86611A - Ferdig, Thomas

&°``°ur4e AMA [] DREDGE $ FILL
C) �86611---
1�1. B c D
GENERAL PERMIT
Previous permit _
Modification
Date previous permit issued
ONew ❑ ❑ Complete Reissue
[:]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:
�7 1f --n
I SA NCAC _ . G--> — - -. _ Rules attached.
`�neral Permit Rules available at the following link: www_dec Dc govLMArules
Applicant Name —I ' L �Ln ��
Address c J
Authorized Agent _- / /t (L NL '[ G.,S- v�
IN
City �e r c d�•� State_ DPI
Project Location(County):,
Street Address/State Road/Lot #(s) ��
�� �/ _
Phone # (�:ti) (—f r( -�J ta
�S ,
1 C ] j
Email
o2 .71i1� U t Ci a A c(
-----
Subdivision ` - l
Cny_04.A,_T A&C-bar' ZIP
Affected CW 4J Fs OPTS
Adj. Wtr pt�(rrmanlunk)
AEC(s): OEA l IHA uW � SPIMA El PWs
`
ORW:
Closest Maj. Wtr. Body _ ��b Cl-ti _ )^a vn n
ye now PNA: yes/�o\i
Type of Project/ Activity _ A 1
Ff-
Shoreline Length
Access Length
Pier (dock) length __ r
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area (�r--
Groin length/k
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
�✓'�c Z y' Fi Y .� 4e t ac- a.r,4 < I2-' S
(Scale: /q---S)
���l�P s isms
F4.r�"�-sr-S ze�•� 3'X L`lr f+^ �c- ,Oicf-'
Boat ramp
Boathouse tuft r tC /L $
Beach Bulldciz�'�-
Other --
SAV observed: � .
yes `
Moratorium: yes no Site Photos: �(
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: 1 c C v,
Permit Conditions
aiFnatureCylPa� d compliance statement on back of permit; " cy
� 2 - --- fI l ( 2- S
Application Feels) Check #/Money Order
l
P-
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
—cu wmrL1A1VCt STATEMENT (Please Initial)
_ ✓.:•-ram C�✓fir"
Permit Officers PRINTED Name
Sig re
Issuing Date Expiration Date

I21a"1
I .1�
& /�-f(,Z-
Z

DIVISION OF COASTAL, MANAGFMENT
ADJACENT IP RIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
i hereby certify that I own property adjacent to Thomas Ferdig
s
property located at 8521 Shipyard Road, Manns Harbor, N.C. (Name of Property Owner)
on Albemarle Sound (Address, Lot, Block, Road, etc.)
— --- in Manns Harbor
(Waterbody) , N.C.
Agent's Name #: Millstone Marine (City/Town andior County)
Mailing Address: 201-A Etheridge Road
Agents phone # [phone]
Manteo N.C. 27954
anHe/d
I he has described to me as shown below the develoPment he/she is Proposing and I have no objections to the proposal. -----
p posing at that location,
----- ----- --------------- _____
DESCRIPTION AND/OR DRAWING OF P —
lndivfdual proposing development ROPOSED DEVELOPMENT
must fi!I In description 6e1OW or attach a s/te drawing)
Construct a new fin er pier and install a boat lift
!f you have objections to what Is being pro
(DCM) !n writing within f0 da posed, you must notify the DlWsiorr of Coastal Mana
avar7able at ys of receipt of this notice. Contact information for l W Bement
www.nccoastalmangernentnet/contact dcm.h
[es once is considered the same as no objection if you_ haveet b or b offices o
y calling 1-88&gRCOAST. No
been notified b Cer - ed Mail. (Property Owner Info anon) --
Sipnatute
Thomas Ferdi
!Tint Or Type Name
20236 West Pine
Mall Y Grove Road
rng Address —_
Georgetown Deteware, 19947
City/state/Zip
(U- _,saC)
Telephone Number
ZIZZ
Date -----------
(RIP!, ' n Pro erty Owner III fffor'matfon�))
Signalm
North Carolina State
Print or Type Name
State Property pffi_c 132q Mail Ser Center
Marling Address
Raleigh N.C. 27699
e�yisrateap
Telephone Nu I r Z%
Date _ _

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT 1jE6UESTED
I hereby certify that I own property adjacent to Thomas Ferdig
Property located at 8521 Shipyard Road, Manns Harbor, N.C. (Name of Property Owner)
on Albemarle Sound (Address, Lot, Block, Road, etc.)
in Manns Harbor
(Waterbody) . N.C.
(City/Town and/or County}
Agent's Name #: Millstone Marine Mailing Address: 201-A Etheridge Road
Agent's phone* 252-202-2678 Manteo N.C. 27954
He/She has described to me as shown below the development he/she Is proposing at that location,
and I have no objections to the proposal.
-------------------------------- ----------------------------------- —------------------ -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in descripSon below or attach a site drawing)
Construct a new finger pier and install a boat lift
If you have objections to what is being proposed, you roust notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice- Contact information for DCM offices Is
available at www.nccoastaimangement-neticontact dcm.htm or by call/ng CO
1-888-4RAST. No
response is considered the sane as no objection if you have been notified ig bV Certified CO
(Property Owner Infgrrnation)
ignahne
Thomas Ferdig
Print or Type Name --
20236 West Piney Grove Road
Mailing Address
Georgetown Deleware, 19947
Cilyl58101Lp
Te/eP no Number
uate
(�rian P+a•operty Owner fo ation)
Stgnature
Bill Goldstein
Print or Type Name
10930 Back Ridge Road
Mailing Address
Charlotte N.C. 28277
CitwState/7ip
_766 (�06"7)6�
Tetephon NUm er
to

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHl RlZp1 WFORIW
Date —J�a' l
11me of Property Owner Applying for Permit:
Thomas Ferdig
i
Mailing Address:
20236 West Piney Grove Road
Georgetown Deieware, 19947
l certify that I have authorized
(agent) Millstone Marine
to act on my
behalf, for the purpose of applying for and obtaining all CAMA permits necessary to
install or construct (activity) Install a new Boat Lift and Finger Pier
at (my property located at) 8521 Shipyard Road, Manns Harbor, N.C. ,
This certification is valid thru (date)
-t ,C
Property Owner Signature
c: L
Date