33358D - Thomas

0. CAMA / DREDGE & FILL 1 -.r! 33358-DGENERAL PERMIT Pre
vious permit#
> A'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 /LI /,QU
les attached.
Applicant Name 8i 11 G.A. oi 544'5OA) /11 7294,3, Project Location: County 0 6/V L
Address 94?s . )/4/ 5Aa..,/ ,F f Street Address/State Road/Lot#(s)
City /h C?- pU/"di' State'/l/C ZIP 7 0 C.i_S?— ?Ci S 5. /o/h S-'e/-k,t Ems.
Phone#(q/ Z$j -9/9ax#( ) Subdivision i-10 gY Sh C f amyl-- i es- 9 Tj`
Authorized Agent 08 131Y/j/e City )20t,k❑ ))ôitwd ZIP ZEys 7Affected CW ❑EW �F ❑ 1TA ES
PTS Phone# ( ) - River Basin ,e P�6"
❑OEA ❑HHF ❑IH ❑UBA C'N/A
AEC(s): Adj. Wtr. Body fV aire 7-->`',47 glnan /unkn)
PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body /- � (-, cre-,
Type of Project/Activity pi /vg 1 QIOC y- p'GlJ
(Scale: / I 7 7(-- )
Pier(dock)length -
Platform(s) IC) "pc./Z. tea. i f —7—+ 1 - , i 1 i
Finger pier(s) �f. • I_ •Y►��iI1r't��c i%��0>�L-�1 �A
Groin length ���i V, —� iii
number
— _ I I ' - il®
Bulkhead/Riprap length ! _- ' I 1 T I _ T iii -_
avg distance offshore t 1 I
I ' I .i ii
max distance offshore - i T_
Basin,channel
.. . I . _ r ! --
cubic yardsIII LU, T
_
1.
I _.-1_ _
Boat ramp l . ` _,� :_.i_.— ___.—! '
ll.
Boathouse/Boatlift i /• D
i , I - Ip�t - I_ { 1 - -' -
Beach Bulldozing ill/ I �� __ �CUC I - - III
Other G x Z'1 � : ; . ;MIMI i •.3ig�i`._-r.i'ti+ •-
I■■�II��� �iii
ctor7 E poi _ - - • . Nis ,
�, __ , _
Shoreline Length 190 _ I —+ 1 _�- i _
;.
SAV: not sure yes no — I MEM
Sandbags: not sure yes noi II
IIE
Moratorium: n/a yes no j i , iT��
I
Photos: yes no _ 0
Waiver Attached: yes „.no I ------ — :___._37 --
A building permit may be required by: ,7 i'VV i2 00LA L i See note on back regarding River Basin rules.
U L
Notes/Special Conditions JG D 70 F,E Lam,,5 7A1/9N Lt ,r" C.(1 9 L /•Q O17 v
,.v11'7?-I o1Z • 6XI! 7/lt./( pi en_ Ae A-D L/N • .—
6 Q A 1-1 C .
Agent or Applicant Printed Name Permit Officer's Signature
C' 1C4( - 0 3 - -z d3
Signature "Please read compliance statement on back of permit"* Issuing Date Expiration Date
/601 00 V9i8 - .� 62 ©yOz/_
ApplicationFee(s) Check# Local Planning Jurisdiction RoverFileName

. k
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(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 252-264-3901 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 / 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 10/05/01

GENERAL PERMIT COMB TER FORM.
Amic_ANTTNAmE: //i/h/4 .4( Se-5,q1/0 77‘;kvIiii6 • 4
DDrnO L NAMES: kgu /e
AC DESIG
pr DEVELOP - _0,_Ql PROD DESC
(�cub-lake4� -- - --- - - -
7 J I_o ) Z
1
Q^i.1 f yrkt 4) _ .
•
. .
.
ACTION - PlA11ON
DR- &FILL. R:QUEx-D: /7 .-63
CAW.MAJOR DEVM,srQIY2�: •

Billy & Susan Thomas CAMA Permit Request Form for:
1195 S. Holly Shelter Rd. 1 Deck
Rocky Point, NC 28457 2 Floating Dock
[phone]
Location of work is 995 S. Holly Shelter Rd., Lot 13
Description of work 1 Build a 10ft by 12ft deck extending out from the bank.
2 Install a 6ft by 24ft tloating dock beside and 4 ft upriver from
the deck and 6ft past the edge of the bank.
Adjacent Property Owners: Downriver Stephanie Garrett Lot 14 [phone]
Upriver Pender County Lot 12
Width of Property: 80 ft
Distance to Property Line Downriver Side 40 ft
Upriver Side 20 ft
Name of Waterbody: North East Cape Fear River
Width of Waterbody: 267 ft
Depth at End of Dock: 20 ft
G.4--- lr h.Sr.'C/�t�L F l:'NL 21 Vt�'t (' r t_r u aS
I.1IrZT13 0 ® �� 1 I rr rRo+""
r5Q►.r 11..E [s Fr wnrot
Cui )-6 t=T F rzo4, ►�A��c
PLC- )
�� ,� '2o g r
2y
�GI PL A iL c cu4�r7
GA22LT7
Lot -ft- It_
Got � �y
Dick61
_} - - - 4 GL c�= l�A 4��c — - -
�f ' _ r
ao '
or *- /3
9
D

r - DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: (/`� / . ( o�-� . /4c
9?3 5 A/0l �A .e l" 4- / ,� .ems
Address of Property: r
(Lot or Street#, Street or Roa
/L/C c2C fcc. Q5
Pe-v-au—
(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.
Ac=c--A,AW 3 — 0?
Sign ame Date AVFAG E1 - ��
NCDENR
Print Name
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NRURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frnn

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 6 / I f G owe,
Address of Property: / ! _5 5 /F`� J&e1
(Lot or Street#, Street or Read)
� rit) p
�
(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.
✓/ to 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.
Si Name Date
it
(Y1 T ,N 1-1 . BElicA, Coun iY1I1046 w
Print Name NCDENR
1^.`!�I NOItTn CNaouw.DEP,RTMExr of
q i 0 oZ 5 g I EwvnowMewr ND N4vtLL REsoupcEs
Telephone Number with Area Code S:\cama\shells\riparianproperty.frm

i
|
, lb
| � ~
PH.910-2894180
CDL
GRANCH 04"AND VMT COMPINY f®r
OSE H11141,NLorr ROWNt,�,
|
/
! .
. �
�
�
�
