73758_Joseph Daniels_20190513

XCAMA / W DREDGE & FILL, No., 73758
GENERAL PERMIT Previous permit # B C D
ANew L.-IlModification L]Complete Reissue [�-]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 7 0 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NICAC
C?o Rules attached.
Applicant Name
- , k % ex-J"N . . ........... .. . . . .. . . .. ........... . .. ...... .... ......... . ........ . . ...........
, I'v Address Y
City— ..... . .. . I. . . St�ate ZIP
Project Location: County, . . . . .... ... . ......
Street Address/ State Road/ Lot #(s)
. . . .. .. ...... ........ - . .... .
, i� �� (,,� , �,L , i, , Subdivision
Phone#(",
Authorized Agent .. . .. ........... .... .
- - --
- ----- - - --- ------- --- ------------------- - - --------------- --- ----------------
---- City— . ......... ....... . .. . ...... .
- -
ZIP
�6
E) Cw [A Ew
Affected
NJ PTA IYN ES [E PTS
Phone#
River Basin
Ll OEA L HHF
AEC(s):
0 IH I UBA D N/A
Adj. Wtr. Body, ---______
F-) PWS:
... . . ... ..
Closest Maj. Wtr. Body- -
ORW: yes/ no' PNA
yes t
Type of Project/ Activity
L,
(Scale:
(,I)
Pier (dock) length
Fixed Platform(s) . .. . ..... . . . ....
Floating Matform(s) _-_.__-----
Finger --pier(s)
Groin length
.........................
number
Bulkhead/ Riprap length
max distance offshore
Ma f
Ichannel 1 '2 "1
cubic yards
Boat rarnp
Boathouse/ Boatlift_
Beach Bulldozing
Other
- -------- - ------------ -
Shoreline Length-
SAV: not sure yes npl
Moratorium:
yes no
Photos: no
Waiver Attached: yes 6
A building permit maybe required by: See note on back regarding River Basin rules.
( Note Local PIlanningjUriscliction) T�A Notes/ Special Conditions 4 f ........... .... . . .. . ..... ....
Yl J'A J LA, 6 ""J A C f, 4A
. .... ......�­" I , 1,11) 1 111 (,(,
", , , 7�, . ... ......
P I ,
eAgol6of"Ap licantirinted am
. . . ........... ................
sig0tulr Plls'e read compl iance statement on back of permit
.......... .... . ... .
Applicafion Fee(s) Check #
. .. ............ " I
Issuing Date
Expiration Date

<7
I hereby certify that I own property adjacent to
(Horne Of Property Owner)
property located at LJL(e T[�t,
(Project Site: Address, Lot, Block, Road, etc.)
t,)A
on
(Waterbody), (City/Town and/or County)
Agent's Name #-.
Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal. ----------
vmm���
D DEVELOPMENT
W� afla! psi Wing)
I�iT
L( FT
a rJ
n-
T- Z
L
h 69 n h n d you must notify the Division of Coastal Management
se '
c"OElisabeth
s ' 0 w a' is be' g propo. notice, Correspondence should be mailed toad S,
hn dayreceipt
ce t of this
within
it 0 -5 of r C ip CM representatives
resentatives can also be contacted at (252) 264
if
ve 0 g N , 27909- D �p
DCM) in writin C
Griffin St. 0 300, Elizab h t
St Y' s 0 ob ection if yo u . ..... . have beery n notified tifie d by
n _Certified Mail.
3901. No res onse is considered the same a
(Property Owner Information)
LUC--
sighb turd \�
Lou Y--n
t C-"
Print or Type Name
Mailing Address
CitylStatelZip
Telephone Number/ Email Address
2(AdJace tProperty Ojwwn,,eir,.I,,n,,foirmation)
. ......... ... .
Signature*
lelle-1-14AI Avvw
Print or Type Name
/-.o . Y—
Mailing Address
(Tfty—lState/Zip
Telephone Numberl Email Address
Date*

