39054D - Shouvelin

CAMA / DREDGE & FILL
GENET AL PERMIT Previous permit#
IgNew Modification ❑Complete Reissue LiPartial Reissu Date previous permit issued AO
As authorized by the State of North Carolina, Department of Environment /4
and Na ural sources `, /�U
and the Coastal Resources Commission in an area of environmental concern pursu to 15A NCAC 7fn, 1/f0() * /} , .
1 El Rules attached.
Applicant Name (art5R lvveti r1 Project Location: County 6f1),(a oic)c
Address 'j i v 6 co, 13 e4.tEl it1 Street Address/State Road/Lot#(s)
City t xk ilk n# State'vt- ZIP Z‘0116�
/ie
Phone# (gib) 171 — 3017 Fax#( ) Subdivision
Authorized Agent :Yetj/ Pie rp.+te[ City ZIP
Affected cW YEW ' -PTA Es ❑PTS Phone# ( ) a, River Basin
OEA ❑HHF ii IH IDUBA ❑N/A
AECs : Adj.Wtr. BodyP)/ Dnt P/ k
AEC(s):
❑FC: "` }� 5i/D f '/man /unkn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body C W
Type of Project/Activityz nn LI)(,'t' ,." (6sIkijea, /";t,i , /)/4.i-h f/?t , 3OI Jilt 7 A fs ✓rn
G4 el A jJ1 44 L,14. (Scale: I..i Zd, )
Pier(dock)length 70 -r-
Platform(s) /u X /Z r/Q X R r . . -I {l,�fF1 pIaI J['I0,v)A .. _......—
Finger pier(s) --�._--i ' •yG- 1 I i i' I
Groin length — / i . . _ I- d. i __. . :..
number { i X 1 l i
Bulkheadf�2iprap length �1 b a I _-__.—
avg distance offshore 1 ' _ I
max distance offshore . . .i / i 1 __ 1 ._
Basin,channel • —� --��-f�i---___ i i I
i — .-_
cubic yards
Boat ramp }
Boathous oatlift f�i /2
t 1 +
Beach Bulldozing �I� h i r__�__-
t-: I !
Other � i � I � 0;17--.4-,-,-,7-
- t
Sikial
1
Shoreline Length _ Akirf 4�r )t 1 ; /
L .
SAV: not sure yes • i
v t G, no A ��
UT
Sandbags: not sure yes y
Moratorium: n/a yes no I !
tt L_1 I ._. �Je4c.4 _ ;
Photos: yes o I _..... I— —' 5-1 (j l I'.
Waiver Attached: yes _ I l L I I i i I i i i _
A building permit may be required by: A L (276 A,, . �Q __L.See note on back regarding River Basin rules.
Notes/Special Conditions 144, /%/ {r- r/6 y//-Te v diC//art 744 O# 9' ' /i c -
tri)olk API It
iy „jaizt......_
2 i . /2 S�__-. �i e d- r e ✓k t
.-z'1--:I 4 1(.
Agent or Applicant Printed Name P Ift Officer's Signature
411
Signature lease read compliance statement on back of permit** Issu' g D e // Expiration Date
2-9() --- 2 3 o 1 ii/v/i 5 0;441
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

f
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(9 I 0-395-3900)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
9 19-733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
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 I0/05/0I

e W. TER FOR-Al3 �S�f
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.APTP CANTNAM=: G)&yi'e 6A6IAveIhi
ADDITIONALN MES: C t
=C DESIG: DE'EOP=�ti z:_J2 v J PROD ,Q DESC: !-
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ACTION ' ]PAfON
- - DD_R' E&ELL REQUIRED:
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CAMA MAJOR DE ;-?REQUIR h_I' D: F

•
DIVISION OF COASTAL MANAGEMENT ..-
•
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 61 47 n 6 ,S h o e d edL f it
Address of Property: 67c 6 LA), I&MI) i2
• (Lot or Street#, Street or Road) -
(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, boathouse 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 requirement.
•
a4,46xi /eed,_) 7—/t-0 4-
Sign Name Date
• Print Name
/o- ��Y o0/3 NCDENR
NORTH CA NUN&D„„Rmo,E or
ENVIRONMENT AND NATURAL RESOURCE
Telephone Number with Area Code
S:lcama\shells\riparianproperty.fm

• _ DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM .
Name of Individual Applying For Permit: 4.),4 7o -e, S he Lt deli;
Address of Property: 57ôj e ch
• (Lot or Street#, Street or Road)
• 04h 2s14t
(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 drain 'g 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 t s waive the setback,you must initial the appropriate blank below.)
• •
, A ; I do wish to waive the 15' setback requirement
W I do not wish to waive the 15' setback requirement
Sign Name Date
. 4 • •
• Print I ame
NCDENR
At I 014/06-1/7-
DOMICTICHT Or
•
EftvinoNmeur AND Hamm.Fir-some= •
T ephone Nuinber with Area Code
S: cama\shells\riparianproperty.frm
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