76017_Donald Stotesberry_20200618

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i .DREDGE & FILL ���{ ��!�� No. 76017 A _B C D
GENERAL PERMIT -rt Previous permit# -) °U!A
)G `New .ilModification OComplete Reissue ❑Partial Reissue Date previous permit issued ti:) )A
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 (Y)hi• 1 iU V .
¢]Rules attached._
Applicant Name 1.7`'^!'►z; o'T �13 ' . 1 Project Location: County ;!..-//1-5i-/7, 1/)-rs .'\'
Address /3 z- / f c.Acr~^,'vz- r- ��r/�?,i ?c,-( . Street Address/State Road/Lot#(s) ?i,t 3i2,-_, /•3./-3
City.Lv/I,I . State " - ZIP T% ' - Ga / / AZ i-,,r_; c i,-- / i Jar .
Phone#(may) ' '7'V. -Mail Subdivision �vi �; L 14L�tA,,1__& rat f`rz'-f-
Authorized Agent /4 / City -.' L ZIP'Z -"ju
Affected 7 CW lA,FW PTA 71 ES ❑PTS Phone # ( _) River Basin 1' ;"n.uN 7 A--,nG.
OEA ❑HHF ❑IH L USA ❑N/A
AEC(s): Adj. Wtr. Body gr"- - "--r- jo ✓/) (nat (man /unkn)
PWS:
ORW: yes / no,l PNA yes I no Closest Maj.Wtr. Body /3f!` ''' �� �� -7
Type of Project/Activity 242 i> /r, / ; <• h - - I t
(Scale: / ; 2 ' )
Pier(dock)length `7
Fixed Platform(s) k "A 1
Floating Platform(s) __- ,— — — 1I
Finger pier(s)
Groin length ,/ ../ -1A` L j�, "'`;
number :\
Bulkhead/Riprap length ) 4'5" — N I
avg distance offshore /
I
max distance offshore t i
Basin,channel / ,---- •
cubic yards
I �
Boat ramp
Boathouse/Boatlift ' 9- '1'g '
Beach Bulldozing I
Other
�?r�l 3s rf .. 't* d
Y/� I I
I
Shoreline Length (s D ! I
_ i
SAV: not sure yes no ----- �A/*/1— I I
Moratorium: n/a yes 41" fps c • I ' p)11,,y
Photos: yes/ \ f T J +j r7L/'( +-
?,�,%p � � ) � 1--- j
Waiver Attached: yes no
A building permit may be required by: ,A.^35i-Jl.-I<7-r-a./ lU . . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions A✓+2 ''. f 2lL.�yd�S eS !o y %t 1 01 } L�� f c 'I , NV x I" U n'\
' 2�v W‘,'> 11j .4`,(O ' - .
v 1-)0)..l c c L. cITZSVIF GP Q -ce . 4s.z...zy .5p, e
Agent or Applicant Printed Name PermitOfficer's�Printed Name
' 241e414 --- riTh
SiSi natu lease d Eom liance statement on back o r ** Signatuf6-_J �`
g P
pil c h rL--• 5-Zo 3 5 2,3 I * -5,,I .74 Z.O I` -inr�t,t w- _
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 I 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 (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-7215)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

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: IDDnl p-cC LS`l'Z�ri B PIS � �R
Address of Property: ?J 2 I I-160A a12(D 3PPt-c.Q4 'R()AO / aI 12 We 2 7'70
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square
Mall, Washington, NC, 27889. DCM representatives can also be contacted at(252)946-6481. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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) (A 'acent Property Owner Information)
Signature Signature
Dnr O L. STt t-E%R 2.22i art L z-L c 1'll e /1. R LL I ,✓S
Print or Type Name Print or Type Name
i 32 Je^r,t to !ac44 'Rocco f f, BOX S'5 L
Mailing Address Mailing Address
DPt2 M C 27 GAv h A i //s, M q .216541
City/State/Zip City/State/Zip
a$2 - 2 9 — 90 o 2
Telephone Number Tele/hone Number
5-2g- 2020
Date Date
Revised 6/182012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: t oN ALA L, STbTF 5BeR&1 Cr,?
Address of Property: \ -7)21 A l bPmAR l.v `R€AC 4 -Ron,Q/ RopeR ) c
(Lot or Street*, Street or Road, City&County) 2 7 4 70
Agent's Name#: Mailing Address:
Agent's phone#:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development •
' they are roposing. A description or drawing with dimensiiions, must be provided with thisletter.
1 I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square
Mall, Washington,NC, 27889. DCM representatives can also be contacted at(252)946-6481. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
iv
V/ 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)
-ktsvwz k),)tat— t f;);55c j
Signature Signature
e341)AL11 1-. S'1'm iereMl1 R 7hne s kay SrAVORA
Print or Type Name Print or Type Name
32 p I bemr,2(s2 rA-eAciA 'ROAp 19 79 FAidrt/ CnaR
Mailing Address Mailing Address
,veep. tUc 2 '79 -7o (',4rAtu/3A SC 026 `7 q
City/State/Zip City/State/Zip
&o e3) - 90Ho 3'0.a a22Q ES' /
Telephone Number Telephone Number
S -2S- 2o2o 6 -a —ZBa .
Date Date
Revised 6/182012

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NC Division of Coastal Mgt. Habitat Impact Cornpiater She1e,
Applicant 17ot 't*-D
Date: ).tv' 2crL-a
General Permit#: ol— 5
Describe below the HABITAT disturbances for the application. All values should match be name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft ' FINAL Sq. Ft. TOTAL Feet k FINAL Feet
(Applied for. (AnticipatedMrial I (Applied for. I (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat dame 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)
1,4i4'1•—•"_ Dredge❑ Fill❑ Both ❑ Other i c�Si (may
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill 0 Both 0 Other ❑
1.1
Dredge 0 Fill❑ Both ❑ Other ❑ I I
1
Dredge 0 Fill-❑ Both El Other El
I - f
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑ '
i +
Dredge❑ Fill❑ Both ❑ Other ❑
1
Dredge❑ Fill El Both El Other ❑
i 1
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑ � k
Dredge❑ Fill.❑ Both ❑ Other ❑ it
Dredge El Fill❑ Both ❑ Other El
Dredge 0 Fill❑ Both ❑ Other ❑