Littlewood, George 80456C

�CAIVIA / ❑ DREDGE & FILL N9 804'16 A B C
ENERAL PERMIT Previous permit#
❑Modification ❑Complete Reissue ❑Partial Reissue Date previous p rmi issued
As authJew
d by the State of North Carolina, Department of Environmental Quality
and the Coastal Res rces Commission in an area of environmental c ncern pursuant to I SA NCAC
ules attach
Applicant Name l Project Location: County r
Address Street Address/ State Road/ Lot
City State ZIP
PhonOM
e E-Mailjj7'�
Subdivision
Authorized Agent City ZIP
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eJ"
Affected ❑ cw �l EW TA ❑ ES ❑ PTS Phone # fiver Basin
AEC(s): ❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body nat�/manunkn
❑ PW
ORW: yes / - PNA yes / Closest Maj. 'tr. Body
Type of Project/ Activity
Pier (dock) length t
Fixed Platform(s)
Floating Platform(s) 1A
Finger pier(s)
Groin length `
number --
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel'
cubic yards^—�
Boat ramp `
Beach Bulldozing ~-----�
Other iMAW ,_
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes ho /
Photos: yes
Waiver Attached: e
A buildin�pe mit may e re uired by:
( Note Local Planning Jurisdiction
Notes/ Saecial.Conditions � u
FA
Vg'ntor,xlp-)plicant Printed Name** �eread compliancestatementon ackofpermit"
CV
' / t-
Application Fee(s) heck
(Scale: � )
❑ See note on back regarding River Basin rules.
Pri
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pirati Issui

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
Iandowner(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 complywith 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/ 1-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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

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