47433D - Strother

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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 -
Address
City State ZIP
Phone # (�) Fax # ( )
Authorized Agent
Affected ElCW L EW O PTA ElES ElPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no---) Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
}
Subdivision
City. t ZIP
Phone # ( ) River Basin ,,;
Adj. Wtr. Body (nat. /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number TIM
I
Bulkhead/ Riprap length
avgdistance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
ramp - -
Boathouse/ Boatlift II 1
rf, f
�
I
--- -
_
- — --
t -
_
-
_
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-
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r
/ _
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❑ See note
-
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Beach Bulldozing ❑t
Other
i
-
Shoreline Length _
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: /a y es no
Photnos:es no -�
Y � �
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
. . .
-
4 - -- — - -
River Basin rules.
L
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_\
P
on back regarding
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
1
Permit Officer's Signature
Issuing Date Expiration Date
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules ,___ J 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 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)
Wilmi won 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

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}CAMA/ ❑DREDGE & FILL
;ENERAL PERMIT Previous permit#
.New 'Modification -iComplete Reissue LPartial Reissue Date previous permit issued
^ized by the State of North Carolina,Department of Environment and Natural Resources `, �7
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ►'\ • !�``
les attached.
t Name -1-Tcpr.,-... �j-1.11.- 1 r e-.- Project Location: County <- ?5,..--„ c./.--)
1\0 5-' „N' tea. ,..)c-k-\ (e,. Street Address/State Road/Lot#(s)
vkLaNi w1..L. State 0 L ZIP 2.-4S4;1 2- S..> , -r N.31 \1--e
(q►o) ?2 Ito Fax Fax#( ) Subdivision
ed Agent City tJ E Pib5 F`,t it-1 ZIP Lj t✓
❑Cw Aw ,PTA ❑ES ❑PTS Phone# ( ) River Basin\saHIS
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body Or--..n/ t2-T•JLt(- /r
yes / o) PNA yes /® Crit. Hab. yes / no
Closest Maj.Wtr. Body ��'v✓ 12-Z4 �L
Project/Activity t-)S'SL L \ C:6s o c (\,�.\V•n/\-N'C ry
(Scale: jI . '
:k)length G Q.aSS - S E L1 So nJ
er(s)
7
igth - —
nber
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I/Riprap length .. {' (4-47--"1*�'275 µ ri
distance offshore r `
x distance offshore j f t
ca _- -_ -
nnel I I r
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ric yards
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se/Boatlift
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illdozing ,/// l ) — 1 L. I
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Length v S,
not sure yes . _��-
not sure yes ,no,.
um �`a
: n/a yes o) I f F
yes too-
kttached: yes no ' I

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Individual Applying For Permit: Lew ks 1 � ro4 er Sr•
kddress of Property: c258 S W a!1 Pd % O act
(Lot or Street#, Street or Road)
Si-i,.c Fe—fr r eNs /o U
(City and County)
[ hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the development the:
are proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s,
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yc
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.
Qom— 1 q "40
Sign Name Date
t 4- atit,5c AlcDscri— 1*Al.cf" G443/.
print Marna ��r!

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: „C4 5 t' otk ei(� k�•f
kddress of Property: A,58 St.k. a NI rvim t D 3cl
(Lot or Street#, Street or Road)
SNP.acls t-e rr s I o
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the:
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s,
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If yc
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.
Sign Name Date
•
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