Tucker, Henry 76711C

�JCAMA / ❑ DREDGE & FILL O
N . 76711 A B � D
GENERAL PERMIT Previous permit#
LIIVew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State f North Carolina, Department of Environmental Quality f L/ 0 C/o
and the Coastal Resourc commission in anarea of en ironmental concern pursuant to 15A NCAC —// //7 �r
7 ❑ Ru%es attached.
Applicant Name �,r r `� '�.-1 r % / Project Location: County
City_
Phone
Authorized Agent
Affected 6eW
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❑ PWS
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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 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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fide s00# t►a des fih d t ina„ s tiNiri [t�TEi►v; .d8 ?men't pibp6sW at tho`above.
. --�—•.."fhakenb•�ij�iWjfo.this:�foj�bsal:• '. _ - _ -..��
NK!1P1O✓ib�t4o�tsraslGsdt�t;ht1
;� R1 F, -�.- < • . _ :b hens or grot .fnust bg set
tiac�c=a nini{qum d` fi::. T ?'act Wass waived 4y me. -� � : _a
e c�; j!4ir t Fit #fi r to blankbelow}
db .h1WAiv@-tii8-16tseft $k tmgWem-ok- - s
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iti:9 eppiisant has d s �i2 1 tb ire, --a gh-Oi '6 bob" , dertt proposed ad thq'sbave.
have, no-
. •-�-•.. st�%Jsctlon to" .thts 0foj?3sal:•
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:.buriderstaridt t;a'gieF; bhouse; tiP� or groan must :set
bac`ainim didiliitfi; c.dpBrTap:access iani-ess warred tay me.:(ff you.
w(sho�iaiYe3he.sglack,yqu0ef1�[#h riateblaid�:below.). . .
i db.. O. o �aiv@AN l5'$e1�8K ieq remgnt. • .
. , I dq'rict vris'h.to H
/ TTvc
the 16 40ackeht
Dare y� 7S( - .
(Revised 611NOf2)

on a 1 �5'reQv_ (Agdt, Ladi�Bloi K�2
Thee t Ican. ,. _:. .. ._r"..-�:.•-:_ � ....->;lntfq:•..�" �:. "��: Ppl." "has dBscrib tl tb ine,..bs.sl{tiSv1j b0OW, ` h.b.det@(opf Pnt proposed aEth9"'abgve.
_ I"have no i n fo.thts prQEt5sa1: ":
c�ileot n, :,
j hvt}.ob)eslion53. th(s proppt; "
bbSf g":D€LQMENx:
(firllyjiUal pr7ipp$ki Aiidsab4�lo,.warattam"a site drflWfRgJ
21ZERWOnox
I•rllidersiantl t;a ptsr, dQFk .proodp ' s, f0ir akwafe ; bo�thouse,-th or groin.must be :set .
baGt, a mini"�(um di& " c@ .o';fi{oth i)3y, ;. gfipsrTaii:�ccs unless waived by me. (If you "
uvisftawttvelhe.&Quack,yPu(sf,irilEitht}a[iprc>nteblaNftidlow.).
:..i
•=1 bvpigh,t Waiv@.ttse�l6ts .• ." .. - • .:• • _ '; d. , A, : e�taEk regt{irem@nt;"
1 dq"not Ohio, rve the 16 setback rgquireroett
�Sy •, ..
(i ro et#y ON1n$r Ifi " Iph . :' Oli 0 0*V Owner Infiorina8on)"
. gnamre'"
ffnY / Tom,.. �. - /`,!�`U,li.l
Prin[ or 7jt"8 Nsrna P& w.T
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60.0 Number -- -- - `b?yne Tipnber
a5nte _ bate
(Revised 6/1&2M)

