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0 CAMA / DREDGE & FILL N° 77267 A B% C D
GENERAL PERMIT 10 # 1000257 Previous permit# ,
)C -_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 I5A NCAC 7/-'
/ Rules attached.
Applicant Name j ?& �t/Q' , 9 Project Location: County f , 1 " o
Address 3 7 L-`' "� �i^ / Street Address/State Road/Lot#(s)_ _ L
City / rut;41 State 1C_ ZIP7'��/
Phone#((,,2?)LZ , ?:-<i7 E-Mail Subdivision `Di- '1 -''= -CV- V
Authorized Agent ;/,r.,< City &-, 1,--P ZIP j -) J/
Affected ❑CW XEW 1�PTA ❑ES ❑PTS Phone# ( 7-)Z x-9' ? d 7 River Basin /v c "< _
AEC(s): El ❑HHF ❑IH ❑URA ❑N/A Adj.Wtr. Body ..-1,,,, -h,, ' "r I�- (• /man /unkn)
❑ PWS:
ORW: yes / no PNA yews no Closest Maj.Wtr. Body A✓' c-
Sy r/I 5e al,/4-, C Y' .. doe,/ I t
Type of Project/Activity --7,-(/ Sy 1 �� l �c,F� -
(Scale:/•'3 0 )
Pier(dock)length
Fixed Platform(s) r 1
Floating Platform(s) }
Finger pier(s) ! I
i —
Groin length i ; 1
number —__._.._-.....-.--
Bulkhead/Riprap length _____ J..._._ ' �. '
f 1
avg distance offshore j
Pitt,, � SIC 11 L kok
max distance offshore ! C
Basin,channel 4 ( + - ' !
/ : , ,
cubic yards i `
Boat ramp I /
Boathouse/Boatlift 2-SX i ....__......___.._I__-. _..--- _e. j/4 '
i i __,
Beach Bulldozing
C i l` f 4- —
i I \ I 1
Other i i
i ! �
I
Shoreline Length PI'2 I 1 `Li
� it—
SAV: (.5-Oi s yes no i t _
_ 1_._.
Moratorium: n/a yes /Fio 4- 1 ( i.0)� r /,.g�_r
Photos: yes r'C`/'' ; -..._...- j-� -.4 ......_......-._... — I I _ .. _
1_
i � it �
T ;
Waiver Attached: 1 i i , i ' ' I
A building permit may be required by: A'I //E- 6.. / J#- ' /if c), ' J See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ///
Notes/Special Conditions /-7 `-c -4, `_- .14`-r-1 2 /!! -4''41 `6T, l �'`ie, f-4,-.7-.4-1' (,1/ e ite ,J u
4 -se c c',./ c/r-, 'it z-. �T^-f/1 P-lie i ` 0.t tv V 0 r- 7-- —•n"Z,‘y
/lrr,t)Pe o041 L
,rr k P///r/(A ;I 1%-< ,'-
Agent or Applicant Printed Name �. /; Perm O cer's Printed N e
Signature **Please read compliance statement on back of permit** Signat //'
.f>cl C' r Too 6.i / ? -2--- . .//', (, -2 2 0 J .,.- /, -7Application Fee(s) Check# Issuifig 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 CommerceAve
943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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
•
Apt❑CAMA / ❑DREDGE & FILL N° 77267 ABCD
WI/GENERAL PERMIT Previous permit#
> - Li 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 I 5A NCAC
❑Rules attached.
Applicant Name . ,' ' Project Location: County f
Address - Street Address/State Road/Lot#(s)
City State ZIP
Phone#( ) E-Mail Subdivision
Authorized Agent _ - City ZIP
Affected ❑CW 0 EW ❑PTA ❑ES IIIPTS Phone# ( ) River Basin
AEC(s): I OEA I HHF I IH I 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:/ '3 0 )
1 Pier(dock)length
Fixed Platform(s) - ` �0
1 I t 1 -/) (f 1 CC ! 1 1
Floating Platforms) l ! IA
Finger pier(s) ; 1 ; 1 ' - - -.-
Groin length ,
1
number ......... . .. ......... 1-
i
Bulkhead/Riprap length - _..._._.----
avg distance offshore r i_ ,
_ I 7 it
max distance offshore - ! �,/ a f" '� jri� `.1
Basin,channel i
/ JJ��/r' .,_...1 1 1
cubic yards - T -} t
-I-.� IP I . f I _1
Boat ramp /
Boathouse Boatlift *1';--;}' / -I-- _ ...__.. _.. ...__...._.._.u._�..__... ,..-- � _• _.,....... ...... ...�. (, L.t. / ; ,._..t. _._.-.--
___.__ !--....1..._.-!- ._---...__...----�— -.-- i _. �__.._....................._ s i--._..............1.--. - _.__—. .---
.___, �.....___ t I ' I _ 'I ' --
Beach Bulldozing I } ; `�- ' I
Other V
1 f I ' j
\ Vr , , iY
Shoreline Length _-_- ILO .: f
SAV: not sure yes no _-.- } -- .. n I _l / . ` 1 t
_ V` \Moratorium: n/a yes no .> I `r j� f
_ _
Photos: yes no�.
