77784D - Tucker

0 _ CAMA / DREDGE & FILL N° 77784 A B C
GENERAL PERMIT Previous permit#
> ,-• New Modification Complete Reissue Partial Reissue Date previous permit issued
As autho' rized by the State of North Carolina, Department of Environmental Quality 7
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 0�``r' • \0U ()-1-1--\ ,CO
C Rules attachgd.
Applicant Name i{4 1 Cc ' " .-c. T.,c e- Project Location: County \ /_,- ;.,- t(.
Address Ci S U\ )A ' A v c a^ Street Address/Sta a Road/Lot#(s) t '1_1/4
;`� k
City , ttG41 C S r , yC State N C.ZIP 2"1 2 1-1 L .
Phone # ( ) E-Mail,, _ Subdivision
Authorized Agent Gft j`0\ bQ..✓1 City \'( LA .. 1..)C�.C h ZIP. 'Z 6 ..lip Z
Affected ❑Cw 'EW 'TA S ❑PTS Phone # ( ) - River Basin L...., k0e.e"
❑OEA ❑HHF ❑IH ❑UBA E.N/A
AEC(s): Adj.Wtr. Body ^(k (na an unkn)
❑ PWS:
•
ORW: yes Cm� PNA yes no Closest Maj.Wtr. Body ictw
Type of Project/Activity ,,n S \ IAew St 1-A-CA`.,, A PiLtc Ae i0� -�r•c�Y- `\�
CA a ��--.\\ r%�c..f 0C (I f- -Co, ‘-k - �i a f 2- {u(,,.,r-.11-1-4- 91&5 ale: x1"C S )
Pier(dock)length I I I I I _ I
Fixed Platform(s) .� \
i 1
Floating Platform(s) i I � ( I..44
�� ____
Finger pier(s)
----b\--" ""I -HH\ -1-.- -
Groin length I :,,,c..„6............)._
' 1.1_ !vi number _
Bulkhead/Riprap length ! P�
avg distance offshore it • }
max distance offshore 10 I
Basin,channel 1 i I .
, i
j l
ri u..
cubic yards I ' f • S CM«S S
Boat ramp I I , i I j 1 1p `
I i i .
Boathouse Boatlift IZY%Z -i- —----ri 1 - , . .
Beach Bulldozing —
Other_ ; k 1H Pic- i pit_
i
7U ((.. -
Shoreline Length SV 1 ~
SAV: not sure yes no gt 4 VAp - I -,__
—�«._. ..._.. .-. 4I.
Moratorium: n/a es +
Photos: Yes 1 , 1 (- r
Waiver Attached: YeS/ no I ht-k - ,-4
A building permit may be required by: -\(A t)eA,C h . I I See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) (`
Notes/Special Conditions 0 l�}.�4- ,r,\\ ..,i .,:y c e*to(Lj ��e i IN-(c� ( s^4� 1
2 C‘`� 1 Qel�f,1Z-4[.. :: J .., � tN,L et,/ rA \ ) �...I 04- e,1. � L t .' 04 ev(i!),• i• i -.4T
1.ti_) AA(•. C c \ v
V
e_
\, ,, L. \ J,c< 4.. \ S t ociG
Age or Appli t Printed ame Permit 'nted Name ,...—
Signatu lease read compliance statement on back of permit** Signature
GQ V J:)U 8 r2i 111 ZU1-‘ 1 I(2,07-I
Applicatioh .ee(s) Check# Issuing bat Expiration Date

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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven, Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncden r.org/web/cm/dcm-home
Revised 7/06/17

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Tvc Ler—
Mailing Address: a 50 t Ct1 •er cattn.i c�
R /eS r'inSS1IC � 7� Vz
9
Phone Number: /t'/ � i:! G► 571 •
Email Address: i`!/J
•
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a:01-tt4--/
4-- 7? - 1 S
at my property located at //e !/ ,r S
in 2K-Vi?-5 • County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
02, 1_12z! g-1
Date
This certification is valid through I /5 /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -Se.CT T'e.ke.r- ,s
property located at al L . (Name of Property Owner)
on (�q�„K, Address, Lot, Blo k, Road, a .)
(Waterbody) , in `bear! U CO 1 , N.C.
(City/To' n and/or County)
The/applicant has described to me, as shown below, the development proposed at the above location.
'�'rjli`` I have no objection to this proposal.
0 t _O_____ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
10 (Individual proposing development must fill in description below or DEVELOPMENT
P or attach a site drawing)
V ®� 0 n O In M y •ri o n r o n o n 0 P1 n
7--- a� 75- C'.3 v
Also _ ;n q I 2.o0-412,F+ 1,
©V\ the, t sle o-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
1/1/
___4_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad'ac Property Owner Information)
--€ 'r / /
Signature G!/q�lL
Sign, e _-I
Print or Type Name VIA` D LOa`
o�S 0 J c<jq yri Print or Type Name
Mailing Apldress Mailing Address
ty/State2ip/ City/State2ip
/ -s-- Z /
Telephone Number Telephone Number
Date /` / -- 2
Date
(Revised 6/18/2012) i
i
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• I hereby certify that I own property adjacent to TcGk Q
's
property located at 11 f (A l o+G S - (Name of Property Owner)
onh q ( (Address k, oaatc.,y )
(Waterbody) ' Lo m c `gyp 145 C , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring
minimum distance of 15' from my area of riparian access unlesswaived byoathouse, ft me.groin be wish to waivea a
the setback, you must initial the appropriate blank below.) (Ifyou
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ow er Inform lion) Adjacent Pro
Pe Owner Information)
S a ure
at re �(
Print or Type Name ',i a rd L 1 Cwre-:
Pnnt or Type Name
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number Telephone Number
/ i5- ,?i ^ Zo -- z
Date
Date
(Revised 6/18/2012)

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