80202D - Carolina

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4,0 r,.,:CAMA/ .DREDGE & FILL I S a S N9 80202 A B C
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GENERAL PERMIT -- Previous permit# '2 l Q
)^ I' INew ` :Modification Complete Reissue T Partial Reissue Date previous permit issued r 19
As authorized by the State of North Carolina, Department of Environmental Quality a S 00
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
Ci a ❑Rules attached.
Applicant Name `A VO k 11^A A-rt c h C)w b vtv.VI Project Location: County t-3 ew I-+Tn 0 OV V
sw.`4h S M
Address , .: � S• 1.tAY�1/.J��✓�G- NC, Street Address/State Road/ Lot#(s) C
City J Y�(� M S V\ 1 E, kOk—i. State ?Jlr ZIP' ,itt
Phone # 110 )a5V— 3'91 b E-Mail Subdivision
Authorized Agent ii Vv.W‘•J !.)O VI' 1 City ZIP
Affected ❑CW MEW II 'PTA ❑ES ❑PTS Phone # ( ) River Basin MA k ( QC,V
AEC(s): ❑O� ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Be,111 -S C V C OY c - (nat /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body 6.Iw WI CetAA^Vi)If tAv+rl
ORW: yes /(nO PNA yes /0
Type of Project/Activity (k\.Xv ✓ I Y C e 'U L.A- -{I J, a M^ -.
(4' CA j - (Scale: i 1 O )
Pier(dock)length -CI I PI
Fixed Platform(s) I
4
Floating Platform(s) q A l.90 1 j I I
Finger pier(s) .
Groin length j
number I 4 _---
Bulkhead/Riprap length I �.` --li-
avg distance offshore "/. I"1(v I j• 1
max distance offshore 1 / Nock k(wt.. '.11 .+ ,_sk, (A% ?4'sdv ' 'Ln, Of '11( t> I ju I
Basin,channel 1 I i
ut N ' ik CIS
—. _ rlyf.( o..,
cubic yards } `+ i 1 K S
: ' i
Boat ramp { I 1
Boathouse/Boatlift
Beach Bulldozing •
Other_ I
i r I
j i - i i
h ✓ ^
i
Shoreline Length i '
SAV: not sure yes no I ; 1 i ft
I� :Fr
Moratorium: n/a yese (v�J�� G ;1 0(�/��
Photos: yes _..._ _ �4.A 4Q L S • Lt l tm( �A S , — i j
1 i i I {
Waiver Attached: yes Ili,� n -
A building permit may be required by: adkiin 0-Cr W N V`,S v1'IQ 1: elA(!ii ❑See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) Q
Notes/Special Conditions 'A • as RV G i, k OC. 1 / S't-p, -t ( i C i-- 'f--e<<e i YeC,('�tQ- vas-
,�9 V1 N D L' . , . si ()" 6'`A.k °V 11J A ()
oc- InAv.1-k_ E I ks
Agent or Applicant Printed Name PermitOff�er'sI Printed Name
Su D = &
Signature **Please read compliance statement on back of permit** Signature N 2-,y _ �- , 3 I '••• ( D G
1 S J - - ,
Application Fee(s) Check# Issuing Date 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.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CAMA / I DREDGE & FILL (J S t CA S k''1,
' GENERAL PERMIT ��- _- Previous permit# to�l i a c 10, Y
I New 'Modification Complete Reissue Partial Reissue Date previous permit issued 9)i'S I i1. r*.
As authorized by the State of North Carolina.Department of Environmental Quality �;OCR e
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC__ I i-\ •Rules attached. "1�'t
Applicant Name CpY0 stIi A ' A( ch __C.1u b ILev.In Project Location: County 1-1 et..) k}ZttoJVt.V
Irv.i441 (-ALA/1 rliit;
yh%vk(_ Ng., Street Address/State Road/Lot #(s) C.
