Best, Alton 79593C

�J'116AMA / DREDGE & FILL N9 79593 A B l ` .. D
GENE L PERMIT Previous permit#
Ofsfew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I / / I 6
10
and the Coastal Resources Co mission in(}pin area of environmental concern pursuant to I SA NCAC c./
❑ Rut es attached:
Applicant Name (( ^ 1111, ��1. Project Location: County
Address U IfStreet Address/ State Road/ Lot #(s)_
i
City / r r State 'v`( ZIP
Phone # (, � ) /3? — _ � I E-Mail Subdivision
Authorized Agent
❑tW
❑PTA ❑ES El
Affected
_UCw
❑OEA
❑HHF
❑IH ❑UBA El N/A
AEC(s):
ElPWS:
ORW:
yes /no
PNA
yes /-no ,
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead[ Riprap length.
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Boathouse/
Beach Bulldozing —_
i I
Other - - -
I i
Shoreline Length
SAV: not sure yes %no,� !
i
Moratorium: n/a yes 'no'
_1
Photos: yes no 1 i
Waiver Attached: yes no _
A building permit may be required by:
( Note Local Planning jurisdiction) l
Notes/ Special Conditions ", `
city
ZIP ,G ` r"
Phone # O_ River Basin ' ` ' ' i
Adj. Wtr. Body l `
Closest Maj. Wtr. Body /
✓/I
(nat /man /unkn)
(Scale:,,,,/ /
�/ "d'"� ❑ See note on back regarding River Basin rules.
I' "
Agent or Applicant Printed Name / Permit)
"T
Signatur Please read compliance statement on backofpermit" Signatt
Application Fee(s)' Check# Issuing
d Name `

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 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
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 ❑
❑ 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/ 1-888ARCOAST
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

I hereby certify that I own property adjacent to owner)
_ (Name Of Property
property locatedatCir,"C i C'
(Address, ot, Block, Rypd etc.).
�1(i:rke" : Ls ct. N.C. .
on (VYaterbody) (tygewn and/or County)
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 obie�Sionslo thi�oroo_c��al-------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing deve/opment mustfifl in description below oraffach a site drawing)
/-..LAW-k 1- •t.,�--�-,------------ -
y
y2 '
wAIVrAECTI.ON . ---
- I understand that a pier, dock, moor ng pilings, breakwater, boathouse, I'rft, 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 wa. e the setback, you must initial the appropriate bW do below.)
1 do wish to waive the 15' setback requirement -
I do not wish to waive the 15' setback requirement.
(Adjacent Property owner Information) ,
(Property Owner Information)
Signgfure �� Ciof 1(e ��11I
J i L 1 i T»'S't"
Print or 'ype N�e
P t9rTypeName 131 ECKk `l(
Ma mg . ress
Mailing Address -, r u=� I V 1"
f i S( d � c. N C,. Ctnty/Staf ip flr kc-r
City/S/tate/Zip . - (a�7 d 1 rj a�J 3 rl,76
Z '7 'z - r� S /� Telephone Num er
TelephoneIVm 7r �So�Z 1
` �� Date
Date RECEIVED
(4s0sad 6/1 R/2012)
AUG 0 2 2021
DCM-MHD CITY

y' V

Iq
I hereby certify that I own property adjacent to LSD �j l°5 l s
(Name of Property Owner)
properly located at & qWCe4'� -_r d1 NG
FACk sr AW (Address, t, lock R"1"S etc.)
on T> , in �ard1- N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to. this proposal.
I have obie _' __ fmposal-------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development mqst,f, in'�escrlption below or affach a site drawing)
f 68
K
Pro Po s r 11,7-, .,y k'O,J�
_ WAIV SECTION . - —
I understand that a pier, dock, mooring pilings, breakwater, boathouse, Oft, or groin must be set
back a minimum distance of 15' from my area of riparian aaess 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.
(Property Owner Information)
Pep-
SiSn/'7 f"f^rP6
P t olType Name
�K 5-7(o
nl c 28'6-3/
6-5-10
Telephone Number
`i: 2 0 k I
Date
(Adjacent Property Owner Information)
Sig ature A)A f 0 Q � O N CA'OC3
Pr-�t?r1i avc-�we. �r
nl c 27YOq
2lo- 2v59
r/36zi
Dare
RECEIVED
AUG 02 2021
DCM-MHD CITY
,Revised 6/18/2012)

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