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•, 4CAMA /
❑DREDGE & FILL 37 .
ENERAL PERMIT
Previous permit# - 7 Z---
>= k New .iModification ❑Complete Reissue JPartial Reissue Date previous permit issued c-7-US
As authorized by the State of North Carolina,Department of Environment and Natural Resources �f
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7't .I2L .
AA J E Rules attached.
Applicant Name 1)Ot.t Ni -S Project Location: County tJ '- e...
Address / y2Z— R I t/L(C_ -P Street Address/State Road/Lot#(s)
City iJIt$ 1rJ 7opi State NC ZIP 7e`f(Z- -78 z /i vLi D.
��Phone # ( )(4)-(Iw Fax # ( ) Subdivision
Authorized Agent -'-� City 60( L f in fit) &T 0 f,-)1 ZIP 7-6`1 I
CW EW PTA ES OPTS Phone# ( ) �( - j(40 o River Basin eF7L-
Affected
AEC(s): ❑OEA HHF IH UBA N/A Adj.Wtr. Body (F/"p
/man /unkn)
❑ PWS: EFC:
/J r„rJ
ORW: yes /1 1�0 PNA 0 no Crit.Hab. yes / no Closest Maj.Wtr. Body (,-f I'�-
Type of Project/Activity 1r46L\ D0a-Tl‘, -
pfi —.r} (Scale: (lFC ZO )
Pier(dock)length
Platform(s)—_ i— = --� —t --I
11
Finger pier(s)
Groin length J�� `�j�
number --------'7--""'1'..64 f �,-f►
� ;
Bulkhead/Riprap length {�f 1 t _ I .. ....
t
avg distance offshore i -
max distance offshore
t,4 71 ._ I
it / ! - :Tr^' - -
Basin,channel
l S - - . _.. I- i i j
cubic yards _ y L.. • I^ I i•
Boat ramp I .�._ 1-s, -..- -
Boathouse tli I
- ,
‘tr
Beach Bulldozing i ./'
Other l
--� .N.,
I
I
i l
Shoreline Length Z� Si NJ
SAV: not sure yes r .
Ir
Sandbags: not sure yes o `— _
Moratorium: n/a yes /ffo —DONp
Photos: yes no •
• i
Waiver Attached: yes no
A building permit may be required by: !V I - • . I I See note on back regarding River Basin rules.
Notes/Special Conditions
CNI y V ,L
or Applicant Printed Name it cer's Signature
Apitt
Signature 6) Please read compliance statement on back of permit�`* Issuing Datq Expiration Date
0� 1\ }�`�1 )- OSb1 I`4PC-
Application Fee(s) Check# 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 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 252-264-390 I 252-946-6481
Location: Fax: 252-264-3723 Fax: 252-948-0478
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 919 733 1495 I5 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: 910-350-2004
Fax: 252-247-3330 (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 3 a / /- ) •
APPLICANT NAME: Do Lt I/l�a Uj
ADDITIONAL NAMES:',AEC DESIG: DEVELOP AREA: .d ? PROJ DESC: P - tZ
• (Will only take 6) (Will only take 1)
•
WORK: \ L 1 a. , 13
'• (Krill only take 4)
N
N
MALN'T: \.
(Will only take 4) \
IMP: • O v)
(wil only take 6)
ACTIONN EXPIRATION
•
DREDGE&FILL REQUIRED: sN
CAMA MAJOR DEVEL REQUIRED:
.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. natyre
item 4 if Restricted Delivery is desired. �� Agent
I Print your name and address on the reverse '''(-- / — Addressee
so that we can return the card to you. B. Received (Printed Name) , C. Date of Delivers
I Attach this card to the back of the mailpiece,or on the front if space permits. - ?k
( I •
`7-2-c- y
Article Addressed to: D. Is delivery address different from item 1? ❑Yes
if YES,enter delivery address below: ❑ No
ISvk phlipe-s
2-3 3, y1 0R r► 610, Po A^
1 1 3. Service Type
rA eh-, 0 a / f 18'6ertified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
2- 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number 7002 0510 0000 4924 6819
(Transfer from service label)
'S Form 3811,August 2001 Domestic Return Receipt 2ACPRl-03-P-408'
UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
\\3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: o ..► kk9 f3\\s
Address of Property: -1 7 5 g v d .n- ot_
(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.
/7,".>� 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 requirement.
Sign Name Date
'TEA
Print Name Ai
/Pp g
8Pg/jZ- � /l l l /l /(I NCDENR
/ J // / / / NORTH GAOLINN DEPARTMENTRESO OF
[[[/// !!! fff///iii"""��"" [ EN VIRONMEIfT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.friii
? � DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
60 ,0 W14-0S
Address of Property: 7 1 5- f I .0 e_rk. V' 674-d_
(Lot or Street#, Street or Road)
4 - ,W ,% 1
\ J-1-a hitlA o 0 elk._
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property,. The individual
i 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.
aI 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.
AV.. I do not wish to waive the 15' setback requirement.
Sign . re Date •
•
Lam, hie_. PRS $
Print Name .
a _ v . NCDENR.
MEI.i/WD N• .
9/ 9� �3 8� �,Dowrrseorr or
E.MRONRIaiK RF30URL�3
Telephone Number with Area Code .
S:\cama\shells\riparianproperty.frm .
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