30450D - Chenery

CAMA / DREDGE & FILL N? 3'O450-
el
GENERAL PERMIT Previous permit #
> 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
Rules attached.
Applicant Name 4) 1- , ( £E„G_ (e'/ Project Location: County -4 ,v. ,1
Address 1))1 04,, c A 1'P R, Vf Street Address/State Road/ Lot#(s) /J -, i0,,,. ./ 141-4'
City— p m >o j., State ZIP .D."?‘ /)-
Phone# (Ili ) 7 '( -7 I`;1) Fax# (_ ) Subdivision 5T'+ S LA )j�, J, (r ()"--
Authorized Agent F k, ch it Pry City --i Q r>A-0 a-P A . ZIP D /V 5
❑Cw SAC/ PTA ❑ES L:PTS Phone # ( ) River Basin ( Pc:
Affected ❑OEA ❑HHF 0 IH 0 UBA N/A
AEC(s): Adj. Wtr. Body c„,1,-NA L (nat( 1/unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes n� Crit. Hab. yes / no
Closest Maj.Wtr. Body "rt. n`'A' 1 420 U A,`l
Type of Project/Activity -!?,. ,v rx ., P 11
(Scale:P 0-1 r-) )
Pier(dock)length 3 Y f
Platform(s) 1
Finger pier(s)
Groin length . —
number — — A - _
V
Bulkhead/Riprap length
avg distance offshore
1
max distance offshore •
e
Basin,channel — -- — '
cubic yards v — 7—r—
i
Boat ramp r'fi / ( , --
vL I I
Boathouse/Boatlift - ;S - ( _ , }
Beach Bulldozing I _ // • ,5 - -_i--
Other 3 [+ , 1
Shoreline Length
I
SAV: not sure yes no 1-_ .._____..---�- - , I
D
Sandbags: not sure yes no ` i • �f�0141 - 1 L--
j
Moratorium: n/a yes no i
_ •Photos: yes no h - . j 1 , .
Waiver Attached: yes no j
A building permit may be required il,,,/N h(_ TO?SA,1 'rL"n. ( t-R . P See note on back regarding River Basin rules.
Notes/Special Conditions
Agent or Applicant PrintedName Pe O e Slgn re
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
-I--.::•>. , i 7 -�. [ A..A 5&(e ) ))(IA•
ApplicationFee(s) /00. c'f Check# Local PlanningJurisdiction Rover File Name

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 252-264-3901 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
Fax: [phone] / I-888-4RCOAST Morehead City District Wilmington District
9I 9 733 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 I0/05/01

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CERTIFIED MAIL
RETURN RECEIPT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
Property located at \c,
(Lot, Block, Road, Etc)
on \ G4 -� �\ , in —C�`�s��� ���` ,N.C.
(Waterbody) (Town and/or County)
I have reviewed the survey or drawing on the project he is proposing at that location,
and, I have no objections to his proposal.
9gJ -Ld £ dsfdk. ,LAr_eJ 644_ 0-1AS
CURRENT SURVEY OR DRAWING OF PROPOSED PROJECT AND
COPY OF PERMIT APPLICATION
(ATTACHED)
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Print or Typame
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Address
(u�)24'02 - ag I - 7Z 32- 0122-r2-.237-y1s;
Telephone Number
Date: s /20 /0Y

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✓lar/orle}f Chewer, 7*d1 6256362 19:+ 1210
919-781-7150
8221 Parkslde Drlue
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PAY TO THE
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