46233D - Lee

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑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 15A NCAC
"Rules attached.
Applicant Name Project Location: County t: t-
Address— Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (} i, I;r� < Fax # ( ) Subdivision A L L.
Authorized Agent City ZIP
Affected 0 CW C�1 EW El PTA ❑ ES ElPTS Phone # ( ) River Basin
AEC(s): HHF 1-1IH L]UBA El N/A Adj. Wtr. Body Lat /man /unkn)
[I PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body 111
Type of Project/ Activity
Pier (dock) length i.--
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
Y-
max distance offshore
Basin, channel
cubic yards
Boat ramp
L._
{{
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAY: not sure yes no
Sandbags: not sure yes no L
Moratorium: n/a yes no
Photos: yes ,no
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions
j i- (- t 1_- 0 T1 's r,'
Agent oy,Q,pplicant Printed Lame
Signature Please read compliance statement on back of permit*
Application Fee(s) Check #
(Scale: )
I
Permit Officer's Signature
Issuing Date Expiration Date
j ? ;s:_ /., i L4 o j y, A -
Local Planning Jurisdiction 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:
hI Tar - Pamlico River Basin Buffer Rules Other:
ILI 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 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
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

JdAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification JComplete Reissue JPartial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources �1
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Tl , I 1 LC
Joules attached.
t Name LA k 1,... L-1 G 2 Project Location: County 1" 9 E1'2
f ( P,,?t)( I CI( e Street Address/State Road/Lot#(s) ( g
Ohir V,v I L t\A I )J TU IJ--)State NC ZIP 2 6 L+O 12 k l A IC- - I .
( )) IA - I \ 7,ZFax#( ) Subdivision ItY1 P L-L- -D -/-I
ted Agent / City 0 --i'Vl pST-7O ZIP Z-er Lu
❑CW L W L! PTA ❑ES ❑PTS Phone# ( ) River Basin C n r E
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. BodyCA NAL. CI F 111I00iE Cil7kNN at /
❑PWS: ❑FC: J
yes / no PNA es / no Crit.Hab. yes / no Closest Maj.Wtr. Body A I VV IV
f Project/Activity 1 K-O('o SLY) V 1 v f`kTZ (''f EK V'f 41 x OD FL t V1�/Y1 i
1'`LU1�1 I�cA'f"LIFT . 1'' - a
(Scale:
)ck)length ^52-1 P`(c,` F . 't v
n(s) (Ie itIZ FIXQ) 1 e t I
I
)ier(s) i I
/
mgth .L A ® 'I
imber . 1
id/Riprap length $G - `-4 V . I 1
g distance offshore N ~ 13' ` '- .41 B , :• t i f
r`W ax distance offshore r k—__
WIC -
h --- nPT , L C' I e
hannel ■ j
f i i-L r ' L....
'41
ibic yards igt i Z. I .--I
� I
y.
mp ---- ; i- — —j-
s Boatlift I?'k 13` 1 Alr
IIIIINII-
®� Ill
-- k NM �MI�_+_� ■
lulldozing . -. T :\t IMIIIIIIIIIWIIIIII_ ��
1 L,,AT 20`x ' r _� 4 ////lid IMIIIIIIIIII111111111
Agri) I'L, fl t w11 'i r LI �. t Tw r, 1— _ IIIMIINLINNE/1 i
{
*Length I l o/ `
}
not sure yes Cam/ . '
s: not sure yes o 111 __:
V.
num: na/ yes
,__
Attached: yes no — .__ _ ' �

12c+
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER) Ur%J`,t. Cur'.
I hereby certify that I own property adjacent to _Fat, ( ct As)' ot) by E 4 C k
(Name of Property Owner)
property located at k at Stii et 1 �} l?c y S G
' (Lot,Block,Road,Ect.)
A
on 11P iociti r3 y. Cree- k , in kir iv., prt G . __ ,N.C. CJ (
(Water body) (Town and/or County)
He has described to me, as shown below,the development he is proposing at that
location. I have no objections to his proposal. I understand that a pier must be
set back a minimum distance of fifteen feet(15') from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposm development)
w,,xc•H� b9f o9 Jsc
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Iho�� b , to
ex1m cI , •
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n•
r : X �Gt I Ma c 5 ' Z-1' '5l16-,1.4,1
i -' ram. erc , •t;uT 9
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Note: If you have any questions, please contact: En isI 1-(-,t t) 0 (: I 'PA a c)
- o
-, Signature
L

