Rose, Timothy & Amy 88450C

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fu authorized by the
07
Sote of Nonh Car.olina,
H, D-or)the Coas,;al Resources
.. [l General Permit
GAMA EONEOGE&FILL
GENER/AL PERMIT
g(ew nModification IComplete Reissue ! Partial Reissue
D
Previous permit
Date previous permit issued
Commission in an area of environmental concern pursu.int to:
Rules a'ailable at the following link: rvrwv.deq.nc.Fv/CA}lArules
N9 884s0 ::c
Department of Environmenral Quality and
I5A NCAC tr Rules attached.
Applicant
Address
Gty
Phone # (
Emeil
Allected
AEC(s):
Icw
OEA
f,*^Er*
ztP
ES
Isnma
Inrs
flrws
State
Authorized Agent
Prc{ect Locetion (County):
SuMivision
Adl. Wtr. Body
Closest Mai. Wtr Body
#(s)
Ciry
EW
IHA
ORW:
Type of Project/ Activlty
Shoreline Iength
Accesr Len8th
Pier (dock) len6h
Fixed Platform(s)I
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/l
Eulkhead/ Riprap le4th
Avg
Ereakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Eeach Eulldozing
Other
6 o
o
,/
,r'?
LoV-
\,$
e
SAVobserved: V", @lMoratorium: nla yes Lno -lslePhotos: --El @l
Riparian Waiver Attached: q$n no I
A buildint permiU,onine p"rlniffiEdrequired by:
M)-t jnaA.nrLk- Aata
Permit Conditions
AilD THAT
rrPleage
,j"'1'"'vlfl7h
f] reryrer,rTNEUsFJruFFER (drcle one)
! S"" note on back regarding River Basin rules
l-l s"" additional notes/conditions on back
(Please lnitlal)
^AhSignature
E$tq laoas tFlrqllF"
Fee(s)
compliance rtatement on back of permltr'
ord", tililD.tf
A
rrpilffi" D;tE
.t/3 W
lscarcf/fJ)
As authorized Stateby the
U7
of Nonh Car.olina,/200 Department of Environmental Quality and the Coasal Resources
,dG"n"ote", i,I5A NCAC
E oneocE & FILL
GENER/AL PERMIT
ffi.* EModification [Complete Reissue I Partial Reissue
N9 8S4s0 D
Previous permit
Date previous permit issued
Commission in an area of environmental concern pursuant to:
Rules available at the following link: www.deo.nc.gov/CAMArulesRules attached
)O
Applicanr Name
Address
Authorized Agent
Proiect Location (County):
Subdivision
City
Phone # (
Email
Affected
AEC(s):
ztP #(s)
City
PTA
UW
EW
IHA
cw
OEA
ES ! nrs Adl' Wtr. Body
f,srrura ! ews ctosest Maj. Wtr. Body
ORW:
Type of Project/ Activity L
State
Shoreline Length
(scale://[l
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
o o
F-
Cubic yards
Boat ramp
\ov
\,t(
Beach
Other e o
if;'.jl',.",,['l' ,. H B
Srte Pnoros: ves #f,
RiparianWaiverAttached, e }6- I
A building permit/zoning r"rffib6 r"o,
Wl-t Ct^aNtilLau.oo Rd,
ired by:
Permit Conditions
I
! rnveamrr.rEUsE/BUFFER (circte one)
! S"" note on back regarding River Basin rules
! S"" additional notes/conditions on back
Fee(s)
read compliance statement on back of permit**
Order
Officer's
(Please lnitial)
OF CRC RUTES AND THAT TO THIS AND REVIEWED
Agent or Applicant PRINTED Name
| +Please
,Ann0 I
y@
River Basin Rules Applicable To Your Proiect:
Tar - Pamlico River Basin Buffer Rules
lf 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. lf 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
project area and disposed ol in an appropriate upland location'
Divislon of coastal Manasement ofrlces
Morehead CitY Headquarters
4oo commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RcoAST Fax: [phone]
(Serves: Carteret, craven - south ofthe Neuse River, Onslow
counties)
Elizabeth CitY Dlstrict
401S. Griffin St. Ste. 300
Elizabeth City, NC 27909
2s2-264-3907
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford'
Pasquotank and Perquimans Counties)
within the authorized
Washington Distrlct
943 Washington Square MallWashington, NC 27889
252-946-64A1
Fax:[phone]
(serves: Beaufort, craven - north of the Neuse River, Hyde, Pamlico'
Tyrrell and Washington Coun6es)
Wilmindon Dlstrict
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9to-796-72r5
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
htt tl/po rtal. ncden r.org/web/cm/dcm-home Revised 6/01/2021
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.
