Moore, Christopher 80430C

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jTqCAA i 41 R�io� FELL N9 80430 A B C°°
1V:NE B+ PERMIT Previous permit#
gjl
ew OMcdllicadon 0complete Reissue Elpartiai Reissue Date previous permit issued
As authorized by the State of Norte cam,,, pent of en"MMU +tal Quality mq� aw,
and the Coastal commuon in an area of erMronmental concern pursuant to I SA NC
AC
_
Project Location: County, . _-
Applicant Nam tFw�
Street Add S ad/ Lot #(s)_'-------`
Address-_ a ICY
-
ci SOte ZIP - -
Subdivislo
Maly-
E- --- A - — -
Phone # �` ZIP
'..."'"" City—
Authorized Agent -
,�, Phone # River Basin
jcw j�'+a Es n ( — —
Atfected �ofJ+ HH€ n ur;a r�N/A _ _ .ALA 1 n 6nkn}
Adj. Wtr, Body.
ABC(s):
(� c) Closest Maj. Wtr. Body
ORM yes / R l Pr+ y 1 _
Type of Project/ Amity
Pier (d a) wnlrth
Foted Platform() 1117 -- - -
Floating Pladorm(s�^
Fingerpier(s) �-. '--
Groin length -
number
Bulkhead/ length
avg distance 1 offshore _ 1
i
max dstante offshore � —
r
Basin, chmnel- -- _
cubic yar
Boat ramp
B°azhousdBoadift
Beach Bulldozing-
1 L- '
Other.__
cif--
._--
Shoreline length _._.
SAV: not sure yes
Moratorium; n/a yes
Photos: yes no h WaiverAttached: yes
A building permit may be required by 4���
( Note Laval Planning Jurisditti on� ti��
Noted Special Conditions J�
t- S -- t-- _ .... 1
f -] See note an back
tz ermit IGceri P tcd
Agent or 1 t rin a �b '!V.
S" natu
statement on back of Wh,,k
ermit •
Signature '� f�ease d comp t�
Issui g
Ap 1.tion Fee(s)
---f -
egardine River Basin rules.
piration Date

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41

LAMA / � DREDGE & FILL ! 9 80430 A B C
D
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality pin 4,1
and the Coastal Re o ces Commission in an area of environmental concern pursuant to 15A NCAC 4*1 so
ules attac ed.
Applicant Name Project Location: County
rV
Address Street AddM/State noad/ Lot #(s)
CityN� J�' State ZIP
Phone # F / I E-Mail
Authorized Agent
`—'—'—
Affected ❑ CW
�EW PTAESElPTS
AEC(s):❑OEA
❑HHF
UBA El N/A
❑ PWS:
/_­1
ORW: yes / r( PNA yes /
Type of Project/ Activity _T
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
Bulkhead/ Q -a length
avg distance offshore
max distance offshore
t
`` Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift '
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdictio !
Notes/ Special Conditions t
e
or Addlicant Printed Name
SubdivisioTh
City Ll_a4
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body
Permit
Signature P ease read compliance statement on back of permit Sigr
Application Fee(s) Check # Issu
ZIP
River Basin
(Scale: //%
❑ See note on back regarding River Basin rules.
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 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, certifythat 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

ADJACENT_ RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ InYi �✓®,_�_'s
(Nam of Property Owner)
property located at
(Address, Lot, glock, Road, etc.)
(Waterbody) 9-',,je W. (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the abovo
laaat a
, 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)
. U
�j 0,
(Riro
p+irty ttiner Inform
atlon) In
radar year after signature'
(Adjacent Property Owner Information)
: (Revised Aug, 2014)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Uvts 1i, _M40V s
(Name of Property Owner)
property located at _,... _C°1 ® (.
A A (Address, Lot,1311ock, Road etc) N C
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc 10
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)
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�Mv
Information)
Print or Type Wame
Mz�ilr Address
itylSrat� [iip LJ. 5- 4I
Telephone Number/email address
- q- �-5---_
I)ute
(Adjacent Property Owner Information)
Print`or Type Name
30 x S 8J"/ &A&iL- Sa ee 1
Mailing Addr s
CitylSfate/Zi,D
a�t wetlQ�.s.wetlexr�..�e�p�c�€Fr c��:
Telephone Number / email address
[)are *:
I' `e i�rN4d Au LV�'?�
'Valid for one calendar year after signature`

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
A /
I hereby certify that I own property adjacent to _l v I S(U:> A �u� s
(Name of Property Owner)
property located at _� 1 Yi+�aiS.CR__.,..�
�r(Address, Lot, B ck, Ra d, etc.
on �.. _ _.1�� �.v v' __ -, in . 5'�: "} _ �_• N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
fo ati
_ I have no objection to this proposal
1 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)
Ca. L/\-ck- t �N
s
D
r
Jvvlv(,�e-
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.
1 do not wish to waive the 15' setback. requirement.
(Property Owner Information) (Adjace roperty gwner Information)
,S'i�>r citrai c? _ 5irt�crt7rr_ _#
Print or Typ Name me Print or Type N e
Wif g Addr s Mail, dress
4�l��e Number / email address Telephone Number l email address
(Revised Aug. 1014)
`Valid for one calendar year after signature"

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