78194A_Flanelly, Michael_20210520

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A6WA / X DREDGE & FILL N9 78194 B C D
GENERAL PERMIT Previous permit# '7 LJ 6
❑New ❑Modification XCompiete Reissue ❑Partial Reissue Date previous permit issued GZ(ol !Ct
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' ���
Rules attached.
Applicant Name i(1, r me Ttaneftsj Project Location: County tier i��
Address � U • OX :2 d9 Street Address/ State Road/ Lot #(s)
City Mey-n-.: t ti [1 State W_ ZIP 119 5 ko r2.i-� -OF. C me. 0
Phone # E-Mail j�
f11t 1 Qh nL' icy • i Subdivision kox* . �K
�r � �1
Authorized Agent City M CIY 4 ZIP A-7 92.5
Affected D Cw E EW A PTA p ES N PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes KD PNA yes IQ
Phone # () ++-- J River Basin C ►l6i.t��+ 1
Adj,Wtr. Body C.It!?AgA F-4-P Q)/man /unkn)
Closest Maj. Wtr. Body —.--A I��ke
Type of Project/ Activity A -Lie .1 ) 60 i & 1 t a1 Ld / 06 f or 91 Pv-ct lJ
w_�\ )0 bkx if Z_= 15!NX (Scale: � = 30 � )
Pier (dock) length
Fixed Pladorm(s) _
Floating PWorm(s)
Finger pier(s) ^
Groin length
number
Ikh RiP@p length ( 00
avg distance offshoreO
max distance offshore
Basin, channel n
1
cubic Yards 1%
Boat ramp
Boathouse/ Boatlift
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Agent or Applicant Primed Name !
Signature 'F° Please co pliance s tem backof permit—
Application Fee(s) Check#
aAA* I �, lree
Permit P%rinted Name
R G ,
u 9/zQ�Z�
Issu'stgDate Expiration Date

INUI
R STATE
I hereby certify that I own property a jacent to /�, L�l k ✓L 4-A 's
1 / �/ r N /�v �( Name of Property Own r)
ro ert located at I l -I ►W
p p n kXJ?K, 1� 1 J � (Address, Lot, Blo ooc.)
on (� in _ q
V t , N.C.
(Waterbody) ( ity/Tow and or County)
The applicant has described to me, as shown below, the development proposed at the above
7loc do
. 1 have no objection to this proposal. RECEIVED
I have objections to this proposal.
MAY 2021
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a sibt!O c
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must initial the appropriate blank below.)
'\ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro ert Oyv er)Vormatio
SignaAte I � �14
Print or Pf
- ("V ` �e 1 1
Mailing qfts i
City/State2ip Z is
l
Telephon�N b/ ail Baal
Date V 15 u
(. jacent Property Owner Information)
ig�utitr �I
K�
Print
T�--ge �7 r
Mailing Address l ��
I46_ lei 27f'-577
ity/ tate 7.i . .._
2_ 2 �Y3
Telephone N4rnber/email address
Dare
*Valid for one calendar year after signature*
(Revised Aug. 2014)
11

ADJACENT RIPARIAN PROPERTY OWNER STATEM - T
I hereby certify that I own pr�plertYWPV' 5gnt tp `
`11 ��CC`"�� ��pV• (Name of roperty A ner)
property located at
(Address, Lot, Block, Road, etc.
on A�4�� , in
(Waterbody) (City/To n and/or County)
6&VN I
'F-C'
, N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECEIVED
MAY 17 20"
DCM-EC
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wi h to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent Pro
ner intormatilon)
Print or Type Na
J / 6 /� Sly,,,-�
W7
City/st to/1" r
Te/e h ALimbeY ail a Telephone N mber email address
Date Date
4
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AMA / D� q
DREDGE & FILL NO. 73084 ADC D
GENE L PERMIT Previous permit #
lew ❑Modification ❑Complete Reissue LPartial Reissue Date previous permit issued !�
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
ules attached.
Applicant Name 11 I C 1i - rC r J M CLL
Address t i q N, S hOQ C D K
City 1")Llty )) I L L- State N L71P 115, 3
Phone # ( )) R g' 590 E-Mail
Authorized Agent
Affected `] CW PkW 'PTA AS XPTS
AEC(s): ElOEA ElHHF ElIH ElUBA ❑ N/A
C' PWS:
ORW: yes / no PNA yes ei5
Project Location: County 1:-K r2c -_
Street Address/ State Road/ Lot #(s) IN A), s90rzr;­
p-9- o `` N t-177
Subdivision PACK I�PCK
City n -111 L L- zip 7g Z
Phone # ( _) -_ nnRiver `Basin C rl ("J /A
AJ
Adj. Wtr. Body_ �O WA�J K 1VbO nat / an /unkn)
Closest Maj. Wtr. Body0000
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Check #
PermitOfficer;s Printed Name
Signature q
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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 (252-946-6481) 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 Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-41RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth Citv 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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17