iu a muaieu� I r.:�,{ -'Gka� - -
P. 1. Y . axr�.
: rtfe appl}sant has desribaif tb ht@,.,tiS sYipiNri oc,.kt ToW,.d8opthert proposr d a the'abnve.
f hav Q.
no= �`
. -•�_•.... � 16,9tis
lhay.nbJeto.ffijspjoi_ -
' -:DES i ..:. }o>sbs 6. Qt3MEta F:
:'(Indivir�rlal propgc)r d@ygPt$i,cfes6Fj�t#lotjpsCowisrttac$_n:s)te drawingl
A.
• .: ZIP ..i�.�'R'� 2t�J .. .. - 21Z - �.z
aw
or gr
tt[i- rsiaRr6 ta'
ftifMin,giaFF-Etiooit� j. - ;+�5 t ;:Ji0�th8use; Nft oiit.frot lie set -
�nitli jrrp dis d{i & AMP.
iC�h:ap" ur6is waived try roe" :(If you -
nishawair�elhe.seck, youCtsFiriltd�thA riate•blaide5etow.)•
_
,I d8i�4�1.�g,V'�a[v@.tie�l5'seitta�k regUlremBnt;- -
";
-�.� �.. � t dQ riot W)S.h fo wa"nre the 16' Setback7.equirgrheht
� -
�i ,
iE'!?-,1 tY btMe r tii - I Irk). '. '' :' :
: �Adj�':' �%party t)wrisr I oftaiton).
PdptorT N$me :
W, I d 00=L
- Prrkitbl Naot
MalQq"Address
wphr
1����
s.
s
�e
bate
(RevisedV&'20f2)
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(AddrQs>t, l nt BioCK;:.aad; e(C 1, '
ona�`S'�ce2� in �s txirc N G
_(WOOrbody) (Cltyri owq.attd(or CouMy).
_ _
The applicant has d scribal to me,•.as shown be1ow,It b a4 oOent proposed.at the Above.
locaution
Ti have no o4jecfioo fo this prpposal.
I have obteetions #6 this pro '1
pESCFj(pT10[�: 4A101 Ryt(t�iQ (lE t�OPITS�D I�E�lEf Of�MEN1,
(Indfvldualproposlri d Valopm$nf:iitua}1/ITM'rfdscildtl-Op POW arattachasltedrAwIq
.. �� r ` /iJl. •`.Ql�i�n�
: '.
bjA,l'Jw.-kiwi
WAIVER55� OTION.
I understand tliat. a pier dock, moorlpg i�iog§; )?r�ktv'dfer, boathouse; Hff; or grotn must beset .
back a minimum distance of f 5' Dom rdy area Qf.lIparran'.access Lnless waived lay me (If you .
wish So Wove lfie.sot4ack, you must lnitiaf ih@ aorboridte blabkbelow.).
.
;.
�- I db!ndsla tq�raive the 15'setgaak requirement,
do'nbt W4h towvaive the 15setbacie requiramaht.
T.
(RYo'srty OWnBr if (pp)actint.Property Owrier Information),
ag ..reSs nature'
7 T .
ucC C�..•/ � n cAL. (�•.. 1 J i
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PdritorTy BName PrintbrTyyp�eeName
MaiYindAddroec .. - ea�rn�w n:cJM:_ •..
� . IS')r;'
M: �JC Z F158y
YY7Siaa
1A0:- 8R.�906.
Telepho a Num er
15ate .
Date `il
(Revised 6/1812M)

ywpnity x,trattwat..
- :.: Addt', a at, ei lSAo'$o,c.J.:
NA
fide appgchtit ba's da`scribpd Yt1 in9,•.t sl VYli koToW, iib.de�lopthent propoadd aEth$'above• .ems ,
f hava no b ebtinit fo.ihrs:pfojiosal:•
thv8-nbjeelibn$,#iniswit
ptoQpt
�?ESCFt(EdLVf i) iVF{131i i�ld' F:b)SbSlEf:6 MEIVT.'. <_
ndlvfddal ro �-=- Q ::. P PQ d !r 4pm.
..tit; :flll fn'tCiiscr�#300.400(ow or�itaoh e:s�te alCatvingl
vr. r;,;_';,
WAIVIER Saw
_ ._ . I,iuttlersfar d t.a. p t d [Ctood i,Ih.' s;< i " .. rbb�thouse =lift or groin,.must be Wt
.tia l a mini um tJlS�atl :o fiolfi=iji" `.°' a &f.rl rgri:gccbki unless waived by me. (if you . y..,
wishto rv3Jve#he.Seiback,youblarbelow.)
�I d8:wlsk.tq Waiv@ the95'sefberk requirembrit
. •: � ..: " - I cIQ"not ash fo waive the 15' Setback-r_equirgrheht ;'i .
(Pro'.ery b{griie'r IiiY `flti�,. (Adjacent-Property Owner I orlmation).Tau re,
WL
Gam_'
Pii7t brT -Nme Printbr:
fly>. -7 J,-t J `Oa�.p�.: :;.'Z/.5 .14A
14faII gAiidress rM.IDigA i
: •
iseate `---
Iio: -is A_ �tio6 �D 35F5 78d1j .
Telepho a Ntim er (inon�Ntp er
-/�5 +.
jSak bate
(Revised W1912M) i