Klenz, Brad 79622C

NCAMA / NDREDGE & FILL N° 79622 A B
TENERAL PERMIT Previous permit# �0—
New El Modification [-]Complete Reissue ❑Partial Reissue Date previou permit issued-
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Comilinission in an area of environmental concern pursuant to 15A NCAC t l/
�ry %files attagped.
Applicant Name 9L- Project Location: County 1 l, YI/-=
Address treet Address/ State Road/ Lo #(sk )
CityZ State ZIP �(�
Phone #
--r1
Authorized Agent
Affected ❑CW f[�EW PTA' \ES El ITS
AEC(s): ❑ 0EA L7 HHF IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /(fo ) PNA yes /
Type of Project/ Activity —1 q
Phone
Adj. %A
Closes.
(Scale:I',�� /
Pier (dock) length .. � / _._ �
Fixed Platform(s)
Floating Platform(s) 'j/L{•`® f�-/f r(jIJ�) Qom,{"XJ,1 i � V v
Finger pier(s)
Groin length r i
ber
Bul ead 'prap length
avg distance offshore_L ` ' _
max distance offshore_�UVI
Basin, channel
cubic yards
Boat ramp —
Boathouse/ Boatlift "J
Beach Bulldozing
Other
Shoreline LengthJyesL
gt
SAV: not sure f
L 1J
Moratorium: n/a � j T c� _... 1
Photos.
Waiver Attached:
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Note Local Planning jurisdiction)
( 1 p
Notes/ Special Conditions `� �• ""'
1

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, certifythatthis project is consistentwith 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
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

I hereby certify that I own property adjacent to i -s
_ 1 (Name f Property Owner)
property located at
T- ��� Address, Lot, to oa etc.)
on _� 6 141 Q�LS0-yeek , in' �4 , N.C.
(Waterbody) t own and/or County)
7 The applicant has described to me, as shown below, the development proposed at the above
7Lto do
I have no objection to this proposal.
Si1LU1 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)
I IC-) �a +
r
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.
(Property Owner Information) (AdJecenS�opy Ovyrgsr Information)
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(Revised Aug. 2014)
'Valid for one calendar year after signature'
RECEIVED
MAR 0 3 ZOZ1
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I hereby certify that I own property adjacent to
property located at _
on-1�r.1le)l"
In
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N.C.
7x The applicant has described to me, as shown below, the development proposed at the above
tt� loc to
I have no objection to this proposal.
TTT55i111ddd000 — I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till In description below or attach a site drawing)
IN
9a 4-
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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.)
ALA I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
Im
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'Valid for one calendar year after signature'
(Revised Aug. 2014)
RECEIVED
MAR 0 3 2021
DCM•MHD CITY

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RECEIVED
APR 01 2021
#4
DCM-MHD CITY

I hereby certify that I own property adjacent to
t
property located at
(Address
on T u I py5 YS'k in
T (Waterbody)
The applicant has described to me, as shown below, the
IL have no objection to this proposal.
I have objections to this proposal.
I
N.C.
andlor
proposed at the above
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
C
C",
Jr
t 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.)
X 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad cent P operty Ojr Information)
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'Valid for one calendar year after signature"
(Revised Aug. 2014)
RECEIVED
MAR 0 3 2021
(,Nocwk) DCM-MHD CITY

I hereby certify that I own property adjacent to
property located at _
on l �bj lb`(
to
I
N.C.
The applicant has described to me, as shown below, the development proposed at the above
loc io
I have no objection to this proposal.
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)
Z
qa4-- i
r
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.
(Property Owner Information)
F ,l 221z
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r I FCh 1 C--4w 1
"Valid for one calendar year after signature'
(Adjacent
Owner Information)
address
(Revised Aug. 2014)
RECEIVED
- ----- MAR-0 3-2021-
DCM-MHD CITY

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