73049_Dale Anderson_20200806

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41,LCAMA/ ❑DREDGE & FILL No. 73049 C� rl
Z>Q IDIP��� A B C D
GENERAL PERMIT Previous permit# ,
> Z New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 0 )-1-
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 7 2 --1 '-''-")'3)
©Rules attached.
Applicant Name D44...4 ,4,.),t„Kyt_5ep Project Location: County sue-,x'-. 1 i—
Address 2 3 4.4 ?. A,n —r ,-/ p--' . Street Address/State Road/Lot#(s) ,ter i S/2 i q/0
City,:. i—-)v • c- State -- ZIP 2--) S' S 7f / 3.4 i E ',-'
Phone# (: •) , - - r y E-Mail -_ Subdivision Lt y /--b< ,- S
Authorized Agent City ;fir 'dtA,-/, --) ZIP 2--N ''7
Affected ❑CW , le
PTA PTA ❑ES ❑PTS Phone# ( ) River Basin-74e pn ^- L , , d
AEC(s): OEA ❑HI* ❑IN El UBA ❑N/A Adj.Wtr. Body "'s--'' >l?'✓� (n /man /unkn)
❑ PWS: `�''tyt. old �'v..
ORW: yes / no 'I PNA yes / no .� Closest Maj.Wtr. Body 7�
a
Type of Project/Activity ,.1-,, ' „ tt.., ), s.,7 ;'rams
(Scale: I : 3b )
Pier(dock)length
Fixed Platform(s) '"
Floating Platform(s) I H u� I t I r 10 T ,— "7"-- +--_—.T•.--•, I "'" GY 4 S 71 44
Finger pier(s) /s., x z, ' , r* vow�1 7L i
Groin length
number iS7,I -u7 L- l- Y, {
Bulkhead/Riprap length I` ��" �—" I�
avg distance offshore i I P t y I��rYL
kite
max distance offshore
Basin,channel I
/ .
cubic yards iZ)✓ L� tSr�, i., swr,,l RLv.0
Boat ramp 1 I Li rr
1
Boathouse/Boatlift 1
1
Beach Bulldozing -
Other I
> �� ► ti'0Shoreline Length b 0
SAV: not sure yes nab .',� �,` '
'r I-
Moratorium: n/a yes D V. �(/ `+� �
e° I
Photos: yes L.- — V
I
Waiver Attached: yes no i ,,—r "" 6
A building permit may be required by: F._ - -,, , = ---G , . I l See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions - YZ fo3/ 4
I ' IL f 2 °d ,4 ...1.-.. ./1 5-if 1„,t-z—t-1
Agent or Applicant Printedilame Permit Officer's Printe5$Name,
, Signature **Please read compliance statement on back of permit** ' Si n
1.
t / %,, 1_4.4,7, tiT ? �-' 1 J /..)4 'j: :, -2 d ZJ
Application Fee(s) Check# Issuing Date Expiration Date

V
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(910-796-72 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

er _ CAMA/ ❑DREDGE & FILL No. 73049
GENERAL PERMIT Previous permit # A B C D
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
_ Rules attached.
Applicant Name - - Project Location: County
Address Street Address/State Road/Lot#(s)
City State ZIP -
Phone # L. ) E-Mail Subdivision
Authorized Agent City — ZIP
Affected ❑CW EW PTA ❑ES ❑PTS Phone # ( _ ) River Basin
AEC(s): ❑SEA HHF IH ❑UBA ❑N/A Adj. Wtr. Body - - (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity ,
(Scale: i .>,,:) )
Pier(dock)length
Fixed Platform(s)__ - _ I
Floating Platform(s) __
Finger pier(s) _- ! \1 S ;„�,',-?z
.j
Groin length
,- ) 1 1
number r; I
Bulkhead/Riprap length `,
avg distance offshore I s f 7 7 +' -`r +
i.A-J=
max distance offshore I _
Basin,channel - J..
cubic yards 1
Boat ramp I,
Boathouse/Boatlift -
1
Beach Bulldozing -_ -
Other _ -`I
EN , Iv _-, - ' 7. 1
Shoreline Length
SAV: not sure yes no j
I 4
Moratorium: n/a yes no - ''' v w�- `"� P y eY- ` _
7 �' I �.
Photos: yes no ---- _
Waiver Attached: yes no - t -- • '' + +" ' * .r`-- L
A building permit may be required by: 1 ' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature .
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(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 252-946-648 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

