30971D - Sherman

0 CAMA / DREDGE & FILL N? 30971—)
GENERAL PERMIT Previous permit #
)�
New t 11rdification 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 I5A NCAC ,/,?D(J
S,}Rules attached.
Applicant Name &6, ti f4-f1`( $1^-PR1r,A & Project Location: County OA/S/CAW
Address QO cif i( DR,vf Street Address/State Road/Lot #(s) ,...> s,6 fi l R,
City '; ^J&A fps C.-€2P'( State A/C- ZIP 2 4,0
Phone # (qa%4 ) tl(ohs• -- .2(vl5 Fax# ( ) Subdivision kt,LA r,. Po,ti 1
Authorized Agent A A.--frityti --iiiet - City .jv %)c cep(`' ZIP tG`/47 v
Affected ad-CW EW VTA ❑ES PTS Phone # ( ) _ River Basin it/474t" C4K
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA N/A Adj.Wtr. Body /'yl4 j)A,i e/( i i4 t( a man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA s)no Crit. Hab. yes / no Closest Maj.Wtr. Body 77U1�1?P SGYrf t f j //t'PL.t �r r v
Type of Project/Activity /ti t l(i/q [Q Ii/ eic
(Scale: / -- )
Pier(dock)length l( v l 3y —
Platform(s) X 16I I ,6'.Kl tc PeAll4"V\ J . . .
Finger pier(s) _
� F
Groin length w%G
number t
,I t
Bulkhead/Riprap length DP .
avg distance offshore -a! S PP <t'; H,'`l)
max distance offshore lit- ,✓r°f lti7// Sy '5
Basin,channel ---I---
. . .
cubic yards ' - - -`. M ti
Boat ramp , .
Boathouse/Boatlift -i --'-
Beach Bulldozing 4_ G FF !vr IZ
OthercIV 1 j
f c
r
Shoreline Length 117
SAV: not sure? yes no ._-__—_-- —---
Sandbags: not sure yes no ;
Moratorium: n/a yes no // 'J A2
Photos: yes no . j'
Waiver Attached:‘,,)) (yes no I —..---
A building permit may be required by:_r A, JO#_i C , . . See note on back regarding River Basin rules.
Notes/Special Conditions fP, ; ,..? Ao fro
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Agent or Applicant Printed Name Permit Officer's Signatur / z T
Signature **Please read compliance statement on back of permit*"r' Issuing Date Expiration Date
�f/ �j v<, S l D 1 k 1`l4
Application Fee(s)%[/CV i .- Check# //p Local Planning Jurisdiction Rover File Name

1
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:
I 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(252-946-648 I)or the Wilmington
Regional Office(910-395-3900)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: 9I 9 733 1495 I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: 9 I 0-350-2004
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 10/05/01

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ON_AL NAMES: .-Mcc<.P2 ' VVOcRINrr- CONS1
=C D=SICT: N.A.)w p T DI✓1=?OP T` ('�- PROJ
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WORK:. PR Li
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ACTION LIRA TION
DRM sue._?..Pi.QUIR: : - ( 6�-���
CA 1MAJORD R Qom, [a. 4k- ol

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-EBTY L NF•
Name Of Individual Applying For permit: S' ,Lc
- er •
Address Of Property: p�0 - C /]Y ', .
(Lot or Street#, Street oad, City&County)-
I hereby certify that I own property adjacent to the above-referenced
applying for this permit has-described`to itie as.shown on the attached drawingthd individual
they are proposing. A description•or drawing, wish'dimensions, shotald be provided with this
fetter.
•
(1 ck /I have no objections to this propose.
1Lhaye J1� F•
ORS in Q•��r- nocpli nlpaeP �;,,-�`
v ngi� _th si_Qf
_ Ln[iflIIed •CPrr,fia•ab 9
I und_rstand thrt a pier, dock,mooring;Pilings,breakwater, boat house lift or sandb a •
Sex back a minimum dis=of 15'from my area of - ariaw access waived by me. (If You
musy
wish to waive the setback, you t initial the-ap opriate blank below.)
•
3 I db wish to waive
-i �� the 15 setback requirement.
I donor wish to waive the 15'setback requiremem.
.
•
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Signature Date E -
Print Name . ............V_.._
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Telephone Number Wit
h tb Area Code pimp.,Cuaouan DnENr bf
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Name Of Individual Applying For Permit .:: e2
Address Of Property: c..5-`> ',j
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(Lot or Street#, Street or oad, City & County)
I hereby.certify that I own property adjacent to tfie above-referenced property.applying for this permit has described to"ttie as shown on the attached p p drawing the The development
they are proposing. A description or drawing, with dimensions, shou be provided with ens
his
letter.
ALI have no objections to this r p oposal.
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if vo i have h.n noon by C'Prti
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WATVR SFf'TiON
I understand that a pier, dock, mooring pilings; breakwater, boat house, lift or sand
set back a minimum distance of 15' from my area of riparian access bates must be
wish to waive the setback, A unless'waived by me. -(If you
youm�nst initial the appropriate blank below.)dii2"-
_ I do wish to waive the 15'.setback requirement
:Iflo not'wish to waive the 15' setback:requirement. -
Allow
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-Pant Name
ia -37 �a � ode NOR- NCDENRTelephone Number Wi h Area C
TH CAROUNA Deptairm.mtrrOF
ENVIRONMF-NT AND NATURAL RSOURCES -

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ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
11 Complete items 1, 2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliven
item 4 if Restricted Delivery is desired. ie ,. i&I , - _e
• Print your name and address on the reverse
so that we can return the card to you. C. Sign. re
I Attach this card to the back of the mailpiece, ❑Agent
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or on the front if space permits.
D. Is delivery address diff- -OP" om item 1? 0 Yes
I. Article Addressed to: If YES,enter delivery address below: 0 No
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0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number(Copy from service label)
)S Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE.r!`\ --- -
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