56035_WAX, NATHAN_20100624

(P/ZVJio lA,6
9 L�.-CAMA / ❑ DREDGE & FILL
C 4iN E RAL PERMIT Previous permit #
ilIX14dw "El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -71.1 ti
' and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
l f; n j& Rules attached.
Applicant Name �V'. Project Location: County 1. r1-1?,fc-j
1
Address t 3 C. ret ,�C , Street Address/ State Road/ Lot #(s)
City la� s1Q State N( ZIP Z`6 —7-211)
Phone # ( ) Fax # (—
Authorized Agent Car' 440 t
O,CW [3,EW IX PTA [I ES ElPTS
Affected OEA 7 HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA FfyA / no Crit.Hab. yes / no
Subdivision
City -"W It J IQ ZIP S
Phone # ( )-'41-4020 River Basin
11 y (�l
Adj. Wtr. Body t r { l t z.4- (hat /man /unkn)
Closest Maj. Wtr. Body`
Type of Project/ Activity
(Scale: s� )
Pier (dock) iength -.
Platform(s) l2 x 11, -
l--
Finger pier(s)
Groin length! -
number j.
Bulkhead/ Riprap length
avg distance offshore
max distance offshore r
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift I l T I
Beach Bulldozing
Other .:-
Shoreline Length
+�
f
SAV: not sure
yes
Ito
Sandbags: not sure
yes
Rio
Moratorium: n/a
yes
�o
Photos:
yes
no "—
- - ---- - _
Waiver Attached:
yes no - — ---
A building permit may be required by: C ;
Notes/ Special Conditions
Agen rApp' nt�Printed Name
SignatGe Please read compliance statement on back of permit
r�
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
r%rl —lt{'1 % nrn r:_.A Lam-.. vJ
,ii —
PermitOfIce211
r's ignature
r IU
Issuing Date Expirati n Date
Local Plan ningjurisdiction Rover File Name

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, certifythat this project is consistent with 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead Citv Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

NC Division of Coastal Mgt. Habitat Impact Computer
Applicant: Nathan Wax
Date: 6/22/10
Permit #: 56035C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow Bottom
Dredge O Fill ❑ Both ❑ Other O
164
164
Open Water
Dredge El Fill El Both El Other 0
204
204
CaaetaHALeOaad
Le a cr 5
Dredge ❑ Fill ❑ Both ❑ x❑ Other
360
360
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: mv, . �r=

1 '{T
l
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Ln Y�s
(Name of Property Owner)
property located at
Address, Lot, Block, Road, etc.)
anY-CV(,V— in f[l�iC�� CAL--5_.!_...._ N . C .
(Waterbody) (Town and/or County)
Fle has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
ignature
cRe—EK
Print or Type Name
i
1 Z r Telephone Number
Date � -
I_

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to N A +AAn - n- _ a rf � -ie- Y n(s
(Name of Property Owner)
property located at -12- A� _)'V� Q _.._.p:._..._._......_...._..._....___.__._.._._
Address, Lot, Block, Road, etc.)
� oo � � Imo' ` l u e
on �r���_ in L m���,i.._ _1. N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
S
. ...... ..... . ......
Signature
CZ (< �� 2
Print or Typ Name
l Z 1 Z- Telephone Number
Date
i�v

JUN-25-2010 15:50 From:DCM MHDCTY
To:93542355 Page:111
ADJACENT PJPARJAN PROPERTY OWNER S'f'ATENIENT
(FORA PI EBIMOORING PILI.VGSiROATLIFT,BOATiro USE)
I hereby certify that I own property adjacent to
(Nance of Property Owner)
property located at ,__...7 2 H {� C I•.�,! $, Cr e �, K D r
(Lot, ]Block, Ruad, etc.)
�IC,-AJ i Crs.4t#. E'mr-J4Lck 1J 1 t
on , to �, N-C.
(Waterbody) __ (Town and/or County)
Applicant's phone #: 2 S2 - 3 54-ft?qlMailing Address: `7211 A'*'f J, '5 CrGLLe< 0-e
�.v► cr L �JS �,,.i N C
He has described to me, as shown below, the dcvciopment he is proposing at that location, and, I
have no objections to his proposal- I understand that a pier/mooring pilings / boatlift / boathouse
must be sct back a minimum distatzce of fiflien feet (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 not wish to waive
I do wish to waive that setback requirement.
----- --------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
( be f'u ed in oy individual proposing (levelopment)
4V �d'�ock ��z'��z' J,., C k
(Information for Property Owner Applying
for Permit)
-72 t I �"tiS C" e_k 0_ .
Mailing Address
�6.we_-sLd -� sl N c 285�14
City/Stdte/Zip
Z57 - S R-71i0
Telephone Number
(0
Signature. Date
------------------------------------------
(Riparian roperry Owner Information)
�W//��
` Signature
Print oa' Type t4axrie
Telephone Number
Date

To Whom It May Concern:
This document serves as proof that Carl Heverly has my permission to act as my agent
concerning all matters, permits, etc. relating to the rebuilding of my dock.
CoIZSI DO
Nathan Wax

HEVERLY CONSTRUCTION
[phone]
7306 CANAL DR
EMERALD ISLE, NC 28594-3007
PAY
TO THE
ORDER OF
DATE G - Z p ! O
1914
66-30/531
342
_ I �.-C� f� U-� ✓.{ � Q ��—��.`_.-------..__—._.___ DOLLARS
F.ellb an
FacF.
First Citizens
Bank
firstcitizens.com`e-�— A
FOR — Drlr
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