Cape Emerald HOA

�a6AMA / ❑ DREDGE & FILL
A B`) °
GENERAL PERMIT
Previous permit#
2New ❑Modification 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
le - f j i! r
f �p M er A
�pRules attached.
f /
Applicant Name ' � �^' r' j�
Project Location: County
Address �� /`t" (C cr �6=�.2a
F
�'
Street Address/ State Road/ of#/(sf
-
City o State ,•° / ZIP,r-
/-�` %%
Phone # (��.-� ? .5 E-Mail
Subdivision
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Authorized Agent r '"
_
'I t ' ..
City - �ti r"Y r -- ZIP .
Affected f— rg�TA ❑ES ❑PTS
Phone # ( ) r River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
t `;
Adj. Wtr. Body k 7 t. L'Y ) %i ` "e. - `` ((nat./man unkn
( PWS:
ORW: PNA
!
Closest Maj. Wtr. Body �`'
yes no yes `�no>
Type of Project/ Activity C� { 60 rt,1 k 4 3'(�j
1
�1-r�� 1� -� ji I �'� r
(Scale:
ier
Fixe
Float
Fing
Groi
liti� s:mis
Basil
Boat
Boat
Bea(
Othi
Shor
SAV
Mor
Phoi
Wan
MMMKIMMMMIMM
ng Platform(s)
r pier(s)
length
■�
a
number
0
avg distance offshore—
�
IMMENSEMMI
max distance offshore_
mom
ON
MOMMINUM
EMEME
1111
11111111r�
111111
cubic yards'
=0
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No
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WIEN
NO
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MOM
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ON
MOMINUMEMIAMMIAM11111111111
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not sure yes
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A building permit may be required by: /%k �!�"� . �-` ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) f
Notes/ Special Conditions Co '!V� �? � � �0/ 0 L, '� +� <•.' J• "1 ,-
�
i
�� � t lr�:�f i.'a ?.ems y • (•� � �" �r'
Agent or Applicant I�Hnted Name Permit(
t f/1 ,
Sign4 re..!** Please read compliance statement on back of permit ** Signatu
oo
ApplicationFee(s) Check# Issuing
er'!0rini:e- Name
:e Expiration bate

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 consistentwith 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 how to 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.nccoastaimanagement.nett
Revised 08/27/14

11
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Date
Applicant Name
Mailing Address C OZ,�/� Z�
John E. Skvarla, III
Secretary
I certify that I have authorized (agent)�y�✓ to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
C I�Kne-Y14U Loc)>. Af.C. at (location)
This certification is valid t te)
Signature
C rnla---
400 Commerce Ave., Morehead City, NC 28557 One
Phone: [phone] FAX: [phone] Internet: wm.nccoastalmanagement.net NorthCarollna
An Equal Opportunity 1 Affirmative Action Employer

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C 's
_ _ , (Name of Property Owner)
property located at w e
(Address,
on T3Ok U e sovikd , in.
(Waterbody)
Block, Road, etc.)
(City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
;17
u wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property OwnerI formation) (Adjacent Property Owner Information)
Signat e Sign �l eee A. Z O o'
Printor aT�e ��� C� �y��), Print or Type Name .
JJ
Mailing AddP,sser44 ,�- /� g t d 1r s 2 O
City/Stateizip --7 _ y City/St51te/Zi , , � ., .,
Telephone Numb r/email address
7,131-7
Date
Telephone Number/email address
`'LOVOKbev t4, 201�
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Jucy o or-,c ;ZRR . Qk4y2n 's
_ (Name of Property Owner)
property located at
L Nvic-G (
I �^ , I e (Address, Lot, Block, Road, etc.)
on , in CNN-m—kJI Vls- , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
�/ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposingdevelopmentmust rill in description! below or attach a site drawing)
1
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
m�, (If you wish to waive the setback, you must initial the appropriate blank below.)
�� ✓ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) ( jacent Property Owner Information)
Signature Si atu e
Print gr Type Name Print or Type Name
Maifirw Address Mailin Address J
�z�o�
City/Sta1e1 City/State/Zi
"11� �f� 3 5 3 Cl S '? c, C �tlew,nn�n �'� �^ •
Telephone Number/email address Telephone Number/email addrds try
I ( l Ill
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*

•
•
is
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nits I i
R� ° BOCUE SOUND i �o
, Riparian Corridor
C° 1 Is An Extension
tet°t
EMS aid Dr. I of F-- Of Lot Lines
a
Bague Spun N 87e56j71ronP1pe
0�I 0
oag0n 9.891
Attanttc _
Coos of e Ra' SITE EEx. Iron Pipe
VICINITY MAPI�
(Not to Scale)
NOTE: Elevations (Contours) Shown
Are Mean Sea Level (NAVD 1988)
+ Spot Elevation
0�
N/F
�
0)
tl
N/F
4
Mark A. Robertson
6
Robert E. Fields, III
Sarah Robertson
y)
R
M
Eliza Fields
m
O
1.2'
tl
Approx. 75' AEC Line
per M.B. 24 Pg. 91
3
2;'
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13i'
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2
;
TOTAL AREA
c
;5
1,920 Sq. Ft.
' I
(Coord. Method)
�
I
r
1
r
I 0 Ex. Iron PI a
S 69a42'14'W
I 7_r "TIE" Ex. Iron Pipe
iW ,
A ■ / 0.05
o
5t�•2A0 ape gM B' 24 a 5,2' S 73019'229W
Ex. Iron Pepe g\k• Ed ° 10.05' (Chord) .
g%) 5.0' avement
—� 5.3'+ BALD LOOP
NOT FOR RECORDING �1�IE
P.I.N.: Off of Page 5373.12 CAP-9 `5d prwate
FLOOD ZONE: AE (9.37 1 1-3-05
Per Firm 370047 5373 K ` (RAW -
SUBD. REC.: Jan. 1987
30 15 0 30 60
GRAPHIC SCALE — FEET
I certify that this map was drawn under my supervision from an actual
survey made under my supervision (deed doscrt
ptlon recorded In Book
page or other reference source M Book 24 Pa. 9111 ; that the oun arias
not surva�ye are Indicated as drawn from Information In Boo k page
or other reference source . that the ra o of preclslon
or positional accuracy Is I i 1 i 000+ •and that this map meets the
requirements of The Standards of Practice for Lan urveying In Nor
Carolina (21 NCAC 56.1600).
This 4th day of November , 2011.
t
Professional Land Surveyor
oQ�� CARo4�ti
�OFV-SS�ON y
4 SEAL
y L-2640 _q
yO SUR`1� \Q�
Revised 9-22-08 (Topographical Survey)
Revised 11-2-1 1 (Add Riparian Corridor)
SURVEY. FUK-
CAP.E' EffERALD
MASTE'R AS'rSOCIATION
Emerald Isle REFERENCE: 10' Private
Carteret County Walkway Between Lots 8 8
North Carolina 9 Sect. E 'CAPE EMERALD'
Scale I" " 30' Part 11 (Blk. 45) M.B. 24
May 22, 2008 Pg. 91 Carteret Co. Reg.
BELL & PHIIJIPS SURVEYING, PLLC
604E Cedar Point Blvd. (License No. P-0391)
Cedar Point North Carolina
[phone] Pro)ect No. 00-192

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