Nelson, Harvey 76630C

LICAMA / ❑DREDGE & FILL O
N . 76630 A B i'c ,, D
GENERAL PERMIT Previous permit#
'New ❑Modification'- ❑Complete Reissue ❑Partial Reissue Date previous permit issued
�i
As authorizetl'by the State of North Carolina, Department of Environmental Quality __; // /( K
and the Coastal Resources Co ❑ ission in an area of environmental concern pursuant to I SA NCAC / 1
/Rules attached.
Applicant Name f^tiir 1, �- '- Project Location: County C e- 7! "
Address ` ! Fu I r ' j Street Address/ State Road/ Lot #(s) _
City h State/✓(. ZIPS%{
Phone # ( �) 2r? jE-Mail Subdivision]
Authorized Agent City ZIP
Affected ❑CW L)EVG MfTA ❑ES ❑PTS Phone# O River Basin
AEC(s): El IDEA ❑ HHF 1-1IH ❑ UBA ❑ W`A Adj. Wtr. Body ( F (,at man urk,)
❑ PWs:
ORW: yes / nno '
Closest Maj. Wtr. Body �
o) PNA yes
Type of Project/ Activity
(Scalel,,, )
Pier (dock) length
Fixed Platform(s) M
Floating Platform(s)Finger pier(s)
Groin length
number j i Y
Bulkhead/ ftiprap length
avg distance offshore
max distance offshore
Basin, channel � I i
cubic
Boat ramp.
Boathouse/
Beach
Other
Shoreline Length
S4 not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
/ J '
Agent or Applicant Printed Name
- <. „. ❑ See note on back regarding River Basin rules.
e,
Signature ** Please read compliance statement on back of permit'
PermitOfOcer's Prin/�tjp�(_Name
1
Application Feels) Check# Issuing

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 1) 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal,ncdenr.org/web/cnVdcm-home
Revised 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to ,s
(Name of Property Owner)
2
property located at l Z S �Y
Address, Lot, Block, Road, etc.)
on W,`STv, ucl7/Y /9!K y in ///// /�zi(J 1� /li. C, N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
-5 t* oc L. �Ryi�
Print or Type Name
336,-Aiq .7i g5
Telephone Number
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ACREAGE
BY COORDINATE METHOD /
T I = 24293.893 SO.FT. — 0.56 AC. /
T 2 = 231770.224 SO.FT. — 5.32 AC.
FAIL 256064.1 17 SO.FT. — 5.88 AC. /
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Certificate of Minor Plat Approval
I hereby certify that the minor subdivision shown on this plat
does not inva IVC the creation of new public streets or any change
in existing public stret ihat the subdivision shown is in all
respects in compliance with the Subdivision Regulations of
Carteret County, and that therefore this plat has been approved by
. ubleet in i.. h.:.... ..._.— _

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
//t�
I hereby certify that I own property adjacent to // -s
(Name of Property Owner)
property located at 3 2 S /J/-/ y b`4IFS- /yxe ,
Address, Lot, Block, Road, etc.)
on W/f ? /0�L1u7-t/ '-f/9% , in //1>1r11A/If' -7 /J!G N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Telephone Number
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