Biggs, William

V.
u
C 4
4TIT :f
NNV t
� 56 (' q gg a
I. ., "tu.,,

� � r
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:
IM Tar- Pamlico River Basin Buffer Rules Other:
MI 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/ 1-888ARCOAST
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

IL cr I --
Type of Project/ ActiVity
Pier (dock J length
Pla
Fin!
Gro"
Bull
.I Basi
Boai
Bow
Beat
Othi
14 exr-d' s .01
t
-(Scale,:
F 61er(s)
m=a
immfiffimmi®mC;R,WE
■�i�
®:CCC®CC■�■®®
n length
number
.iead/ Riprap length
—
avg distance offshore
MEN
MCCCC
0
NCCCC:
'®
C®
CCCC
max distance offshore--
i, channel
cubic yards
...■C.....�.�...
C
s....■.,....■(..■■.
■■..
ramp
iouser...
F'
.-i Bulldozing.
■!.■...■,....C■=■■■......1......■■.■■..■■
ir
CCC.CCC■CC.CCC■CCCNCN:CCCCCCCCC®CC
NONE
MEMO
IN
ME■WEEMEEMEME
A building permit may be required by:
Notes')SPecial. Coq1tions A)
Ll See note on back regarding Ri r Basin rules.
les.
C/

North Carolina DWatwa of Environment and Natural Resourm
Omsion of Coast 1Nal>agerrlent
&Mly c"sm pt4e, GOMM H. Gr+rgeoa, Olrtvt Oee freemm Sea mkffy
D,1 4 - zo -I 5�
Applieuvt Nanie
Mailing Address
X certify that I have anthoried (agent) D J� h a � to ad on my
behalf, for the porposc of applying for And obtaining ag CAMA► permits necessary to
install or construct (actiwv)
at (lmdea)
Thk cerfificatrim is VMW thro (daft)
Signature
RECEIVED
4W Cmunm A APR 2 8 2015
Phone: 25241MM I FAX: 252-M l Immnst w �

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1114orrr s � ", I
(Name of Property O er)
property located at J6 k,"Sp - -- 4- ,
(Lot, Block, Road, etc.)
on �Q �� , in CCc �7 Z°C6114,,A/f , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
_t/' I ,d9 wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
a a 4I7` d i �I
9 6 ° 1 1° " I It) m
\ RECEIVED
APR 9 7o15
-------------------------------------------------------
Signature
Print or Type Name
.252 — 3qz
Telephone Number
Date: 4tz - z eo - 1-r

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFFIBOATHOUSE)
I hereby certify that I own property adjacent to 's
i,,me of Property Ow •)
property located at J (�Y�Y��jt 5 t t 11
(Lot, Block, Road, etc.) on in C "'((rA 00 U-K` , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen. feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
i/ I d4 wish to waive that setback requirement.
------------------------------------------ ---------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
APR 2 a RECEIVED
DCM-MHD CI1Y
APR 2 9 2015
t>�'.K"'-VAnR s�'tY
-----------------F -------------------------------
Signature- E
AM
Print or Type Name
Telephone Number
Date:

Apr ,23 •15 08:37a
RECEIVED
APR 2 9 2015