ADJACENT RIPARIAN PROPERTYTT�� 1 OWNER STATEMENT
I hereby certify that I own property adjacent to .3`tZce- w,A r)� ' S" 's
C� ``/ C-(N,ne of PropertyOwner)
property located at 6 t 6 G`/ Da- tora 1i t 4` 1f C- 9:7858
r-- (Address, Lot, Block, R ad, tc.)
on PC.-N� L+CO •�c,1 C , in (�'o,t ,, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Iocatipn.
t/ 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)
Die U
dog D€ tc I° 4rC
41 b)e (j. r.71 Gt l co r '"
/f /
0 0
Ear srt Is
IbXt6 soar-
O
J
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.
(Propertt�yOwner Information) (Adjacent Prope ner Information)
/I
`�t har�C/� zo 1Ty'�tty E --. /
fit^ck L(t ...1 f 5 rt ur `e. f c
Print or Type Na e Print Igor Type Name
Ming Address Mailing Address
rer."1 ,/,(t , ,J L )gat
Citya`e Cit /State/Zip f
' , 9 51-351/-2Z 3'
Telephone Number Telephone Number
ZS - 23t79 S- 2 —Za
Date C `/ I Z V Date
�/ (Revised 6/1 812 0 1 2)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Otte Aptiers `4'1 's
(N m of Prop Owne
property located at G t 6 of at- G�t�/ , � g
nn (Address, Lot, BI ck, Ra etc.)
on p.m 11 0 0�' v e , in Sea J�/ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati ..
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)
114 / .l)Rtf )tw'•o Iv L' ,f,p, , el. �JGG'.
p! 'ce V
(
,.__1›- i /yl
s • r'''
Bout
fad
D D
1
i
,
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 Ow r information) (Ad'acent Property Owner Information)
9-tv Sircanire Signature
a � crs �' - Geo ro‘e.-Ixi k4scln .a-..
Printor Tye Name Print or e Name
23 L/Z_ Wa i Vt e u✓ t< �.S pf'
Mailing Address Mailing Addre s
Gree4 v Itf e tic �705-t G1-,Qc.o(.,�t n t-�vi K C al�L'l
City/State/Zip I City/State/Zip
2 57-9,/-2? 5.1 -r4� - gam-4-1L-v°t
Telephone N mber Televhono Number
Date Date
(Revised 6/18/2012)

J4C D;ivisia a of Coastal Mgt. Habitat Impact Comp-uter Sheet
Applicant. 17A L� /Qrr'15:::t S e'
Date: g 1 to ) 2 o zO
General Permit t: -- 3o Q-9
Describe below the HABITAT disturbances for the application. All values should match lie same,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. j TOTAL Feet FINAL Feet
I (Applied for. (AnticipatedFrral (Applied for. (Anticipated anal
DISTURB TYPE ! Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One ncludes any Excludes ry total includes Excludes any
anticipated restoration any anticipated i restoration and/or
restoration or and/or es p restoration or temp impact
temp impacts) impact am curt) temp impacts) amount)
• r am Dredge❑ Fill❑ Both ❑ Other 43 9(0 ft I i
•
Dredge❑ Fill!❑ Both ❑ Other ❑ I !
Dredge❑ Fill❑ Both ❑ Other ❑
I i
l
Dredge❑ Fill! Both ❑ Other ❑ I !
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ j
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fitl"❑ Both 0 Other 0
I ,
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
El - Other ,❑ , !
Dredge i gill❑ Both 0
Dredge❑ Fill❑ Both ❑ Other 0
j ! i
Dredge❑ Fill❑ Both 0 Other 171,