Barnes, Kristi

Z
�q-.CAMA El DREDGE ■
& FILL
NO* 67592 A B;(
ENFERAL PERMIT Previous permit #
FINOW ElModification El 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 attar ed.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot (s)
Ci —State ZIP
Subdivision Phone # P"IE-Mail
Authorized Agent city ZIP
Affected ❑ Cw 1YV
"'$,ffA 0 ES 0 PTS Phone i �)'�River Ba$in
k
0 OEA 0 HHF tlH ❑ UBA 0 N/A
AEC(s): Adj. Wtr. Body,; 4 (nat /man /unkn)
El PWS:
ORW: Z.Fs /.,'no PNA yes / "
ro Closest Maj. Wtr. Body —
Type of Project/ Activity
(Scale:
Pier (dock) length
N-
Jill
Jim
0
Eloil
m
01
�N
POINEENIum
I
I
all
'ANNE
mlklttllll
JEWPIONNISHO
ONE
RA lie 11111111
0140ME M
V
Agent or Applicant Printed Name
PermitCfficer's Pr!h!eNate
%
,T
Signature * `Please read compliance statement on back of permit"
Si 't
41
1-71 1
10
Application Feels)Check#
Issuingbate
N,
q
piration 1546

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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar- Pamlico River Basin Buffer Rules El Other:
0 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/ 1-888-411COAST
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.nccoastalmanagement.net/
Revised 08/27/14

RECEIVED
AUG: 2 4 2015
�� oml��Hvl Vilf

0 F11
ERTY OWNER §TATF-M5NT
I. he.feby,certify that. I own property pdja6'erjt,t6.
of m P
Na
party
4,6
(Addi;es
on,.. n,
v.(Waterb6dy)
CjWoW11 anclfoeCb,00
The applicant hos'descn`16�i6d t6 me, as.s6-ow`n below, the dev6lopm6e 6t6propbsed.
loc*ion.'
I have no obj6cUofi.,.t6 thig. r6p6qjI.
t ilio -above
I have objisetign-6-to'"this.-p W.
7
- DESCRIPTION' Ai
IOR D1AWh NOF P1k-06b0kVELOP MENT
.(1hdWdualpr6pwing f below or of 4',W fe tOymin
'WAIVERSEQ-1-10N
I uh-cla"retand, that a:pje!r,. clodk, hib' "­kW,*ate'r,.boathouse, lift; or groin
bi.ck-a fnini'mum-digt�6*o(ft' u'hless waived
'Wish,! Wa .... - ;_'. . ._ . . by
.0 the .. 1 te Wank below.)
1Ve,f4%,s6t`b,`hck you blutf-Ifildt"'I"th'q. Op
tpi I'do VASh t o..W.21ye. e F.Vetotk rip q.wirem'eiht, - I do not wishIto Wa ve'!he 15' slotbackmqUiremlent,
(A0jacent Property Owner In oi
2
=F7-
FpWint crjo'.Name Print or Type ame
�4
'Iva,
1149i+�nej Add A ddre
cityl,5060P.
P
Lcf VXF
T91601M6 Number Telephong Number
Date
Date
RECEIVED
AUG 2 4* 2015
n4st.be set
me. jIfyou;
nation)
6/1&201.2)

rt' adjaceTit
I hereby certify that. I own property '$
oil' P
42
I "UQLA... e6 i , _:
(Atfdrft' 01.at-1916r, k
on u 9L_ K C..
(lfilat6rbody) (j5jty:jfoWq Andtar Cibught
The applicant h6ei'described to m6,'as• ah 1�06%� Ahd
o
doveloOment -Proposed the .'above
lotation.*
I have n
0 ol��6�POAA6 this:brobq0l,.
have objection'6Jbjhli De6po
DOdOPT, DR.'AW,'114.iO'.CiFpFkbPdgEbPPVELOPMENT
flndIvIdual pr6poWng 0*4000-belowat a"ft'.d'c'h'-A.'-s'j ;1MImIng)
WAIVER'StMON.
ril.
l uhcierstancl that a -pier, dot 199"Pi IrLga;' , reg er,.boathouse,. lit or groin
90
b9*,'a'Mir)imum- .0t.1 51 fro . m m r 4, `-o f .. rip .. a :dan'-occess.uhless waived by
'wiish
t6walva,thosetba Wank below.)
Ido w;sh. to..wqiVe'66151 69tbd6k reqjlkement. - -
ld6.ti'citWsh•fb.'via;lv6.th.e'16'.setbadk..rOu . iremlent.
r
(Pro ofty 0 "'er'11400is66'n) '(Ad'ac tier Info
)r TVbe']Vame
Tel,6o0609' plumber
k— -7
Date
17e, 5.1
P r1rorA
Mai, Address
_4
So)-
*
nust. .be set
n1e..'(1f you.
RECEIVED
AUG 2 4 2015
J
q
I 6/f 8/2012)

