36917D - Heath

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CAMA / DREDGE & FILL 1`s. 3 9 1-D
GENERAL PERMIT
�� Previous permit#
New ❑Mod ification 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 f 17 n'> .
' , Rules attached.
Applicant Name C..i.� e r F. }l e rt-P, /1. Project Location: County t:.).4 S j o t,d
Address '`7`4- LA-LA -/C,'^'G'f 79✓ Street Address/State Road/Lot #(s)
City `r?eraftS PCP" t, State s�'C ZIPz gliAp r 5 Lr; ic• `'"'.�`� -0r
Phone # (1 0)S/Z-/463 Fax# ( ) Subdivision /
Authorized Agent J/3 h,,, CA.< 4 ti
City cvtenr,) t"C'/7 h( ZIP 2- 8 Li h D
Affected 21tw •sEW 'I PTA ' 'ES . PTS Phone# (`F 0)57 2 --&63 River Basin L.))I IC a A
OEA HHF 7 IH UBA N/AA AEC(s): PWS: nFC. Adj. Wtr. Body W Lk) nat an /unkn)
A 2--tvf'�
ORW: yes no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body
Type of Project/Activity NE= Li f'C'-
(Scale: '1- 7r'. )
Pier(dock)Iength5"X 145
Platform(s) JQ /)C 9 t T 4� . A - k !('V
Fingerpier(s) i{ f , X ,S ' 3r� S�
Groin length -
number � ` 1"1(-a1. T
Bulkhead/Riprap length _ _ 5, "a'i��r 'JIB`
avg distance offshore '
max distance offshore � y
Basin,channel j�e
cubic yards • 4-- N MW(pp"v -_
Boat ramp 1' ir
Boathouse/Boatlift 4, ir . !r_
I
Beach Bulldozing _ '' Is-
f ,
Other f 4 Y" "r 4...'1 i
y — . l
Shoreline Length q ,
SAV: not sure yes n
Sandbags: not sure yes o ' w
Moratorium: n/a yes no,
Photos: ye;, no
PL
Waiver Attached: res no T +1 —
A building permit may be required by: Oh S in(A." r!,r,,x '1 4 7 . See note on back regarding River Basin rules.
Notes/Special Conditions 1 'i C✓ jC►9 j i^. S L t l I C i t,� Ai", )- p;d f (A—c S "n - - e )(-le' elr. t� -4
-44f 'Sn' ,$C t , < k , rnr,, ILC k1cf, 6 'Y.. ,-, P,,40e' nr /t< (`L,„.1r1.' ). • •��7r' AI/�D;,4, -
t , r t►. . Ie (ins. -]G,e ! ✓v.ei.r r , i -. i , r,n„_J/, f
_Agent or Applicant inted me Permit Officer's Signature
7 // � /Pt3
Signature ** eas read compliance statement on back of permit** Issuing Date Expiration Date
�/(..) r 3e6,F Oh,C lnt,) re)U h 4 ' n/L1 —1
.. -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(252-946-648 I)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 252-946-648 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
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9-733 I495 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: 9 I 0-350-2004
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 I0/05/01

GENERAL PERMIT COMP TER FORM
APPLICANT N ANE: C v L, (e✓ H e -41,‘ �r .
ADDITIONAL DAMES: J o k y\ C q,S S I o !
AEC DE SIG: C , �) ES) FT DEVELOP AREA:_ 0.0 7_ PROJ DESC: P - 12
(Will only take 6) (W ill only rake I)
WORK: 19 i< l45) EL 30) 9
(Will only take 4)Rp 1 I ) ✓
I 1 A1NT: -
(Wll only take 4)
IMP: H M 1 '15 L�►1 �o 1-I G S.
(will only take 6)
W '] is
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 12/1 z 1 D 3 3/1 Z J 0 3
CAMA MAJOR DEVEL REQUIRED: 12/(Z-163 3/l Z-1 03

p
DIVISION OF COASTAL MANARFt7iTr
' ADJAcrNI, RTRARIA_N PROPERTY OW ER NOTIFICATIONJWA p FORM
Name Of Individual Applying For Permit : C L1 Y1, ER F /r nl rNf
Address Of Property: j E \,v/) T fiR Wes. y ,D,1 V ET
. 5A/EA DS 4 Rl Yl /V C. g4,�D
(Lot or Street #, Street or Road, City & 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.
oftI have no objections to this proposal .
Tf von_bavp objections to what is being_nronnso j ni ease write rho
ni vi s i nn of Coastal Nlanag-mane, 127 Cardinal Drivp Pxt pns ipn,
Wilmington, North Carolina, 2R409 nr call 910 '99--19oo within 1fl
bays of rPceint of this notice No resnnnsp is nnnsidared the same
as no ohj ert i on if von have been not if ipd by rert i f i pd Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 15 ' from
my area of riparian access - unless waived by me. (If you wish to
waive the setback,/ you mn j- initial the appropriate blank below. )
41L'L"� 1 do wish to waive the 15 ' setback requirement .
1 do not wish to waive the 15 ' setback requirement.
- /ArZ AoLwee_60'
Sign N
La e
71
A c/ 6 M 4i2sS',04/l
Print Name/i �1 _ L �'
i / 3d7 diS6 -
Telephone Number With Area Code
NCDENR
ND -r-! 'ice:=JN%.o ziA-FTY-T-K OF
ENVIRONI-VEN7 AND N,cuR& F��:-J^n.'._.s

-mac =-D?1 OF ALL` 7
e O' Individual v_dui C L/YL R
?�a� -�,�- l Applying For ��-t � t . F. /�
�`A Tl� YR .
Address Of Property: 3 3 5 V,/ TiY
R >1y RlyF
NEA FERR y Co, yc 2g�
(Lot or Street r. , Street or Road, City E County)
erebv certify that I own property adjacent to the above-
erncea Property. The individual applying for this D.-Mit has
described to me as shown
on the attached drawing the devel 1-
�yare g � opmn�
the Proposing. A description or drawing,d_aw_ng, with dimensions,
should be provided with this letter.
UV X I have no objections to this Proposal
v n t- H a i
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t l7 ar iral
call o1 o
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- arc a
n i- , ^ c =a
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and=^s`and that a pier, do.ch, .mooring p� l i
house C= boat lift must beset � _II3s, b-'-e=r'w2ta`, boatbath a a_eG D minimum '
my � `_�-'TI 'LII" �-_SD++ce of 15 t from-- access - unless Waived by me. (If you wish to
a4 ve the .se bao , you Tn' initial the ta'Jp=Oor=cLc blanh
do wish to waive the J
�� r requirement .
7 a� n.r,= wish to waive the -S
setback ,-'eq1,;-ement_
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Telephone NumberWith
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PILINGS AND ------_�-- ------
JOHN CASSIDY MORE
_
PH: [phone] �^,y=
107 KATHY ST �.
SNEADS FERRY,NC 28460 3068 1o4-1Y10(71'e)
ter o / v Date
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