Boyles, James

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ANlA /,,� DREDGE &FILL NO 8 A B ..''"C'p D
ENERAL PERMIT Previous permit# - ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources , • f �.2
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
T._] Rules a ched.
A licant Name ,.0 �`6.7
..
pp .. Project Location: County
Address ` ki, e`. + s �; i' Street Address/ State Road/ Lot #(s) `(
City State . �{ ZIP r' d
Phone # (� ) : E-Mail Subdivision
Authorized Agent - City ZIP
Affected ❑ CW EW ,.P'PTA qES I `PTS
AEC(s): ❑ OEA ❑ HHF El IH ElUSA ❑ N/A
❑ PWS:
ORW: yes / i°no% PNA yes / no,�
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
Bulkhead' Riprap length .17
7 x
avg distance offshore
max distance offshore r
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
r'
Beach Bulldozing
Other —
Shoreline Length
rr
SAV: not sure
yes
;ho';
Moratorium: n/a
yes
`� no t
Photos:
yes
no
Waiver Attached:
yes
5 no If'
Phone # ( ) River Basin
Adj. Wtr. Body }'' {'. t {�` .•4,-`(iiat /man /unkn)
r'�
Closest Maj. Win Body
A building permit may be required by: `.. (-w i (�� t "� ❑ See note on back rega
( Note Local Planning Jurisdiction) ! /
Notes/ Special Conditions
� p
,' ,,..^t .�" 4.,.A1 4"k"'�Pr. A+ .x f f j 1 " ; b._ >r^""� . , •,. C' ��P
r
(Scale:
River Basin rules..
Agent or Applicant Printed Name
Permit Officer's Printed Name
Sign ure Please read compliance staff
ment on backof permit"
Signatyre
}
.
ApplicationFee(s)
Check#
Issw g as a
xpiration Date

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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

CAMA/DREDGE & FILL
A :. D_,
7 11IERAL PERMIT
B
Previous permit#. t
New �""--Modification ❑Complete Reissue OPartial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and
Coastal Resources Commission
Natural Resources
�ry ) `q�
0 7
and the in an area of environmental concern pursuant
� Applicant:Nam,�raae c' ='
to I SA NCAC t i f�'
�,Mulesatqached.
t
Project Location:
County
Address (Gostbo.��
Street Address/ State Road/ Lot #(s) ` ff..
City-.ryM (21 ci f v'1®State .ZIP 1�
Phone # I;� E-Mail ---
Subdivision
OLV
Authorized Agent ^'"
PTA
City
ZIP
'«'` -
❑ CW , -S S
Affected
Phone # (_)
ver Basin
❑ o► ❑ HHF ❑ IH ❑ UBA ❑s N/A
AEC(s);
Adj. Win Body
man unkn
❑ PWS:
ORW: yes / PNA yes /o
Closest Maj. Wtr. Body
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MAVARJUMNAME
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"V fl_
ent o K4 H _'t Printed Name ,
gluq(a f�
re ,ePlease read compliance s mentonbackof ermit**
7
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pplication Fee(s) Check i :'I
F'-Vs Gt',,"A�'. /7
PermitOfficer's Printed Name "
'7
Sig
nat
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Issui g Day. a pirati n Date

i
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: `ivy
Mailing address:
Telephone Number: oZ �J� �)--1 0
i certify that I have authorized (agentteontractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
This certification is valid through (date).
(Property Owner Information)
Oho )
Signature
Q ES RECEIVE
Print or Type Name OCT 19 2015
0wASE�
Title, co. owner or trustee for property
®CM- MHD CITY
Date
Telephone Number
3OLV'At, sA Ck
Email Addfkasss
1tiy
Y
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kv''vtt p7t3'
On
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1 ncis:srstamid that a bier. docK, n nooi mg:: gllnfg r ,-� , r �? +a ' S. I*r , o groin
6 � r��ctl t�l'i't.a 1.7. ;3i'kl rvk'� t �^ �.z 1.�4 5v�� �:
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t f ua ��'r` � I}'Jr�a"t�l r r,F. ,,,��,,„,„ ,„a1��S 1'^a,1 a ;fir
=C`v';'d?Vc i—ha sY3 b?'� 1�;kiYk � t t � I,,
r.. t e apprr uriatm 'N ine.
cio vfth to viaive the I v' selGba-.r`j i wr,t° f'. Nii.I"Z'I .
ati x S fbr one aalennar pswa r aftsr signature'<

L e A o
�hisqreby csr*jfY th-at I own prop M, adjaceDt
Name Of Property cl�vne-r)
property located Address o' Block, R ', Ste.)
on A cto� 4A r, el k- in 0, all -j N.C.
41—
(cf-1011T, own :-Mllffor Courroj)
The applimarit has described to me, as shown below, Ithe devalopmeW, proposed at the above
(coati
I haven no objection tto this proposall.,
h1ave objections to this Proposal.
DESCRIPTION ANDIOR DiRAVIMMG, OF PROPOSED M-WELOPAREDITI
f:3 -dCipfpVc-'r, ,baloyg- or Blntac2 a efg-- d�aViru"gi,
MM �
YVAIVE-P, SECTION,
I understand that a Pier, docX, mooring pilings, boat ramp, breakwater, boathouse, lift, or aroin
must be set back a minimum diemnce of 15' from my area, of riparian access unless waived by
me. (If you wish to waive the setback. you silo ln'ems l -blie aporopriate blank belovt.)
do wish iowaive the 15'setback requirerneni.
Daia
i do :not wish to waive the I 5'setback requirement.
Print or Type Name
3 6 0 cs tA 04,e
114affnjC AddreSS
cfilllstatezzip A/C 2 lyS/ 4:1
Telephon Numberl email act S
VP f -0014 - 0--Pf—
(Reviser! Aug. 2014)
lValid for one calendar year after signature*
OCT 19 2015
®CM- MHD CITY