Best, Henry 77100C

0horized
MA / ❑ DREDGE & FILL 1 V U 77100 A BCC'
D
NERAL PERMIT Previous permit#
w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
by the State of North Carolina, Department of Environmental Quality J 14�
and the Coastal Resources C Ission in an a of environmental concern pursuant to 15A NCAC 2v Ulkullesaltached.
Applicant Name �V,Project Location: County
City (P—,/-
Phone 1103
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
:9A c f reel'
StateY � -
E-Mall
tom' • UTAT ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
ORW: �es / Jo PNA
Type of Project/ Activity _
Pier(dock)length
Fixed Platform(s)
Floating Platform(;)—X)
Finger piers)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards l
Boat ramp
Boathouse/ oatlif
11
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes
Photos: s
Waiver Attached: es no
C�
Street Address/ State Roadl tot #(s)
Subdivision
City ZIP
Phone # (_) Rivor Basin
Adj. Wtr. Body 1,_J 0,4 Than unkn
Closest Mal. Wtr. Body CJ o'.'f0 t/
o.A4;
(Scale:
Nil
0
_1
0
A building permit may be required by:
( Note Local Planning Jurisdiction) /�
Notes/ Special Conditions J i,
1` -► `l
11
Agent or Applicant frinted Name Permit(
SI 5w "Pleaserea compliance statement on back of permit" Signatu
cationFee(s) Check# Issuing
❑ See note onback regarding Rive Basin rules.
y
7 -7.L
xoi tion Date

NERAL PERMIT
ClModlk don trComplcrc Rcfruc trpl|{.l Rett3J.
rnd Co.ta.l R.rcurt.r (o l5A NCAC
by the St.6 o( tlorth c,l.ollll., DaFnntrni o{ En$rcnft6r.1 Qu.lry
Appllcrnt
Addrcss
Phonc E-Mall
&d|orn!d Aeant _
Alfecred
AECG)r
ocw
tr OEA
P*OHHi
AF oEs
O UlA
o rrs
o/a Phon6 * ( !
orH
N9 77t00 A8
P.wlou! pcrmlt #
Drts proriour lirmlt li3u.d
C D
Act,
Proi€ct Lo<atlon: Counv
Strart Sreto #(')
SubdlYBion
Closest Mai. Wr. Body
zlP
Easin
oRw:PNA 0,rna/
(Scdo:)
Fb.thr Pt dom(r)
Ooh h,t$
8!lrh..4 8/orlp lmah
8.eh Eundod,lt
Orh.r
o
brl La/,^cr"D9 D re8zrdinS Rltcr Ersin ruhr
Jo.;r,-( Not. Locd Phnniu ri/rirdi<tion)At ru cNotar/ Sp.ai.l Condltloi.a
i-t-
_l_
-t-
_t
+
:
I
Li:l
I
I
l
I
I
1-
.-l
_l_
IT
t
-t-
i+r
i
li
II
t-.L_t
I
l
I
-l -l
.T
I
I-+-
I
iLl i
lFl
l
tj I
I-J
,l(I
'
,i
t _t
2
I
I
t
rrI-l-fr - t-
t-
b I
-I I-T-t
In,
>?
ba<k oapGmft 6
.Lz
I
b.uint O .
