31843D - Testa

0 CAMA / DREDGE & FILL
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 `
1 and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1+ , 1?QC) .
%Rules attached.
Applicant Name Le Q 1\fr'(d IC'Sii't _ Project Location: County --Bf Ul f\S(,,, rC ..
Address .,32 2. Mrtlirf kcir. 5 5 f 0c„., Street Address/State Road/ Lot#(s) 32 2
City +-1 0\6 6---c-N ►'.)r. , `- State 0(1ZIP 2Bt (t 2 N ,\Y .Y -b f 'iU ._.i
Phone# ( ) Fax# ( ) Subdivision (\1\F1-( Y..(j S5
Authorized Agent j(t-mre• `1 ')Alf n A---\ City - t-L A c -n -iYE'AC (n ZIP
Affected CW XEW 1*PTA ❑ES OPTS Phone # ( ) _ River Basin L.l v'kc'- -
AEC s : H OEA ❑HHF ❑IH ❑UBA C N/A Adj.Wtr. Body1• 1(� �;�
O ❑PWS: CFC: e v- IA)
kb—/unkn)
ORW: yes /r�o PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. BodyI w
Type of Project/Activity N)C-',�J f:,,,\ ..( r t c L- ) c' 1 u PA',AL\ d v C k_. R-,-,ck Lie)A4 , -c"t--
Je 0 0 16) (Scale: NOT Tt, )
Pier(dock)length .''�U'S' c of\- ,^L) . '--1.60'_ V JN,Ktti'A t1 �
Platform(s) /U X it; t Al'x 5- / t..Irt I r . .
Finger pier(s) &' )f l 6, 1`/Ur11' 0 i /._._._-..
L:.9
Groin length r- '- — r . { . :- .
number I —. J .
. , 1
A
Bulkhead/Riprap length v.,,�
avg distance offshore
max distance offshore -« --1 ---It -+—
Basin,channel L !' y� —
— Y .
cubic yards - ,r
Boat ramp --• I •
I V/
Y/ � VI
Boathouse/Boatlift 121 X I Ca %/� j" V v. V
Beach Bulldozing I - �.� 1 1 l -
Other -- t 1Y A`r S�
' ' Ii Vt ' l it
Y V
Shoreline Length - I ' I ' ,ly I(Y
SAV: not sure yes no — ._ y — —_ _...._�---' -. . .
Sandbags: not sure yes no 1 Lot-
Moratorium:
n/a yes no
i . .
Photos: yes no i
Waiver Attached: yes no t ----
A building permit may be required by: TOLV A Qc 4OkAr-`--,1 T>c..e c L. See note on back regarding River Basin rules.
Notes/Special Conditions ,a c",e..- • ( (.) -cj,'T t o n `) Of SPC 4 I L t\ 'HI. 12(X), U C-LA(C;,i
tt, i..)c f is 6 v n e
LA 0 -1C( 1'-NA h`I �c it11Swtc1--- `--,vrtK 11nri , NU r'ur&, -tiev ,
bo t -4 041; 1� d o��••''-rc..., ; * Pr ) A -> • h u i 1-I .. U r Lr 1 In A b v i r=l u i/,-C,L-
6 ,..y,,,-\r",....! \.)brii r‘ IS, -Tr\ .-2-\Pi.ttc-k -W-1 '."..- (2.._ /--( •)'
Agent or Applicant Printed Name Permit Officer's Signature 1 r�
.)d ..)U < (.iC.) 2.. 173 :,-xL
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

p
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 I Tar-Pamlico River Basin Buffer Rules Other:
n 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]
(Serves: Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9 I 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 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,/C

G .,1 TER CO U' U I ±R i 0±
pP, 1c_=.N L eo f\ht•d des+A
ADDMONAL N ES:
AEC DESIG: P T , E ,C19 DEV---IL OP AREA: .0(O PROD DESC: P- IZ -
trs;3•ukr.I)
WORE: piu 48T x '-I G. L 10 x 1!0 1� L I2 I (i
(Val :-:) C !_ 4 x S C L (o x I to
(wss! ,^"-:)
Thf1).L CIA) Ito 0o d ItOO a(A) Ig2-
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ACTION EXP.ELATION
DP P.. QT311 : • 1 • 20-0Z 2 - 20 -03
CAWIA MAJOR. P .Q► IR : 11 - 20- 0 z- 2- 20- 01

T
,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to Leonard Testa 's property
located at Lot 14, 322 Marker Fifty Five Drive ,
on The Atlantic Intracoastal Waterway , in Holden Beach ,N.C.
(Water Body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to the proposal.
Please initial one:
417t2) I do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0 ,z _.....__ .
lkSign.,
Print or Type Name
10 84402-9).1ZOD
elep•one Number

11J 1:JI LUUL 1 U( U f f1411— Val-r V�
_. Fou =141 02 04: 19p brunswick surveying 910 9429019 I.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to Leonard Testa 's property
located at Lot 14,322 Marker Fifty Five Drive
on The Atlantic Intracoastal Waterway ,in Holden Beach ,N.C.
(Water Body) (Town and/or county)
He has described to me,as shown below,the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet,(15'),from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to roposal.
Please' itial one:
I do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
.DESCIUPTION AND/OR DRAWING OF PROPOSE I DEVELOPMENT_
(To be filled in by individual proposing development)
Signature
Vr-Plik-tz4
Print or T pe Name
c � � � 772.7 ---E s6W � �S
ephone Number