73052_Ron Carl_20200722

0 z CAMA / DREDGE & FILL ��.� No. 73052
GENERAL PERMIT zD#h(49(904 Previous permit# A --
*C A°
>Z a ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1'\ 1 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 15A NCAC -- ,� • .
1Rules attached.
Applicant Name F' D' %Az-L. Project Location: County -- F-L-try i
Address .` .(GI I 1. i.-i ,C t-lq-z r> -) Ise,-i P � , Street Address/State Road/Lot#(s) 51Z' ) I , („,
City L 1-I-e-?r(-'..v, i-1-7-t t-, State I-1L ZIP 2.-`1 5t, r--) & `2-'7 ) / t --, ' PAz ..:,-5 `Sz 1-1 �44 ,
Phone#(ems ) 704 70 YE-Mail Subdivision "Pe-'�-' S' {
Authorized Agent TA 1 f City /-'- , • ,-lr i r-1, r-) ZIP - j'^►
Affected ❑CW $EW -PTA ❑ES ❑PTS Phone# ( ) River Basin -, ) i24 \
I ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body -) z`-"\PC51)— (nat /fna unkn)
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body �" ��` c '` '-� 1 ► t---"...
Type of Project/Activity : , . ' ' ''' . F
(Scale: i :30/ )
Pier(dock)length jv x 3 '
Fixed Platform(s) /6. Y ZGJ l , .
I Floating Platform(s)
Finger pier(s)
Groin length \
1 IP
number
Bulkhead/Riprap length I . --7 V pr r\ - r„•.pQt. r Al-ilen ,
avg distance offshore /
max distance offshore / _ ,
Basin,channel f I '
cubic yards
Boat ramp ` -G,-„ 3y, ', T3,. 1)a C-rA-
Boathouse/Boatlift-- VI 1 1 I -
• y ,% lfoi�tZC7
Beach Bulldozing . . y,i-, 1, Vtl.tl�� tr ���FFF., LA46-
Other_ I i • iii • 1 l
k..1 Pr'
Shoreline Length ���-(`
SAV: not sure yes no „ -.-.-....._ _1.__ 1
' 1 ,..... -(+pt.v. 5 -
Moratorium: n/a yes now LeAc L I ; Q x r !
Photos: yes
:
Waiver Attached: yes) no :
A building permit may be required by: 4-^-1 j i et ¶ e'v See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions 32,v �"A- _ Or P.s.A r i `_'r--
v,�j�
7 ,/fr 04 U fit/c7 - /G�.1
•
Agent or ••.i,: t P'nte N Permitofficer's Printed Name ,
Signature **Please read comp ance statement on back of permit** 4.attiZt
Pc3i a-vv - `?`- . 11.. 2 U Z 0 )J • 21.2.,61U
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 (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-72 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 252-946-648 I
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

nentocENT RIPAR Ate._.N PROPERTY_OWNER STATEMENT 7 S I
I hereby certify that I own property adjacent to �' 't3
property located at
2�C ( c i k i c_"�f c.,r,ofc P�arty `L )
(Address,�pt, Block, Road etc.)
on �Qt/L�S c c�l-2 , in ,rli , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Iocatio
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)
GJ©v 1 f t \>LE_ ----' (A/fir/c (( 0 rJ.e_ r e)e, -4 1,t r 4-
, i ,-►, . c-fwaI /L A doh
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.
(Pro n I formation) (Adjacent Property Owner Information)
?' z'.. ./- 21, ...- -2../
a ryre /^ gna ture
r' r cLti_ (,4/ %o.✓ <- `S
P ' t r� pe r► Print or'type Name
A 1 LV vIe rC•���►/�G'S /'-0`.!'61, 6%0_3 wrlT /f9k'bS G��fc.�f, Y--)
/ ling Addr ss A/ (' Mailing Address ✓ /
City/ �,t�%Z p City/State/Zip '
�h 14
- �U7 � aj > 7/7- c77 '
Teleph n Nu ber za Telephone Number
.6 7//1/ ?o.z o
Date f Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Co c i 's
Ne„ f Property Owner)
property located at Z�i`l k („�,� .�ti v.�j,� �� ��
11 (Address, t ar Block Road, eton c
(Waterbody) .. , N.C.
in o"^� 7
(City/Town 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
(Individual proposing development must fill in description below or attach a site drawing)
vIc� ( r �� 76,/54 & D64 lt ��
a/A-4 c !�
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.
(Pro erty Owner nformation) (Adjac l//nt Prom Owner Information)
Signa Signa
►'� /►�. . w .=Salle
Pint or Type ���^L4 b.p.4 Print or Typean►:
ing Address Mailing Address 7 a 17
e/Zip City/State/Zip
Tele h neN
umber Telephone Number
20Iv
Date Date
(Revi
sed sed 6/1812012)

NC Division of Coastal Mat. Habitat Impact Camptater Sheet“
•
Applicant ,,l C AZ L
Date:-7.2 , 20 2
General PermitaS 2—3
Describe below the HABITAT disturbances for the application. All values should match tie name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft FINAL Sq. Ft. j TOTAL Feet FINAL Feet
I (Applied for. (Anticipatedfieal I (Applied for. (Anticipated final
DISTURB TYPE ! Disturbance total disturbance. Disturbance r disturbance.
Habitat Name ! ncludes anm
Choose One ( y Excludes r y total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or;em p restoration or ` temp impact
temp impacts) impact amcuit) temp impacts) amount)
I
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Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
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