Henson, David 80082C

E]CAMA / I DREDGE & FILL
GENER/AL PERMIT
ENew IModification EComplete Reissue EPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
Applicant Name
Address
ztP
Phone # (_)
Previous permit # _
Date previous permit issued_
! Rules attached.
N9 80082 A BCD
to l5A NCAC
Prolect Location: County
Street Address/ State Road/ Lot #(s)
E-Mail
Authorized Agent
-CW -rEW -PTA
-] OEA ] HHF IH
PWS,-
ORW: yes / no PNA yes / no
Subdivision
ztP
UES
tr UBA
! PTS
trN/A
Phone # ( )River BasinAffected
AEC(s):Adj. Wtr (nat /man /unkn)
Closest Maj. Wtr. Body
)a
Type of ProjecV Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
-l---:--r
H+
rrr
Floating Platform(s)
Finger pier(s
Groin length
r)
'----:----l
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore
.......1........-.
-#.#l
1
+
IBasin, channel Iu -+
cubic yards -f
Boat ramp 1 l-L--- ! rj
h-i--l-++-.
Boathouse/ Boatlift
ffik*ffi
+-r
I
I
+
+
++
Beach Bulldozing
Other
-1
i
LI
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
,1"l_$il I t*"{**{--"1* t-
iil
no
A building permit may be required by,
( Note Local Planning Jurisdiction)
I S"" note on back regarding River Basin rules
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature x* Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
city- Stare_
i-.-.i
Htt
l_-..1.-....t-
I
r t__"c"
-1 --
l
I
I
i-.i !l*l i L
Tl
-t:]-
-]- T il-I-l-l--t
S6tement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and atached general and specific conditions. Any
violation of these terms may sublect the permittee to a fine or criminal or civil action; and may cause the permit to become
nullandvoid.
This permit must be on the proje6 site and accessibletothe permit oflicerwhen the proiect is inspected forcompliance. The
applicant certifies by signing this permitthat l) priorto undertaking any activities authorized bythis permit, theaPPlicantWll
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 adiacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal ManaSement, in issuing this permit under the best arrailable
information and beliei certirythatthis proiect is consistent with the North Carolina Coasal Management Program.
lf indicated on front of permit, your project is subiect 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 Olltce (252-946-648l) or the
Wilmington Regional Office (9 I 0-796-72 I 5) for more information on how to complywith these buffer rules.
Division of Coastal Management Oflices
Morehead City Headquarterc
400 Commerce Ave
Morehead Cit/, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
752-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
E othe.:
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-6481
Fzx:252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and WashinSton Counties)
Wilmintton District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - Sor]th of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
River Basin RulesApplicable ToYour Proiect:
Tar - Pamlico Rlver Basin Buffer Rules
-
Neuse River Basin Buffer Rules
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at Itl6 A,l-,u{, r il, lrc (Name
vuc
Property Owner)
,S
(Address,Lol, Bloqk, Road"etc.)f,'u k^nll Slr"prontn , N.C
(Waterbody)(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
K /t I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development mustfilt in description below or attach a sife drawing)
Dre&t lo,{1,'t4 ta" / [^t[t^??l
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. (lf you wish to waive the setback, you must initial the appropriate blank below.)
&n I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
P
Number / email address
Property Owner lnformation)
/u A.-L
Name
(
(- larL
Number /- e) olL
on)
Tvoe Name
e"5v oit 0r.(
p t^U
e
6Date
*Valid for one calendar year after signature*
Date*
T
(Revised Aug. 2014)
l\^,,,il //ro,, u
0r* k^'fl C,,/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ofP rty Owner)
property located at
S
on'Pir..rK"to\\ Shr-,,rn)(Address,
,in
etc
N.C
(Waterbody)(City/Town an County)
The applicant has described to me, as shown below, the development proposed at the above
location.
K f I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing develapment mustfill in descriptian belo;w or attach a sfle drawing)
0 nJv hoil,# ^q, fioill,(,rl
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. (lf you wish to waive the setback, you must initial the appropriate blank below.)
ldo wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(P (Adj P
Print or
formation)
'''fr:::fr' //u,,,t u
Print or-Typ'e'Name
sT /r d,ol, 0r.I w
w'Kn{rf.i-L*StLtt
Telephone Number / email address[4s -tt
eWN;6zrp
Telephone Number / email address
t--lL.t/
Date
*Valid for one calendar year after signature*
Date*
(Revised Au7.2014)
rr1-f)(- 4l-[1