83106_Jesse Goins_20210830

OCAIVIA/ ❑DREDGE & FILL PTO 83106 A C D
0
�GENERAL PERMIT L 'P 1-- "' 9 Previous permit# - A ,
>' 2Klew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued _. fr ,//:
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 i) �` / , /— 41 •
/� � �/ ❑l ules attached.
Applicant Name / ' (�` e ( 0 I fr+ f Project Location: County , :- ,4-�-
Address ✓2 , ( E'�'r•-1= 77/0„,r-,r L t c. Street Address/State Road/Lot#(s) rfl ,_j 6L...,., ,_"� -f"E
City f. c?,4/rfr' 4 �r- State. /7C-- ZIP, -ire -;-c%1''2
a
Phone#„(.)µ? �� k') - ` 6.i''''' E-Mail ---- -�� Subdivision s.�t. `., 'f
J r�i
Authorized Agent,--•----""""'"' -- City 7�)�:c ., 6 r ZIP ,,`-='-- /f f t� 6-�
Affected ❑ Vb Cw ❑`E El-PTA- ElES ❑PTS Phone# ( ) < c ,r'/t »r
_- ` River Basin / f
AEC(s): ❑oEA ❑HHF ❑IH ❑usA ❑N/A Adj.Wtr. Body /`' ' , e U• i c (nat /man /unkn)
❑ PWS: �,,'-` /. / /
,� Closest Maj.Wtr. Body '"-'"" f°' -% orq ri
ORW: yes / no' PNA yes /f, no."..^' I
' t /� // /fir fr {.
Type of Project/Activity ;/"ri''1r�,,p 1/c c // 1.:- ] i ,, S7,All ,.-°✓ %%•- ram,`- ;--),'u'' c` .,-,c
4- _"9'r°/ (Scale:.' ji. J
, � )
Pier(dock)length -'-- f a) ;9
_ i i
Fixed Platform(s) - 1 I ,� / h f i i f
Floating Platform(s) ---` Y/ /( j r1 +' I j
v
Finger pier(s) _.� r-t -i-`--y t 1 L t. _ 1 _„.i i
t
Groin length lillY
- 11 Ir , 1111
- --
Bulkhead/Riprap length ---'- milal - —�-I i •. -
avg distance offshore 1 ■■ a i . ®, ■ J MEM MIL
max distance offshore -
Basin, HHHHHIIIIHL filliiimilli IlIlIHIHIlI i I
I ' j I j
•
cubic yards - -___ i i IIIHi` +�i
11111111111111
Boat ramp 1 I ! • i
IIII j
Boathouse/Boatlift)7.J'- /,7 I -----/ ''�'``t - 19-- ........_ 1i r, tipII , —
aril --_ill , I lei T - .. _I ..
Beach Bulldozing --`- — I
I I
Other .--~,.--- 1101j
-- , ;= u 111111111111111u..iai.....maaa....mt�.©�w�
Shoreline Length : i' IHIHI I i 11111111! t✓L j tie' HI.. i 1/'
SAV: not sure yes�;no - .� ,-
j'
e
Moratorium: n/a yes no"" _I---- _.�_-.. ` - --- �."-. i' z.,- c,,.,_( , ..-
Photos: yes (o' I I • \.': • : ; I ._ - j j Y'
11 ( 1 MM. ... i i
Waiver Attached: yes no A building permit may be required by: ,• t'/� (+/
6! -• %' . I I See note on back regarding'River Basin rules.
(Note Local Planning Jurisdiction) f
Notes/Special Conditions _re.-)f" ( Y./ , /..2t/
Agent or Applicant Printed Name I A Permit Officer's Printed Name r
(4 I D{�
( J ,t%�f 4=ate...- �;.r'
Signature **''Please read compliance statement on back of permit** Signature ' ,r
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 (252-946-6481) 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 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
252-264-390I 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

„ . , . .
0 . , , • .
.,/- . . . _
IcAMA/ Ill DREDGE & FILL ' '. '
J.-0#1SCII I 19°I ” N°. 83106 A. 13/ C - '-D •
GENERAL PERMIT Previous permit# ------ -;' •
----:--LINew 0 Modification El Complete Reissue 0 Partial Reissue Date previous permit issued ..,,,, 27/
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 5A NCAC C.; ' f ; f -• ,...,' — • .. .. - - ,
- 0 Rules attached.
.,.., • :i ,-
Applicant Name , ,-- , _. 4-- ( -.-.. ..., 1 I • I Project Location: County ,/,'. ,--i(-.. -
.,.__
4
, , •
Address ,.-.:5/-,:::' • - i' ,, •.• , ,- ,• 7- .-• ,. . Street Address/State Road/Lot#(s) (/ ,/ ,
, / /"
City -V,• .,,----- / ,--/- State .,-'C ZIP .-,-:': 1 _2--'
Phone#(:' :. ') ? • : ,. E-Mail - .--— ---. Subdivision ,. ,,.- ,/' ' •
., . .
•
Authorized Agent----------- City 7 .; ,-. i , ZIP ;./ -'' z:-.-,
,
D CW DEW 0 PTA DES D PTS . Phone# ( ---)--- River Basin . • /5
Affected
,--
0 0EA 0 HHF 0 IH 0 U DBA, N/A . ,.„ / • ,---
AEC(s): Adj.Wtr. Body / ,- • / , ..,--(, ,. / -,-/ '(nat /man /unkn)
1=1 PWS: ' ,.„...---/ /
Closest Maj.Wtr. Body .--' . - • • - - • '
ORW: yes too' PNA yes /49...
