30399D - Edens

0 CAMA/ ❑DREDGE & FILL N? 30399 --1
GENERAL 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 SA NCAC 7# .)OO (J
[,,,Rules attached.
Applicant Name 6,.. F'�-PCI4 �A//'/ t dJ.y ry S Project Location: County 1 k c/t, c
Address Lit c t( t/P S 7` • Street Address/State Road/ Lot#(s) y/d t( 7 J d
City 't10P / (/T/`( �/( State/V C ZIP ?k`�(/S'
Phone#( ) 3. v- "Y5Z8ax#( ) Subdivision OL i) SfETt(i9/ r ->.�-- ti
�—
Authorized Agent l (1-/tuvt S--e fNlP1 p i t`-) City > d& V C(l 7 ZIP _Xi1
t/V
Affected L'CW CAW C3•PTA LIESI-PTS Phone # ( ) River Basin ( PA-
( ) II ❑OEA HHF ❑IH ❑UBA N/A
AEC s : Adj.Wtr. Body (..W--t-k'i ( (nat 6i - /unkn)
PWS: 7 FC:
ORW: yes / no PNA yes 1 no Crit. Flab. yes / no Closest Maj.Wtr. Body-yG)�,/i/ �NA f)
Type of Project/Activity 6(),/)f I ,P 7 /()(J/1 6 h ' 1V yf 5-72 n & 7,)u K
(Scale: /'_ 3 :� )
Pier(dock)length rA ---.. —
✓ J t('-
Platform(s) ` F i Sfi' ` 3L. a� U
Finger pier(s) . . 2
F �
Groin length /
number !�,
l
i � /
Bulkhead/Riprap length
avg distance offshore
----. 02. "..:4 - - i
max distance offshore y
Basin,channel
t C
-
cubic yards_
Boat ramp __- t . ���,�w ^
I .... a .---.,_...
Boathouse/Boa.;P ! 3 4 p (3
Beach Bulldozing
Other '`—`--
�_r— —
IL
/
Shoreline Length 5Z4)
SAY: not sure yes (no •a ,1
i
Sandbags: not sure yes ;po
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: . See note on back regarding River Basin rules.
Notes/Special Conditions
7 // ( ( n,w J�3-
Agent or Applicant Printed Name / . 7 Permit Officer's Signahfie U
,. L - U Z.._ G 7- 3 -1
Signature **Please read compliance
statement on back of permit** Issuing Date Expiration Date
(-,/t/ >o ( LD /72
Application Fee(s) te'
vl� U,i Check#j'-�CwLocal Planningfurisdiction Rover ileName
(/�

•
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(252-946-648 I)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 252-264-390 I 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
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 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/C

GE.N.ERALTERMIT COI WUTER FORM
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DIVISION OF COASTAL MANAOEMF T
ADJACENT RIPARIAN PRc FRTy OWNER NOTIFI
CATI-ON/h'AIVER FORM
Name Of Individual Applying For Permit :
Address Of Property: A\ L-1
(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 the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
`r I have no objections to this proposal .
Tf you have nhjenti ons to what is being _proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extens_i ow,
Wilmington, North Carolina, 2R40 nr nal ] 910 - 9--490f within in
days of receipt of this not i ne_ No response is ronsi dered the same
as no objection if you have been notified by rPrtified Mail
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. )
I do wish to waive the 15 ' setback requirement .
I do nor wish to waive the 15 ' setback requirement. •
l
Si Na e :
lc
&C;Vii i'4"/C7 fr/#4-it- Date
Print Name
Atiri17,1?s,
- 7 3 p 7 7 ; •
Telephone Number With Area Code
NCDENR:.
Na?zt-! :aFD:INA DEPARTMENT O
NV1RDNM=NT AND NATURAL.FLSQWT-z_:

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Lazz„C ?-fit - N .P ...?" ' --� � - _��
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Name Of individual Applying For Permit : G e !l k
Address C= f
property. l u`l may SA
lr-S\ut_J L-U
(Lot or Street #, Street or Road
r City & COunty)
I hereby certify that I own property adjacent to rn=arnced p_o the above-
perty. 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,axing, with dimensions,
should be provided with this letter.
V I have no objections to this proposal .
i T T= -j c n t; G a-
1 C G .-
`Q1 case')ivi pi nn of rnastal Managmpn;, 1 77 * rarrt-i na1 T?rivo PxranSi nn
Wilmingt-on, North Carolina, 7R40� nr tall
days of rArn;Dt of this no- C-o
11TQ rQsDnnaa ; 4 CQ*LSi c�crod rho c
ac nn nhjo,^-;rn ; von �, semi
avA han nnr i r";od ry !''orr; �i or3 mail
WW 1VTgp SECTION
I understand that a pier, dock, mooring in, i
house or boat. lift must be set back a minimum
pilings, breakwater, boat
nimum distance of 15 ' from
myarea of riparian access - unless waived by me. (If
you wish to
waive the setback, you must initial the appropriate blank below. )
1 do wish to wa4v 15 ' setback requirement
2 do nnr wish to waive the 15 ' setback requirement
. ign Ram_ Date
i/// �J • esq, te,°�--
Print Name 11211rei
Telephone Number T.unnbe_ With Area Code
NcDENR:
NVRDI•olat.;'SAND N:DUKtL. '.-°:D:JR-=S

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SALLY S. EDENS NCDL 2924762 844U�
GEORGE H. EDENS
F 4104 4TH STREET 910-328-4588 66 19/530 NC
P.O.BOX 2147 Date `-�- -� -(� Z 1861
SURF CITY,NC 28445
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