36915D - Arrich

tou CAIVIA / DREDGE & FILL • ] 3f 915 D
GENERAL PERMIT Previous permit #
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�IVew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized//\iz 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 7H //OU .
L Rules attached.
Applicant Name PICI1ai✓c/ /14 r i C f) Project Location: County 451241'51veC./C-
Address YDZ (.0c-.574 (lac 4 f eYiv,e... - Street Address/State Road/Lot#(s) 702„
City 06 k k-rawd State ✓C ZIP 28(475— (.065f'ye
art a ri er—
Phone # ( ) Fax# ( ) Subdivision
Authorized Agent C rc i Prc v 6 e City "7lt k 6 ' -r _ ZIP ,2P/65--
Affected 1 JAW ❑PTA >;'ES PTS Phone # ( ) River Basin ,C.G[rrr bcr
--OEA ❑HHF ❑IH UBA N/A
AEC(s): PWS: ❑FC: Adj.Wtr. Body /%/ man(nat /unkn)
Closest Maj.Wtr. Body /9/14if'.c)
ORW: yes //fii;) PNA yes /�io� Crit. Hab. yes / no
Type of Project/Activity ke /e2CC C. Jam/i/'i3O' 'I fi/1CGC1
r (Scale: /u= 20 )
Pier(dock)length
Platform(s)
Finger pier(s)
Groin length
_number
(ulkhea Riprap length
P P (OCR -
avg distance offshore _ _ i I)..)
max distance offshore l ,1 /f
Basin,channel
r" Ge", .- : 7 't-
cubic yards ,-1-16ST7i7,y ,-------'---- 6
Boat ramp Diet* bdG�
Boathouse/Boatlift i" -
� � -
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Beach Bulldozing _
Other I
--
_..v._ _.. - --
(c0' 31�(kha e .d
Shoreline Length U I ---to 6 . .
SAV: not sure yes no I
Sandbags: not sure yes ® 4)L \-k 0 lid f
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes L __ ._ i_ _ -- --
A building permit may be required by:_ hG/ L /5/lz.r]d . 7 See note on back regarding River Basin rules.
Notes/Special Conditions /cfl( CO; kd G c' . 61 7/`I /I CO c./Cpp 64, A/`7"
J f\Jj r
Crc pre f/ettre. ( at( cJLe(c..1-
Agent or cant Print a N e Permit Officer's Signature
G�'J�..��.� / // 03 3/io ii
Si Please read compliance statement on back of permit" Issuing ate Expiration Date
rry 0-v Y/ )c k. / (a,IL N/2l0/8�
AnolicationFeelsl Check# Local PlanningJurisdiction Rover File Name

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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 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 252-946-648 I
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
733 2293 / 1 888 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 I 0/05/0 I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: rei C AAA cI R f r 1c h
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .G.;Z PROJ DESC: _ %(
(Will only take 6) (Will only take 1)
WORK: (3a lQ G
(Will only take 4)
MALNT:
(Will only take 4)
IMP: N G� .(c )C_)
(will only take 6)
( o
ACTION EXPIRATION
DREDGE&FILL REQUIRED: / D/Q, '/o/o
CAMA MAJOR DEVEL REQUIRED: (-7/vA3 34/O`dz

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JNVicin c ni;en 4CT L loritakifirjurrNT
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Name Of Individual
Applying For Permit • dl , L,�'1 � "4 rr;C 1i
Address Of Property: 70 2 W. y,46 ii
(Lot or Street ii*,Street or Road,City&County)
• I hereby certify that I own property adjacent to the above-referenced
applying for this permit has described to ctie as shown on the attached The individual
letter. ent
they
�prop . A description or drawing,with dimensions, should�i with this
✓ I have no objections to this proposal.
If ynu have ohjeatinnc to what,it being prnyncovt
piny" write the Tlivieinn of Coastal
Ntrrth e-2mlist< 2R4t31r ill 91 f
Non Ain 10 bays of nwr m
of this id No response is mntadered the same at pet nhjvnina
if you have been nntifit!by CertiO.li Mail
• ; I underaad that a pier,dock,mooring pilings;breakwater,boat house,lift or
sandbags be
set back a minimum distance of 15'from my area of riparian access unless trout you
wish to waive the setback,you must initial the appropriate blank below.) me. (If you
6/20?hAe4d- •
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• ,_.., I do wish to waive the 15'setback requirement.
/uA I&um wish to waive the 15'setback .
2 *XO.'d eL3 AlC4111;11A
on Martagef �_
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Print Name Oak island, N,Q. � NCDENR�Telephone Number With Area Cod
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SHORELINE MARINE
GREG p CONSTRUCTION.
67_7235/2532 T..
SOUTHPOR X 10671 3258000872 2241
pp NC 28461
S PAY ORDER THE DATE
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