Annie M Piner Family LTD

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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 [)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, certifythatthis 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
Morehead City Headquarters.
Washington District
Mailing Address:
400 Commerce Ave
943 Washington Square Mall
1638 Mail Service Center
Morehead City, NC 28557
Washington, NC 27889
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
252-946-6481
Location:
Fax: [phone]
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
(Serves: Beaufort, Bertie, Hertford, Hyde,
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
Tyrrell and Washington Counties)
919-733-2293
Fax: [phone]
Elizabeth City District
Wilmington District
1367 U.S. 17 South
127 Cardinal Drive Ext.
Elizabeth City, NC 27909
Wilmington, NC 28405-3845
252-264-3901
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
(Serves: Brunswick, New Hanover,
Dare, Gates, Pasquotank and Perquimans
Onslow -below New River Inlet- and
Counties)
Pender Counties)
Revised 08/09/06

LCAMA / ❑DREDGE & P1LL
6534
ENERAL PERMIT
Previous.permit#
ew ❑Modification " ❑Complete Reissue
❑Partial Reissue
Date previous permit issue
As authorized by the State of North Carolina, Department of Environment
and Natural Resources
and the Coastal: Resources Commission in an area of environmental concern pursuant to I SA NCAC
s
d.
ro'ect Location:
'County "
V4,tac
Address/
State Ro /Lot #(s)
Subdivj�io �.......r
Ii
1 '
City
❑ CWEW TA El ES ❑ PTS
Affected
Phone #
er Basin
-
AEC s : ' ❑ OEA ❑ HHF _ IH ❑ UBA ❑ N/A
O
Adj. Wtr. Body
'
nat ma
unkn
❑ Pws: ❑ FC:
ORW: yes / =PNA s / Crit.Hab.
Closest Maj. Wtr. Body
yes / no
•'`
I`
Type of Pro j ` - ivity
1 -via
E
iScale:
Pip r /ri—V Ia +h Al r. - - -
-
-
-
,
A building permit may be required by:
` - - - � ----- - - - - - - --------T--- ----
ri�ps
®ENE
MEMO
MEMO
Mill
❑ See note on back regarding River as . rules. ,
i.
�b4er
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Name of Property owner Appykeg for Permit = 61-'a eO
Mailing address:
/gyp 4/c
Telephone Number: _ i - 606 2 3 3.2
} Ma„^P icy+
I ( �
certify that I have authorized �a $roo S 4� S ,
(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of � oa 4- ,j �-' d�� j � �c k
r
at my property located at 309- 6 bai.rS (�1,,�( Q�Ic.,>�rQc� ,.�C
This certification is valid through ',U `mo(date).
(Property Owner
�Information)
9 ` A, --
RECEIVED
Signature
APR 13 1015
Print or Type Name
Title, co. owner or trustee for property
30 Mr..- 2U/-5—
Daft'
RECEIVED
919- 6a6 ` -n3z
APR 2 9 1015
Telephone Number
E.rrrai /�Iddress

ADJACENT RIPARLAA PROpERTy OiNER STi4Tt BEN f
1 hereby certify that 1,ovun proper(y ad}acerdto ,�.J
Pvpefty located at 30 ,�L 9 -i s B.)J (Name of Property Owner)
on CQ�, , in
(Waterhody)
(City/Towrrandfor County)
QTh cant has .described to me. as shown below, the development proposed at the above
Imo P
1 have no objection. to this proposal.
1 have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must #ill ;in description below or attach a site drawing}
C 0
WA.i.VER: $ECTION
I understand that a pler,. dock, mooring pilings, breakwater, boathouse, Hft, or groin must be set
back a minimum distance of 15` from my area of riparian. access unless waive. (if you
wls v e setback, you must initial the appropriate blank below.)
04i d APR 13 1015
_ �; .wish to waive the 15 setback .requirement..
I do not wish to waive the.15' setback requirement.
(Property Owner Information) (Adjacent Property Owner information)
S g ahrre l Signature
Print or Type Name Pfint or Type !Name L w
0,t76 1�c ��Lv,N. �r-
Mailing Address
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Styron, Heather M.
From: Mike Julian <[e-mail]>
Sent: Friday, April 17, 2015 3:17 PM
To: Styron, Heather M.
Subject: Fwd: Boat lift permit approval - 302B Davis
Heather
Here is an email from Mr. Piner with his authorization to proceed with the boat lift at 302b Davis.
Thank you
Mike Julian
---------- Forwarded message ----------
From: James W. Piner <jpinerl @ec.rr.com>
Date: Fri, Apr 17, 2015 at 11:55 AM
Subject: Re: Boat lift permit approval - 302B Davis
To: Mike Julian <[e-mail]>
On 4/16/2015 6:55 PM, Mike Julian wrote:
Mr Piner
As we discussed, I am in the process of getting a CAMA permit to install a boat lift.
I've attached the property owners approval form that I am using.
If you could review the form, and reply to this email that you approve, I will have what I need to proceed with
the permit.
Thank you
Mike Julian
Dear Mike:
This is to acknowledge and approve your request for approval to install a boat lift at 302B Davis Boulevard,
Atlantic Beach, NC. I hope you will have what you need to proceed.
James W. Piner
This email has been checked for viruses by Avast antivirus software. RECEIVED
ht!p://www.avast.com
APR 2 9 2015