30345D - King

CAMA/ L DREDGE & FILL0
N? 30345-1
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 15A NCAC 7 N j ( n v
C3ules attached.
Applicant Name j-1 lAcje 4:2 Ki '..ic: s Project Location: County LJ ra c. }-k\ U 'Ir -
AVE. treet Address/State Road/Lot # s r
Address -:1 ( � �]��3C n���1Pr F1 , _ __ __- 'L 14 _5N--r.fr-A.
City (JO(.51'l f N -l?k) State 1.1C ZIP 2 lI ( C -116y r 1 A P V y .
Phone# (a I f) ax#( ) Subdivision Siq N tip_ r'N IC 1
Authorized Agent t./A City ) I Lit,,,,,1.a ZIP 2 jji I I
Cw ❑EW ❑PTA IgES L.PTS Phone# (' j( (pL River Basin `-e , c-
Affected OEA 7 HHF ❑IN ❑UBA N/A c
AEC(s): Adj.Wtr. Body p'A�S s --G�_ .- ,nat an /unkn)
❑PWS: ❑FC:
ORW: yes /• PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body Q
Type of Project/Activity 1 p {�F1'-k 4 pAi K. e IPL :'-TS{,c-,
i 1 1 (Scale: ( I f / )
Pier(dock)length ______
Platform(s) at , r--_.-___ , j _
Finger pier(s) (. .
Groin length I *:'. j i--- 4 ' 1- ( --{-- j , . a' ---. ..-1- j
number _
,1 r '
gk Isr°LP .l --- 1 --
Bulkhead/Riprap len —r . } - - .....
avg
distance offshore I
i
max distance offshore i_? . - - j.. _ I I �. = -; : -
Basin,channel _ r
cubic yards . - _" _ I < !. T't .� }-F
t / /� ]
:::::
,....-A .._. - r Boatlift 1 i f I r.
Beach Bulldozing , - -- C.- ,,
Other z, t�- c •✓ t""T. C_.`) ) '
I: - I i ,
Shoreline Length tel : I ;
SAV: not sure yes no C , i 1 1- 1 II a I • r;
Sandbags: not sure yes o `i.ti l , , a ' ' '
- •- _ '
Moratorium: n/a yes no I ii �xIS �]�i p,
Photos: yes l-.1 _ .._ i ' ....,....-i__:._ -
Waiver Attached: yes no I ._
A building permit may be required by: N �U..) 4-1 A�6.1)- 'it Cc) • . 7 See note on back regarding River Basin rules.
Notes/Special Conditions
i
( -.) ,
Agent o plicant Printed Name Permit Officer's Ignature --1C."\f—\11- ----
Signature 'r'#`Please read compliance statement on back of permit** Issuing Date Expiration Date
Application Fee(s) Check# Local Planningf urisdiction 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(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
9I9 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 10/05/0I

CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW"- Public Water Supply "OR" - Outstanding Resource Water
•
CODES FOR PROJECT •
"P"- Private-usually an individual "F" - Federal
"C"- Commercial "L" - Local Government
"U" - Utility "If' - Housing Development
"S" - State "0" - Other
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads,Riprap "16" - Utility Lines
"12" - Piers,Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
. "15" - Maintenance of Basins, Channels,Ditches__ _ —-- - - -
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: S DEVELOP AREA: ._ PROJ DES C: I• - It
, (Will only take 6) (Will only take 1)
WORK: W. Eta t
(Will only take 4)
•
MAINT: -
(Will only take 4)
IMP: S ZbC.p
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 2 `2-t)7 o' -62
CAMA MAJOR DEVEL REQUIRED: �, lA

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TrWTSION OF COASTAL MLNAGEEFWT
ADJAr7 Tr RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER EORm •
Name Of Individual Applying For Permit :- U 100Seplittal�1
g
Address Of Property: Q t"4 Sa-ni.m. Hta. t\\IQrOQ.,
ULYkl,-mi. -6 , %A �.46-11
(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.
✓ I have no objections to this proposal .
If you have objections to what is being._nroposed, Please write the
fiviRion of Coastal Management , 177 Cardinal Drive Extension,
Wilmington, North Carolina, 28405 or call 910 M95-1900_withir 10
days of receipt of this notice No respons- is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION �
I -understand that a pier, dock, mooring pil gs, breakwater, boat
house or boat lift must be back a minimum distance of 1.5 ' 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 mot wish to waive the 15 ' setback requirement.
..,-,/Gi in() 3///41
Sign Name Date
Sam AY* Iiiii.T:Ifriliii
Print Nameitir
(94 c> - %6go w
Telephone Number With Area Code NCDENF
NORTH CAROLJNA D?AF TP Err OF
ENVIRDNM=NT AND NA'URA_RsoURzS

•
DIVISION OF COASTAL 11ANAGEMENT
`gD.TAC'ENT RIPARIAN PROPERTY OWNER NOTIFICI TION/WAIVER Fogad
Name Of Individual Applying For Permit: (1 a (1-
Address Of Property: 1 dit- Sa_111(1,Isiktruli, Lame,
•
•
Llinc �� 84!
Q �
(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.
• I have no objections to this proposal. -
Tf you have objections to what- is being_proncsed, Dl ease write the
ni vi si can of roaatal Management; 127 Cardinal Drive Extension,
Wilmington, North Carolina. 2R409 .or (-all 910 199-1900 within 10
reint-of--- -4=no - NO'reso0n4P" 4 Ong 1 NPTPi�` the Game'
as no . objection if you have been notified by Ce rt-ifi ed Mail
WAIVER=•SECTION;
•
I understand-:that_;a__pi:er,; dock,:_:.mooring pil4a f
`s, ,breakwater, boat- • -
:house or boat _lift.must.:be_:set •back-,a_minimum distance of :15 f.rom
my area of iparian access unless :waived by -me.: ` •(If:ryou•-wish 'to
- waive -,the setback ;--you must initial :the; appropriate blank' below.) •
Z _do'=wish =to waive .the ,15 ' setback requirement
_ do not wish to waive the 15.' setback .requirement ix
a e Date
Sign N•12` - l146--
Print :Name L. -
7©4 gc2 13g
Telephone Number With Area Code
NDRTti C ou it D_w rr _rr o�
ENVIRONMENT AND NQURAL FM-SOURCES

•
` N'HUGER
L S. KING,
5824
WII MIlVGTON,NCD28411
Date
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