34200D - Narron

CAMA/ ❑DREDGE & FILL i ct 3420Q1
411
GENERAL PERMIT Previous permit#
) .•:" - 'I;(siew 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 11 /Z d0 .
Rules attached.
Applicant Name _ VA Ni. �74�/n izz)?.J Project Location: County ,J}i1 S CO t.'.)
Address .; / (IOC x E�. v S I 1 L IC- d Street Address/State Road/Lot#(s)
City !y+id d JE SEA- State NO ZIP p(- -O0 ( 7 h f/ .57
Phone#(gl5)go y�s�5 Fax # ( ) Subdivision �D ,5il/7/'2v-S P 1 O t-/Authorized Agent_ )J 14' City Sur F Ci7y ZIP off,G yy-5-
Affected L I CW 44W TA S PTS Phone# ( )_ - River Basin O �e./Ixe..-
AEC(s): 00EA HHF OIH ❑UBA N/A Adj.Wtr. Body friAA"jl!-MALE Li/4rufu (nat Q/unkn)
LIP S: ❑FC:
ORW: yes PNA yes / no Crit. Hab. yes / no
Closest Maj.Wtr. Body TbP3f}l L SO IA N D
Type of Project/Activity ADD 1q DP/7 FL 66/9% G 117 7a 6X/5%/N 6i Ptak_ <f Sari I-/1-7 7a
(Z-N isE_ S7 9 Poc JA.) 1- ADD i-1 f}ND jZP iL S (Scale: I 7 Z a )
Pier(dock)length _
I r
Platform(s), .�. l rs X./4 4--_ i -- — t r—+ j t - �. ! i
Finger pier(s) I.s X ZC� —-i--- .— -- or/1 Apc o4e I� _.
Groin length I
number I I I I I
Bulkhead/Riprap length i r
avg distance offshore ! pi
max distance offshore _ I I I I _ , . of f,m6�' i i
r
Basin,channel I 1$1 1 A I9 1 air
Off
el 1 , , i'l.) e!fe 1
cubic yards — { I I y�f — rv�0
7—
I t _ �1 1
Boat ramp _ I !�_�_S LbW o r) -- 1)( T i i
r
Boathouskoa ' /f X ______, ,
MQcJEl7 l!pp �/1�
aut, m-eie
b
Beach Bulldozing >� f .. —-
Other S7/IIJE►
�,A 4U �� 443 a I -
k
Shoreline Length I I; I I I I I I i j
SAV: not sure yes no i 1 1
Sandbags: not sure yes no i ,
Moratorium: n/a yes no 30r
Photos: yes no P --- ss_' t -( f
i
Waiver Attached: yes no R �----..---__-_ I ---- --- 1
A building permit may be required by: $a F 0 (` 171 I-,See note on back regarding River Basin rules.
Notes/Special Conditions A MVO RA i-/tub. (A)ILL SE R t&U 12 ED A c-en i h 771L VE CA.
`TJ,fIS E244 IT /S roZ it
7x) & 47 SLy� Y /j&1� /417D1T/p'NAL S L ',o �J/LL se
IIV )/OL A7/r'71 of 71t S pE 2w1 i i TIEN iN4 IT VoiD
(---
Appl1 rioted Name Pe ' Icer'sSignature
..i / 9— Z -03 /2 - Z -43
Signature Please read compliance statement on back of permit** Issuing Date Expiration Date
(Of CO - y078 $ Sul/F (73 G)Ocio / 7�3
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
'aa--.,i _}Laa....... -.....J.F_ .rc siiri.1NO..s+d., .frsa,u.dlilligid—iidisable _... ....- :.. iu..a...._

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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 1 1 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 252-946-648I
Location: Fax: [phone] Fax: [phone]
Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves:Beaufort,Bertie,Hertford,Hyde,
2728 Capital Blvd. Dare,Gates,Pasquotank and Perquimans Tyrrell and Washington Counties)
p Counties)
Raleigh, NC 27604
9 19-733-2293/ I-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: 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)
Revised 10/05/01
www.nccoastalmanagement.net

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ACTION EX?Ii TION
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CA MA MAJOR Dom .tom. Qi7IP.�: C?'- p2-o3 / 2 - Z -Q

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: OtM )J R,
Address of Property: 7D e/ S� •
(Lot or Street#, Street or Road)
S : c
(City and 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 Cardinal Drive Extension, Wilmington, NC 28405 or call,910-395-3900
_ --- 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 .. _ .
• I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
you wish to waive the setback,you must initial the appropriate.blank below.)
I do wish to waive the 15'setback requirement. __
I do not wish to waive the 15' setback requirement.
Sign Name • Date
ANTICIA
Print Name
• NCDENR
_ _ _
NORTH CAROUNA DEPARTMENT OF
_ ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm . __

•
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION%WAIVER FORM
Name of Individual Applying For Permit: vP.I 1VA 2220
Address of Property: 70 S j 7 '
•
(Lot or Streec,,),Ft#, Street or Road)
&ft, /V C "w'Jr
(City and 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 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
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 .
•
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set •
bck a minimum distance of 15'from my area of riparian access-unless waived by me. cif you •
•
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
•
- • I do not wish to waive the 15' setback requirement. •
r,-w, 4/c-30-63 •
•
Sign Name tiA Date •
•
•
Print Name NCDENR
NORTH CAROUNA DenuRrMFxr OF •
ENv RON►axr AND NATURAL RESOURCES •
•
Telephone Number with Area Code S:\cama\shells\riparianproperty.funn

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