Yankosky, Olivia 80503C

--� AMA / Jt DREDGE & FILL 80503 A B CC D
NERAL PERMIT Previous permit #
ew )Modification 'Complete Reissue Partial Reissue Date previous permit issued
As uthorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of en ironmental concern pursuant to I SA NCAC [
�7ules attached.
Applicant Name_ Liz_ G'n � � � Project Location: County „ Cf �''r -1
PP __-
Address (� 'jT*x'r �t�r y� � Street Address/ State Road/ Lot #(s)
City 0/ U +'` �' ~- State AL ZI P .P-
Phone # 1 E-Mai!----.._ Subdivisio -
ti
Authorized Agent - Cis' r P ZIP f'
i �A ice, ES © PTS Phone # River Bas t r
Affected - r ( ) —
AEC(s): {]EA MHF L IM L t1SA ❑1h1/A __
Adj. Wtr. Body f 3 '� - hat man unk
El PWS: -
' Closest Maj. Wtr. Body
ORW: yes l !r i PNA yes f/ no - -_ —
Type of Project/ Activity
Pier (dock) length�'LS U
Fixed Platform(s)i
Floating Platform(s) __--
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel -_ -
cubic yards_ -_
Boat ramp
Boathouse/ aatli
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no -
Moratorium: n1a yes no
Photos: yes no
i
Waiver Attached: yes o l-=
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed
I
-N .
�e PermitOfficer's
61XIO trA
(Scale: I ;
f
A
C' See note on back regarding River Basin rules.

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 [)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 thatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
. Tar - Pamlico River Basin Buffer Rules _.j 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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mail
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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)

AMA / ❑DREDGE & FILL N9 80503 A B G D
NERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
As uthorized by the State of North Carolina, Department of Environmental Quality /� /�✓[/
and the Coastal Resources Commission in an area of en ironmental concern pursuant to 15A NCAC r(/
❑ ules attached.
Applicant Name O L V ii � �G n ICG/ Project Location: County �c �✓�f
Address (, %/t1)4tf I�'�S G� Street Address/ State Ro'ad//Loot #(s)
City e �" Ui a State ZIP VA C V r
Phone #) Y (— G %S 1 E-Mail Subdivisio n v
Authorized Agent City Z / ZIP oc D
Affected - �A ❑ ES ❑ ❑ El
PTS Phone # ( ) Rivers
OEA ❑ HHF IH USA N/A
AEC(s): Adj. Wtr. Body
❑ PWS: nato man unkn
no)
/ ORW: yes / Z PNA (es)/ no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length V K 'LS U _
Fixed Platform(s)
Floating Platform(s) \
Finger pier(s)
Groin length _
number
Bulkhead/ Riprap length i,
avg distance offshore'i \
max distance offshore
Basin, channel
cubic
Boat ramp
Beach
Other
Shoreline Length / 01[
SAV: notsure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes o —
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Z 7& //'G,C k �2
n C, L/
Y-1 It,
Agent or Applicant Printed Name Permit Off cer's j
C/
'*Pleazereadcompliance statement onback o(permit Signatur r
(A ication Fee(s) Check# Issuin to
dv/'-1
(Scale:
L\ \
❑ See note on back regarding River Basin rules.
C-
Z

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 ])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, certifythatthis project is consistentwith 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
252-808-2808/1-888-4RCOAST
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, INC 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:HPortal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

NC Division of Coastal Management
Cashier's Official Receipt
—Ryan
Received From:_1k,1ilAr Q11M YAd"}.
Permit No.:.&h�`�G J j
Applicant's Name: 931"
Project Address:
13983 A B DD
Date: _L�(,t� po g0-
Check No.: a?39
County: Ca_folz r
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Signature of Field Representative: N
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Date:
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RECEIVED
APR 26 2021
DCM-MHD CITY