85101B - Madsen, Bill

/0°4\7CAMA DREDGE & FILL 1Z.V4 • N9 85101 ABCD
GENERAL PERMIT I # 70 19'R PrevDateious previous permit issued •
p permit .w i
n New n Modification n Complete Reissue n Partial Reissue
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:
SA NCAC O )t-i ' - Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ,. - - Authorized Agent
Address Project Location(County):
City State - ZIP Street Address/State Road/Lot#(s) • •• ":, L2, c1=
Phone#( )
Email Subdivision '
City • ZIP C. CJ
Affected CW n EW O PTA n ES n PIS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA IHA n UW n SPIMA n PINS Closest Maj.Wtr.Body : I, - '- ,"` -
t
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: N 1 A. )
Shoreline Length •
Access Length 3/_'a ' — • -
Pier(dock)length r„r1 i I ,
Fixed Platforms) f- r rt I
_ —
4
Floating Platform(s) ,-- , I 1. 11.• I...• A--r4- ) 11
J IT-
Finger pier(s) ,. f., l �4 74'�Z— a —L.S. �-aX _. _-!_..__T._ — —
�."'17, _ Ta_ ,,,,.. 1�gD vJ'J cry ^.3 L ij , 4
Total Platform area - - - I
f
Groin length/# l I -.- 1 1
Bulkhead/Riprap length
Avg distance offshore 1j t �-----,-----l—
Breakwater/Sill I
i
Max distance/length
Basin,channel t -`
Cubic yards T-- -- --_._..._ —___.._ --t--._—
Boat ramp •
Boathouse/Boatlift •
Beach Bulldozing j
Other I
1
:,per ; , 1 ,.,1 - )_ � +I I
l
SAV observed: yes no —i — {
Moratorium: n/a yes no'
Site Photos: yes no)
Riparian Waiver Attached: yes no ( 111 r — 1
A building permit/zoning permit may be required by:- �AV ^,,/1•i r`//, YZ
n M/
Permit Conditions TAR/PANEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) f;�/ / �
Agent or Applicant PRINTED Name ,,r Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

4seCA"r" I ICAMA DREDGE & FILL • '•No. 85101 ABCD
u.
GENERAL PERMIT I.Q. 4 R+ 9 ' DatePrevi us previous re vows permit
ermit issued
P
n New I Modification I I Complete Reissue n Partial Reissue
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 Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address __- Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected CW EW I PTA ES I I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): IDEA IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
i
Access Length � I- I
Pier(dock)length •
Fixed Platform(s)
Floating Platform(s)
i
�-c;: fli, A__ ,,°Zy.v1.! k aLs , -r • 1 -11,',r's -7
Finger pier(s) t alf_ ../'''___!'-] ,.e 2. - '., i r. ,... ;--ra
1 f:, i r .. t A -7- ¢...-i -, ,-: y - - -- ._r>••:-
Total Platform area
Groin length/ft ,
Bulkhead/Riprap length i - . ------
i
Avg distance offshore - { - w - j
Breakwater/Sill
Max distance/length i
A
Basin,channel -- ,
Cubic yards
Boat ramp I
Boathouse/Boatlift i
Beach Bulldozing t
Other I �.._...._�
SAV observed: yes no
Moratorium: n/a yes no - '
Site Photos: yes no -
Riparian Waiver Attached: yes no - . i
A building permit/zoning permit may be required by: -
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

