Dolphin Condos HOA 79501C

`AMA / DREDGE & FILLA B 62
D
GENERAL PERMIT Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit isV
sued
As authorized by the State of North Carolina, Department of Environmental Quality g G oand the Coastal Resource ommiss on in an ar a of environmental oncern pursuant to 15A NCAC
ules attac ed.
Applicant Name ��C%� Project Location: County ��V
Address ����_ Street Address/ State Road/ Lot #�s)
City State ZIP J_�
Phone # (Uv r�GUr✓ E-Mail — _ Subdivision
Authorized Agent �1`'f ✓` f 1/" City -
ver Basin
Ew --'.'M*TX— ES PTS Phone # ( ) ---
Affect
AEC ' OEA HHF D IH UBA N/A ed
Adj. Wtr. Body �� (nat an /unkn)
() PWS:
ORW: yes 1 no PNA yes / no Closest Maj. Wtr. Body
Type of Project/ Activity rC C G ✓f {^(� .-*t c
(Scale: )
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) i
Finger pier(s)--
Groin length _. J
number i
Bulkhead/ Riprap length / //'' C
avg distance offshore
max distance offshore �V
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift /� t
_ \ � V J 9
Beach Bulldozing f
Other
Shoreline Length
SAV: not sure yes no Y64
Moratorium: n es a n/ r
�L r
Photos: yes n +
Waiver Attached: yes no
A building permit may be required by: C C ✓ �� See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions v C, %v� o�
�itit�-wt
Aaht Printe Name ,,,-A
«ire Please read co tat tatement on back of permit
c.r owl G5
lication Fee(s) Check #
t -- Permit Offic s P n4cl Name Signatu
Issuin Date xpiratidn 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 1) 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 (252-946-6481) 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 Headquarter
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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A®fACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to &e A Kh 4 Ve I b n Uo N dos s
r 1 . (Wri-A 4f yroperty owner)
property located at I V `t l f' dctl" ( A
(Address
C)R1�It)Q� in
1Watarhody)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
I oati n.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indh4dual pi—QposIng develop,T.ent must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr9perty Owner Ir) ormation) (Adjacen Prope caner Information)
is 4 1
�j�g�ann•e(� ,p Si ature•
KS?11d�7Tn onto 5
Dare
Telephone Number/email address
(Revised Aug. 2014)
'Valid for one calendar year after signature'

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I hereby certify that I own property adjacent to r r r lk t•1 'o do 's
(N a of Property ner)
property located at 0 (c
�I //}}� �( (Address, L t, 1gck, Re<d, 9tc
on �1.:�t I lP V 4 !\ (� '( , in N.C.
(Waterbody) (City/Town a /or County)
The applicant has described to me, as shown below, the development proposed at the above
10
'�� 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 pilings, boat ramp, 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.)
IU I do wish to waive the 15' setback requirement.
I do not wish to waive the 19 setback requirement.
(Pr party Owner Info ation) (Adjacent Property Owner Information)
party
k�Nrn3 �, i ratttie NCC r-rJ
' Ana 4� ,.__
Dare
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(Revised Aug. 2014)
`Valid for one calendar year after signature*

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14

From: Davenport, Ryan
rva.n ai1Pr r)nr'i((-*
Subject: Dock permit
Date: Mar 2, 2021 at 9:14:35 AM
To: [e-mail]
Cc: Keefe, Madeline J
Maddv,Kpefe(d)ncdenrttaov,
Permit 79501 C for the reconfiguration of a
7 slip dock at Dolphin Bay Condos is
ready. Please mail a $200 check made
out to ncdeq to our office at 400
Commerce ave. in Morehead City. A
scanned copy will be emailed to you for
signature.
Ryan
RECEIVED
MAR 16 2021
DCM-MHD CITY

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