31055D - Parrish

0 CAMA/ Li DREDGE & FILL N? 31055-�
ENERAL 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC i.ti U(.) .
Rules attached.
Applicant Name L d t,J Prra 1, f t.I S` Project Location: County f k),n 5 W t L-><._
Address .`7l) <)1'n, . IA .0 Aftl ' and Street Address/State Road/Lot#(s) (s)O
City p-t-na r-auiIIC State N(JZIP o?Fla`'4 'tIrn', r\c\-cOn A---r t
Phone# (33(4 °d 3-8274 Fax#( ) Subdivision
Authorized Agent G r,, .. i OI 4 City 0( ri Sk ZIP
cw IrAEW '(PTA El ES PTS Phone # ( _) River Basin
Affected OEA ❑HHF ❑IH ❑UBA N/A
AEC(s): Adj. Wtr. Body C../A-AA\ (nat (man junkn)
LL PWS: ❑FC: I ‘A.)W
ORW: yes //no) PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/Activity uf\(oVe d'er1 1'30 AT , s 4' +" I;' Y 1 R) co r 1 V'Imo+
(Scale: NUT Tu )
Pier(dock)length —
Platform(s) C n _ n . . __ . .
Finger pier(s) /��`(�
Groin length < ._.
number — r r --
Bulkhead/Riprap length
avg distance offshore _ I
max distance offshore 1
Basin,channel — —t-
cubic yards
Boat ramp ! .
Boathouse l�ift 2I)C 1 ] Jet) I _;
Beach Bulldozing I 0 S j', .
. , .
Other t� J. r
Ne. — L
17
.�._ P S fi ��. Y 1-
Shoreline Length i
r �
SAV: not sure yes (no � - --�— --��- - , r--+ - -
Sandbags: not sure yes no '
C .CST_ _.. l
Moratorium: n/a yes no p, j
Photos: yes no . . 1 1 1 6 V f i_ i i F
1 i 'a
Waiver Attached: /yes no — — l
A building permit may be required by: CY.C"-Pr-rN T.'rS\Cf' . 1 Li See note on back regarding River Basin rules.
C
Notes/Special Conditions r1 i'\ .. ()t' oZ bo 0A S , 01 oC;ievi 1 k
r ,
1-VA .� --(•ur A( CJ V(IC C 1uF,"i- `)PI , C_ 1., l )
Agent or ica Printed Name \ Permit fficer'sSignature
'_ uu
,'zOe�
t
*le co! *�+� IssuingDate Expiration Date
Signature Pleas read compliance statement on back of permit**
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

f
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(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 252-264-390 I 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
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 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 10/05/0I

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. GENERALPER IT COI.NWUTER FORM
•
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ADDm0NAL NAI\ES:
AEC DE.SIG: TT, FAA) DEIT- OP qR=��_.0 PROXDISC: f - I Z
(WM caiy+_k-1.I)
wOR 1101 12x 11Zr
( D3 :I.:mk.:4)
(Will cuiy:sir.=4) - •
-
_ b w I sc
(will6) - -
ACTION,- IR4TION .
DR C✓&FT 7 P,.. QUIP,: • 3 l '.102.„ 10-2_
C_4 4I WJORD . P3QtJR.=�:'. , ] J [ D /5 j D 2

DIVISION OF COASTAL MANAGEMENT
r ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORS
,r
Name Of Individual Applying For Permit: ,. tety 1 %E j�/
Address Of Property: ((�0 //94e �i i `_
CC i.. /e r;� ; .
- (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' me as shown •on; .the attached drawing ?''
' -..� g�the 'development ;..
, - they are proposing. A description or drawing, with dimensions,
`;Should'_,be provided with this letter. ! -
i.
i t �3
ay
I have no objections to this proposal.
! � "�, Slur r,: /
.If =o }lava nhj ert-;nnc to what i G `b i ng rn�r�n= aura nl as GP
:T�iy; G;pn' •of Coast-al M nab man 127 ('arr� T)riva i,
nal Fxi-a77c+i r;,,
z i"'Wi]mi ngt-on,- North Carolina, . 2.8405 or call`''910 ' 199-�900' within •10 ' '
days of receipt of this not-;r NO -response "i'R non-side-red the same '
, as no objection if you have been notified by` rertifi e Mail . ' f ,
.. • WAIVER SECTION . . .
I :understand ;that a pier,. dock, mooring: pilings, 'breakwater, :boat
house or boat lift must be ;set :back a minimum =distance of 15 ' :from
: `'' ." my area of riparian access - Unless waived by. me. (If::you 'wish to.
- waive the setback, you .must -initial the..appropriate ,blank :below ) .
1 (yle:.-47/(7' ,
I do wish to waive the 15 ' setback requirement: ' , ,
I do not
wish to waive the 15 ' setback requirement.
K
:i ' , r.�A lejyf&.-4-S FPrint Name r
Telephone Number With. Area Code g
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES..-_.-.

•
DIVISION. OF..COASTAL MANAGEMENT
ADJACENT_RIPARIAN_PROP_ERTY__OWNER_NO.TIFICATIONL AIVER_.FORM
Name Of Individual Applying For Permit : C''61w/4,
•
Address Of Property: 'eQO _, , 7
1 tAi T"she// xc
(Lot or Street #, Street -for 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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be p ovided with this letter.
I have no objections to this proposal .
Tf you have objections to what is being .ose
prond, please write the
Division of Coastal Management, 127V Cardinal Drive Extension*
Wilmington, North Carolina.. 2B4_05 or call 910 399-3900 witlin 10
days of receipt of this notice_ No response is considered the same
as o objection if you have been notified by Certified Mail
• WAIVER SECTION x,;, �•"
I :understand ;that a pier;_ dock, :mooring pilings, :breakwater,:":boat
"• house or boat lift must be ,.set back a minimum .distance -of 15 '-:from •
mY area 'of :riparian access - "unless waived .by me. ','";(If` rou ;wish :to
°' waive theyy.(�setback, you.•mustn.iitial the appropriate blank';below-..) .
C
IV 6 I do wish -.to waive -.the 15 ' setback :requirement
I do not wish to•waive
e the 15 ' setback'.requirement.
`-
:• a Ar C.. \'11
.Sign .Name s h:ale • A. ;i' vrpk. Date • •
'Print 'Name' ��? .5' `���e.
Telephone Number With Area "Code • y :
NORTH CAROLINA.DEPARTGMEN .OF _.
. • ENVIRONMENT AND NFIIJRAL RrSOURCES.;.•..-:•.-._•..
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A GREGORY A HOLDEN 1098 "`
DBA HOLDEN DOCK & BULKHEADS
PH:910-842-9732 _ © � 66 12151531
r 1502 STONE CHIMNEY RD SW v $�
DAte
pi SUPPLY, NC 28462
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