36815D - Nichols

eliGAJVIA/ . .DREDGE & FILL 4'6' .L. , .J 35815_b
ENERAL PERMIT
Previous permit #
>�: LXNew ❑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 I5A NCAC 7// JZCU .
C Rules attached.
Applicant Name LcJG/ye/1 AI/C 4i6C S Project Location: County 5r4-'i?,:i (-".(-_iti_-
Address '%3 La ce -e/t-r, i'r, vC Street Address/State Road/Lot#(s) / 7
City /''J) , /9-ird State /C ZIP g 76 30 /- -is- 0--a 4.
Phone # ( 33Q 7s-/ Tqq Fax# ( ) Subdivision
Authorized Agent Cr•- ,54,-r7 cJaco6s City 7C-ear, /�IC c_Li ZIP a /(tC/
t
Affected Cw .:EW KPTA ❑ES C PTS Phone# ( - ).. River Basin LLin';I,er
OEA HHF ❑IH UBA N/A
AECs : Adj.Wtr. BodyCa-y-7�C man
AEC(s):
CFC: (nat /unkn)
Closest Maj.Wtr. Body /9/W
.
ORW: yes / no PNA yes /;no Crit. Nab. yes / no
J
Type of Project/Activity y:GAracc >>c r" r. r://uG. z.)fi J1iG/� Add �GG-
O i
(Scale: 'Lt. 20 )
Pier(dock)length 34 A1F —.-_,
Platform(s) it U X 3 i • - • '
Finger pier(s)
Groin length •
Ca,1w(
number (
Bulkhead/Riprap length \�---- —"'
avg distance offshore
max distance offshore J i
AU
Basin,channel - "-. . f.
t I
cubic yards 4 a 1 j
Boat ramp - -
rL i
Boathouse/Boatlift ---------
Beach Bulldozing
1 At
Other
I . . i
Shoreline Length 6 O' I GP'
SAV: not sure yes o I • -tkIleL{k it -}
Sandbags: not sure yes o L. (nWC Gin e/ (�
Moratorium: n/a yes ` U
Photos: yes o
Waiver Attached: yes no -- ---- —
A building permit may be required by: `Tc--wfri off 6e(--f•ci'1 /. /c t,- C - /v . See note on back regarding River Basin rules.
Notes/Special Conditions 4(7 Car is/e f Z c-})5 c/ '7/1./.ZGG //(2/if (
_ �3
Agent or Applicant Printed Name Permit Officer's Signature
2./14/G' tds S/.
Si ture **Pleasead compliance statemen(fin back of permit'�"I` Issui Date 7� Expiration Date
/UUov. Mom Oa -05131a058 lid„ /5/// tJ
c. C<Glcr
e,,..16..,.1...,Gmr.\ e-t,e..L,A Local Planning lurisdiction 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 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I0-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret, Craven, Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
• APPLICANT NAME: 0,111,y e r' C hr.:,
ADDITIONAL NAMES:
AEC DESIG: ea) DEVELOP AREA: .0 l_ PROJ DESC: P - l2
(Will only tale 6) —— (Will only take 1)
WORK: Pe ,3 Z
(Will only take 4)
TE• I ab0
MMNT:
(Will only take 4)
IMP: OLD gib
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4?�{-(p q- ,5 2-4/0g
CAMA MAJOR DEVEL REQUIRED: 9•12-111 U`f 5/2y--1
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FROM : FAX NO. : Jun. 10 2003 05:13PM P2
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DIVISION OF COASTAL MANAGEMENT
° ADJACENT RIPARIAN PROPERTY OWNER-NOTIFICATION/WAIVER FORM
114/1/AeR,
Name of Individual Applying For Permit: )1(Mg-led
Address of Property: / 6?Z4
(Lot or Street , Street or Road)
Pc'a4c. J,QA/ / L v - ,
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The,individual
applying for this permit has described to me as shown on the attached drawing the development they
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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
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
set bck 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 req
uirement.
-
Sign Name Date
ar4 C t✓ ec-1/G(� `!'I/�7 `e r S lJ�j ArrA
Print Name
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frin

FROM : FAX NO. Jun. 10 2003 05:13PM P1
•
•
DIVISION OF COASTAL. MANA(3LEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: / /)L2JI % (l�i
I
. •
Address of Property: f 7
,
(Lot or Street .;Street or Road)
ae4 --$A. J. ;- !)L �:I 7"� --
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The individual
applying for th is permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing with dimensions,should be provided with this letter.
- t� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Di«sioa of Coastal
Management, 127 Cardinal Drive Extension,Wilmington. NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
set bck 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.
V I do riot wish to waive the 1 S'setback requirement.
.,,,,,...?„4",.... 4
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Sign Name • . e
. IA. dici7J--Z.,:a.._5 0----o r-e____. /
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Print Name —.....le��
9/0 6' z 2- 6 7 K- NCDENR
e...,a..c,r..z.Rau...1-.35 W
Telephone Number with Area Code
S:\camalshells\riparianproperty.frm •

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