89281A - Ellenburg, Gary

®°" L'ZGAMA ❑ DR6D(iE &FILL N9 89281q B �0
GENERAL PERMIT Date
�// Date previous permk Issued
Illew ❑Modltication ❑Complete Reissue []Partial Reissue
As authorlsed by the Stets of North Carollm, Departn+eat of Environmernd Quality and the rcez Comrlkuion In, an ams ofendronmeratl concern pursuant m:
15A MCAC %k• 1L_OA Ruler attached. m* Rules avahMe at the foRmving Bnlobrowdeo.ncgay/rJaMAnu.
Applicant(Name- wary S Itir, , bv�4
Addrev i l % My tt¢n— G.P �•- �. �
City LA er4'FwJ State W ZIP
Phone B( .SL) 2-0't- r7, 14
Afkctad L]CW
AEC(s): ❑OEA
ORW: verso
m
Athorbadagent SfokrlY f NOffo.,d MQ/'lsve
PmIKtLoMksn(Coumy): C4.%a(er ,
Srrest AddrawAtate RzsadA"ot is(s) (0 2. Vn l r ei AO
Sub"ion
CNy C4M4fcn ZIP
PEA ees PES Adj. Won Body e' wY1 a i eft--aNun
unv ❑spiM^ Dews Clotast MaLwtr.aady bs 4Vo N-k 91! e�
Type ofProject/ Activity 1«01 11 urea. 4 pile boa}" llfi- ISM fro. HaIc-' Poop,
* Shoreline Le(scafe: rir5
neth... is5'
Access Length �--
Pler(dock) length ".-'
Fixed Plallorm(s)
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Finger plaz(el
Total PlaHarrn area
Groin length/g ..�. r
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Bkwater/511I
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Max distanca/ length
Basin, channel --'
Cubic yards-_=�_.t
Boatramp
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Beach Bulldozing
Other
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Nbratodum: n a yes rro jjj}.'
lire Pharos:
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® no
Riparian Waiver Attached: `ps ..
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A building permityzonine permit may be required by: (_%Ndzs. C-0.
TAfPAwNEUSEBUFFER(ercleorse)
+
Eisen note on back regarding River Basin rule
❑ see additional rwtes/condihons on back
IAM AWAREOF STATUTES p10 RULES AND eb0MnONSTHATAPPUTOTHISPROIECTANOREIREWED COMPLNNCE STATEMENt (Plenae lnitlel)
7,r/'7�"": r"' .� �..�i°9 Perm1�DA7f'Ars PRIHtEo Name
slgnature •^vaase read cornpilsin a statement an beck of permit*• SI eture
`fov.00-zs �9/�6/2it (126l29
Application Feels), Check WMonW Order Issuing Date Expiration Date

+' L-J%.FUVIA% U L1F%=LJL3C & FILL
IM? GENERAL PERMIT
lew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Previous permit
Date previous permit issued
l�
As authorized by the State of North Carolina, Department of Environmental Quality and the Coasta esources Commission in an area of environmental concern pursuant to:
SA NCAC % H• lLoo ❑ Rules attached. General Permit Rules available at the following link: wmmdeq nc gov/CAMArules
Applicant Name 6%r'y [ 11.en 6Vrq
Address 112 M V It at, c P.
✓/� �- v L
City VAe ri-rnrd State I V �- ZIP '7 ct 99
Phone # (9,SL) 'f-o'L — sz 16
Email
Authorized Agent STokCIy i' Hollg.,d MG rh,-e
Project Location (County): C- • de'n
Street Address/State Road/Lot #(s) 10 Ly� II e y R 0
Subdivision
City C a",dr" ZIP 2 7 9 2, 1
Affected ❑cW EEW EPTA RfES MPTS Adj. Wtr. Body C°t"9 I t(an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ q
PWS Closest Maj. Wtr. Body 1 %5 q,V o )Lq„ k 9 ; �e r
ORW: yeQ
Type of Project/ Activity
Shoreline Length t 1 6
Access Length
Pier (dock) length
Fixed Platform(s) —
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
PNA: yeses
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel •�
Cubic yards
Boat ramp
Boathouse Boa ' It P.le u
Beach Bulldozing
Other
SAV observed: yes t�ig
Moratorium: n a yes no
Site Photos: 01
no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
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le
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(Scale: /✓t5 )
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❑ 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
Rp6r.r•I- Mar..lr.µ
Agent or Applicant PRINTED Name
SigituLreJ r*Please read compliance statement on back of permit"
it 1 O 0. pGJ # '2.S'
Application Feels) Check#/Money Order
Permit Officer's PRINTED Name
Signature
9/z.6 -L'if/26%24
Issuing Date Expiration Date

