31012D - Burrows

0 CAMA/$tDREDGE & FILL 31012-t
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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '7 . '1 U(,: •
C Rules attached.
Applicant Name LA.J iN-c r L°.X\ U t.l f'C o i ) S Project Location: County 1 f i A-nS t,,1 i C 11—
Address 9 I 1(p 1`Qf y y EUACI Street Address/State Road/Lot #(s) 12 4 pmd c)`Ui
City , a-y(I,. +{-C., State KIN ZIP &8 .1()
Phone # ()oi) j.5y-9129 Fax#( ) Subdivision
Authorized Agent G r• f`'V P j t / City +i �,1�1 , - 4\; k ZIP
Affected 1 CW <EW PTA DES ❑PTS Phone# ( ) River Basin- LUL i _f
toc
s OEA ElHHF ❑IH D UBA C N/A
AEC : Adj.Wtr. Body6."-.V\A a PWS: ❑FC: I 1`f1 CS�, c� Y\A t (nat Junkn)
ORW: yes / no) PNA yes in Crit. Hab. yes / no' Closest Maj. Wtr. Body Lk.)
Type of Project!Activity 5\i 1 V—tnc.AC1 ' G-i)\f1 C E...H'\ i-- O9' LA.)f\k-C--1('W d1 '
ot6 eX.t S T r\(- , t.,�A \ (Scale: N o-T Tu )
Pier(dock)length J
Platform(s) T
n , 1v A d �!'viA
Finger pier(s) I <'
Groin length
...
number _ ,
Bulkhead/Riprap length ,U
avg distance offshore 'a' 1
max distance offshore ,,2 r y
Basin,channel I i 1 — '
I.. 1 _.
cubic yards t j • . .
N I
Boat ramp — I
_ M
Boathouse/Boatlift _
I
Beach Bulldozing -x;Sfi -y I x\ `'4 r` 1 )
I. �f"a— l�i(AT I .
Other PIN rY � 1
1),,.. i.•, /7I !
Lvit1j ,' I C�v <j . 1-c E _ t' .- r\G6' U icP. ':.,(' ;
Shoreline Length .` L) 1 Uri. }A.
SAV: not sure yes no —
Sandbags: not sure yes no
Moratorium: n/a yes no , (�
Photos: yes no • I . `
Waiver Attached: yes no ----
---
A building permit may be required by: v1sc:3 E-.(\ [ #'t C k . I See note on back regarding River Basin rules.
Notes/Special Conditions .) a A,n it (C , im r 6-11f\ \ if`,,\0,3 ')e.___, re-'ry-,00'ci •
* c u( c , < }, 00,-a-- r ok c . A 1 n Cd c\o-v..J Lti ,A \I '� +6 1,x-L__)
c r.a.",r r-N ov t il-,(- o fm .c'__) U3-A 'e ,
---i. Vr\ -r-r›...$)....aQ------
Agent or Applicant Printed Name Perm Officer's Signature
�__-- 2 /O�. 4 ) -, iI ----
Signature **Please read compliance statement on back of permit, Issuing' Dat �� Expiration Date
I
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Application Fee(s) Check# Local Planningf urisdiction Rover File Name

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(252-946-648 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 252-264-3901 252-946-648 I
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
9I9 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 9I0-395-3900
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 10/05/01

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GE.ISER46,LTERI1IT CONIPUTER FORIA
APPL1C..A2C1- A•ereArN ' urr 0 u is S
ADDITIONAL NA.I‘E.-S:
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CAIVIA.MAJOR DEN M.. QT.=. DI- 14 l 2_ •
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I)TUSTON OF C'O&STAL &&N&GEMENT
ADJACENT RIP kRIAN PROPERTY OWNER NOM CATTON/WAIVER FORM
Name Of Individual Applying For Permit Ai bi✓ A 0 re-0 ks
Address Of Property: 124 -5,971 oid i L L 4, Si.
De4 )1/e
(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 described ro the as shown on the attached drawing the
or development
. they are proposing. A
descriptiondrawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you. have objections to what being mg proposal wrier tllr Division of ['sacral
if you have been nntifirii hy_Certifirri Mail
WAIYERSEIMEN
I and Land thcka pier,dock, mooring pilings,breakwater, boat house, lift or
sandbags set back a minim of 15'from myarea of ' must youbu
wish to waive the �access unless waived by me. (If
�/ must initial the appropriate blank below.)
•
" p JDL'c A 42 e I do wish to ' the IS'setback requirement.
I dtu nt wish to waive the
Pi Oi (/ ATA
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Print'''tee NCDENR
Telephone Number With Area Code iklarrOl oorur»D,.
Of
ENMNOMMENT AND HQ{/y.RCZOLMCES

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DIVICIO\ OF CO&STAI_MA_N4f EMEN
D.IACENT RIP 4RIAN PROPERTY OWNFRNOT IEICOTION/yeIVER FORD(
Name Of Individual Applying For Permit: (,4.1/ ((e/1 L v YY U(�J
Address Of Property: / 2 Li Snn�L(76 L 6.gr ,cA
NcLu7e-2 , e
(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 described to the 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 ohjertious to what is being pnaposcd please_ write tLe Division of Coastal
M n g r*"s.�1?7Alorth Carl' al Ikivr Wiln n nn Nnrth C.imiim �8405 or cam!! 9i0�95
WE within 10 days of recript of this n of No resonse_is considrrod_the same as no nhjrrrion
if you have hen notify by Certified Mail
•
WAVER SECTION
I lh:t a pier, dock, mooring pilings,breakwater, boat house, lift or sandbags must be
set back a distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the must initial the appropriate blank below.)
•
I do wish to the 15' setback requirement
I sk not wish to waive the 15' meat.
/-7S—C AriCilrivA
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Print NameS�
3 ° NCDENR
Telephone Number With Area Code Norm,c.,,.a,", Ota,,,r„iErer or FJfMtio1+MLM Y'1D kaastAl RtsouPtors

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SHORELINE MARINE CONSTRUCTION 2 i--
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453
GREG PREVATTEPO BOX 10671
Date
SOUTHPOR7,NC 28461 0
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