30452D - Autry

0 CAMA / DREDGE & FILL N9. 30452-- '
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 ,,rr
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC -) f- , 1 00 .
'Rules attached.
Applicant Name _ 5, ,,. F �.,,,A 4\( Project Location: County ?r t'. + -
Address )c) \J LA f0 I A 7\ Li`� Street Address/State Road/ Lot #(s) ID) IJ CAR o I+ ti A"
City '(1) (,."()A, \ Af ' State ( ZIP L fit/ . -1 k,
Phone# ( ) Fax# ( lit) S45 -"WA Subdivision
Authorized Agent es,".f't l' vvV'f;,N r City -rtjPs I j 13E►\ (0 ZIP . `I y t/c
Affected SeCW :'EW 'V1A DES PTS Phone # ( ) River Basin Cpr
❑OEA HHF ❑IH ❑URA N/A , >°lAik a[s(man /unkn)
AEC(s): Adj.Wtr. Body 'Tt7�SA� ��
❑ PWS: —FC:
Closest Maj.Wtr. Body '?'0 ' j C
ORW: yes / no ) PNA yes no Crit. Flab. yes / no
' 5Vn
Type of Project/Activity ``k1 VFW 4)i E k
�/ y\ (Scale: =� )
Pier(dock)length /� � � ' `)r_ \ ,.�._ p\
Platform(s) ( Y l,) j l
Finger pier(s)
Groin length `r i .. -. :_..---
number i - i .... -Ak . .
Bulkhead/Riprap length rt
avg distance offshore _ /'��/ 4., - -
max distance offshore _ b i v ,f }�
Basin,channel i I I �. V __
ll
cubic yards
Boat ramp _ _ y
Boathouse/Boatlift ♦C I _ ,f _
Beach Bulldozing •
-
Other c WO ` X(U %., . \f I ! V T.
________ r- 7:7_ ----_______' _.
Shoreline Length 57-
SAV: not sure yes no '
Sandbags: not sure yes no
Moratorium: n/a yes (no
Photos: yes rrno - • - I
Waiver Attached: yes (r;o A,
A building permit may be required by: -TOO) A , \ -Si"-:�C Fc / . HI See note on back regarding River Basin rules.
Notes/Special Conditions i I, A c 1,)a�f -rt, .r,�'(F 4-i� L,f=tJ 6,-TN p,<- A. IA C,a...`f r PR
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Agent or rinted N Permit Officer's Signature
Signature' **Please read compliance statement on back of permit'*' Issuing Date Expiration Date
Application Fee(s) 10O, ,L. Check# jVU 1 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(252-946-6481)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 252-946-648 I
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 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 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 10/05/01

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Ax)c•42.1 7_ RIP4RIA T PROPERTY gwNER, NOTIFIcATiON/1' .IVER. FORM
Name Of Individual Applying For Permit: vnt - ►
Address Of Property: 'Rip Ca/mil/114._c.. 4121v,t1r
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(Lot cXr 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.
I have no objections to this proposal.
av ob 'o wha is posed, please write he
/9, 42isau g_fCoastal,�Managemen.t. 2.27 Cardinal Drive Nxtensian.
W' ia}cxtc�n� North Ca na1 29�05 ar eae ll �1fl 395-3900
r9ay_g_of r ce'pt of this aatice No respo se 's consider- the same
a o ob r} pot have en be not-i£ied by Certified , l t,�
W4T72I2. SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or s- - .ags must be set back a minimum distance of
from my area of -iparian access unless waived by me. (If you wish
to waive the etback, you must initial the appropriate blank
below. ) ('
I ,do wish to waive the 15'setback requirement.
I do mot wish to waive the 15' setback requirement.
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Telephone Number With Area Code
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MERRITT MARIN „`",. sr�book-._Loidrf•,ls.e�,,.�®
E CONSTRUCTION, INC. 0
DAIL MERRITT-NCDL 3481068
PH. [phone] 489
P.O. BOX 528 8931 WILMINGTON HWY
6 ......
RIDGE, NC 28445
TPO DERTHE DATE 7!LO Z 66-313517
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