31818D - Darr

CAMA / DREDGE & FILL N 31818
GEAI ERAL 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 15A NCAC /1 0 . 1 j UO 6 / H • 1200 .
,,e,s1kules attached.
Applicant Name i' I#b n p-r r Project Location: County Z r u nSvA i C (.---
Address P . Q, X 864 Street Address/State Road/ Lot#(s) 1....()T ! Z
City OAN...- Toq.n<<`. State ZIP o:$ p.5"- 3 lA) c;29 tl' '3int 4 _1-
Phone # ( ) Fax# ( ) LL • Subdivision
Authorized Agent � It'S 1 0 kj(�►r • City ()A k- TStrt ZIP
CW `•_EW APTA ' ES ,J PTS Phone # ( ) River Basin L. Mb i
Affected DEA HHF IH ❑UBA Li N/A
AEC(s): Adj. Wtr. Body T) n11i¶ CrYt` (nat 411unkn)
__ PWS: C'FC: —y'
ORW: yes / no� PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body +1A) tA-)
Type of Project/Activity Nei.%) -6,,►I Ltie-tyl , PI?Q t V YJ rA .A 4 S rn� , k - u1 A c--l/1
CC
t.,1,'4,._) n.‘e.�f i t-r,Xr d a or L. f T d 'o Ai t r\ a UC sk-- (Scale: Nc-1- )
Pier(dock)length (/,
Platform(s) 121 X c
Finger pier(s) (Jf' Y... 12.1 r 't,RT ,- I
Pi Groin length i
number
•
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel
cubic yards
•
Boat ramp
Boathouse/Boatlift -
P:
Beach Bulldozing _ Zf
Other
Shoreline Length la I(p
SAV: not sure yes no — ••-•— ' :
Sandbags: not sure yes no i
Moratorium: es no - e f U Serra b 1 k herld \ ,S(\n�•-•r.�' :� . .
Photos: yes no ti k— o.
Waiver Attached: 1 (yes no c-,.,1"rs.c1
A building permit may be required by: VA k T€1(tf\ t . P1 See note on back regarding River Basin rules.
Notes/Special Conditions s f \' c.c (el , �t 1 o n s / ^) 1 '00 e. .i2 u0 . Nu cU 1 c__f
A--\\Ptt-\ c 'C�u ti' s c'< \ ‘aci fn ooce cl N* "+\ S t 4Y c-ki.re ,; ' Ir r ur d&%feS
c .vk.s4- too-1- el-c'Ica V4 tAi ck.A -. WA c1-4 chri Li/
,,,, -.,,, QCL,__
Agent or Applicant Printed:Name Permi Officer's Signature
Signatule./'**Please read compliance statement on back of permit** Issuing Date Expiration Date
0200. `=j 1 b&;P • . _.,d
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:
i 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, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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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J)R'Icin\(W CO&ST'AL mANAGEmENT
AnW!`F�T RTP&RIAN PROIIERTY OWNER NMIEN'AT ION/WAIyyR FORM
•
Name Of Individual Applying For Permit: i :Ira") 'miry'
Address Of Property: .S G✓ 5 Jh _cr_ 0 ay 5 S x
Lcst-/� &K 2 77` Sec. igpP l��JYVn�GU�GfI,
(Lot or Street#, Street 6r 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 objections In what is bung proposed. please write the Division of Coastal
Management 197North Cardinal Driv Wilmi North C' rnlina 2R4n.
19f)fi within in(aye of trr ipt of Chic txmoe No rcpnnce is ennsideml thr same as no ob'ertio
if you have been notified by Certifirsi Mail J n
WAIVER srtTioN
I understand that a pier,dock,mooring pilings;breakwater,boat house,lift or
set back a minimum distance of 15'from myarea of riparianwaived
me.ags mustIfyouu
wish to waive the access unless waived by me. (If
setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
_ 1/ I snot wish to waive the 15' setback requirement.
liral ref
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Sig.-�1��e bate
Telephone Number With Area Code �` r.Rou
•
DOme mart wmo NaueAgaou et

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nr icln\(W en&STAT.MANAC:F.MFNT
AD]A(`VNTRIP atRIAN PROPERTY QWNER NOTIFICATAQN/WAIV-ER POR14
•
•
i Name Of Individual Applying For Permit , /M.r er
Address Of Property: 19 fA S t Sit). ©n K ISlAna
Loi- RLK 2 7 Sec../8PP Cei-v.sr.okh )
(Lot or Street I,'Street of 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 k6e 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 nbjerrinns In what it heing proposed please write the Division of [`metal
Mananrmrnr 177 North('arTh al Drier Wilming� North Carnlin 7�nc M�n gin �9S
lgf1f1 within in day of merit of this moor No response is considrved the sayer as no nhjerrinrt
if you have been notified by Cerrifird Mail
•
WAIVER SEcT[AN
ti
I w.d=tand that a pier,dock,mooring pilings;breakwater,boat house,lift or sandbags must be
set back a minimum ' of 15'from my area of riparian access unless waived by
wish to waive the you must initial the appropriate blank below.) me. you
•
I do wish to waive the 15'setback requirement.
I do riot wish to waive the 15' setback requirement,
g—ZY— AIM
Signature Date
Print Name E•
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Telephone Number With Area Code Nonni CanouN.ooM,r*.f„r Dr
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SHORELINE MARINE CONSTRUCTION 67-
GREG PREVATTE 780008732 �`�j
SOUTHPOR BOX
26461 3256000872 1 8 6 8
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