34212D - Harsant

elCAMA / DREDGE & FILL 1 34212 D
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 '71//ZCSG
E Rules attached.
Applicant Name Da V t CS . `i--G ,. •('\+ Project Location: County Of i 1 (1SLt)/( k
Address 1 4 Z. Ito I p hin Street Address/State Road/Lot#(s) /f17
City +6e r.t.c.r eCitdl , State /IC ZIP 2 -1(a2 Do%fuu,-7
Phone#( -) Fax#( ' ) Subdivision
Authorized Agent Li Va r/)a ill City `f ICT (c/e,i 23e,_�l1 i ZIP .azik
Affected ❑CW JTA ❑ES ❑PTS Phone# ( ) River Basin Li(/Y)hC/
❑OEA —HHF ❑IH 0 UBA ❑N/A
AEC(s): Adj.Wtr. Body 1 Q r7ttl (nat /rtan`�unkn)
❑PWS: ❑FC:
ORW: yes /� PNA yes /no ) Crit. Hab. yes / no Closest Maj.Wtr. Body - ��Lv�.1
Type of Project/Activity /i)S, // /VP-W ' 7..-1 /74-
1 i
1 : (Scale: I //4... Zo I )
Pier(dock)length 3 X I(p I I
Platform(s) i 16 X 146 ( • ,■ �i_ , ,
Finger piers) x /(O J ■I
■ ropam..
• s11 • . _ I , I s__ �_ �■■■■ ■ —'
Groin length �� LI
number liii _ IBM- r• r if 1 ■■■
Bulkhead/Riprap length I ■■ - ■�■■■
avg distance offshore .4III
max distance offshore
Basin,channel T I Iis ■N
i --t--- i 1-4- . t----,:----, . 1 -, :.-
-- 10=1:1=1 -
cubic yards y in j ■■■—
Boat ramp __.... „ . ............ ' iop �___ II
.._..,__..
Boathouse/Boadik l�7[/, 1 InE11� ,
Beach Bulldozing MT'
_ 1_,__a- iiiigIg
Other '" MEIN
— I t_ _ T-1- . K . . =___Fi
..._
Shoreline Length I I /(� 1yi
SAV: not sure yes no , (
r 1 I I III i
Sandbags: not sure yes no i •- i + 63J�/ iz tid sr(a ' ■ '--
Moratorium: n/a yes no �L "'' IP
Photos: yes no I ,ak c r - r_..—�-_ —j— —
Waiver Attached: yes no - I i I I- I ! i I 1 I I I
A building permit may be required by: 'at c.I ? O `7 -c Q�C - ?9& ❑See note on back regarding River Basin rules.
Notes/Special Conditions i'77l/ CI- /-7 .1/1 r 5 ' 7j/ /o2DU 1-,-°_ ,,/
-, c!,, l 4/e4i.c s't,c- ac.-'c--C-C4
Age licant PrintedJau(ah&
me Permit Officer's Signature
/ g/e,,3 1 ,-
Signature �"�`Please read compliance statement on back of permit'` Issuing[late Expiration Date
,25‘/Z}v c (o - _ /i,f ,, c 4,< Ali' --'43B
Application Fee(s) Check# Local Planning)urisdicdon 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(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 252-946-6481
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
9I 9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 1495 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)
Revised 10/OS/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
.APPLICANT NAME: 72)Gt v'1 d Nair ael,4--
ADDITIONAL NAMES:
AEC DESIG: (� U DEVELOP AREA:__�L PROJ DESC:
(Will only take 6) (Will only take 1)
WORK: L- I)-J /S
(Will only take 4)
MAINT:
(Will only take 4)
IMP: D . !8'v
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: lv � U� I 78/0'7/
CAMA MAJOR DEVEL REQUIRED: ( /6)3

r � �

•
DIV1SIONLOF COASTAL MANAGEMENT
ADJACENTRIPARIANTROPERTY OWNER NOT!HCATiONIWAIVFR FORM
Name Of Individual Applying For Permit: 1) u1tc.L L4(LV' Oflf
Address Of Property: )1'1" DeillOCA/U
il-taisiAL.6taLL 64tufvouitub°
(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.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal.
Management, 127 No h rdinal Drive, Wi_ 1_ming on, North Carolina 28405 or call 910 395
3200 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 r
•
I understand that a pier, dock,mooring pilings, breakwater, boat house, lift or sandbags 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 mum initial the appropriate blank below.)
`\.e` I do wish to waive the 15' setback requirement.
D g I dQnot wish to waive the 15' setback requirement.
140,c IX,e;x4d1"5-03
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Date
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Print Name'
NCDENR
Telephone Number With Area Code • NORTH CAROUNA DEPARTMENT of ,
ENVIRONMENT AND NATURAL RESOURCES

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