CAI1st1A/ DREDGE do FILL
'c E11�ERAL PERMIT �� � ` Previous permit# A,fi+
y (`{INew ❑Modification •DComplete Reissue Opartial Reissue _ Date`previous permit issued(v
As authorized by the State of North Carolina,Department of Environmental Quality 7 / , . ,
and the Coastal Resources Commissions in an area of environmental concern pursuant-to I SA NCAC • _ ,�`. ,-. _ules attached. : ,r�
Applicant Name (r /v-f/ei 'S-C-i-- _ Project Location: County t y v4/2-0l
f 3 2 Street Address/State Road/Lot#(s) •/T Z tJ e e�
Address f/✓ C ' '
City fl,/1.Lc/'. r) - Statef(/C ZIP 2 $-517. f1G . - 1C'i�.� •
Phone � ) -35 .9 E-Mail -- - Subdivision rr",. ,4'/.;�/4Ze cx'"- -
� / 2�" 0
Authorized Agent '7,'1 -/'c'/r c " City /` ie/J.(72e <� ZIP _
zcjp 5353 `/ RverBasin lV° �2
❑CW (SEW IiPTA OES IYIPTS -' - Phone# ( ) ...-
Affected
AEC(s)t DOE°r` ❑HHF 'QIH ID .ON/A Adj.Wtr.Body /14"Y""`''54 Flhc at an Junks)
Closest Maj.Wtr.Body
ORW: yes�no� PNA yes [ .
Type/of Project/Activity PW/rr-fu,,l n,.,� > X 9 ' 42 r+'!` ' 1 �G 1'rr'> Z- / !
(._�) v // /fit43- / 5 XZo i /?e' 3 c6„d. ! l/)" •L !'"r/ e 10 f fGu't(Scale: / .;e2 )
Pier(dock)length.f is / ' I I I y , I
Flied Platform(s) 1 _I /.r _ I I 1 i - ,
I I
Floating Plattorm(s) v I 1 [: D & i
Fingerpier(s) } — ---'— i
\\ I
Groin length \�_ I :I I t I ! j I I I i
number l ` ( I I
Bulkhead/aprap length 7 - I ( & i iUt .1 1 I
avgdistanceoffshore ' /.- 1 1 1 }I - `f -
max distance.offshore I - l r f I I 1
Basin,channel t - 1 /� _ (
4 �,, , �,
f 1
cubic yards .-1 I _,( I I r,, I ) /,l
! t I I I I I \ / /,C,/7 it-
Boathouse ( ( ?t ) y 6 I I Ill
Boathouse/Boatlift � - _ � I �. / y a\
I
c 1- vC I
$each dozing , - ' a r I ,� 1 i �-. i'T
Other (r/•' 1! '�f/t"I.. _ � if t_ "f�Yi 1 , ( " I ,
l
S'l
/ 1 ' n I _
Shoreline Length -,/'r . 1 1 J I L ,- I
�sure I I I - l l- 1, i' �' i 4 i
SAV: notsuhe Yes no i I I � (� 1, , ' 1.'I- r
Moratorium:. n(a, yes t:o' i ::€ t•'.t _ _ Yr I .I 1 r c
Photos: �YeS� � I - — II
r ^ - / I I i -
WaiverAttached: -yes. no ' ,.A J - >
K `,' �-r.r., /`}ir L-s'- 21See note on'back regarding River Basin rules.
cy`A building permit may be'required by: /rL+r .,4� "` -:- . .
(Note Local:Planning Jurisdiction) / 1L T/ - �f //L
N/otes/Special Conditions X 6 i r. „p ?/( i /,.•,, r"^ /j�t`I`�a na t e -'�/lil/4>/+ f%�+r u`�'
1L r/./GG/n✓r'l -/. _ r1i 4,0 Ftlf _
�yyy} Agent or AppllmnrPnnted Na/me//J�/' g Y PermROfficer s Pri� am�
Si natur " ,> r � C etct6,. 2 6�is
t 'Signature *'Pleasefeadcompllance sfate�nent on backofpermi[*,'r'-- S 1 {! -. 232/
-. r- � r
- i X •
- - - Check# - Issuing Date rt. Expiration Date
gpPlimtion Fee(s)�. - °'

Adjacent Riparian Property Owner's Notification
by Certified Mail - Return Receipt Requested
Adjacent Riparian Property Owner
Section Number ( Lot Number. 2 7/
Name: EL/zti8FTW A ConZE1e AMY"
Address: S//o BaCCo R F f2D. NEt.cl BE.LN Nc 22nc o
Telephone Number. 2 S2— S7/ - 72 S3
E-mail Address: EC[AIz 1 e&Stfio Pod LtAme.NE7-
I hereby certify that I own the property adjacent to:
Section Number. 6 Lot Number 270
Owners Name: hi/Lt- /Ain 0 3t&iE AMIDSCA/
Address: rJ/2 A1icco REEF RP n/F4J BE/24/ NG2 ? G />
Telephone Number .397-y"SA"—.3SS'1
E-mail Address: S/6L0A14/CZ.44M @6"on,ray/
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed work„form.
j/ I have no-objections to the proposed work.
If you have objections to the work being proposed,please write the Division of Coastal Management,400 Commerce
Ave.,Morehead City,NC 28557,or call 252-808 2808 within ten(10)days of receipt of this notice. No response is
consideredthe same as"no objection„if you have been notified by certified mail.
I understand that docks,pilings,tie poles or any other marine structure must be set back a minimum of fifteen feet
(15'-0")from my riparian line unless waived by me:
I do not wish to waive the setback requirement.
V I do wish to-waive the setback requirement.
Adjacent Riparian Prop Owner4
Signature % Date: 2/2
Print Name EL/ZA &C7H 11. CONZCZ,nAN

Adjacent Riparian Property Owner's Statement
Adjacent Riparian Property Owner:
/
Section Number. Lot Number: CRp r4,ij HA/rieAl ROAD
Name: FR/AF/EG D HARB otli) d' oPE.Qi aces vc ps' 2XC o C
Address: qp2 CoRAG REEF D.Q.)/V I? BERA}I /IC 2 ..S'(>4>
Telephone Number. 2 S.2 - E_3 3 - .s,Soy
E-mail Address: FflPoAe Sc1Db iU Lw X"dme, G o/r}
I hereby certify that I own the property adjacent to:
Section Number. 6 Lot Number: 2 70
Owners Name: f $/L/1,lirl 0 jiaG/c' ) TAf'J"E4[/
Address: 5//2 BI/ Co Alc-A-F RD. NE4) B1EA/U 'VC 28S4 0
Telephone Number: .3 y 7- s7.4 S- 33 88 y
E-mail Address: f jz L OAK is LA Al Da:"6 m'4/4,Cc'At
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed Work.,form and have no objections to the proposed work. I understand that
docks,pilings,tie poles or any other marine structure must be set back a minimum of fifteen feet(15'-0")from my
riparian line unless waived by me.
I do not wish to waive the setback requirement.
s I do wish to waive the setback requirement.
Adjacent Riparian Property ner: !
Signature ' 1- l+
Print Name aJ (4 14-:€_
Date 72/ '2 / .c ,Zv`3

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