❑CAMA El DREDGE &FILL ily 071.01
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a a
GENERAL PERMIT Previous permit
3 Date previous permit issued
❑New ❑ Modification [:]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:
I SA NCAC I i ' ❑ Rules attached. ❑ General Permit Rules available at the following link: www deq nc gov/CAMArvles
Applicant Name Authorized Agent J I <� / /•-� i'
Address i Project Location (County):
City ' I 4I State ZIP �/ Street Address/State Road/Lot #(s)
Phone # (z_L) - - - _ f:•
Email Subdivision
City , ,.I, ., ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ;(nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no ! PNA: yes/no
i
Type of Project/ Activity F,
(Scale:(�Y j )
_
Access Length
Pier
Fixed Platformis)
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A building permit/zoning permit may be required by:
Permit Conditions
❑ 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 Feels) Check p/Money Order Issuing Date Expiration Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor dames H. Gregson, Director Dee Freeman. Secretary
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Date:
Name of Property Owner Applying for Permit:
Mailing address:
I certify that I have authorized�sdbkc 1 y + i-�l ,� (agenttcontractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 6QU/ P i 1 L�ru-} t i. +
at my property located ate _'/Q
This certification is valid through
rope rty Owner' Signature
Print or Type Name
25'-Z- 2o2--S`2-14
Telephone Number
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper
(date).

DIVISION OF COASTAL
1j !. 4 1
wy�. '. �a Y • l M � h W. i� l�r Y .y, � A � r r A !i . .
Name of property owner.
Address of Property:
�Z Va (l
(Lot or Street #, Street or Road, City & COMM
„ C4 z ? g 2-
Agent's Name tP.— �. /cs ifd//a .� Mailing Address:
Agent's phone;-3y-GSyo
1 hereby certify that i own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions, must be Rodded with this setter-
1 have no objections to this proposal. T have objections to this pzopasah-
li you have objections to what is being( proposed, you must natifythe Division of Coastal/VPanagerreent
fDcm).1nwi!tingwithin 10days ofreceipt orthisnotice. Correspondenceshouldbe mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contactedat(252) 264-3901, No
res ones is oeansiderad the s me as nooahave been otipotreCerthted iV[ai{.
WAIVER SECTION
4 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 16' from my area of riparian access unless waived by me. (if you wish to
waive the setback, you must indtial the appropriate blank below.)
i do wish twyaive'the 15'setback requirement.
i do notwish to waive the 15' setback requirement.
(Property owner Information)
i .� L4
§tu
Print or T pe flame
Mailing Address
f{o r cL i�C z7 9 y y
otty/5tateop
Z 5Z - Z o z
Telephone Number
%/t-0Jemy
Date
(Riparian property owner information)
Signature
Print or Type 4varae
sv2-
Marlin Add ss
?,w
Citylstatevzip
Telephone Number
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
9
(Lot or Street #,( Street or Road, City & County)
Agents Name# k/ 4 f�(�t�,Rc Mailing Address: do SlTir.• LH
Agent's phone #: 2s1 - 39- i� feZQ Akl&� e l)( �1916
i hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A descn tion or drawing, with dimensions, V]u4 be provided ith this letter
!! r have no objections to this proposal. i have objections to this proposal_
If you have objections to whet is being proposed, you mustnotifythe Division of CoastalMo4agernent
(DCM)4nwrltingwithln90days ot'receiptofthis notice. Corresponde4nceshouldbomefiedtOI367i18
17 South, Elizabeth City, NO, 21909. DCAf representatives can also be corrected at(252) 2WSOI7 No
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 thttiai the appropriate blank below.)
L/ i do wish toyvaive:t�e 15'setback requirement.
I do notwish to waive the 35'setback requirement.
"Proarty Owner tnfore ation)
SL to
61 -v k!- Z�7
Print or 7ypifName
! Our
Mailing Address
�fl"� f\&i. 229yy
citylMate/Zip
2TZ- Zn z-S—e-'/Ca
Telephone Number
_ 9 - Z -ZDZIf
Dare
(Riparian Property Owner information)
gnaCure �....
c 0-4 V. 14v 1 e r,
Adtnt or Type Name
Ig
Mailing Address
G-*-n 1La'Ll
CifY/StafelZip
Telephone Number
l W 5 6P 2-u

JAPONICA DR.
LOT 18
u, 1 i
S>� 4� pOW
N /
P
/ LOT 20 /
7�
63.80'
S87' 34' 00"E

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