73047_Doug Mumford_20200721

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0 +CAMA/ E DREDGE & FILL `---- 40
No. 73047
GENERAL PERMIT �,p t0t05g 3 Previous permit# ,4A C D
)C 4New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /C.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 7/. /7ez-'>
Rules attached.
Applicant Name j� Oq VA 4,,_k c Project Location: County ,;,4 i •
Address /7 ✓."-/- _.,..- Street Address/State Road/Lot#(s) /7 rya-r- ' _C.
i. City "J r1='cIrAt—lei State/(1' ZIP t 2Y' 7
Phone#(252).?'V c>d� E-Mail Subdivision /4/2,/
Authorized Agent ' �,%y6c. City -,,},- , y-'` ZIP
77
Affected ❑CW JEW 'PTA ❑ES ❑PTS Phone# (.1- 2 ), I Y 57 C,.River Basin PI ��--
AEC s : ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Bodyi-i ' (a-
O ❑ PWS: c< (nat /man /unkn)
ORW: yes / no PNA yes /•as� Closest Maj.Wtr. Body 2 /t`c O
/JJ �J / �/ '
Type of Project/Activity /"'��' "=� /����°5 � c.c--�J�.�1 t 0 k !0 .o/,-14`
(Scale: /;Zc )
Pier(dock)length
Fixed Platform(s) ' ' - i
Floating Platform(s)
Finger pier(s) / f7"�''
Groin length —a.'
number t
Bulkhead/Riprap length Go
avg distance offshore J /lam._I' (0
max distance offshor= [ ( /
Basin,channel '7` S
cubic yards ,?). 0
}
Boat ramp I
Boathouse/Boatlift //- f k/C '
wwh •
Beach Bulldozing pV - - A
Other ) 46".". .
��((`�� 1 %
Shoreline Length _ /6 0 -...../N I'f rJ
fico
SAV: - not sure yes no T Pi a P Pre'p !
1 1 i
Moratorium: n/a yes
Photos: yes •
Waiver Attached: yes no /A building permit may be required by: '?�'t/ � / ),t_5L r4-/A ... See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 0 /�
Notes/Special Conditions ,A ,,,/ j'-( `)i e ° r/ /U )c/0' /.&--. '�1 F_ '••evc
/c k L(ia ..,c_,kd , Ti N a-i C.
i ( A(2 iv id Nil 1,(f Li t- _
Agent or Applicanf Printed Name Permit 'mee�fJam .
Signature **Please read compliance statement on back of permit** ature
Application Fee(s) Check# 'Isskdnig Date Expiration Date
L

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 (252-946-648 I) 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/I7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to 0 ug` ( Sh {V (� 1 1's
(Na a of Property Owner)
property located at / 7 0 v �` Ccy t{C;/ N✓ . Ce/ 4 r',/ -f /-ct? 1 (dr. C u
/� • (Address, Lot, Bloc Road, etc.) S
on C414. i ,61.11if Co 'it( C) e 2,, in LG (A IQ / N.C.(Waterbody) City/Town and/or County) v 0 /C�>,i1 She ee
The applicant has described to me, as shown below, the development proposed at the above oeir
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) AO
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____________________
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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) (Adj nt Pro erty wner Information)
Si atur Signature*
Print l Type Mottle� �! C�h� I, eV) Print or T Name
Mailing Address / Mailing A dyes 7��
fj/lc7C0�z'111t �/ j/e. 27�{/7 / � Q J.
CitylSta ip� Z!4( r5,e 6 City/ e/Zip
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Telephone Number/email address Telephone N m� enyajlAd ress
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1!•I0Li(Name cs 0 I �`�e I L Ai i/IAA . ev
of Property Owner)
property located at / 7 Fc i 7 ( c$ c1 ca 1 I%l i't v e'
(Address, Lot, Block, Road, etc.)
on LGt 11Gr / 4 it") If C C' i4'i t,e<in (-- 1)cC t:. «it ✓-1I Siy , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Gene Pittman I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT C
(Individual proposing development must fill in description below or attach a site drawing)
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— — . _' 441-F IQ5 lr t
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WAIVER SECTION v et
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin LO C((11
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.)
al0,,. I do wish to waive the 15' setback requirement.
r\,1`t 9/2 x I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
./( x hit/,/ Gene ?rttnian
St n r�e 7 Sign tore*
g '`c tiC %'li c/' -7c = c " Gene Pittman
Print Type Name - , Print or Type Name
t C t 1 n 6 I U,,�, v c1701 W. Fifth Street
Mailing Address Mailing Address
i c c c t- . l, t.j ?)c 7( 7 Washington, NC 27889
City/State/ZI - City/State/Zip
2_$?- 2.14 t5 e L 252-6623-5311
Telephone Number/email address Telephone Number/email address
7c/ 2 2 v 06/06/2020
Date Duty'
(Revised Aug. 2014)
`Valid for one calendar year after signature*
do 0 In toll ti id ici cq e 7 wia//- 6
7S

MC Divisions of Coastal Mgt, Habitat Impact Corr p a'er Set
Applicant D9 44-1114r.V.ANN
Date:
General Permit it .�3
Describe below the HABITAT disturbances for the application. Ail values should match he lame,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 inal
DISTURB TYPE Disturbance total disturbance Cisturbance disturbance.
Habitat Name Choose One includes any Excludes sly total includes Excludes any
anticipated restoralir any anticipated restoration and/or
restoration or and/or ems restoration or :emp impact
act
temp;mpacts) I impact amcuirc) :emp impacts) amount)
i � !
i Z 2
=, . Dredge❑ Fill❑ Both ❑ Other /p 8 /et,
Dredge❑ Fill l Both ❑ Other
Dredge] Fill❑ Seth ❑ Other ❑
Dredge] Ali Both ❑ Other
Dredge Fill❑ Both ❑ Other
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ All 7 Both 71 Other ❑
Dredge] Fill❑ Both i] Other ❑
Dredge❑ Fill!❑ Seth ❑ Other ❑ j
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ Fill Beth ❑ Other ❑
Dredge!❑ All❑ Both ❑ Other ❑
F i
Dredge❑ Fill❑ Both ❑ Other
Dredge: Fill Both ❑ Other ❑