, . /
Type of Project/Activity ,--1,1. , . / ,, .
.- .. ..-.".
,,,. . /
I (Scale:i i '
. i
Pier(dock)length --- _ r:).
I I I •
Fixed Platform(s) - ------• I I :JO; --
1 I
Floating Platform(s) '' I-- / I 1 I• --`2,-- --- I
Finger pier(s) t,,,,, . i._1 , I
t' ' : ; : I, . _ f_ . ,
-- - • :.-.7- I •
Groin length ----- , . • I i I 1 , -- "---1 • ---''''' Ii
•
number ' • . _f_j,_„,: • I 1 - ____ __ I '
,
I— I j •
Bulkhead/Riprap length • - ----
1 --,------
avg distance offshore • '
.
max distance offshore - . , ' I . ,
.. I, ! . I •
Basin,channel -------- I -
I 1
. ,
. _
cubic yards 1 I . - I , it I I •
I
1 • 1114 .'•;1. j
Boat ramp _1;--
I I I
I . . £ ,
.7 1 1 I I
Boathouse/BOatlift 4
/ _ -,._:-_,•‘,._„, ... , ''ir 1- I .1---I----.
- -- / —
1 _ .
—
Beach Bulldozing --- jI 1 — 1 1 i
I- i
Other - -----
I ; , J1.-: i I I i .
!
------ i 1 ;
. .
: .
1 4. !4'• 1
.4.4 ! d:L•ls : '• • I
Shoreline Length •'6'0 ' 1 •
1; '-•, 1 .
. . I • / ,'' •• • ' lir 1 I......,! ...--
SAV: not sure /yes no '' ' ,-, , j .1-- , /f4 i 6 11•I
...-'
Moratorium: n/a yes i no : -1-- '-'- - ' II• --I ' ''''.--'' - -1•• -1--"-----17, . . II- • --. ---'-' ..1 j•:I -7-7(--: '- , •".,-±--L•-- I I
1._--'
Photos: yes -no I 1,1 ___, _ _-___ _____I I . _ :,, -,,j/I-. i.7 - 1 / t• ,J,• - i I
i --I- r-r---1
____.
1 1
Waiver Attached: yes in?
.:
A building permit may be required by: ' /[.' 1 e .f e.•.,-. ' - .
0 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions , , i i"-" /.---"'11-C.-•
•
•
._- .....
/ ,,,,..- ,,,, z .
-..c 1 ..-, ,, / 7• -/
-_1 '- — ..,... -, i, ,.„,_ •
.
Agent or Applicant Printed Name PermitOfficer's Printed Name
' .1'1-•-' / ; ' i . ..,•4- .,. • •
-- Irj:•-•-'' .. . .•
I.""---,f,:l. '• . . .
. . .
Signature **Please read compliance statement on back of permit"• ' 'Siinature -- •
, .
/..;', '; ':e
--'..'-' iffir,5T,,).!'7 -/
.'::f 7- /7----7 i . ' / •/,',-, .-',-:.,,,,":„..-:'/ .
Application Fee(s)..- ' Check# • ' . J 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:
n 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(9 I 0-796-72 15)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
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390 I 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENTST .
I hereby certify that I own property adjacent to J SS. VOE lid,,njs 's
7 �Jbu/�O/ �� (Name of Property Owner)
propert ocated at
�Q (Address, Lot, Block, Roa ,etc.)
on AmIC� �1t14'\ , in /P,AG71p�� , N.C.
(Waterbody) (City/Town and/or County)
The app'cant has described to me, as shown below, the development proposed at the above
loc,
El I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWINd OF PROPOSED DEVELOPMENT
[n Q ividual o ro 0 o sin a deve!o o menf oiffOrlillfix descri o tion below CSC attach p si
es 6 ii/PW La/'T
,1),)
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.
It If
I do not wish to waive the 15'setback requirement.
(P •erty er In/�rmation) (Adjacent Property Ow er Information)
S V ' o z
/astie 1\0 Signatt -
Print
s911 TVype A Djr )fle7ws id Printo f l 7
Mailing Address Maili • ;':dr s
/Wid
City/State/Zip 6/e/K' ø
City/+S�vb q 2Telephone Number/emaiTaddrreess Telephoneph Number//email address �J
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT/
I hereby certify that I own property adjacent to &SSA J C��"Q / �'J S 's
5 '� p (Name of Property Owner)
property located at p'�
�d(Addres.s, Lot, lock, Ro , etc.)
on (P- .44,q) �U 1v(9 , in R ` C? jc _ , N.C.
(Waterbody) (City/Town 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 objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
lndivrd al Q ra a osin a dwelt,o ment i813 descri a tion below CilL.9523A)0a2 drawinAryt
poit L ; fi �It'd
o 1DG C
J.,
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.
(operty Owner In •rmation) (Adjacent Property Owner Information)
/•�/ � j ' ,%
Si,n ature
1 Signatc •e�
J t\SSC J d J 1✓ S r O beJrt, I D 44
Print y�,iV �n7,0�e 4dEes Print'Type13on i�3
Mailing�1¢/Idr�ess,�e� / 4.570, Mailing Address
i(/ U/ ICSC cra atID ke , .2-79(a0
City/State/Zip City/State/Zip �0 (Om
ZS'Z 5)y ��.� 2-5-s'-222.r itun oeraco ya
Telephone Number/email address Telepho e Number/ mail address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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