`To
�s
,2�
RECEIVED
AUG 2 4 2015

V ;.KIP ARLAN P OP R :OWNPig TAM.9.9
I hereby certify that. I own Property adjacent'to Y
of Pr pe ly OW11196
eft^ �'.••(Zl��•_•
(Addn�sso ®locka• gad e j
on
We.
(If6101t®rb6iiy) . (City/Town andlor Cou
The applicant has described to me, as:shown:betow, the developme
location. nt proposed a the above
I have no objectior►ao this:proposal.. .
have objections to this proposal; ..
QE$CRiPTI6N ►NDIOP. E) 4V1/1iVG AP P.R610 E®DEiIE -OPIt W
(Indliridual proposing developM6W, ntt�st� i/l.irr afescelpiion below or attach odiawing)
7
11V .R:SPS TLON
I. uridefstancl that a er, o. "-
p! , d ck; rrioarin .bt�irlgs, fFeijtiater, boadhouse, lift; or groin m
b�lck e Minimum distance, of :I' ' (roei:my area of riparf n:access uriless waived by
Wsh tb waiv, -'(he setback, yogi nYus# initial tie ppflopri to blank below,)
I. do wish to waive the 15' sdtback requirement
Ldf; hot wishIo .waive the .15'-setbadc fequirement.
(Property Owner information)„ (A!#ace ner Inform
SiJVD
pp-nnt or 'r pa me P or 7 e Name
N7allin Iddress Mai/i Y tdirs,ss
Wslr°, .�.. 9.o, C` rate O �r1 p
l
Telephone Number Te h e fiber
7 /S
Date Date
be set
(if you.
)n)
IRECEVED
AUG 2 4 2015
:1L."\IY,jUIH� Kim
(Revised &[Y82012)

I�It'EiR141 RROPERTY OWNER MTEMEM
hei eby certify that. I own propelrty adjacentto
(Namit of Proper4y'Owner.:
�--V ss: "ot,.' o �If
erc.(Addrein:N.C.. a •t
(Watorbody) . Clty)Townand/orCoun j
The, applicant has described to me, 'as: shown 'below, the development •proposed, ttte above
lotion.
have no ob -;..
jeo#ion..to fhis:Oroposal.
have objections to this proposal:.
i.
DESCRIPTION AID/QR D��iVG QF PIIOPOSE0 DEVELOPMENT
(indii4crual proposing deVelopr�rePii mu�4 l in descd don below or attach a sit 9 rBraw9etg)
> WEJSECTION
I. uride stand that a pler; docl.•_mo rin ' Ilirsgs; b�eakvuater, .boathouse, .lift; or groin must,be 'set '
bank a minimum distan,co of 15' fion-my,,area of riparian access unless waived by r 16. (if you
wish tc: waive the setbsdc; yoca rviusf irrPtal the appropriate blank below.) ' gg
RECEIVED i
I do wish to waivs-the 15P setlaack requirement.
AUG 2 4 1015
I do notwish'to.waive`the 15'.setback requirement. c,;r� ►wr�u��;: :
(Property Owner InforM.a:tion) (Aalacent Property Owner Infor atlon)
Si re"' ° f
Sign r:
Print or Type Name ,,�� �n" Print or Type Name T.
ate: �p. ✓K hfr''
;�' Mailirf Address Aealiv-
.
ip CitylState/Zi !� Met� 5�� � .� •
..
95
Telephone Number Te/ephon Number
Date Dale �...
(Revised 6 11812012):
r ., ..

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