47482D - Bumgarner

❑CAMA / ❑ DREDGE & FILL
WNewENERAL PERMIT Previous permit#
❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Ell Rules attached.
Applicant Name�-
Address " �1
City �1 State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW E1 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ❑ IH ❑ USA El N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length .
Platform(s) �—
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_=51_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
Project Location: County „-J
Street Address/ State Road/ Lot #(s)
GJ
Subdivision
City L ZIP
Phone # ( ) River Basin`,4 i
Adj. Wtr. Body ? `�._�. jn,� /man /unkn)
Closest Maj. Wtr. Body i ,` - y� 'v✓
(Scale: )
Sandbags:SAM not sure yes no
y
not sure es no
t
Morarum: n/a es o� - --
Photos: yes
Waiver Attached: yes ` n
A building permit may be required by: ca c- ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
7 j 'A) t
7)3 V.
r AoplicaAt Printed Name
Signature Please read compliance statement on back of permit"
0I:�'- LV—) -� ►-1
Fee(s) Check #
', 7
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

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 1) 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:
ElNeuse 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
Raleigh, NC 27604
Counties)
919-733-2293
Fax: [phone]
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

4, 1LS12
ICAMA/ II DREDGE & FILL 1`. 1
3ENERAL PERMIT Previous permit#
4New '_Modification ❑Complete Reissue '`]Partial Reissue Date previous permit issued
sized by the State of North Carolina,Department of Environment and Natural Resources ,
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC k) • I ) ` f ) 2 CIO
lt7 Rules attached.
t Name j,G K- 4w w^C.7 \R-,) Project Location: County 005 L,D)
Q 1 . 5 V✓*V) Street Address/State Road/Lot#(s)
J E.� t, c fLii_y State 0 C ZIP Z-56 4 h a 551 1,3 Q S (2-- •) o Z 1 0 C-E iN.,
( ) Fax#( ) Subdivision
ed Agent �c+ti,v.) i'... s>5i`; City N• l 95;ATL. bEAcH ZIP ?_61-1jC
❑CW iEW EyPTA ❑ES ❑PTS Phone# ( ) River Basin lWr
❑OEA ❑HHF li IH ❑UBA ❑N/A Adj.Wtr. Body -�ln rim e S :I.a,.a- ( I--
/r
❑PWS: ❑FC: _
-y- no PNA ryes ' no Crit.Hab. yes / no Closest Maj.Wtr. Body ./..`� �n�
Project/Activity Z.J5-T,N‘,...-- G S i 1.1 a c Mt ti \ fi- `s.,L.`4-+N\-c: •, Lp X ;f
t VJ/ 1 x -,J '-j- 1--\E-A, Ca v,.) 12)1 I Z. ' plxv L:1 (Scale: I " _ ,
:k)length 6 x ;`.rJ L-1 o4i_Ji v./t-rtl: • L q1+ °Wl ,
lr+
ier(s) � ;T . _
nth 10 milk i
nber L
p�length31 1 _ - V -- ;—, �1CW
Iti � f �© //+- - -
distance offshore
x distance offshore —
lannel i —_
_
>ic yards
l .4
ip ) .-_..
sea-oath j Z4 i 2 !
1Ildozing a j
cyJ` 33 i
Length KOO4 �y _r.. • S _-
--'rfot sure; yes no i I } i i +
-`Rot sure yes Q Li.007"..'4 ' : . . ' .
r.
i
-t +
urn: n/a yes i
yes
_J
ttached: yes '� i I 1
� I I_..

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(Lot C Street
r.,. e or Rrasd, -at x a Cowacy?
that x nwn �s ety adjacent to Mao above_
x y 7cti>: ► The indi',id 'i applying for this. permit has
dreferenced i■t ribed tPsork
o a s Y shown on the attached drawing the development
their„ a pis FI. A deecrtption or drawing, with dimensions,
should be prrvi with this letter_
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wakes the ar_k. you i initial the
below.)
Z do wl.sh to waive this 1S` setback requ,xremsnt
rfr//i-., x wish to waive the t5'setback rs ird+f nt .

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