Thii 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
iocal 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 beliet certify that this project is consistent with the North Carolina Coastal Management Program'
Neuse River Basin Buffer Rules
Nane of Property Omer Ro$6ting permh:/l(5S
Mall[ng Addrcs:4 Dsfu vLf 4)s
Nc 27 r
Ptrone Number:
Emall Address:
I cafffy that I have authorize<l
g lr).38 S 6e q1
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Ag6nt / Cootaclor
m o\-)
Piop.ily Oilt r
ltdr 55.c--
Print u Typ Name
Dlno,r
Title
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I lrtt-rmo. @tfrry that r am atiltt,,ized to gmnt, ,,ltt cb in M grontpozT,ibsb, tDDiuisk,, of coasta, M,,t,'enqn stafr, tp tda ffi qwr and ffi'rfi#trrr,-on the aforcmenuona Ems n a ni# il #i*, inronnatiil rerar€d b ,rri,prmttappliatkn.
r
to ac* on nry bdrarf, iorthe purpooe of pplying for ard obtBinho a[ cAlrrA permib
neqsary for the fo$ciiing propoEed devolopnrent @i5q-
at my property tocaM at
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Thb ccrtiffcatkrn b valid lhrough t I
lt.c. D{YISIOX Of CoAaTAL rAilAOErerrAruAcEr{r RrpARrAx pRopERTy owilER romriCeixiimven ronrcennrreo ueL . nerunn aecerpr neouesreo o.r-rerio oLInEiV-
Addles ol Proporty:
Mrlhg i\ddrBs of OsJr1€r.Inv
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Agant's t{anE:
Agmtr Ernafl:
w b
I DO wtBh b w.hre ronl./d o, the 1A re(b.ck
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(Iop porton b bo comd€bd by ofllsr or tholr agent)
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.-AIIIACCIIT RIPARIAX PROPERTY OWI{EN,A CERTFEATIoX
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l*Tg* he3yproposod *;g1mffir8mp, bnarovdcr, boerr.go, lft, oriffi
I do not u,Et b w.hra fho f O' t6(b.c* ,eS*€fllona (lriltal t c bla*)
SlerEturo ol Adlaqrt RlpsLn prop€rry
TyHrPrtrtrd nrnr of AtrFro: (1't fFr W a-r t5
Llhr! AddrI of Attpo:4,s ) C hrtJn^,ic( Acrtr B1 +z_$AR?(YI sndl:Yr
t.Plron* 3ot-5<r.,-O6QB
L vltd tor r? to oD yc.,lho.n AiFg,t llg|Iit't.
D.b;
i'r
Revised Jtly 2f.21
lbne d Propely Orror:
,ranryrrranfmMb4olt h wrfrr,{ srfiret dAYr,,W f,ch,rpoaaa L Or
X.C, DN'IBIOI OF COASTAL TATAOEEITAA,rcalrr RpARrAr pRopERw ori.ER iirricffiimerven ronr.oennrro uafl_ . ngruRN necepr REouesiip ordwo oLLTvERV--
CIop port6n to be corgeed by owner or thehagent)
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ilnne of Piop€{ty Or,Ytr
Addr*r ol Propcty:-l
Ma*E Addr€ss df Own€t-
Ornt'e
Agaltr ttrnc:
Agnnfs Erna$:
Hlng Addu. of AtUrO:
ARltOr ccrrll:
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enpqrprrotr* Qro A9O 5155
b t .ld tor up to olr Fa? frutr AnFOr Ogmrcr,
I haEby o.r{ry lhd I own p.operty odhcdtt to lhe *o,B tlf$rnood propety. The hdtvtdual applyhg io. thl8p.ndt ha dCcrlbcd b me, aa atrown m tha ffirod drawhg,tt6 da/alopnrant they 'r propchg. A
I DO l{OT havo oblec{one b lhb propad. _ I DO ha,,s obl.c0o.rs to Ub g.op6al.
I DO udsh lo wahro 8o{rdd €f fh6 15 s€tbeck
oR-o(idfurt
I do not u,ldt b weh€ lhe lt !.lbd ,r$*!rrEnt (hldel tlo U{rk)
SlgrEfrrro of A4acsrt Rbsbn propdty O{rn€c
ryprdlPrhbd nm of AtpO:
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Revtsod Jtly 2021
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