31896D - Keziah

to�CAMA / DREDGE & FILL i� ; 31896—i
GEN E,RAL PERMIT Previous permit#
). ,News Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources t�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l tf • ( '3 CO
IIZRules attached.
Applicant Name (j' e 4- 1 t\ l'-`, Project Location: County Tjv ti 115t.A,)\ e
Address 1 U U C�,Pt-t1t ThO(e J C..0(A 1%1 Street Address/State Road/ Lot#(s) I V 5-
City ck.. ?,c1,0\(_. state TN) ZIP 0630 Givs-r a r.d k v-et
Phone# ( 't:_,15 Lk 2 S -O(�',4 Fax#( ) Subdivision _
Authorized Agent •j dV\V\ VJ r SST - City Vk C.44}-y\_ 7-S1 CV ZIP
Affected CW yiw (PTA LIES ❑PTS Phone # ( ) _ River Basin L. {� h V1 ry d-.r
OEA HHF IH IUBA ❑N/A ( '-_ -
AEC(s): Adj.Wtr. Body AfI�ft \ (nat 0 nkn)
PWS: .__FC:
(Ai tki
ORW: yes / PNA yes /O Crit.Hab. yes / no Closest Maj.Wtr. Body fi
no
Type of Project/Activity - lA C ete\e c\-\-- r A-p \\\ i\nt v- 1 U R- t!1!-� rkcy k_s
r! 1 ..`\�,4 iS +U 1 mk'f V C3rt,l rl`,) �} (Scale: to-r. r )
Pier(dock)length 1 IS " -__ --r ---__ -.-- .--__.
P 1
Platform(s) x l
Finger pier(s) _ ,"
Groin length -
number
Bulkhead/Riprap length _
avg distance offshore - • l •
max distance offshore J
Basin,channel _J -
I
cubic yards 1
Boat ramp
1
GI_...
Boathouse/Boatlift
�
''�A/ r +
" _-Beach Bulldozing - I < A
J IS
Other U ... c-,,` ,-. _
C r
iU(' + (t"•\ti * Lc—
.
Shoreline Length 5U (`�.
I TV+ r� JF �tn �,
SAV: not sure yes no ' — I -- —
' v 4 1 WA1J'S (� utirvl'1 -�
Sandbags: not sure yes / n�
Moratorium: (......ia
yes no I
Photos: yes n9 I
Waiver Attached: 1 ! r no -__
A building permit may be required by: I U-V)h J f (jC c '\ S 1 iLJ . See note on back regarding River Basin.
Notes/Special Conditions L;r(rCi UP W 1 i'1r, C (ir S1,()v k- --r) *1411?rr\ (; .. 1-fl prYC c'CI S
.11k.,'s-1.. 1'\: X 4C AGO(.% .2,e__J A \\ ( o\ t-k--x. 0( ". uP '1ii 12 00
D ales, La e5r — t `M ._. .
Agent Applicant Printed Name Permit fficer's Signature
r L�._ -.__ _l U -- I i -U 2.. 1 — I I „ -' --
I ure Please read compliance statement on back of permit** Issuing Date Expiration Date
+00 , `~32_ Ts( P lc
lication Fee(s) Check# Local PlanningJurisdiction Rover File Name

• r ^
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:
I 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]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Berrie, Hertford, Hyde,
Parker Lincoln Building
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: [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 10iC ,

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To whom it may concern
I %I !",ate of oZ,
Have been informed of ne dock to be installed at /Z c E S ec_ox,, ST ©(
2-1(_
And have no objections. �2 � a
I

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To whom it may concern I 7/.,t 41, 2✓��i• of Q /� /J�/l� SPX
>X
Have been informed of new dock to be installed at /D5- S�r 2�ti�J S% (Di 6
And have no objections. � /c}a (i_e_�_

DIVISION OF C9ks'T+LL mix.NLT- .EM T+*' -
ADJACsT RI?AP .N REppERTv
CALU 0N/V:AIV^R FORM
•
Name Of Individual Applying For Permit: C 61/2-0
ez f4 /f
Address Of Property: /©S E SPry
C L7�iuet� c Azk
(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 to me as shown on the attached drawing the development
they are proposing_ A description or drawing, with dimensions
shouid be provided with this letter. '
YI have no objections to this proposal _
•
v 1�-a re n'i e ++-i
_ ` is =i Q e lc e r e
�,itri Ri _h
cr. o- Coastal Mana ement 1 ?
g � 7 Cardinal i_ZZTe N Y7'en c i nra
wilming`on, North rprolina ,- 2840'3 or call q
�95- 9(1(1 within 1_2 davc or rece-pt o= t-hiS notice , o
No -� snonsA is con.si dared the same.
aR no ohjartion if von Rave hwn. nntif- erg by rti f i,aC9 Mail
•
XP.71777P. SECTION
1 iinderstaud that at a pier, dock., moo-zing Pilings, breakwater, a
house or boat liftTT^
must be set back a minim distance of i 5 ' =rom
•
my area of riparian access unless waived by-,me. (If you wish to
waive the setback, you initial the appropriate _blank below
1 do wish to waive e - "i
�-n 5 5etba^.i: reQui reme_It.
I C7n not wish
wsh to waive the 151Setback requi-rement_
/
•
,(;)(1-1(Ze;.
Sign Name
61 QE I-1 -.a_ b Lz P Date
-rint Name •
•
Telephone Number With Area Code
NCDENR
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ENVTRONMEIZT RJSD N. 1JR

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JOHN R WEST ss-tl32l
LILLIE S WEST `�_ p szzut
PHPO BOX 66 305 DATE _— L_
CI BOX 6693 NC 28266-9305
CHARLOTTE, -.
1 $ l �rr
YAY TO THL �r ,�,.,�
— `'�7� _DOLLARS 0
' • MST Home EquitylraX Advantage Credit Line
BRANCH BANKING AND TRUST COMPANY
OCEAN ISLE,NORTH CAROLINA Gp P 3. ---�--- m
1:053LOLi2L1:90LL461643600t u0L32 __----
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