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MCAMA DREDGE & FILL. —
A B
QEINERAL PERMIT Previous permit #
ew ElModificatibn Elcomplete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,. Department I of Environment and Natural Resources
and the. Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attach:el�
Applicant Name +LTO Project Locatio n County
Address Street Address/ State Road/ Lot #(s)
City State YZIP
Phone # a!
)C�JF-M I Subdivision
Authorized A&nt
Affected 0 Cw
4w TA DES El PTS
AEC(s): El OEA
0 HHF ❑tH 0 UBA D N/A
El PWS:
ORW: yes / ko
PNA yes/ "I
Fe of Project/ Activity.
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number ✓
Bulkhead/ Riprap length
avg distance offshore.
max distance offshore
Basin, channel
cubic yards' -
Boat ramp
Boathouse/CoaffiZL I L)
Beach Bulldozing —
Other
Shoreline Length
SAV: not sure yes no
0
Moratorium: n/a yes of
Photos: yes no
Waiver Attached:
A building permit may be required by:
(Note Local Planning jurisdiction).
Notes/ SDeciall Condiltions
City '4--Al' t
Phone #
Adj. Wtr. BodyLau
Closest Maj. Win Body
(Scale: V � `Jw- )
0
fEl See note on back regarding River Basin rules.
If
Z
A
Agent or Applicant Prilrited N
-ame
Permit.Officer's
inted 199me
Signature Please read statement on back of permit"
Signature
14, 77/
� -2-a
�Ap - pliqation Fed(s)
Check#
Issuing Date
Exp iration Qate
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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14
LAMA / ❑ DREDGE & FILL
ENERAL PERMIT
�. ... _: A B'e
Previous
D
permit#�
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environment and Natural Resources
d the coastal Resources Commission in an area of environmental concern pursuant to 15ANCACLi
{
.tM
P 6cant Name i
Project Location: County { �
Rules attache .
_
dress"'- ; `
Street Address/ State Road/ Lot #(s)
State ZIP 'x' ``?
is ..
a ` i' .
1
i
Mad
Subdivision
1 4,s.
yY
thor.lied Agent '" , t i
4 .,"
s1 ` s a V. Cl ; ..
City , "� . ) j 4 ZIP ,. _. �,•
'+��•-_--
ected ❑ CW Ll TA DES ❑ PTS
�{\�
Phone # E t
River Basin {
l
❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A
❑ PWS:
'
Adj. Wtr. Body(nat
n /unkn)
tW esPNA
Closest Maj. Wtr. Body
Activity
f
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION.
Name of Property Owner Requesting Permit:
Mailing Address: ' ' - l 6
Phone Number: ` r- i-
Email Address:
l certrr that 1 have authorized . i
Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: :L2Sh
.-ace 16 1
at my property located at t! A— oc kr lk-
inr^ County.
I furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands .in connection with evaluating. information, related "to this
permit application.
Property Owner Information:
Signature
Print or Type Name
f
Title
Z , e>1
Date
i This certification is valid thr�ugh
RECEIVED
APR 13 2017
®CM- MIHD CITY
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ADJAr4ENT RLP—ARIAN. EM9MOWNER STATEMENT
l hereby certify that 1 own property adjacent to. e r + i` l ne s
(Name of Property Owner)
property located at � i
(Address, mist, Block, React, etc)
C t
fWaterboc y) (GityXTown andlor County)
The applicant has described to rne, as shown below, the development proposed at the above
location
t ✓" I have no objection to this proposal.
I have ofsjetrrs to this proposal.
nFSCRIP ftON ANDJOR DRAWING OF PROPOSED DEVELOPMENT
WAIVER SECTIQN
I understand that a pier; dock, mooring pirings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
4 k2!
to waive the setback, you must initial the appropriate blank below.)o wish to waive the 16 setback requirement.
I tits not wish to waive the 15' setback requirement.
(Property Owner Information) (Ap Veent ProptqftnAr Information)
{S�f,ur 'Ji rtur
Print or Type Name pfint or e N'a . e �D j
ILI Uaols f
Mailing Address
tv1 f!f Address
{UG 7SZ3`?1
(Revised Aug. 2014)
*Valid for one calendar year after sigOature* RECEIVED
APR 13 2017
®CM- MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ero 4, -S Pt n e (L 's
*� (Name of Property Owner)
property located at 1�AV
(Address, Lot, Block, Read, etc.)
on Cx S CO3r)c0 in n iC —a-ar--L , N.C.
(Waterbody) (City/Town and/or County)
RECEIVED
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
m . (if you wish to waive the setback, you must initial the appropriate blank below.)
I o wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
n.
(PrApe7Owner Information)
K� tAA, U- �Uk
Print or Type Name
19 It.l ) 3actti4 -Md d.
�S
one Numberl email ,
*Valid for one calendar year after signature"
address
(R �d u ®
APR 13 2017
DCM- MHD CITY
Styron, Heather M.
From: Duke's Services <DUKESSERVICES@aol.com>
Sent: Wednesday, April 12, 2017 3:29 PM
To: Styron, Heather M.
Subject: Re: Application for Boat Lift
Hi Heather,
Alan Wilson will be picking up my permit tomorrow for me. What types of payment do you accept? And
what's your, address there please?
Thank you,
David Duke
Duke's Services
Metal Fabrication & Repair
2209 Timberlake Rd
Franklinton NC 27525
919-614-5809-Cell
919-556-1768-Fax
DUKESSERVICESgAOL.COM
On Apr 12, 2017, at 2:25 PM, Styron, Heather M. <heather.m.st ronkncdenr.gov> wrote:
Yes that will be fine @ Just let me know who you are sending.
From: Duke's Services [mailto:DUKESSERVICES@aol.com]
Sent: Wednesday, April 12, 2017 2:24 PM
To: Styron, Heather M. <heather.m.styron@ncdenr.eov>
Subject: Re: Application for Boat Lift
Can someone pick it up for me?
Thank you,
David Duke
Duke's Services
Metal Fabrication & Repair
2209 Timberlake Rd
Franklinton NC 27525
919-614-5809-Cell
919-556-1768-Fax
DUKESSERVICESa,,AOL.COM
REC 11� ED
APR 13 2017
On Apr 12, 2017, at 2:23 PM, Styron, Heather M. <heather.m.st�ronAncdenr. og_v> wrote:
You're welcome. Unfortunately we are closed due to Good Friday.