11:9 1 kTA %I
I hereby certify that I own property adjacent to
property located at J:, I
(Project Site: Address, Lot, Bilock, Road, etc.)
)!�� --, N.C.
on in
(Water body) - (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
,OPOSED DEVELOPMENT.
fA c - U (J (C--
FT
L
r T 1 r
have ob c n what
being
proposed,
you must notifythe Division of Coastal Management
e. Correspondence should be mailed to 401 S.
ve "' tlo s to w days
e e Pr of this notice
'You hi d s of rec ip
DC in writin within
10 Y C DCM representatives can also be contacted at (252) 264
g t N 27
M
ri St, S e I zabe h City, 909 repr au have been notified by Certified
Griffin � t 300, Elizabeth
3901. No es once is considered the same as no ob ection if y
(property owner Information)
Sidda turd \)
L-5
Print or Type Name
t( i-A -,-
Mailing Address
citylstatelzip
Telephone Number/Small Address
- 1 5- -- q - H
(Adjacent Property Owner Information)
Signature*
Print or Type Name
4 - �-o .1-HK
Mailing Address
citylstatelzip
Telephone Number/Email Address
Date*

WK914 ZU MIN
Fil 211 1 9 Al IF
11 0
14 no
I hereby certify that I own property adjacent to c-o
property located at
(Project Site: Address, Lot, Block, Road, etc.)
on in N.C.
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
------ -------------------------
------------------------------------------------------------------- -------- I ----------
DESCRIPTION AND]OR DRAWING OF PROPOSED DEVELOPMENT
Tr b
OtAT- nQ
tc) el Fl- I
r--> e)A---( -
e
If you have objections to what is being proposed, you th must notify e Division of Coastal Management
(DCM) in writing, within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no oAjJaction jiEnu have been notified Py Certified Mail.
(Property Owner Information)
Sig turdd,\�
Print or Type Name
Mailing Address
citylstatelzip
Telephone Number/ Email Address
(Adjacent Property Owner Information)
Signature*
Print 6r Type Name
Mailing Address
— klpecl5
CitylState/Zp
Telephone Number / Email Address
-5'-9- Iq
Date
Date*
1- M17

E..
t I own property adjacent to ,
I hereby certify that p p y j
(Name Of Property Owner)
property located at
p y
(project Site; Address, lot, Bloch, Road, etc.)
on Jn A N.
C.
(Waterbody), (City/Town and/or County)
Agent's Name : Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
M:^M P
DESCRIPTION ,�►N®ICiR pFt,�1UVII�G OF pRppC3SlEwl� CbIE1lEl.�C1p�lEla1'
Darn dp�r�loprirerrt. irrusl fill rn alescriplan blvW arPfach;a arts �drawlr�g)
(1r7dre!Icrr«ilrrp lT
FT -to
Pao
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(I CIIAI) in writing within 90 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCU representatives can also be contacted at (252) 264-
3909. No res onset considered the same as no ob "ection if you have been notified bg Certified Mail,
(property owner Information)
'-C, Sig fur (L
Print or Type Nance
Marling Address
CitylSta te/Zip
Telephone Number/Email Address
_cl--Iq
(,adjacent Property Owner Information)
Si.51nature *
Print or Type Name
e
Mailing Address
vL -P . e /Af
Citylstatelzip
S L - w ( C-)
Telephone Number/Email Address
Date* „�

rig

I
WC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Zosev)r\ bcz A-,d s Permit #: 17 IS-7
Date: 15
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet,
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose, One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
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imnmPtamniintl I
famnimnnntel I
nmniint%
S�416k, '&�rU,
Dredge
FRIE]
Both [I
Other El
(0
Dredge El
Dredge Cj
Fill qR
Fill E]
Both E]
Both El
Other E]
Other [I
Dredge E]
Fill E]
Both E]
Other E]
Dredge El
Fill Ej
Both El
Other [I
Dredge 0
Fill Ej
Both R
Other
Dredge L]
Fill L]
Both El
Other [:1
Dredge E]
RI C]
Both []
Other E]
Dredge El
Fill El
Both El
Other R
Dredge E]
Fill Ej
Both 0
Other E]
Dredge []
Fill [I
Both El
Other E]
Dredge [I
Full El
Both C1
Other 0
Dredge ❑
Fill E]
Both E]
Other ❑
Dredge ❑
Fill L]
Both El
Other El
Dredge [I
Fill E]
Both C]
Other C]
252-808.2808 :: 1-888-4RCOAST „ w.ww, riccoastairna9agement, net revised: 0210300