Asbury Beach HOA, Inc (3)

V;PREDGE &.FILL \pU� C/'� N ��'k
00
EN ERAL PERM IT P Previous permit # A B 4c ,; D
ew - ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
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
Rules aftached.
Applicant Name
PP -� . r .!,4 , "° Project Location: County'�.�9 ' ;� f ' `
Address' ° °' , t' ; , (� .�) '{ k 4 Street Address/ State Roacy Lot #(s)
CityV.. 1 State ZIP 4 \ Qa :n..%k
Phone# � (r � ! �3 J •." f) NJail Subdivision d. 1 V` , f k
a '
Ag City f t ! { t en ZIP -
Authorized
r
Affected ❑ W A ❑ ES ❑ PT Phone # t(;) �` �� River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA 1 .
AEC(s): Adj. Wtr. Bodx e.
❑ PWS: q1�`.,� �j;1 f nat mbar
{ ,�,,`+� Closest Ma' Wtr. Body
' F
ORW: yes /`rho\\ PNA yes /li'o 1 Yam,
Type of Project/ Activity kk,
IT
Pier (dock) length
Fixed Platform(s)
so
MEN
N
El
Floating Platform(s)
Finger pier(s)
Groin length
iM.
MEMENFIENEENNEEN
=MN
mom
Ee
11
❑ See note on back regarding River Basin rules.
•,j
7
AgeAge o AppIjfantF rjrited Name ,�
PermixOfficersP nt'd Name
Signature ,; Please read compliance statementon back of permit
Signature
. I 1 f � ��"�,..s...
f `� 3 �d+.w
) J "°'� rl• r".
,.«..r . � t .1 ,✓ r
Appltcatron Peels)-, .
Check #
Issuing Date
Expiration Date

p. s
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 andvoid.
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar- Pamlico River Basin Buffer Rules 0 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/ 1-888ARCOAST
Fax: [phone]
(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: [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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

AMA / REDGE &-FILL s ►�
EIV EAL PERMIT Previous permit # A B C D
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
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. 15A NCAC
1 �I les ched.
Applicant Name , / ) ' Project Location: County 4P
Address �, 1 Street Address/ State Road/ Lot #(s)
City State ZIP , b"J'i"Mium
Phone # (�
�"" � it Subdivisio
Authorized Agen City' b' f` r ZIP '~ 1
Affected ❑ CW W TA ElES ElPT t. '4/ .'Phnna Rnain Y n
AEC(s): 11
OEA ❑ HHF ❑ IH
❑ PWS:
ORW: yes / PNA yes /
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
EMN
MEN
SON
I'm
M
M,
Groin length
IN
JMNIIIMMIM
MENEM
M
MEN
NMI
III
Mill
IN
0
I
ME
mom
wool
M
ONEER.1,INN
0-110111
NNE
Kim
=1
MOMMEMMEMN
MINE
0
so
N
ON
MEN
MENEM
NONE
■
f!1
ME
MEMNON
mom
own"AMIN
ON
MONSOON
NONNI
E
wro"Mom
NNE

GP Habitat Sheet
Name: Asbury Beach HOA Permit #: 67404C
Date: 12/11/14 Address: Basin adjacent to 1705 east fort macon road
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
shoreline
N/A
N/A
396
396
RECEIVED
JAN 0 & zm
DCV-WD, CIS

a' ,'
N.C. DIVISION OF COASTAu MANAGEMENT
AGENT AUTHORIZATION FORM
Naive of Property Owner Applying for Permit:
Mailing Address:
!� ��,,.A pt s,�
l certify that I have authorized (agent) ]gyp w . I' ow to act on my
behalf, for the purpose of applying for and obtaining s 11 CAMAL Permits necessary to
Install or construct (activity)
at (my property located at) �( . • ir�!�
This certification is valid thru (date)_
E
Property Owner` i a) tture Date RECEIVED
j JAN 0 8 ZoI5
m ru r