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
me of Individual Applying For Permit: EaEat, 1 I e z
in g
dress of Property: i-o-} g ct t J C's c (3 G y sex--
(Lot or Street#, Street or Road) i d ' D r k b f-
t-4 ry-- p ,s e_._et 4? (0,/
(City and County)
ereby certify that I own property adjacent to the above-referenced property. The individual
?lying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
thin 10 days of receipt of this notice. No response is considered the same as no objection if
u have been notified by Certified Mail.
WAIVER SECTION
Lnderstand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must be set
k a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
sh to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
VI C-11 I do not wish to waive the 15' setback requirement.
sm Name Date ���

f'°`'?
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
tme of Individual Applying For Permit: Ear, 1 4 L e z
idress of Property: /_ 6 - t' L I o r A 6 f., Y S r-c
(Lot or Street #, Street or Road) 1,) D c-o . Y. b r
1-4l rir. p S4- e--t‘ k MC, oti t/1/ -5
(City and County)
iereby certify that I own property adjacent to the above-referenced property. The individual
plying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
thin 10 days of receipt of this notice. No response is considered the same as no objection if
u have been notified by Certified Mail.
WAIVER SECTION
inderstand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
k a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
sh to waive the setback, you must initial the appropriate blank below.)
!I%- .4- _
�:i� J g 7 ,4,o tg7c/
I do not wish to waive the 15' setback requirement.
L a /U"-- /r(sr (
gL ) dc.e'"--/(--f 7-37-0 6
pn Name lute AWA

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�yN�Y_

AMA/ IkfIREDGE & FILL
iEN ERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date preyious permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources y
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ! f'#' • I t co
BRules attached.
EP Y2-l.. --L. " � �" Project Location: County 0 er-..._.
.. f3 '? ( ) LCT K
pC �.� I 0(C�- Street Address/State Road/Lot#(s)
I L...xv1 I tJ&Trt State NC, ZIP ag 4 0 - I Z S )W-Pi K--6. KO.
(910 (C-1-7--I I2z, Fax#( ) Subdivision t'V\-(k-' L_l,# -s�Q 6/ar,
�d e t ,
Agent _�( City i� 7 ZI 2g1
❑CW ❑EW ❑PTA as ❑PTS Phone# ( ) River Basin COO
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body CA-N At, or i- f\kiilAA: nth.; J/(
❑PWS: ❑FC:
'es / nno PNA ej no Crit.Hab. yes / no Closest Maj.Wtr. Body A l w
Project/Activity 60 l #
(Scale: 1 n =I
k)length
er(s) — — ( =ST/�-k-t;
g I
�
nber I I
V Riprap length—'t j DIY x21."Y1(i N41J1 Al.(�S j ---
�� t
distance offshore tY I
<distance offshore ai - i :_-
T
�annel 1 �� y -1 � C Gi iIv1 J� P'�y i
iic yards ✓— tt qYr L
ip s }
se/Boatlift `YJ I {
ilidozing
l s , �'�
ve j • , i I 47 ----1 1 . . E
1I� I -- —_
e Length 1 ti -
not sure - yes /no Ji 1l// . i
s: not sure yes (f, �+ tk/
ium: n/a yes o i 31 I
yes o F
attached: yes , -�r�
ng permit may be required by: iOr�J GIC_ . ❑See note on back regarding River Basin
Basin I
-- - A _ - . ll .�-. - . k r : r 1i 1 1 I — 1 �'101 t/ Z2. /._. i. 1 1-.---,. cm C i- .