36904D - Daniels

CAM / ❑DREDGE & FILL4G Fj9®4-t
GENERAL PERMIT
New Modification Complete Reissue ❑Partial Reissue Previous permit#
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources r�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ! N.Z C - .
);5 Rules attached.
Applicant Name C h 4 P I C l4"i' e Is Project Location: County O ht i a t y
Address Pe SOX 1115/5 Street Address/State Road/Lot #(s)
City (. oldsbera) State "C ZIP Z'753s 16i Swq-, 1''o ;A+ Road
Phone # (1/4) 3 Z1 09gbFax # ( ) Subdivision
Authorized Agent To * Ca 55 ► ell City Sh eetd S Ferri ZIP 29 G
7 CW )(EW )(PTA ES j PTS Phone# (9 jO)32? -0944 River Basin I1;4 e ak k
Affected 7 OEA C HHF ❑IH L_UBA N/A
AEC(s): Adj. Wtr. Body N vbc 1.4 TuS4 +G e Cm' !Oat I)/unkn)
PWS: ❑FC: C
ORW: yes PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body IlAdt41;ck 1a
Type of Project/Activity Add ,.--)i o.—, (Pc q 60el4 1 V f 4 Gn Cx r S -I ) j 5/I f
l (Scale: "L.:', ?_Q ' )
Pier(dock)length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/Riprap length __
avg distance offshore 0 a n C I rn d
max distance offshore
Basin,channel
cubic yards
Boat ramp ll / (Z f
Boathouse/ oatli (2. f 2-/ '2- 50 4sC'1 1 l• (:/`1
Beach Bulldozing • "r, t
Other O
r'".
0 0
Shoreline Length ILA221Y
SAV: not sure yes
Sandbags: not sure yes n fi
Moratorium: n/a yes S_lep i✓, Kes4V A.r 4.4 S-j-E'fo S 1
Photos: ,-/V! es •'n.. GO r►'t r 0` erne 4+4
o'(,,Anti? l 6& Sf.,.4n Pe' 4 Room &oa--dwal k
Waiver Attached: 2A
A building permit may be required by: lJ hS1OW 60(A-h-,y . See note on back regarding River Basin rules.
Notes/Special Conditions
. ..... . ,
i
Agent or Applic -4r • - Permit Officer's Signature
/% l z/2 3143 3/2.3103
Signature ** as= d ompliance statement on back of permit ' Issuing Date Expiration Date
.g.)6O .• I 3083 CIO Stein) PIZ.23 19 4
- Application Fee(s) - Check# Local Plannin --,e'"' 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(252-946-648 I)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 252-946-648 I
Location: Fax: [phone] Fax: [phone]
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
919 733 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 I0/05/0I

ANIIMMINEMi
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- GENERAL PERMIT COMIYU TER FORM
APPLICANT NAME: C /) e DO) 0 ;e I.T
ADDITIONAL NAMES: 11 G(4-s s la d
AEC DESIG: C W ) V7 DEVELOP AR 4_d.0 I PROJ DESC:? - �!%-" S
(Will only tak 6) ——
(Val only tal:r-I)
WORK: S'L II-) 4.
(WTI only take 4) -
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•
MAINT: `, .
-
(Will only tale 4)
•
The: //J� I,l) 14 4
(will only tars.6) e
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• ACTION EXPIRATION
:'A=_ T.,DREDGE&FILL REQUIRED: f Z - 2 3 -G3 2 2 07
CAMA MAJOR DE EL REQUIRED l 2 - 2 3-G3 3 - 2 3 -D'3 [

ADJACEWT RIP4RIAX PROPERTY OWNER NOTIPICATION/WAIVER FORM
in For Permit: n4/Y/41?S' �f9 u7 er
Name Of Zndi�ridu 1 Applying
Address Of Prope ty: ( (;: (J o?C / 7 /
go/JsAcy(5 j C
1 (Lot or Street #. Street or Read, City & County)
I hereby certif that I own property adjacent to the above-
referenced propety. The individual applying for this permit has
d-scFibed to me ;,a shown on the attached drawing the development
they axe proposi g. A description or drawing, with dimensions,
should be provid.d with this letter.
I ha e no objections to this proposal .
s . .e write the
Vi ion of Cattal Manaaamen 127 Carainal Drive Extenss,opr
to a .lin- 28,05 or 0 39 - ' ► . in 10
g receipt of this notiq No resipox _i__considered the name
.o .0. QC i-_ f • : o have been notified by Certified Mail
SECTIOX
l
if I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or a dbags must be set back a minimum distance of 15'
from my area of 'parian access unless waived by me. (If you wish
to waive the s back, you must initial the appropriate blank
below. )
•
Kam' I I .0 wish to waive the 25'setback requirement.
I n•t wish to waive the 15' setback requirement .
,91111-4
1570
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P t N1,t41/y ".
6 t = . _fe/50,7
me v
` 1 ®eu3ow county
Telephone Number twith Area Code
Onslow County Planning Delay
604 College Street
Jacksonville, NC 28540

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l in For.Permit: i7X,'!!�. � "'1 �.��`
Name of Individual App y g '
.• - :_.••*.7:4:rtd.l.;34):6'....':,'"?.(7. ------- -
Address of Froperiy:_______ l . . .
(Lot or Street#;Street of Road)
(City and County)'
The,indi`^:ic�uat:
I hereby certify that I own.property adjacent to tY1e`a •
b e'd property. ..
rvin the develo.-ent r:- •
• : .
• applying for this permit has descri•
bed'to:me as.shown on a g
.! {1 l YiJ i
are proposing. A description or .....-g,'w•ith dimni i h_ d p o ided w•ith t s letter.
- �`/i) . •' I'have no objections o this c .
If you have objections to..what is:being.;proposed,, ` write the Division pf .Coastal
a
Management, 127 Cardinal Drive•Extension. �1 405.or•call 91'0=395-3•90Q
within•10 days of receipt of this notice 1' o resin {. : be same as no objection if'
you have been notifaed by Certified 1Vlai�o._;
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AIVEI :
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1 understand that a i�r, dock. g Y�•,•• F ,. ,'4• p k;.n,00ru �h s ��� �af�Quse ar boat lift must be
set bck a nunimum distance of 15'from m area •
• you-wish to waive the setbac ? :-ut�tess yvatved by:me �If
k, you-must initial'tlie-.,n j► li k be- .: ..
I do wish.to wwaive the l.S'•setback �',
I do not wish to waiveahe I5'setb
•
Sign Name : . 12 ' : �3
Date-
Pr. 4l/, ,/C. z
Print Name �' ,j '� '
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66 301457
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Kg; AND M pate
e� JOHN CASS G? .,.
9101 327-2009 /b l�'.:..
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