! - ( - ..-
Waiver Attached: yes no I ' 1
A building permit may be required by: :' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions -- '/ - ill '-/ 'I ',
-r->' ' / ti;''(74---,i;.!..____
Agent or Applicant Printed Name PermitOfficer's Printed lya$e
Signature **Please read compliance statement on back of permit Signatu
/ ? `i`/ ^/• 1/ > - t,/*. . V, � 2 9
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 I 5)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: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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 D A u,.o C 4-,J D S,4 re//c P 4) t p j i's
(Name of Property Owner)
property located at 3 7 Log. 1 t
(Address,Lot,Block, Road,etc.).
on Sii-f ,JJuFse_ i .u1 , in OrneAJ aC le-tlgzu �o�„rij , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must till in descriptlon below or attach a site drawing)
?od i (SaLI'D F2r+ 't (-10.0 cm K.c re'D Calk, ) 0 v e,t
C4e..QeAil� 1�c r 21 ,T , 0_04,5Titc.,cic() 2y S>°I'04SC r R
cQ4STa cc,r4; L�d.I yaJ `i00A-T )17c* / /' I 4
TC eJ (olc,)
66 r
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 Informay ) (Adjacent Property Owner Information)
�'
si D C. wrzt5 h r s - i�� IJ_CD+�e-r
Print or Type Namq Prig Type Name LYE 37 La�i L,,ei1- -.O`l'1
Mailing Address "" A
02/ems;.. & A). 2 i5 7) M ' t � 2_$5'((
City/State/Zip " t
2
L/23- ?-�-9 , 2 C(
- > efpIAa- 2-3 0co
Telep Number/email address Telephone Number/email address
9' o3/Za,zo Date*
(2-020
Date /�Ite i
(Revised Aug. 2014)
*Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT /
I hereby certify that I own property adjacent to D A J i D C.- A,0 o ,S;ve t. P W it-1 y 4 i s
(Name of Property Owner)
property located at . 7 La z 1 LAktc
(Address, Lot, Block, Road, etc.)
on .Sits ,-ni C2eeJ< Aii.test?wt, , in Dg►e A, L ► PRML►co C04,A N.C.
(Waterbody) Bps%v (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
>C 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)
A &A I (SoLt0 r24�c. Co ,JsixticTc) Cdfc,�)o ✓er< f1,1e
Cu,2Re� 1 ?ohT I.:IT. Coasia,.,.Try l�u 8. R. S fro4.se., T2
0 r 114Z ,�J-c C.ok,si 1t io�l ( L,ess T,df,t`NJ `1o0 rS'F).
r' 4.
Lib AT Dd cJ{ , ,�:\n\., � El r _�1 W ' BcT i �vck
Carte \ JAR t 111Nema f4074 X
.; 11 e.,� MEP
6.1
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.
(Props Owner Information) (Adjacent Property Owner Information)
obLiii,-4.Q. C. /4k-----
__2t7f krif, T, It/Ji4J--
Signature Signature
17ri t110 C . tn) 12., ,4 T-Epf tEhu 1 . Ec.:0 21
Print or Type Name Print or Type Name
3 7 L.a a-i L., ki-e_ 3 7 Lc RA L iI►'J
Mailing Address Mailing Address
0R.,t.o%o (.._ A . C. 0 (2-I eV.)rli L ) k,L
City/State/Zip ) City/State/Zip
•n8-5_7) 2g6?)
Telephone Number/email address Telephone Number/email address
(a3 - a.a 9-356 7 (Orb- loll -276 - 9367
DateDales
If ?/
03/20 LA)
(Revised Aug. 2014)
*Valid for one calendar year after signature*
w� DiviSion a# Coastal Mgt. Habitat Impact Obmp-cater Sheet
Applicant ,�✓;dWC) h.
Date: !/_"
3enerai Perrnit#: .7a 7
escrbe relcw:he -.aSiT\.-listurtarces'or:he application. All values snouid :match be lame, and units cr measurement
found in your Habitat rode sheet
TOTAL Sq. Ft FINAL St; TCYTAL Feet FINAL Feet
.lpoiied cr. a.nticieatedFrai Apoiied`or .artictpated inal
DISTURB TYPE Cisturrance:oral :iisturoarr°. Cisiuroance iisturbance.
Habitat Marne choose One rciudes any Excludes :rr :ctai'rduces Excludes any
articfoatec -estcrair Inv anticioated 'eSt013ticn antrcr
estoration Jr andiar amp 'estoraticn Jr :emp:mcact
:eme mpacts'. moactamcuff( :errp'reacts; amount)
410, 63 ::i:::
_ :: :
Other fe 4 Z /d"I .tree _
Dredge_ =t1- 3oril Wither r7 •
Crecge_ =it= Bet! - firer
:=Cedge :'.Il_ :Cth _ Other
Drccge II Cih. - .aner
:recce :'!1 - act,. _ :t er
_recce 11 3cti' Ct.rer
2recge _ 1 3cti � Other
L:reege_ :"il - 3cm _ Other
r ecge_ :'li Bcch. .:t-er
_recce :'i) _ .Elcci? - :ter IT
- act _ _r.her
2trer _