49014_MASON, KEITH & HARRIS, JOSEPH_20070615

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❑CAMA / ❑ DREDGE & FILL
911!NrState
L PERMIT Previous permit #
wation El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by tNorth Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission i .a�environmental con rn pursuant to 15A NCAC
❑Rules attached.
Applicant Name v Project Location: County
Address ,' Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body J
Type of Project/ Activity
Pier (dock) length
Platforms) �j
Finger piers) 7 x /
Groin length -
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
;•i
Signature ** Please read compliance statement on back of permit **
ApplicationFee(s) — Check#
(Scale: /�, / =) )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
/c
Issuing Date Expiration Date
Local Planning Jurisdiction 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 City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

N CDEHR
North Caroh' na Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley. Governor Charies S. Jones, Director William G. Ross Jr.; Senrel:a!
Date - 07 �-0 '/ --
Applicant Name ���>Ly S, 7 }'1/4.S©•J Grs �V
Mailing Address a-y�1—a
A2 oo xr 1, fir✓ 2 F-5 TO
f certify that I have authorized (agent:) �b �I )%J - to act oil prv,
behalf, for the purpose nf applying for and obtaining all CAMA Permits necessary to
Inn:stall or construct (activity) S 7- 5kl '
at (location) Ij jj&"!E � .Qy, f'012 - 4f/lC- lfj
his certification is •-all d thru (date)
-3Uw1 (3r3
'15op
NOW � F
MAY 3 4 Z007
Morehead OtY DC
mmerce Avenue, Morehead City, North Carolina 28557
Tone: 252-808 =808 -AX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
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(FQF, A PI tZ/UrY'CO ARE D BOAT I! trFlj
I hereby ce; t_ fy that I cw-n grope, _ f adiactint to
Stu-'_1f�S,Y�iA5a�t1, i�i75tnT JGl e is_.--
(�i:I[Lme of Propert vv
PFOPr dr t', Ic-c- le-i aC
(Lot, dock, Road, etc.) --- -
on i1�a � 2'r, ) L,x I ul &'g"/// L� � /xn � t P ) . l-qi. c-
/, IJ✓Fy
(i���aterbody) (Town an or�County}
He has desc:-ibed to me, as Shown below, the deve'.oprhent he is propcsing at
location, and, 1 na'�E ~ti
no objecns to his Proposal. I understand lthat a pier/uncoverw boat
must be se: back a minimum distance of r1fter t r"mot (l5') tT mYgrea or riparian ate„ 1rii,
waived by me.
I do not wish to waiv- the setback re;;uiz-ement.
I do -ish to waive that setback recuirement.
DESCRIPTTOIti -A-N-D/OR DRAW-rtiG OF PROPOSED;.DEVELOP-NLENT.
(To be iWed in by individual proposing deve�pment)
i
' I
----------------------------
R ' t
MAY 3 Q 2001 E
Print or Type dame —
Morehead City, CiM � � � "-I� o 97
Telephone Numb(' r
Date. — ;� 7 — © %

T `:ih i �i ran r -r� y- _-- - - +,�
jfa �� t s i %a AL x�� +�'i��l �,1�l'IR.?'_
JI
(FOR A PIER/UIYCDVERED BOAT IjI,F7)
I hereby cPrt fy that I con prope=:./ adiactint to fX - ov
('pia - of ropertv O
proper{ located at_ 2s9 /t%Do� QIf7 nl��
(Lot, Block, Road, etc.)
on _An4J Z i(.!!% iIl EX It2 Lc' ,fir - ! /lie/, 7ti. C.(• aody) (Town andior'County)
He has desc-ib(--d to me, a-s shown below, the developMent he is propcsing at
location, and, I have no obje`dc,ns to his propo.s-I. I undersrand ghat a pieriuncover"{ boat -
�musc be set back minimum distance or"rltteen r"c--t (11.5') from myjarea 01 riparian
waived by me.
I do riot wish to waive the secback re;;uirerrlent.
i� I do a sh to waive that setback requirement. *0.9f >t,11'PAl /-5�-
------------------------------------------------- - -
DESCRIP ,D.--N-D/OR DR W-D G OF PRO POSED; DEVELOP -NM -VT:
(To be filled in by individual proposing develI mew)
®NICIE
MAY 3 () 2007
Morohead Cif,, DC
Signature
Print or Type Maim
o9-6'a 1 " 671 S _
Telephone Numblrr
Date: S-aF--ofj

' TRf: FRONT OE THE DOCUMENT HAS A MICRO -PRINT AMOUNT BOX AND.THERMOCHROMIC. ABSENCE OF THESE. i EATURES WILL INDICATE A COPY.
ISSUING AGENT
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