Dray, Michael Dean

0 DREDGE & F11
A B C D
GENERAL PERMIf Previous permit #
�lew E-114odification ElComplete Reissue ElPartial 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 15A NCAC
EPRules attached.
ApplicantName NA( Project Location: County
,.) Address J Street Address/ State Road/ Lot #(s)
City' State ZIP
Phone # C�7E-Mail
Authorized Agent
0 CW EW ` ,PTA 0 ES 0 PTS
Affected
AEC(s): 0 OEA 0 HHF 0 IH 0 UBA 0 N/A
0 FWS:
01RW. yes/ po 1PNA yes / 'n"o
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Type of Project/ Activity
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Float
Fing
Groff
Bulk
Bash
Boat
Boat
Beac
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See note on back regarding River Basin rules.
A building permit may be required by: 4
Note Local Planning jurisdiction)-\
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Notes/ Special Conditions
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Agent oeApplicant Printed Name
Signature Please read compliance statement on back of permit"
PermitCices s Printed Name
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4plication Fee(s) Check# lssunl
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 andvoid.
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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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.nett
Revised 08/27/14

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
..-� !Name of Prorerty Owzierl
property located at
(Address, Lot, Block, Road etc.)
on C.,Qym Q_�E±amA�)MT-�f ; in AA -A ei N.C.
(Waterbody).k0=hD,1 (City/Town and/or County)
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
Naa 4r % S` ic,��-zrd -�r�rC�locr orb- I t3 c�-�d�7 r�
-•-' o n hii t -h 0� ebces a` vtru' t i Lz t t 1 be_
LL t'-U; r 0Jpoock- 1r� t`•`Tht 5 s � it ust
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Iry Vine-, t,�\ ��-, 1�3 ���r �� ©�s�e. e � 10-�-1-t-t�
101\ jam, W t {iri 4 r-� `'1�- i�3�'Z?` Y`�C'! v� ar") 5o
Z� vu 1 S Y'e'� i s t ne .
WAIVER SECTION RECEIVED
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 .JUN .15 2015
me. (if you wish to waive the setback, you must initial the appropriate blank below.)
I do Ah to waive the 15' setback requirement.
DC► LMHD P-ITV
wish to waive the 15' setback requirement.
Information) -
Print or Type Name
2.f 04(4an o.J i
M it � g Address
=71,4 t4 e-
Ci /S(ate p
1 -0.36 -30
Tele h e�Nuiyber a it address
Dale
`Valid for one calendar year after signature'
Property Owner Information)
ling Address J
No k3 M'C- afaz&
Cit /State i
c1-19 (O
Telephone Numberle it address
5-�3-t5
Date*
(Revised Aug. 2014)
d

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I *own property adjacent to Michael Dean Dray 's
property located at 111 Pond Dr., Atlantic Beach, NC 28512 (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on I canal between Pond or & Kinston Ave , in Atlantic Beach. NC N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
—r;z I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
Add (4) pilings towards the property located at 113 Pond Dr, to the right hand side of the existing dock. These (4) pilings will be used for a boat lift.
This set of pilings will be roughly 1ft oil the existing dock going towards the property tine with 113 Pond Dr. The outside edge of the pilings will not be
within the IS restrictive area, therefore no waiver is required.
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
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
r
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Michael Dean Dray
Print or Type Name
21 Oakmont Ct
Mailing Address
Clayton, NC 27527
City/StatefZ'
919-630.31Of/ [e-mail]
Tel ne N bemail address
Dar
*Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Signature*
Gerald R McCall
Print or Type Name
950 Vail Rd.
Mailing Address
Pikeville, NC 27863
CitylState/zO
Telephone N/u(1'tbe/r / email address
^l�i�Cc:if3�iFtG./'I:t.�`zf�.
Date
(Revised Aug. 2014)