/trOREDOEIFILL
Irpa o, Prolccv Acdvtry
SAY: nortrltr ytt
I
-t
I
I
i l*nru.Ar<r
&.ir 6 Apdrcr.r Fi A MlmG
M,A/ DREDGE&FILL
NERAL PERMIT
ew alModification EComplete Reissue ! panial Reissue
by the State of Nonh Carolina, Department of Environmental euality
Date previous permit issued
rsuant to l5A NCAC
Proiect Location: County a7
Street Address/ State
N9 77100
Prwious permit #
gos
/2a,
C D
3to YW:ft
EE ztPAuthorized Agent
Affected
AEC(s):
cw
OEA HHF IH
y :qd ES PTS
UBA N/A
Subdiyision
City
kn)
oRw PNA Closest Mai. Wtr. Body
Pier (dock) len8th
Fixed Platform(s)
Floatint Platform(
FirEer pier(s)
(Scale:
;FW-{t l)5*Jo-..1
/\r,
Grdn h.gth
numbc. _
Bulkhead/ Ripr.p l€n8th_
ayg diitance ofthore
max distance otrshore
Basin. channel
goat r.mp trc
Beach Bulldozin8
Other
r1.4 *tb llt
,n.*,,""*;n J7
SAV| not sure
Moratorium: nla
0o
o_ji1 CL6 ""'- I A
A buildinS permit may be required by
( Note Local Planning Jurisdiction)
er"U See note on k regarding River Basin rules
Jly,;r*Notes/ Special Conditions A(?c
to6a6 tti,l\tt
n
PermitOm Prinred
compliance statement on back of permit **
H2
I
lssuing
1 I
AB
Phone # (_ )Basin
Adi. Wtr. Body _
Applicant
ciq,
Address
Phone E-Mail
and in an of environmental concern
4'.1a<,/
Type ot Proiec{ Actiyity
T :r--r-T------_1
)
I]I I
+
,r:tit
1--1---ffi
E
cutic yards_
ffi It|+++l
F lrl
e1
or Applicant
'L
I AS."t
Fee(s)Che(k#
z
Date
lf indicated on front of permit, your proiect is subiect 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 Olfice (252-946-6481) or the
Wilmington Regional Office (910-795-7215) for more information on howto comPlywith these buffer rules.
River Basin RulesApplicable To Your Proiect:
- , Tar - Pamlico RiYer Basin Buffer Rules
Neuse River Basin Buffer Rules
Division of Coastal Management Of,ices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
No.th of New River lnlet- and Pamlico
Counties)
Elizab€th Citv District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-26,4.-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasqr.otank and Perquimans
Countie3)
Il oth"r'
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
WilminSton District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violaiion of these ierms may subiect 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 projectsite and accessible to the permit officer when the Proiect is inspected for compliance. The
applicant certifies by signing this permit that l) prior to undertaking any activities authorized by this P€rmit' the aPPlicant will
confer with appropriate loial 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 Nonh Carolina and the Division o{ Coastal Management, in issuing this Permit under the best available
information and belief, certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program'
T{a-l'
ATNACENT RJPAR|AI PROPERrY o$NER STAIEUEilT
I hereby cerEry hat !_o141.p_mperty adjacent to
tbcateo at 3l t CJ.r"aQ)orrner)
5on,ftss,
0n in <--N.C.
(CltyrTotlvn andror Coung)
DESCRIPTION AND'OR DRAWNG OF PROPOSED DEVELOPI'EMTQn&vldual Proposrag ,levelopment mustfill ln deicdption below ot at,,Ich a stte dnwing)
2
E;sh5 DaL*L;{+fl
,t+
,s
.J
[i
Lilsl,-ll:Or-.r
7en-J
I understand th;t a pier, .doch
back a minimum distance of I
wish to waive the setbach you
/ , t U *sh to uiaive lh6 I s, setback ae{uirement.
-._.._- | do not wish to waiv6 lhe .lS setbaok ,equirement
Orner lnforma0on)(Adiacont PIo
Signotwe
must be set
me. (lf you
perty olsnor lntonration)
Pint or Narro
Number
Print or TWNameet (/ )"
Addlpss 2tt 7ty'
Dae
R1a^- D^r5e,{ g ",c len r. "6o.r
?-
(Revised 6fi WO1 2)
The appllcant has d€cribed to me, as shown b€low, tho developmer proposed at th6 abovelocatiogt' I have no objedion to thb poposal.
.. _ | hevs objpdionF !o rhiq]mprs?t
Dd.
^I'JACENT
RIPA'UAI{ PROPERTY OIYNER STATETEI|T
I heGby corEry lhat lo\i,lfloperty adJac€rt to ,s
Grner)
on
6o.-.
tn <_t'Lc.(Witorbody)(Cityfiown andror Courty)
nte applicantY-
DESCilPnON A}ID/OR D RAWNG OF PROPOSED DEYELOPUEITT(n&vldud Ptogo€llng @elo9mqrt mlrstnfl lo debcrlpfion bdow or at8rJt a dta (Mrg)
7c.n-J
.J 6 tf,t t
Yo-J
t urdersdid-Fat i pier,.doct,
YUATVERSECTION
mooring pilings, b{EakuretEr,boathouse, lift,or groh must bo s6tback a minimum dlstance of 1 5' from my area of rlpa.ian accoss unless waived by me. (f youwbh lo 'araive the setbaclq you muct initial the a ppropriate blank belq,v.)
