36924D - Wagner/Keane

CAMA/ L DREDGE & FILLdi
36924-i
GENERAL PERMIT Previous permit #
New 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 I 5A NCAC 14-- . ` 1 0 0
I �\ oil Rules attached.
Applicant Name vJt, 1..-- C II I C►Ft- �v , Project Location: County H. Orr •
Address CI ULU 6 el ' Street Address/State Road/Lot #(s)
City Vsi1t/1'V\22 State f`'� ZIP 2.6"\ 1 ' Lur "1 + 46 , oce-Atv/�}- bui
Phone # ( ) "I 13- Fax Fax# ( ) Subdivision Dik—
Authorized Agent Cityr ii 0 fl 0V&if— ZIP 7 rit°
Affected liCW DEW PTA S PTS Phone# ( - ) River Basin rf
Li AEC(s): OEA ❑HHF IH /❑UBA N/A Adj.Wtr. Body PJ riki,Q'i - t I W C) (nat unkn)
❑PWS: FC:
ORW: yes /0) PNA yes /,no Crit.Hab. yes / no Closest Maj.Wtr. Body ATL fl CCO
Type of Project/Activity *1 V (3't YJ , ,�,tiCA.d—
r
(Scale: ', -3U )
Pier(dock)length
Platform(s) r"\�"V
Finger pier(s)
Groin length
number
/
ulkhead/Ri rap length 57
- avg distance offshore ` 9- NP
—
max distance offshore'IS
Basin,channel _ ..__.. _ ---.._ __- ` v
te
cubic yards C�
Boat ramp W w `�----------------"-----
Boathouse/Boatlift -------.__
Beach Bulldozing _ _ 5 7
Other
Shoreline Length 57 I
SAY: not sure yes no 1Ur 4 ...
Sandbags: not sure yes ® 4b� Dtg wy, *.fQLtkil_ •i To 5E
Moratorium: n/a yes i !-o1i A-mp. L NI Prti/r/L fr
Photos: es no /,C , 404�I" L//VE
Waiver Attached: yes no t
A building permit may be required by: A/4. //if.42440 �/ I See note on back regarding River Basin rules.
Notes/Special Conditions 00 ri t-"C-/TIDY' J/!t f( (�/Q�"jt44. 0 �r 1# •1/d0 G- G✓4`" / 1P
,4 /kV /O e C/ / S f y/ fi ei?vG I I fr.: {/..., C /mil .
Did11V 411 p /\-1e.tor I(17A-/r , ](
Agent Ap licant Printed Nam e it Officer's Signature
Signature r^ 'I'*Please read compliance statement on back of permit" Issuing Date Expiration Date
100 5 # ('AE,M l�f/L . 0-0zosi cA-
Annliratinn FPa(c) kdar41 Local Planning lurisdicti n 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
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I 9 733-2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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: T2t 1\1 WA W -�PA-%-iZ/A-
ADDITIONAL NAMES:
AEC DESIG: 6$ DEVELOP AREA:O O, D 2- PROJ DESC: p - //
6)
(Willonly talc: ---- .
(Will only rake 1)
WORK: + -- 5.7
(trill only rake 4)
•
MAIM': •
(Will only take 4)
IMP: -- 90
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: Z-�/ --©ti Z~q ©V
CAMA MAJOR DEVEL REQUIRED:
I

aLc O C ASAL A E
IA CENT RIP ROPER O'OirNER NO CATION/RTA1VpR FO
Name of Individual Applying For Permit ( _ A e� d. PGt, '
Address of Property.: A.
�-o+ �2Ar1 Z
• � C
(Lot or Street#, Street or Road);
C � nQ
(City and Cou' )... �'� +'1,4 J �.
•
I hereby certify that I own property adjacent to the above-referenced o applying forthis property. The individual
arePelnuthas descriibedto me as shown onthe attached drawingtheproposing. A description or drawing, � $the development they
{ with dimensions,should be provided with this letter.
I/ I have no objections to this
—"' - Proposal.
If you have objections to what is being proposed, please write the
Management, 127 Cardinal Drive Extension, 'nV' Division of Coastal
within 10 days of receipt of this notice;-No respons considered th or05 call 910-objection i
you have been notified by Certified Marl, same as no if
WAIVER SECTION
•
I understand that a pier,dock,mooringpilings,breakwater,boathouse or boat lift must be
bck a minimum distance of 15'from my area of riparian access- set
wish to waive the setback, unlesso waived by me. (7fyoa
you must initial the appraprjate blank below.)
Y do wish to waive the 15'setback requirement,
I do not wish to waive the 15'setback requirement.
Sign Nam Date
ViCir
>.,a •
n 4-1-4-
, ✓ r -
Print Name
14CDENIR
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Telephone Number with Area Code
S:lcama1she11s1riparianproPerty.£ern
•
•
•

,(7
ar' IA SLO O C ASTAL N��NAGEMEr1T ;;�
` RIPARIAN OP R. O
N CA ON/9P FO
-
I Name of Individual Applying For Permit � d iG�p) S. w ,
# f Pa-ft', th A.
Address of Property: .0+ I/O CMG Kiwi,'
.
(Lot or Street#,Street or Itoad)1
(City and Coniftp)-- I: .L..4 �� ` o✓� 4
I hereby certify that I own property adjacent to the above-referenced '
applying fortis pennit has described to me as shown oa the attached drawing '• The individual
are Proposing A description drawingthe development they
_1 - --- -with dimensions,-should-be-provided-with-this-letter. - -
•
v _ I have no objections to this propose. -
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Eamon, 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
r
WAIVER SECTION
I understand that a pier,dock,mooringpilings,breakwater,boathouse or boat lift must be
bck a minimum distance of 15'from myarea of - set
wish to waive the setback,you must initial the appropriate accesslank unless
)waived by me. (Ifyon
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement
i
ign _ e I—2-' ^o
. Pate - ArCirDA -
A.,..-- 7 , _/ , ............41/ir
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Wile NCDENR
23� O o .0
Telephone Number with Area Code 1
S:lcamalshellslripaniopy,fin
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January 18, 2004
I, /ice, net- -nO 144,7 1 /V/' 4, a-y owner of lot number 3,
Oceana subdivision, ea olina Beach NC grant permission to the owners of lot number 4,
Oceana subdivision to connect to my existing bulkhead. I understand that the owners and
contractor for lot 4 will be responsible for any damage to the existing structure,caused by ihe tons c
P / 7 X �
er lot 3 Date
16),,t,,. .,.. a, ke.a„(t__ 0-voc,
Patricia A. Keane Owner lot 4 at
fii„.-f.c,O. W 11t7 ( QY
Donald S. Wagner/wner lot 4 Date

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