Address �V I 5 1n.- `
City 1 C)VA 0tI L__V1GLylState Ol. ZIP cZi I(!}c't)
Phone# (PC ),?Str_3 1 b E-Mail Subdivision ---------.---
Authorized Agent 3.Ws W y o i�V'{t`l City ZIP
CW XEW )(PTA i ES PTS Phone N ( ) _ ---__ River Basin W V\t }e Oc,k,
Affected OEA , i HHF ; IN i UBA N/A
AEC(s): Adj.Wtr. Body 'FDAl.\k-S -_ c-ViG-h1 (nat /man /unkn)
Closest Maj.Wtr. Body f\IW w'-C miville S' A 'r
ORW: yes / no PNA yes /�o� .
Type of Project/Activity Y('OA,',7- / v.C kD 1 Gt l: AKt• .t (OA 1\0Ci C (1.... C(AOA(I(Ot k v'. 1,t v v' (itte 1:
1S'L0t Ca S ' (Scale: ( " .. 10 r )
Pier(dock)length — �/
Fuied Plarfomr(s) - _-- r &- V;A ' ,4 C C t P [ ' N L —11 N 7'
Floating Platforms) 3 S V . �/ 1 (� if�J G
Finger pser(s)
Groin length _.
number
Bulkheads Riprap length ��
-
avg distance offshore 4/ PI(Y! �` r
MAX d stance onshore / r saaV k(�- �("S ~ it B�X�V kvkyl fJ�►ku..1 r `�
Basin,channel IL/ tYl 3�
F......' \ chew e •ra
cubic yards - -- �N. Ito.1c S
Boat ramp ,
Boathouse/Boatlift -
Beach Bulldozing, \
Other - _--- N :t R
''.' fr
Shoreline Length /.7- - 1 r
SA'J: not sure yes Eili1 it 1/M n C (.oratoum: n/a yes no Q1/0VA6- `(G.t1l')L
r A '
Photos: yes G\u b 4O 1 S. 1s t h AM-
Warier Attached: yes /J �� nll
+ ' r t_7t CA1 [1 See note on back regarding River Basin rules.
A building permit may be required by: ��� Jr- �N�V��S Vt It- � 1 e8 S
(Note Local Planning Jurisdiction) k
(� {{ yy, ( l tfZ"IZ
Notes/Special Conditions 1-4A D-SiJC� Cb-Q1t Q 11 t OC.C: 1 / .S'!Lt i� i Ci k--e-2 'C-Q C�f �i Ye � �S
(AV V\`.' • Nb _Ut Y1\jli, au-OA-64 A
Agent orAppicantPrintkd Per it Off 'sPrintedName
rn Sigwr Please read complia nce statement on back of permit Signature
Application 1- f2312-+ gl5I '— I -- --
(S) Check# Issuing Date Expiration Date
r:7-Irn P..act.!4: ?'

AGENT AUTHORIZAflON F08 ATIO
gAmis PERMIT APPVC tk
/„.
_ .
AV aRT CL.0% ,
AgOLI X1A.
Owner Requesting Permit:
L9.
Name of Pm....„, _natty
AvEtslua
qc)i . miA/A,
Mailing Address: Ljd
plc za4-80
iNgicol-tTaxtiLl-C, 48644-R-.
Phone Number: 9ip
Ai
Uesd,04,11A,C4.17-avatt, °
4 5,,,,,i)Ti4 e-CAIZOLt
Email Address:
#c---i'
..2 ,
I certify that I have authorized
,...j
1 (--/ A ,--(1.1--Agent'!Contractor
to act on my behalf, for the purpose of applying for and obtaining all C.AMA permits
G .F, 1 e„? , .,- _
• ,,..._..1, ..._...i ._
0o L 0
necessary for the following proposed development
...
sox*
PI O DiIc-
-
at my proPertY located at ____ _
11F,
in ik-5 e,k,) Ha 040 0.erCounty.
1
'
1 ruitheirnore ow* that I am authorized to grant, and do in fact grant permission to
t staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in corm .
o
Division of
Coastal
Management
action with evaluating in related t this
1 permit
application.
. .Properly owner information: .,
44. 'Illi ir _ y
gill
Alibk. A r ,414 _ -44141-'411ritP*1
..
Signaure
KeV104 SMITH
Print or Type Name
Ole
. .
Date
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