Fesmire, Martha

JXCAMA 1:1 DREDGE & FILL
A 11
GENERAL—- PERMIT Previous permit #
Xk! ew' OMoclification,' OComplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,., Department of Environment and Natural Resources
1w and the Coastal Resources Commission an area of environmental concern pursuant to 15A NCAC 0 7 'hl
a Rules ma h d.
Y'l 4 f fe
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)-
X
_'Zi
City I PU J16i t State P
Phone #
_01111'' E-Mail Subdivision
Authorized Agent City, ZIP
r
Affected Ei cw A iw ,L irrA ❑ [I ES El PTS Phone River Basin /7' e
0 OEA 0 HHF OlH El UBA 0 N/A
AEC(s): Adj. Wtr. Body— 1�:' (nat Laxi
_ /unkn)
0 PWS:
Closest Maj. Wtr. Body
ORW. yes Uno PNA yes Cn?)
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp , ?
Boathouse oatlift Y
Beach Bu�ldozing
Other— t
Shoreline Length
SAV- not sure yes /no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes --go,
A building permit may be required by: I
Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or/Applicant Printed Name
",
Signatpre Please read compliance pliance statement on backofpermit"
Application Fee(s) Check#
(Scale:
ommmmmmmumm�mm
IMEEEMNEUHw
IMMOMMMEMwN
lmmnm�fflm�=
❑ See note on back regarding River Basin rules.
PermitOfficer's Printed Name
Signature;
lssuing,Date,;' Ekpiration 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, 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-411COAST 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 Citv 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 Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

• :•• y`
s
• • :••
i���i■iiiiw®®i:ii::�iai■iiaiiai®iii®��®®a■
• 4 ■■II■■■■■■■■■■■■�':�■[����ut�i■■■■fit■■■Ilia■■■■■■■
Shoreline Le.Zh
■■n■■■■■■e■■■■i�ra>r�■■■■■�■■■■■■■■■■■■s®■��■
hm
_iviiiiiiiiiiii�_iiiii►■Qooiii

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to IIL�—a�� `
(Name of Property Owner)
property located at /0?
Add" Lot, Block, Road, etc.)
in / n-e- A K 5 )-7 N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
/L
Print or Type Name
RSa-- '�?/4i'-3o7 z
Telephone Number
4r, l 3 c:-,/a
Date

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
1 hereby certify that 1 own property adjacent to 44& 44ar 40�
's
#01 (Name of Property Owner)
property located at.z��4 42raz L-
on
(Waterbody)
1*5�has described to me as shown in the attached application a d project drawing(s), the development
fis proposing at that location, and, I have no objections toproposal.
J-
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Telephone Number
Da e

PLANNING & INSPECTIONS DEPARTMENT
CARTERET COUNTY, NORTH CA.ROLINA
DATE: ➢ Show property lines with dimensions
_ ➢ Show proposed structure with approximate dimensions
PIN. (0 3 9 , i0a , n��J (� ➢ Show any other existing structures on property
➢ Label distance to all property lines from proposed structure
APPLICANT: ➢ Label road, front, rear, and sides
DRAW PLOT PLAN BELOW
APPLICANT0 M.91 X I I MAN
ZONING OFFICIAL INITIALS