J . ,
A )JACENT RIPARIAN PRO
(FOR A PIER/MOORING PIL
I hereby certify that I own property adjacent to
property located at
(Cot, Block, Road, etc.
ona, in
tlterbody) a
He has described to me, as shown below, the dev(
and, I have no objections to his proposal,
pilings/boatlif0boathouse must be set back a minimum di;
of riparian access unless waived by me.
I do 1101 wish to waive the setback requi
OV NE.R 5'X',A'ITM:ENT
i TG1ITYROAT110 USE)
4anie of Property Owner
1 45. 6"47- MAW [AV 40241ur'r C.
dlor County)
)pment he is proposing at that location,
I understand that a pier/mooring
;tj ig. of fifteen feet (15') from my area
.......... _ I i1o, wish to waive that setback requirem4l
-----------------
DESCRIPTION AND/OR DRAWING OF
(To be filled in by individual pr
I
.--
:)POSED DEVELOPMENT:
ing development)
RECEIVED
JAN 0 8 2015
[4GM-MHD C-VY
0_ Prp�
Print r Type Name
0� 6 -9?>Lk
�'�oI
"1Telt l tone Number
Date: Ica-- ' it

r
ADJACENT RWARTAN PPopBp.Ts, t3VMR STATEMMiT
(FOR A PrER/M00JUNG PILINGS18 ATLI PPIROA TH6WSE)
I hereby certify that I own property adjacent to ��'oIL � 4oA i,4 C� �
i Name of Property owner)
property located a i J / , �T. M/ C6,1) /W t
(iut, Block, Road, etc. �/�v jai <=-�-�",,•�-C�, /J C..
on _ bLe,. Jln , in C 41C o or s 2
T C
(Wa cbody) (Town a Blur County)
He has described to me, as shown below, the deve opment he is proposing at that )ocation,
and, I have no objections to has proposal. i understand that a pier/mooring
p'tlings/boaditft/boathouse must be set back a minimum dis tance: of bfteen feet 05') ,from my area
of riparian access, unless waived by me.
I Sla net wish to waive the setback requi meat.
I do wish to waive that setback reQuirem nt.
DESCRIPTION AMOR DRAWING OF
(To be filled hi by individual pr
OPOSIED DEVELOPMENT;�._
sing development)
RECEIVED
JAN0S20
Sign tore
Print or Type Name •�

V,
ADJACENT RIPARIAN FROPERTOWNER STATEmENT
(FOR A PIERIMOORING P1L1NGS1B(?ATL1F7-7B0ATH0USE')
I hereby certify that I own property adjacent to i[)2;1'atjnd
Name of Property Owner)
property located at/713Eokt;&-+65�,,
t= b / /g, �f
(Lot, Block, RVad, etc.,
N. C.
no in "qnA�i-
. . . .. . ....... �Vaterbody) (Town aCounty)
He has described to me, as shown below, the deve opment he is proposing at that location,
4t
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftiboathouse must be set back a minimum dince of fifteen feet (15') from my area
Of riparian access unless waived by rne.
I do not wish to waive the setback requirament.
I dD wish to waive that setback requirement.
------------------------------------------------------------------ *----------------------------------------------
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual prop c sing development)
Hek4,�eq
Print IoMyve Name
WWI
I-elephone. Number
Date:
RECEIVED
JAN 0 8 2015
r

-V
N.C. DIVISION OF COASTA�UVIMTOAWTX7
AGENT AUTHORIZAT4fi FUKM
Name of Property Owner Applying for Permit:
I -
Mailing Address:
I=
I certify that I have authorized (agent) pf,:23
behalf, for the purpose of applying for and o
install or construct (activity) —S e-A- 0mLk
-- J
at (my property located at) ad < '
This certification is valid thru (date)
--7
Property Owner Signature
to act On My
CAMA Permits necessary to
11WRIN
M
RECEIVED
JAN 0 8 7015
Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATI DN FORM ;
Date �' J v t '2, a
Name of property Owner AppWug for Permit;
0
Melling Address;
It ca that I have authorized (a eat) t✓ 26b�L� to act OR my
�y g
behalfo for the purpose of app)b►iug for sad obtaining 0 CANA Permits ntce"M7 to
installs or construct (activity) '�' �f2 !� Ll
.f
17-
at (any property located at) 5 b- ur C. 6 a r4r,l p ' r .�.�
This cortifleadon is valid thorn (date) �" V
Property Owner Signature Date
RECEIVED
JAN 4 E 2913
DCA4-MHD CITY

12/10/2014 ConnectGIS Feature Report
Carteret2
CC} N N E C TGIS Printed December 10, 2014
WEB-HUn'ttntG See Below for Disclaimer
A Ci�trlllfn^es
L_
- I
, F
__
Parcel Dimensions
354
Lot Number
i
1�
�I
lI
I.
m5392 6341 7302� 7352 8303 ,I ;A.'
- RECEIVED
r' 7352 8=1 ;.,
�. 4\ALM
.�1
el
The information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and
other public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for
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