75499_William & Robin Pridgen_20200602

41•___•CAMA / - DREDGE & FILL No. 75499 A B C D
GENERAL PERMIT SDI (Pl'e2 Previous permit# ,) /-1
)C iNew LJModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ii /. --
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 - `'-'-'
'Rules attached.
Applicant Name Ali'-',1�`'' ,� � l'�if3i'\ �i 2a6 Project Location: County ij,e i-17 i_3.e-t7'7 ,\;
Address 7, 'G/ .. /-a n� 4- / =-1-! T2,ij • Street Address/State Road/Lot#(s) r c- r'- +-s
City /.7 o/'--- State -' L ZIP `2 -1 Cr c, t_— :/-i 7 :a;.- A L.,-, . -,I .
Phone# (=Sz) 4s/ =7 i3/ E-Mail rvb � c�
�, Pr� i e��✓ Subdivision -a-' �=' t ' d, "1 i f'4.) c:- .j
ycq)ico,
Authorized Agent Al// -.- ,.�
co \ City ''' "� ZIP "�-79-7J
Affected - CW ,1EW ❑VrA ❑ES ❑PTS Phone # ( ) ---, - River Basin ?kl•S(i)UDTA-t
AEC(s): - OEA ❑HHF ❑IH ❑UBA ❑N/A Adj. Wtr. Body ,rt 6eM42-/F JOB ,-.-j (ne/man /unkn)
PWS:
ORW: yes / no ' PNA yes / no 7
Closest Maj.Wtr. Body - ec�^Rc..t c= $O JO
Type of Project/Activity ; v 6 2' '1 , /4.. ) / - /-,fr-4') / 3 Y i-
r
Scale:
Pier(dock)length 5'c * Co } t
Fixed Platform(s) /(, Y/4, i
Floating Platform(s) I I ii
I } , I
Finger pier(s) j r I
Groin length I
number
Bulkhead/Riprap length ■■MIIIM ■ --L I i ■®■■ ■■■■■■ ■■■
avg distance offshore / ■■�■■ I IHIIflhIIHHhIH
I/ — I I 1_ f 1_,MM ■■■■ ■111111111■ ■■■■
cubic yards ( IIIIINIIIIIIIIIMMMIIIIIIIIIIIIIIMM
j
Boat ram ! 11111
A� ■■■■■■■■■ ■■■■
Boathouse/Boatlift i j N' i 3Eill I"Mil
I Ii 111 'pill.■■■■■
lex-NTA r BINIfl_ I I ' _IIIREM■■■■■■■
Beach Bulldozing 4
.4 } 11 !!L
i 1� ■ ' ,�„"'
•Other r � oast MI ■■■ ■■■■■
IIINIMI■■■■■ S1■ Ma ���■ ■■w�. lb ShelineLength Vi - liii
no , _ a� +
■Moratorium: n/a yes '• 'lll■ ■■__ 'AWE' F _ le __ ■■■■ ■ MN
■■_..I ■ i
Photos: yes no 1-.. ._.
Waiver Attached: yes no---, i I i , I
A building permit may be required by: / "'-3 L-,-7��-, Ij"_' , J • . JSee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions / a '7 /5 ,s ram 7 ,-�-'y(11 . 47"-7-.1 A..c.-, 1 . /4791;' t 7-4 7
7/c ->.,&- •Z (.. 7 ` n r y'; 'S T:,,-i^..\ , /,--,<-.,-,r,.a-. G,—. /1-7 r , w is i 5
z
5/ A) ! r= 5 ,, / ,-t-,( i 7'/i��1 EN t'2Y) 2-•r�J ' .
Agent or Applicant Printed Nam .__ Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Si nat re
/ w2J C.,,_.-T.L.,g r✓, z_D
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(910-796-7215)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 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 CAl ; J i; (40-, 43 12 o.611n -S,► 1(P 's
L, , Name pf Property Ow r)
property located at % J 7-fit y1-1 j I i Q I C.- C_d
(� (Address, Lot, Block, Road, etc.) epL(n4
on PJ ) r -cr �U U ✓►. , in jr (V C_( ip h;ry vc„ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locion.
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace t Pro Owner Information)
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ignature* }� I I /)
G j Pr -e/i lAl (- h I 4b OCk
Q-intr Type Name Print or Typc Jame
sa ►vk Ake' jZ t 3<" S a-- !4 j e,vx_ c
M,ling Address Mailing Address
1 � Nc-27f7b O ar 1'l � A`797C7
City/State/Zip City/State ip /' 11
2-52- 13-713/ �rabb;., Pr, dy(^er4 boo, �SoZ C 793)
Tel hon Number/email address l 0'"' Telephon Number/email address
.11y�2v��
Date 6��� a
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W. 11 ; ti t Cobb; r 1 s ; 's
u (Naine of Property Owner)
property located at 7 i 9 4)i-cr-‘ a.
A)b - _
(Address, Lo Block, Road, etc.)
on 5jo C.� i , in D-Gr ( tNs�
ct,.� �..Ge.65.) N.C.
(Waterbody) p (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
IQca,t orj.
.}. �L 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad' a operty O ner I for ation)
Signature Sinature*
, )) e, C ,n Ps ; z SE 10)
Print or Type Name t Pri r Type e
Mailing Address Mailing Andres >/(1J.7
City e/Zip City/State/Zip
25-7- `7/3 Ili obi); r;4. 6.) �D j a9.2
Telepho Number/email address y4 hoo . y
/ ' G v '(err, Telephone Number/email address
` f -
Date / `
Date*
`Valid for one calendar year after signature (Revised Aug. 2014)

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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
�!`l' �'l4en
Applicant /4H
Date: 1075/ ci Z o • .
General Permit it: 75 r'79
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. (Anticipatedfinal (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 iem p restoration or temp impact
�h temp impacts) i impact amcuirt) temp impacts) amount)
Vie
(J Dredge❑ Fill❑ Both 0 Other's b 35_ ,Z G 3s -VT
t
•
Dredge❑ Fill Both ❑ Other CI
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Filt❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ Fill❑ Bath ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