Blue Heron Bay Community Assoc.

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A B /?C P
ENERAL PERMIT pp
PrevioY s rmit #
New El Modification E]Com'lete Reissue E]Partial Reissue e.
P Date pnevious 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 'he %A
[Qd 'Rules atqc,
Peoject Location: County',
Applicant Name, 'Y
Address_ I )< Street AddresV,,State Road/ Lot #(s)
City q, A A. Sta
te ZIP J, A_,
12'
Phone # E-Mail Subdivision
Authorized Agent k Autho City ZIP
El CW �kj!EW
"t,PTA 1_4ES El PTS
Affected
El OEA El HHF
AEC(s): -1
El 1H El UBA El N/A
PWS: E
QRW: ((Xes k no PNA
yes /(n�
Type of Project/ Activity
j\J,A
,
Pier (
Fixed
Float
Fing
Groff
Bulk
Basi
Boat
Boat
Beac
04
Sho
SAV:
Mo
Phot
Waiv
Phone #
Adj. Wtr. Body_J_x"-\,.
Closest Maj. Win Body
River Basin'�, ,,,,,A_A'..A,
(nat /42'
(Scale:
ONE
Platform(s)
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.ng Platf2rml.
r pier(s)
NONE
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rium: n/a yes n
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r Attached: yes
A building permit may be requiredby:
Note Local PlanningJurisdiction)
Notes/ Special Conditions 1
41421171_1i.��LLIA- I�Jf k IV 1\�(Delk 24X�l A k 'd, 0 "VIT t. v�k
Printed ame
N.
PermitOffice PHnte One
IN
ad compliance statement on back ofpermit " Signature
Check#' Issuing Pate Expiration Date
4,
y
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Sge note on back reg,
River Basin rules.

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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 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, 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 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Iniet-
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

Cfcii/IA / DREDGE & FILL
ENERAL PERMIT Previous Permit#
--'D
w New ❑Modification ❑Complete Reissue ❑Partial Reissue Date prgvious 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 environ ental concern Pursuant.to 15A NCAC CJ
' 4 # f t ules attached.
i
Ai3plicant Name , -i— ` `P'roject Location: County
Addy ss - 3f ' �. Street Addss Sta a Road/ Lot++#(s)
City '` State ZI P✓ :) .' —it • v ; r
1r
Phone # ( '`" E-Mail Subdivision
Authorized Agent ; 14 tAA 1 City i� ZIP/'' / �J
A
❑ CW '4PW 'l,PTA ' ES ❑ PTS Phone # ( r River Basin- i q'
Affected
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AEC(s): Adj. Wtr. Body `- - nat , an unkn
❑ MS:
ORW: es )t no PNA yes / n
Closest Maj.
Type of Project/ Activity- _ C
(Scale:, � )
Pier (dock) length
Fixed Platform(s)
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Styron, Heather M.
From: Shay Hiatt Souder <[e-mail]>
Sent: Tuesday, March 28, 2017 4:00 PM
To: Styron, Heather M.
Subject: Blue Heron Bay Marina - Cama Permit
Attachments: Blue Heron - Authorized Agent & Riparian.pdf, Blue Heron - Seawall Drawing.pdf
Good Afternoon Heather,
Please see attached drawing, authorized agent and riparian forms. We are replacing approximately 432 of
seawall. Please let me know if you need any additional information.
Thank you!
Shay Hiatt Souder
TD Eure Marine Construction, LLC
Office Manager
Tel: [phone]
Fax: [phone]
Cell: 435-749-2833
www.tdeuremarine.com
RECEIVED
APR 0 3 2017
®CA4- MH® CITy

AGENT. AUTHORIZATION FOR CAMA PERMIT APPUCATION
Name of Property Owner Requesting Permit:'& e- ?36w (Intnn ('Ln I � AA�0!� iouhix-�
Mailing Address: Po. e6K, ! L-� J I i
-A'St'e I
Phone Number: ?,A 4 q <7 -
Email Address: coh Cr),
NIJ
I certify that I have authorized -=
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining al I LAMA permits
necessary for the following proposed development: Q011 oi a'.Mezrl i::-P)
at my property located at
in —&LLrd—County.
I furthermore certify that / 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 Ownejjnformation-
Sig adlure
V
; 1ht or . pe Na
me
ime
TfW
.�/ / /L
Mite
This certification is valid through �19 1
RECE1V1-..,-..
APR 0 3 2017

Pfint or Type Name
Mailing X�a�rass
Cltsate1jp
I`ala Orta Nu€ ber � -nad ddress.:...._
X
l/ / e
a�l�r� ��Idre�s
ECEIVE®
F�ya�el
e APR 0 3 2017
Telephone Atumb rl Emali ddra
3 - ®CM- MH® CITY
.t a
(ReWsed Aug. 014

J DIVISION OF COASTAL MANAGwENT
Name of Property Own
Address of Property:
IaA Y e
Agent's Name #: a
Mailing Address;
Agenfs phone
L hh-s �011L
�22S'Y7
I hereby certify that I own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawingjhe development
they are proposing. A description or drawinn with .cHmensionsmust be grovided with t
I have no obiectioTjs to this proposal, fliave objections to this proposal.
IFyou have objections to what is being proposed, you must notify the Division of Coastal Management
PCM) In writing within 10 days of receipt of this notice, Contact information for DCM offices is
available of n
AfO Le_sPonsa Jsgonsid—er7��dt a same as crEgstaff-kqgnq orby calling 1-888-4RCOASf.
beets otr leave notified by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat rarnp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me, (If
you wish to waive the setback, you Must _inttlal the appropriate blank below,)
- I do wish to waive the 15'setback requirement.
— I do not wish. to waive the 15' setback requirement.
(PFOPP-rty Owner Information)
m,14 cNi' 1-,, 16
Signature
J
MaffingAddress
citylstateop
Telephone Number /Email Address
,2
Date )i
(Ri rian rop�,Vrty Owner Information)
Ist" tire
re-
4,�P7
PM?t or Type N e
,40,,7 D44^4te,
-7t
C E I VE D
Daie
(Revised AqgA�W,4)
­0 3 2017
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