWS: Adj.Wtr. Body tAt -- � �;=i-J j,- (nat,/ma /unkn)
ORW: yes { no PNAyes no Closest Maj.Wtr. Body i'- mac, ''-"( '1 -1, 'j-1
/_
I
Type of Project/Activity i 2 ` A /2. P,L: J2-"4 ; ` i
-__ (Scale: I ri *. ' )
Pier(dock)length
7 I I I I I 1 I II I T1 ri—
Fixed Platform(s) 0S �7 --- --I- ..- I : ; j _ {
i-
T i i I it-
-._ — 1 I
IFloating Platform(s) I �.
I — 1 1Finger pier(s) I
t i t H-i _i_
Groin length i i 1 i 1
+ i I
number i i j ! I
Bulkhead/Riprap length - ! I ' 1 i 1 i i I ! I + L 1 '`, I
avg distance offshore ) 1 - I -I-
max distance offshore -tom- ! I I I • I I -j
Basin,channel � _j_I i ! i I
/ I tti-�� 7 i
l ; T j l + i-
;
cubic yards --*—L.—. i I
$ 1 1 1 I
1 i
- -�- -i I
Boat ramp s. 1 1 I ! I I I j {
Boathouse/Boatlift �.>3;-t v �p - j - I i j -...J j LI -r
7 1 - , , j altI - I
I-- ._ I _- __ i i ,ma • C., to ice I
Beach Bulldozing 1 I I I -_e — I i
I ( I
Other " i oilI j�' i , 11 I
I I I -
- I i I i i
Shoreline Length ? r ' IN
1 i
a i I I i I I i 1 � ! I • � { 1-
1 I i i
SAv: not sure.-- yes no ? ._1 I I �._....._J
Moratorium: n/a yes no: ! , 1 141 _ 14, 1 I - . I 1
Photos: yes no 1 i -r� 1 i i i i 1
Waiver Attached: yes no: j I 1--- I" I I I -' -j- - 1 1 I I �- 1 ',
1 I II , .
A building permit may be required by::- -r ii 'F- w/}r; f.4-1-1 ram;-?l [Ti See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions •--r :,> .- t•; i. .-fi 1-4, 'r -_-.-, .. i r-3r,, ;:•:.,.6 •. errll
- -_ - . 7.'t -Ir--] "0 :TVIJa !Ist..t:2 . ...__''''/'
"4, i*rt h•..-YTh 2)° . .. "'l‘il(1-
6! C 1 L,0 i 140
J
_ .
Age or pplica rir4ted ame PermitOfficer's Printed Name
Signature **Please read co pliance tement on back of permit** Signature . ----•-__
Application Fee(s) Check# Issuing Date Expiration Date

Kirk Harris; has my permission to install and build a pier, dock, or
boathouse that would be in compliance with CAMA, City of Washington, or other
agency requirements for a permit in the Bay Lake canal system. Construction
would be done from his lot or address 112 Silo Drive, Chocowinity, NC
27817
5/‹:
Jimmie W. Whichard
Date /(5-/Z:) -
L

1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Vc-CA-\ y�t t�,`C1 �y4 J`(G(SY1
N me of PrPert Y propertyOwner)located at LO C� s \� .k
//d /C U
(Address, Lot, Block, Road tc.)
on AGf lr'/
' in C �lJ (iF� 1�'�`� :1 N.C.
/ (Watery) -
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
cation.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
‘(- 04_ 0
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si ur - _-------
Signature*
Print or Type Name Print or Type Warne
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address
Date Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT,j, 54 //'
I hereby certify that I own property adjacent to / /! ` J
s_
property located at (Name ofProperty Owner)
I � � 1g Acki 2t / I7�s %
(Add ess, Lot, Block, Ro d, etc.)
(Wa rbody ) ; N.C.
(Crty/iown ancli6r County)
The applicant has described 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
h4 / 0 4---( voc/z
c dev-c/ r^ r lc, 7
211
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
__Jk
Sign ture
Signature*Print or Type Name • Print or Type Name
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone 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
's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in
(Waterbody) (City/TownN.C.
and/or County)
The applicant has described 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
r p,1 Ci P
11
(P
ccl
tcy / Pet 1
- G 1 It J 200 IP
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.
I do not wish to waive the 15' setback requirement.
(Prope Owner Information - (Adjacent Property Owner Information)
---------- --
Sign�, uye ,! *
Signature --- -----
Print or TypqmigW
Print or Type Name
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address
Date
Date*
'Valid for one calendar year after signature* (Revised Aug. 2014)

CITY OF WASHINGTON
ZoningCompliance
Certificate
ISSUED TO:
No. OF PERMIT: % 0 � C) ►_ � �.•
DATE: 0 3.034 ck
ZONE: - tk• �% w
ISSUED BY: i!
-- - THIS ' RMIT UST BE POSTED ON THE JOB �_ _

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant ).I i .13 (7 41 A-2fLI j
Date: Z 3 /►� fi►-� W 2_C�
General Permit#: — 6-#6,4
Describe below the HABITAT disturbances for the application. All 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. (Anticipatedfloal (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 en restoration or temp impact
temp impacts) impact am cunt) temp impacts) amount)
DPEl •
1A./ Dredge❑ Fill❑ Both ❑ Other I, 2.g g /72 245g
• 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❑ Fin❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other •
❑
Dredge❑ Fill❑ Both El Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ 1