Crocker, William

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�E CAMA / ❑ DREDGE & FILL (aDC"� ' ' ti E
GENERAL PERMIT Previous permit# A B�C/: °
❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized b the State of North Carolina, Department of Environment and Natural Resources
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and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ales attached.
Applicant Name. i %,' i `!' l 1� Project Location: County
Address
City, `I
State
Phone # ( `""} ""'"
E-Mail
Authorized Agent
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❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
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❑ HHF
❑ IH
❑ USA ❑ WA
❑ PWS:
ORW: yes / no
PNA yes /(ram
Street Address/ State Road/ Lot #(s)
Subdivision �.
City '� �\ : L l : \. dam ZIP
Phone # ( ) t River Basin
Adj. Wtr. Body { f ' ((nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity % •14 J,� I�
Pier I
Fixec
Float
Finge
Grok
Bulk
Bash
Boat
Boat
Beac
Oth,
Shor
SAV
Mor
Phoi
Wail
(Scale: /tl,'r0 )
mr1offlu
MR
NONE
m
PENN
ENNI
SEEN
EM
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ME
Odom
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MOOMEME
MEMO
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III
ME
noMINOR
M
not sure
ts: yes no
ITIME
HIM
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MEMONMEEM
er Attached: no
■NEI
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A building permit may be required by: E �..� ' C ��<'_' i .. „ ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions ) �`\ ' , 1 i +, t i 1 i ' ! ^ { (: s,� ` t. t ! 1 '•. t� f {'. ( X ('r i ;1 ���
f..-�i ,-. i --� \ � .) ,`.� i "1j-� � l 1 � c ' I 1 !' .t _!. •; I � i \t s � ; `� l� {� .'('-� j ,+ -i ! � q / " {l I ? li l � ��� f � I i/1 f?�,�.? !
y 1 ,
Agent or Applicant P,nnted Name' }
Signature * Please`read compliance statdnent on back of permit"
Application Fee(s) Check #
I it l if
Permit Officers Printed Name
Signature
Issuing'Date ? Expiration 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:
❑ 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

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` N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date J u�tt 17, 2016"
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that have authorized (agent) t'tl>�Gtit/ �{EVt1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) X ` OO Con GYL 'i ,Q PyD%f I l r ?r#y ,
at (my property located at) 1qj 5g,� 71ia r6 bpI
This certification is valid thru (date) TmL a 1-0142
Property Owner Signature
Date
RECEF
OCT 0 2 20'5
DCM- IV` a [E r i

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fmrbp___r � r Prnoji et
191 Sea Trarw
W
N,esr pore,
20'
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aa<oW camd pant GA
pilings
;.itntJBtr Pipr O
for future lift
MLW=44"-48"
=
Main walk way- 5' x 400'
O
Eil/platform— 13' x 20'
Drop down section-5' x 10` 4
j
Girders- 4'x 10' treated timbers
attached to each pilings with 2-518' galvanized timber �u,tnxln xd7lutoct
Decking- Marine concrete slats. Attached to girders on all
o '
for corners. Using 518' galvanized timber bolts
o
Sanding- 4'x 6' treated lumber attached to girders
using 518' timber bolts
Six to'
concrete drop down
s6GUon
�@ 300'=MLW=33"-36
Rnat i r $nar'c• _
13'000# Capacity Hatteras Lift
y
Equipped with Limit switch and Remote.
15' x 21T Nip Roof
All framing will be 2'x 8'-12' treated
@200'=MLW 20"-23"
All hardware will be stainless steel and hot dip galvanized.
Roof Is priced using dimensional shingles
i
i
1 @100'=MLW=16"-18"
Access
stalls ��-
0
O
€( MLW-0
Marsh Line
Existing retaining wall
RECEIVED
OCT 0 2 2015
1
DCM- MHD CITY

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or on the front if space permits,
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>t'_ Attach this card to ttie back of themai
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:1. Article Addressed to:_
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OCT 0 2 2015
DCM- MHD CITY