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VCAMA / ❑ DREDGE & FILL ND 78082 A B C D
-. GENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue []Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name k L h h, C'
Address
C �
City ��Gw }�` State C ZIP a
Phone # 0, Z' ���� E-Mail hL� r (cr cc
Authorized Agent
Affected ❑ CW ❑ EW 'p'1 TA ❑ ES ❑ PTS
ElOEA El HHF ElIH ElUBA ElN/A
AEC(s):
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
BoathOUSI Boatlift
Beach Bulldozing
Other
Shoreline Length t i OCi
SAV: not sure yes Q
Moratorium: n/a no
Photos: no
Waiver Attached: yes not
Project Location: County
Street Address/ State Road/ Lot #(s) )0 3 } t' ta�P k-
Subdivision AAG 4 ,'nS 7 .,14 5,-7 .S
City AAc.J ,'n C ZIP
Phone # ( ) River Basin ^; poi c j, K
Adj. Wtr. Body - ��� 3 �c fep (nat /mom an /unkn)
Closest Maj. Wtr. Body.
(Scale: ,j T C )
A building permit may be required by: ' Kie L(�� , c, ❑See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions kL 1,,-,4 it,� ►-� 1-4 Sit: I (
Agent or Applicant Printed Name
X
Signature * Please read compliance statement on back of permit
Lev 4-
Application Fee(s) Check #
h- I - ti
tOfflcer's Printed N
PlTame
Signature
Issuing Date Expiration Date
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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT R t! TED or NAND LI [�
Name of Property owner. --]R 0� t ?, -
Address of Property: 2-0
Agent's Name #:
Agent's phone #.
-.-- J� y,4 � y-
(Lot or Street #, Street or Road, City & County)
Mailing Address:
qc-
-1 rc
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 dirngnsions, must be provided with 1tis letter.
y— I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S, Griffin St., Ste 300, Elizabeth C4, NC, 27W9. DCM representatives can also be
contacted at (252) 264JRQIe-saimme-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent Prop" Owner Infonnation)
J L)4 4:1—
.Si "aiure*
Pnnt or Type Name
ZO i C' f tA..
MOV Address
covstqr
25 Z - -505 2'400
ToWt Number 1 Ems# Address
1,4 /2-1
FETIM
Address
TWWKine Number/ Ernaft Address
`Valid for arve ca i rvdar vear after sianature*
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY DER NOTIFICATIONIV AIVER FORM
CERTIFIED M61L, RETURN
Name of Property Owner— ���
Address of Pro0 '�"eu K.,., c�.I t�- ter . r
(Lot or Street #, St vet or Road, City & County)
A W*S Name : Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
y I have no objections to this proposal. I have objections to this proposal.
.: s ., ..�. rr r- ♦ .,
STIOCiff ! r r :.a r r# • r r r.., •. -a a-�:
r ,.r .e,. � # *..r #� rc• # � ,. • # ♦ a,{;ar j#i- ## #xr •.!y s-ar}t. r.# # ir, #.: �. i -➢#
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian ass unless waned by
me. (if you wish to waive the setback, you meet nnW*I the appropriate blankbelow.)
I do wish to waive the 15' setback requirement,
I do not wish to waive the 15' setback requirement.
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This map is prepared
from data used for the 2033 Creek RD Owners: Lawson, Robert R -Primary Tax District: Martin's Point
inventory of the real Martins Point NC, 27949 Owner Subdivision: Martin's Point Section 3
property for tax Parcel: 027757047 Lawson, Debbie S -Primary Owner Lot BLK-Sec: Lot: 3 Blk: 1 Sec: 3
• fir, purposes. primary information sources such Pin: 986717214687 Building Value: $662,500 Property Use: Residential
as recorded deeds, plats, Land Value: $360,200 Building Type: Traditional
wills, and other primary Misc Value: $16,100 Year Built: 2002
- _ public records should be
consulted for verification Total Value: $1,038,800
of the information
Duo
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Piles:
E frog: 12'-" wide, 11 - long
New: 14'- " wide, 12'- - long
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AS —BUILT SURVEY r,