30953D - Myers

O.. CAMA / DREDGE & FILL N? 30953-1:
GENERAL PERMIT Previous permit#
' ' Nev' 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 15A NCAC 4 I Z4910 .
❑Rules attached.
Applicant Name _ 1 1*••11\.)15 _ Project Location: County .1_,,,,3 -4-7::1r dV r
Address I r C. - , _ 1.j-€ Street Address/State Road/ Lot#(s) 1 "2_(r
City V�,3I" State {'4Czi 2S4 re
03 t�eC_A-rJ Prti-e_,
Phone # an —Tax# ( ) Subdivision Nl A
Authorized Agent_ 1.4 A City w l Lr 11\,9• ZIP Z48 4-D
Affected H E CW W I TA ❑ES PTS Phone # ( ) 5 River Basin C44 f _ cf.
s I:OEA ❑HHF ❑IH ❑UBA N/A
AEC : Adj. Wtr. BodyI�v Pso G{ .❑ PWS: ❑FC: .., ( T /man /unkn)
Closest Maj.Wtr. Body Sta "12-
ORW: yesJr.)) PNA yes / io Crit.Hab. yes / no (� -�
•
Type of Project/Activity fl 0 �4i c�toczl‹. Poet c4 J '1 ', t
t P (Scale: = i )
_Pier(dock)length �6
Platform(s)
Finger pier(s) C-Ii2.C-
VV
Groin length 1 ,
I. ,2y
number _ ... ' —i _--,__- __ - _ --
Bulkhead/Riprap length ! I f • , 4 i•avg distance offshore
max distance offshore ; ` r
. -- 1- I
Basin,channel _._ '
cubic yards —I� r
Boat ramp J ',
Boathouse/ous Boat lift
t— I' W-
\J t
Beach Bulldozing N., `,
Other - ' .✓—
14:./ Y S
Shoreline Length 2-S a /
SAV: not sure yes
Sandbags: not sure yes 'r
Moratorium: n/a yes ® I. : . .
Photos: yes') no
Waiver Attached: yes 1 I- C C
A building permit may be required by: 4-C-0 . r— See note on back regarding River Basin rules.
Notes/Special Conditions
- -‘t-i N)' V v-\
Agent or Applicant Printed Name / PermitOfttl2a--),:zs--2,._,•-x---<.2._...
Signature **Please read compliance statement on back of permit'II* Issuing Date Expiration Date
.' Ga_c-)L, If (+ col 1.5,-T ,_,3 IgA
Application Fee(s) Check# Local Planning Jurisdiction 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:
I 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 252-946-6481
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
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 151-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

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:-
AEC DESIG: I DEVELOP AREA: _.k_ PROJ DESC: - 1 L"
(Will only take 6) (Will only take 1)
WORK: `E5 J
(Will only take 4)
MAINT:
(Will only take 4)
IMP: u t1 40'
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: L 3 °2 10 r �2
CAMA MAJOR DEVEL REQUIRED: LL r

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DIVISION OF COASTAL MANAGEMENT
ATITCENT_RtPARThN PRODERTY OWNER NOTIFICATION/WAIVER FOR7v
Name Of Individual Applying For Permit:Pemt f Id G rS t J.4
( f1. %//)
Pl/tAddress Of Property: 42. (,p �C'��lt/ veyGfS
`44' d-,v toy/ NG yveW I/Gc�0veK
(Lot or Street #, Sheet 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.
•
have no objections to this ro o p p sal.
Tf you have objections to what is b 'ing__prono -d, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington. North Carolina 28405 or call 9'1 �95, �9n within jn
clays of receipt of this notice. No response is ronsi r9erpri thp same
as no objection if you have bec n notified by Certi fi pd 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 not wish to -waive the :15 ' setback requirement.
,r
Sign N e Date • '
•
V L.fAPSaly =
/ J 1- • .® ®
Print .Na.ti
.Telephone Number With Area Code
• NORTH CAROLINA.DEPAR M=NT OF
ENVIRONMENT AND Nl.TURAL FCSOUR^CS

•
: = DTvISION OF COASTAL F C�
AT i Ar-UT R 2aAR T AN PROPERTv OWNz'R ,NOTIF I r T-.i avw.A- `R .'9oi
•
Name Of Individual Applying For Permit:<�t� i ,, S Wt e. rS J1 Ir ,a 1 K
Address Of property: �p 4{,I (i
w �< (. . A/C. � /
� y
�C�iLove r
(Lot or Street *,• it) z,., (vtreet or Road, City a County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applTi
• � ng -or 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 _
•
if vnU lava Qr,ei-
c - Qn_c `Q ,.
what , C bAi n - cronasad, pl aaSP w•* i na, i Clo
flit,-; s-ion of coastal Managammnt, 177 --Cardinal
Sri Lro FxtAna
Wilmington, North raro] ina,. 2R405 or call 91 -;c g00 within 10
slave nT —.= . i 'r of th • nnt-i ra T7 rP4r»ncc
i i =Tema tL
as no nhjAS�'-i nn , vrm nave �o r9 by (''ter - mama
h n notifi o
tiriQ� Nail
W.ATI SECTION -
I understand that .a pier, dock, -mooring -pilings, _breakwater, boat .
house o_ .boat 'lift must .be set :back a .min_mum distance o= 15 ' from
my area of riparian access - unless waived :by .me.. (If
you wish .to
-waive .the .setbach, you mi t.al the appropr late .blank :below:. )
I do wish to waive the 151setback _eauirement.
�Y I aQ -not- -wish to -waive the IS '.setback requirement_
..,/c4AAA' aSLR. 3....1)e)--- 7 IS)OZ--
Sign Name
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(� ., I oate _
)0..v e-.1 g , C1A o ` tJq r 2)i�,(r d- 1�r vl€ r y
,
Print Name -
(choz51- 2655 ;ti.V�
Telephone Nuni.oer With Area Code
. l i•c-DE,.....i :.,.._.:R:
NDR-11-! L.0...=LIN:..IYoA3i7=hi c,
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—Nv?DNM.=hT AND N.y 1TKti!"._�JP.�S

5206
66.77D412531
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126 P. MYERS 7 2-3 /6) Z p91e
DL 1688296 TEL [phone]
WI PECAN N,AVEC 28403 $ t/a ii1
WILMINGTON,
E.
Pay the ------`"------ ...,�,..
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Dollars '
Orodert o4— r-G -----
State Em loyees' Credit Union
Wilmington,North Carolina 1/I, ,� // _
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