30309D - Brown

0 CAMA / DREDGE & FILL N.9 30309-D
GENERAL PERMIT Previous permit#
)G 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 SA NCAC 7 it/ /,,) L u .
[.uRules attached.
Applicant Name DkAA„,e i 5pnv�R 4 �jFiowr,; Project Location: County 14 rJ IZ
Address I I U bt,t j-Q S Street Address/State Road/ Lot #(s) j I N b A ma S Cit-
City S,,,ARr C ;-/-Y State iv( ZIP kyt/)r
Phone#(9/u) 3.)8 -"t975 Fax#( )_ Subdivision ,Z-e'I4fvt) 0AK5
Authorized Agent 1-JA City ,f+.•t 6 r (ci y ZIP e:14/y5
Affected D CW qEW R.PTA ES PTS Phone # ('/I0) ' er 3 ! / , River Basin 0PF
❑OEA ❑HHF ❑IH UBA N/A
AEC(s): 0 Pws: FC: Adj.Wtr. Body Tr>PS.4 ;I ..SO a^•i) 6t�'man /unkn)
ORW: yes / no PNA yes / no Crit. Hal,. yes / no Closest Maj.Wtr. Body �lt?P� / �p(-1rVl�
Type of Project/Activity . arl,-E:, „�
YP j ty t� 0C \/,.(\.tJJPTP::\ t% 1 6C'I P. PfZ,
(Scale: /'_ 3 )
fsfecL-
Pier(dock)length _
Platform(s) ,1t: N ) - 1
X/ 1 2 pi �a
N
Finger pier(s) 3 x.�
Groin length 3' J r - ---j -- -+---r- _'_ _ „ . I __
number —
Bulkhead/Riprap length ,Fr '! ./. , � fI. r1
� •
avg distance offshore . • -_
max distance offshore �^r�
Basin,channel
q . rI
I '
cubic yards \ ii
9 9 '' 1�kl i 4,
Boat ramp ,I 1, ��_" .
Boathous k oatlift, /0 I/'Z r i ,-.- .-\`
Beach Bulldozing ,--- _..._,___1111. -.---
,-.."`—_._ ------ I I
Other . _
i f
Shoreline Length `; t- i - . _.I
11
SAV: not sure yes Cho P j ' ' i I ..1 I
,,"�". —
Sandbags: not sure yes in I-o Q e - L }
Moratorium: n/a yes (moo ( Y `f_
Photos: yes Cno-' 1
•
Waiver Attached: yes' no
A building permit may be required by: -1- , 'i O C S4.4Rc.:- (' r---i`/ n See note on back regarding River Basin rules.
Notes/Special Conditions
r
AP (A-It7 1J c- 1.J F- W ,
Agent or Applicant Printed Name - Permit Officer's Signature
'v-v—ik . )j-i -O� 0ef,- �- O L
Sign ature "Please read compliance statement on back of permit** Issuing Date Expiration Date"��j
Application Fee(s) it eo, ° Local Pl annin SF File Check# g)urisdiction Rover

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 1 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 252-264-3901 252-946-6481
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
919-733-2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19 733 I495 I5 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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COASTAL_ISANAGMENT
ADJACENT .RIPARIAN_PROPERTY OWNER_NDTITIOCIOR/WAIVER_ FORE
C") SeliviCIRQ
Name Of Individual Applying For Permit ;
Address Of Property: // a .,z)curi eo coL.7Z
c•
c L4 MCI 62e(Lot or or Street #, Street o ' Road, City & County;
I hereby certify that I own property adjacent tz 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 provided with this letter.
I have no objections to this proposal .
Tf you_Insame. ohj rionstwati&ing prfpr & p
._Extensior,
north ara1ina & Qornail 9111_
nays cfmezeipt_of_ tbi st.notice... .._NO.. nia coTh riP red...the...same
as no_stliection _if_ you have...been. not fiad. by rprt j fled. Mafl
WArElia__RACTION _
I understand that a pier, dock, mooring pilings, breakwater, boat
housc, 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. )
) LS I do wish to waive the 15 'setback requirement .
I do_not wish to waive the 5 'setback requirement .
Z-11-OL
Si N e ,(1 Date:
r-r) TI1
AlF11111
Print. Name , 7
10 0903
Telephone Number With Area Code NeDENR
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Lt4v,atr.N.4.0,7,:, IJ4:

DIVISION..OF_ C_OAST.AI._ .
ADATACENT__RIPARLAN..PROPERTY Oi R..NOTTFTCAT.:l iJ.WAIV R FORM
- (--k-,0-1YLI, q S L 1Y2 e.
Name Of. individual Applying For Permit : co e..0 __ _--
Address Of Property: —_ j/ ./ OcA4'21,5 CI) U.rt.4
(Lot or Street *, str _er.. or Road, City a Chun;
I hereby certify that T. own property adjacent to thE above-
referenced property. The individual applying for tt:is perm..it t:as
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, witrl dimensions,
should be provided with this letter .
(i\-<-___ I have n9 9bject4ons to this proposal .
If�r.ciu havp _obj ections._to .what.._i_s_...2 eing- propns.ed.,.._ pi Pasa._writ.e._L:k
Diiif+i on ---r.oast-a1_...Nanagemen_„..._122_.._.ratdi na1.give._- rens,i.on,
Wi 1 mingron, Igor rh -Carolizld.,.___2R40S_crr rA?1 . 1►'.._39_5z.- 4.0£3_._wi..thin I
days ._ci£._rP-cri pr_ of rhi s_ notice. .__ Nn_rpcpnnno_ is..considarpc'._..r h __sue
.as_�a_objection i f.-�.nu..hav-e.-..heen_nor i f ied. by ..Carr i f ied_ Mai.l.
SYEB_SSCTION
I understaud that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of l ' from
my area of riparian access - unless waited by me. (If you wish to
waive the setback, you must initial the appropriate blank below. )
j���_-- - I do wish to waive the 1Stsetback requirement .
I do._nLat wish to waive the 1.5 ' setback requirement.
s_ a e _ Da e
s--7-40/te_ __k_CO_C2_72 Ai& . 74ellik.
Print Name
9w-- 32 r - E 6 3 ...,...„2"r
Telephone Number With Area Code NCDENR.
• ',Men _.4Wil.JN L. i.-:,4=7M.-n. J°
'.f7V4R:.,N••'ii,- au: 1a:'1.•1,,_ F::-._J,�::'.

MUNE
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DUANE BROWN PH. D
LIC 4685552 PH 910-328-3999 3122
114 DUNES CT P O BOX 2306 ,a 66-7704/2531
SURF CITY, NC 28445 ,�� ��
Pay to the n/
Order of (Y�' /V 0 0 I
gyp, j 1n 0.
ict V Up.
State Employees'Credit Union
Jacksonville,North Carolina
For G 1 3Z
1: 253 1770494 0136 2555 230311' 3 1 2 2