31891D - Hollingsworth

0 CAMA / DREDGE & FILL lP,' 31891 J
GENERAL PERMIT Previous permit#
)C 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 I•T. 12 u0 .
lit Rules attached.
Applicant Name W k:... , ' )or Project Location: County °T)t u'(\S1�t CV.,_
Address -.140X ` 4 b ‘ Street Address/State Road/Lot#(s) LUT 211
City 1 e 4r-t-1As6u % ; State P ZIP 1/;�? Oc cm.� o tAkCA)Pd 1; r
Phone #( ) • Fax#O Subdivision -
Authorized Agent C()(1 fl I C 1U-r,'Ne•..-i t" City WC-WC I<. c_,Ie, ZIP (51"1 U: 2--
Affected ;ACw W *TA ❑ES ❑PTS Phone # ( ) River Basin Lit Mto e...
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body ` A-N \R \ (nat /unkn)
PWS: ❑FC: 1 '
ORW: yes / no PNA yes / fi� Crit.Hab. yes / no', Closest Maj.Wtr. BodyI w
Type of Project/Activity Ne.,) r fr-r, 9 Ptf 1 U ' k I(Dl p(QA.`I t'\h d or k.
J (Scale: NUT TV )
Pier(dock)length Pa'
Platform(s) 6'_ 1.. I f� 4• 'of j
Finger pier(s)_
j — — {
Groinnlength
gtumber -- � __. �_— .-
.
Bulkhead/Riprap length A
J
avg distance offshore 'Ii-
max distance offshore f -2
Basin,channel .__.._. ._ --- —
cubic yards
- .....-
Boat ramp
Boathouse/Boatlift ,.-
Beach Bulldozing v 1 ta
Other �^.ay-- v ` . •� F t f T
- ``� -�Y V '' 4' eA 45 V
•
rt ' V
Shoreline Length \4 W * ` 4 4' .Y
SAV: not sure yes no V; `�
Sandbags: not sure yes no
Moratorium: n/a yes no \r —..-__.—_.W r + R i
Photos: yes (na 4 1
Waiver Attached: 0) no -- -- -_1- - I`L_,
A building permit may be required by: it\8e-J\ e-A C. E.See note on back regarding River Basin rules.
Notes/Special Conditions ..SE , c \\ C•o(\d t-t %V r` o - ','il . k2 UU . 141A C P.4 (.',,
1NNii i - �( 6 SS _!�►`� �f1C C`(kG1e_ of IJ t.\ t ;\) ` u L_ 1 A s
.)\-\o k r. .
Agent or Applicant Printed Name Permit fficer's Signature -
1
�_��
1= � -- ► U - 24-
Signature **Please read compliance statement on back of permit** Issuing Date t_ Expiration Date
Y
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

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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 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 252-946-648I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, 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: 9I 9 733 1495 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)
Revised 10/C

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15/2802 09:51 336E945611 BE VAUGHAN & SON PAGE 91
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e•Name Of Individual Applying For Permit: 14 /a fw
7 /74
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Address of Property: ? Qr,ole. eg •grAi(Lot or StreA s4Wt r a4 a;; e -
cityY)
I hereby certify that I own property adjacent to the above-
• referenced property. The individual applying for this permit has
described to tus as shown on the at'.;:ached drawing the c avc],opment
they are proposing. A description or drawirigy • with c ime;nsions,
should be provided with this letter.
.._._�„v I have no objections to this proposal.
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Ilaetonst_is 7onsiclertsi ae same
n4 Qb ection if you have beep nc°.ifi.ed by Certirie0 ;'i/L4 1
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AalyER_ MTI9N .
I understand that a p3er, 6oc mooring pilings, break;rt•;ter, boat
. house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (I::, yr u wish
to waive the setback, you musq initial the approoriAte blank
below.)
,._..—__v I do wish to waive the: 15'setback requiraln,an .
_f.r..! _ a2s wish to waive the L5'setback requieu nt.
-- .. -- ... -- - .. .��. .•..
This agreement is contingent upon a signed wavier form from W. R. Hollingsworth
to Vintage Investment Co.
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