Woodruff, Patrica 78316C

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7roAMA / ❑ DREDGE & FILL N9 78316 q g %D
ENERAL PERMIT Previous permit # 6/
�Kew ❑Modification [-]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources mmission in an area f environmental concern pursuant to I SA NCAC ( (�
' l ❑ R`�le_s attached.
Applicant Name ��/U(/ �/ Project Location: County G��
Add - f ON
City Address G' �C State A�IP
Phone # — J `'� "` E-Mail
Authorized Agent
Affected ❑ CW l A —_-;e_T' S ❑ PTS
AEC(s): ❑ OEA (❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWs:
ti
ORW: (yes / o PNA yes / n
Type of Project/ Activity pT U C
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) 31c �
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards I i
Boat ramp
i
Boathouse/ oatli�T� — —
I—
.. .. .. ....... .......... .. ........
Beach Bulldozing - --
Other
E � I
Shoreline Length
SAV: not sure yes no — ---_ —
i
f
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes no 1
A building permit may be required by: 4el,
( Note Local Planning jurisdiction) j
Notes/ Special Conditions j i L f
Agent or Applicant Printed Name
Sig r Please read compliance statement on back of permit **
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision
City r ZIP }
Phone # ( ) --River Basin <L-1) r/
Adj. Wtr. Body G , ' Xnat /man /unkn
Closest Maj. Wtr. Body G6r-e
(Scale: „ `--t("
❑ See note on back regarding River Basin rules.
iZ r-111/
PermitOffiUr's Printed
Signa r �--�
/ lh 2/ � aZ
Issuing Date xpiratio Date

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 1) 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

MA / ❑ DREDGE & FILL O
,� N . 78316 A B /C / D
ENERAL PERMIT Previous permit# 6
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ^
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources mmission in an area f environmental concern pursuant to 15A NCAC
1 / ❑ Rylies attached.
Applicant Name C ��t / Project Location: County %G{/J�
Address �� oL U [�� Street Address/(S,t/ate Road/ Lot #(s)
City �^ C State��IP / —/�
Phone # E-Mail
Authorized Agent
Affected ❑ Cw 4 1' O A _--glis ❑ PTs
AEC(s): OEA ❑ HHF ❑ IH Ll USA ❑ N/A
o Pws: �
CRW: yes /)no PNA yes y "�
Type of Project/ Activity
Pier (dock)length
Fixed Platform(s)
Floating Platform s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
Boat ramp _
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes no __:_
A building permit may be required by:
( Note Local Planning Jurisdiction) '
Notes/ Special Conditions
J Agent or Applicant Printed Name
h
Subdivision
CityZIP �-----
Phone # ( ) River Basin (1)
Adj. Wtr. Body U'(��/man /unkn)
Closest Mal. Wtr. Body ��'� taw/'
e (C F X
W
J[_0✓l2-V'l
(Scale: �_/ - )
❑ See note on back regarding River Basin rules.
Si g •°Please read compliance statementon backof permit Si na
/ �r(
Application Fee(s) Check# Issuing Date Yxpiratioi

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 1) 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
Iandowner(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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CERTIFIED MAiL RETURN RECEIPTtt�Q ESTE[?
DIVISION OF COASTAL MANAGEMENT
ADJACENT -RIPARIAN PR©PERTY OA'NEft N(>TIFICA-nONIWAIVER FORM _
Name of PropoAy twiner %�or7rR'i 4� Gk'_r f'fi (eXr'S
Address of Property,YrtrPr/r+ /
tLcs or Street #, Strt or Road. City' 8 Cauny3
Agent's Name *
Agents phone k
MailingAddrass: 3n3o f3�e�%tr,P+7�
I hereby Certify that I own property adjacent to the aboVe referenced propet, The individual
applying for this porrnit has described to me as shown on the attached drawin the develo n e )I
they are proposing,
iv?ve na objewons to this proposal. i bave objcctioas cn this proposal.
if you havo objections to what is beingproposeA You roust natify the Ai rislorr of Coastal Management
(tlCM) in writing within f0 days of r"elpt of this. notice. Cofmpandance should be mailed to 400
Commerce Ave., Morehead City, NG, 28557, AChf rOPMentaum sari also be contacted at (252) 808-
280$. Na resnanse is considered the same as no ob aGson if ouhave b"rr notified by t ert fod Maif.
WAIVERSECTVON
I understand that a pier, book, mooring pilings, brealcNater, boathouse, lift. or groin must beset
back a minimum distance of t 5' ,from my area of riparian aceess Unless waived by me. (If you
wish toWe"tile setback. You moist initial the approprtate bleak belosu.)
I do wish to war're the 15 setbractSlegvimmort
1 do not wish to waive the 15' setback feguiremen',
(Property Owner
Wdd
Print of 7 yp2 Nam
MaTing AdIross
City�fatt?izip
e ont Number
(AdjarmartPropert/ Owner Information)
F'nirt cr7YFe 1Jamc3
r 'Ji>f GC;r4�tl.�c'it? „�ag-lUS L N UN/i f d ��
Pdsrding AbJrEss
erbmalazo
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Teleplxns Alvmbdr
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DaN
versed an 6410t 2

CERTIFIED MAIL. - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner; /Ur WS o-- .e lP4-A"41,4 er r
Address of property:
t x{2 `fie f 1<ts e-^Ae=- 4-//-tA r A/
(Lot of Strut #, Street or Road, City
Applicant phone &A ' .fit; ,. 62e � Mailing Address: -'.P030
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 drawinc with dimensions must be 0rov1 d tivaCh this lr�Flyr.
I halve no objections to (leis gru7maL I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division OfCoastatManagernent
(ACltf) in writing within 40 days of raacipt of this notices Confacf information for DCM offices is
available at wrwvnccoastatmangerraentnet`eotrtact dcm.hfm or by calving 1-888-4RCOAST. No
restionse is considered the same as no objecdonif you have been notifiedby Certifracf.Ataif,
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse#, or lift must be set back a
minimum distance of 15' from my area of riparian aowss unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below)
I do wish to waive the i 5' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property owner information) (Riparian Property owner information)
signature Signature
tv .?1 R4 - 00se 7 K
Ptird or Type Name lie+
Ror 6t&*L-(V 0A> 6d1 s
c+u.r Foy
Uaihng Address
J?Ae&'(6-RrNC A 76 08
ciirylstat&zfi3
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Telephone Number
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Print or Type Naeno
MtMpu )q Address
Telephone Number
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