I do wish to lialvo th6 15'6etbac* rBquirement
.---.-- I do not wish to waive the 15 setbac& rcquiremanL
Ormer Infomation))
Pthl or Nafie
offi3,- P, l?rryt (
t Crzzk t>'.
a)531i
'/dt'
Dd6
Oh,tJaJ
/uttry5> , -,-
fl:{r*;;x
E*s{'5 }aL*t 4+
'Dd.
R.{o-.. Do"lr.1J 6l'.a J.^.. tp.
(Refi*d Aiv2o12)
tboateC a
har describ€d to m€, as shom below, llia detelopmert prcposod at tha abovg
I hane no ot{edion to lhb proposaL
Ownerp.
ADJACENT RtpARtAN pRopERTy omtER sTATEt ENT
I hercby certfy hat I qlD_p_{operty adrac8nt to
lbcatea at J ,{ I o(xnot)
5on'
on <_(Wateltody){Cffiorvn and/or Gounty)
DESCruPNON AN D/ORDRAWINGOF PROPOSED DB/ELOPi'ENTPropaslng levelopmet t mus7.fit! ln descripton below ot et,,.ch a sfto dnwlng)
2
E *,5h5 Daq,1-*1-;i+
nls+.J kitsl.
,s
The applicant has described to mtocation re, as shown below, tho dewlopment propossd at ths abve
r t atfl nane no objedion to this proposal
3@*l
I undeGtand that a pier, .dock,bac* a minimum distance of 1
wish lo rr,traive tho setback, you
/w,do wish to *aiv€ the 1d setback requireme .
-
I do not wish to waive the 15 setback requirement.
Omer lnformation)(Adjacont P
Signatwe
Ptinl or Namo PintqTWNamo3\3at (l',"n.tn/ )
Addless
Number
Dde
must bo., s6t
me. (lf you
ropsrty Ovynar lnformation)
2tg ?*
VoI'
Dde
R,1a^. -b^lt. qo* g'.a Jc-n r. Xo.,
in
(nfividual
lUIL
N.C.
(Revhed 6flW012)
ADJACENT RIPAHAN PROPERTY OW}IER STATErEUT
I her$y corlify lhat I o\ rrl proparty adjacent to ,s
Orvner)
Iocated at
ness,
on N.C.' W.terbody)(CitytTown andlor Gounty)
ErtL5 Da,L.+L ;{+
5ot-.Lot Block Road. etc.lFr"ar-,A 'T t1<-
Tte appttcant has dGcrlb€d b me, as shorrn beloir, th6 doElopment prcpos€d at tha above
loceUq/V I tlavo no oq€dion to lils pmpooer.
' __ I hwe oqg[{iom !o thh pmFrEt
J lr+
r
ts+
lunl p-f,
WATVER SECNON
I understand that a pier, .docK moo ring piling8, brBsl$ator, boalhouse, lG or groin must be set
back a minimum distance of 15' from my are3 of riparian access unless waived by ma (lf you
wigh to waive
/,4u
tlg-s4back ylu must lntual the approprlatc bhnk belo.w.)
s/24/2b
I do wish to u,efu6 the 15'sotbacft requkem€nt
_ I do not wish to waiw lte lf tetiack r€quiEmert"
(-l'
ily Ovvncr lntormaton)
of Name
(Adfircent Property Orvner lnformdon)
l.o. P. Sta"rrelr'-sff&i- p. l-ptt"tl
Dat
,f (r..k l)'.
e753t/
'/d/.'g
tr*i*
'Dd.
(Re,.isod 8AWO12)
tn
DESCRIPIIOil AND/oR DRAWNG OF PROPOSED DEYELOPTE'{T
(lndvLfual propalag Mopment mud, fitt h deiuipton bCov ot &c!, a
',to
Mng)
R\a...- D.r.1q{ g.^" [-. r. "6o.,