Salsbury, Mary 79526C

AMA / ❑ DREDGE & FILL 1V 79526 B C D
#ati,,d
NERAL MIT Previous permit#
❑Modification omplete Reissue ❑Partial Reissue Date previous permit issued
Asy the State of North arolina, Department of Environmental Quality %�
and the Coastal Resources Commission in an are of nvironmentaI concern pursuant to 15A NCAC / v
C❑ Ryles attached.
Applicant Name � �� 0 % Ur"-1Project Location: County
PcY
Address 1 Q y� L
City U k (t / State ZIP
Phone # RV 2 -Mail
AuthorizedAgent G^'V-t
72
Affected '�y7-ggW �EW �A Li ES ❑PTS
: ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock)length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Groin length .I 1
number
Bulkhead/ fliprap length �
avg distance offshore
max distance offshore V
Basin, channel
cubic yards GP - LTC
Boat ramp _
Boathouse/ Boatlift -'
Beach Bulldozing v
Other
F—
Shoreline Length
SAM not sure yes no -, ---
Moratorium: n/a yes no _
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
X
Agent or Applicant Printed Name
Signat s"r Please read compliance statement on back of permit**
// q)570 '
App ation Feels) Check#
Street Address/ Statpoacl/GLot #(s)
Subdivision
City --CV (U �t /Yr ZIP PV
Phone # ( ) River B i, (y�w�/
Adj. Wtr. Body l f CL man unkn
Closest Mai. Wt.. B_d, nk-\- U"`7
Issuing
(Scale:
❑ See note on back regarding River Basin rules.
Name
/z/ 7/3olZI

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 isinspected for compliance. The
applicant certifies bysigning 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
Iandowner(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 Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-41RCOAST
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

AMAi-IDREDC, &r j�i A B (C rD
N17 IAL � T 11T ou51):
ew C odification Cos to Reissue ❑Partial R( asue )revir It issued
As authorized by the ` ite of North C Ana, airmen of Environmental ('uality I lrCJ
and the Coastal Res,, ^es Commissio I, 11 `f environmental concern I �rsuant t 5A NCAC ( G/
/ t es attached.
Applicant Name f �Gr l/y"'%P,t :Iccatior: C &"t-A
Address_ �� c��C _. G __. St Tress/'
City ��f. '�/�C✓ Sta, ZIP 0- 1M-S X'
Phono # _ fl O_ /_ _ Sub ,n
Authorized Agent ��U '�' City (J` Ut-
Affected F1PTS Phc , # (. 'sin f
AEC(s): ❑:PWS: ,tutr- n El N/A Acb;.`.'/utCody___„at!lman unkn
Cl"
Alt:
ORW: yes / no PNA io ..
Type of Project/ ivity _
Pier (dock) length
Fixed Platfonn(sJ11 —i--- ) C.. 7 -�
t
Floating Platform( s)
Finger pier(s)
Groin length
number
_ 1li i
Bulkhead/ Riprapl.,
avg distance of,
max distance c.
Basin, channel
1 i
J
r
cubicY ands `, r t )
Boat ramp )
Boathouses 6oaddt
Beach Bulldozing
Other
t
Shoreline LenLth_ - ) -
__� r __
SAV: not sure
r
Moratorium: n/o
Photos:
t
Waiver Attached:
A building permit my r _ / GV i C/C,�'r(l� .. on ,g River Basin rules.
( Note Local Plani )g; ..
Notes/ Special C id -,n,, Z'�✓/`., ,..'(ir vy
, Agent or Applicant Pi 1cd
Sign k orpcu t
z App onFbc(s) I CI -xpiraL on Date

P 'I
he eb ,orl 'y
proheri loc, it
on I1,
rl
The ap, 'iear t 1'
loce'io'
ur ier and Mier
mue 1 el i nir
me'. (If a �A *
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I n
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r
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irk. S
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lid
'T RIPARIAN PROP' 'Z'I"'
-perty adjacent to / ` t/ ---
-to
� ddresa-Loi,
1 f
d to me, as shown below,
lion to Ih's propos;1.
ms to tl s pronoso!.
!opmentmust
k moo Irl,
� distan(-� uf ' fr, .i n
setbacl , . mi t !.
�e the 1 selaaci
waive the
ear aftc ' , 'oll lr-:
t_F,T
N,C.
'lor C
-ro;',
!he above
i-Or
^ (Irawing)
CS
�za
.e, , O
or groin
valved by
,lion)
LL G
7. 2014)

r�

ADP"' "' IT RIPARIAN PROPERTY OV" f _ MENT
here' certify That I ov-) perty adjacent to ti \ (u-, �_ "J " V
(h m );.rty Ov
grope 'located at
( (A dress, Lot, Bloc )
on _.- _ ( �'-1� in i-e..' N.C.
(kVatorbor City id/or Ccc
The a;,-'icanthas descri! I to me, as shown below, the lo, it propw Ahe above
loce i
I have n c ction to this proposal.
I have o'. '- ns to this proposal.
DE,"CRIP ANDIOR ORN^TIG 01" "i DE' _LOPrr,
(In(F lal pro ')sinr If 1�l•ment must fill in doscri )w - attac drawing)
"ej,
'� pR 2 6 2020
Cl
WAIVER S�CTIC"
undo land th t a pir mooring pilings, boat ran a vater, boathc 't, or groin ;
mue' set ba(' a mi li,tanc) of 15' from my ar rian ; ,ccss-,aived by �
me. 7u wis!, )—a c' ,ac'r, you must initi. ! ' late 1 L-ink b
I d iv '11 e the 15' setback require
r
I do not e waive the 15' setback requ;,.
Pr' vQwn... - f, (Adj��wt�cnti0n
- (20,
Pfiw 'pa Mi me'
Mali, ddrre
Citt Lip
-- -t;'
Tee Nur,,._ ; v or,
Cu
2014)
Ad I_ aft( sicgnaturc`

A(, "I `ZATION FOR CAP
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