Flora, Dorothy

Q'tk'CA MA ❑DREDGE & FILL A B (C,D
GENERAL PERMIT Previous permit #
�New OModification OComplete 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 Commis
on in an area,of environmental concern pursuant to I SA NCAC
;Q Rules attached
Applicant Name �4Jt.i I Project Location: County
Address . '_ , Street Address/ State Road/ Lot #(s)
Yi
, 1
City 'I V-Ul- .1 t INAk 1)V,,State ZIP
i
r LIA,
Phone# I!' I
Authorized Agent A��f,­'/ n
­ i Nt —1-
C)'-Crw
Affected "EJEl -PTA ES 0 PTS
0 OEA 0 HHF 41"H 0 UBA 0 N/AAEC(s): PWS:
❑
ORW: yes/ (ro PNA yes 4.)
TYPe of Project/ Activity
Subdivisi
Ci.
\-�ty
Phone#
Adj. Wtr. Bod
Closest Maj. Wtr. Body
ZIP1--.)(1i1-1 (91
Y1,
TPU/Yer BasinLt t l✓K f
A I (",', if � T( nat /ma!L' )unkn)
(Scale-
:zc
I U,
MIA= M �Ow-wo
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length ..
avg distance offshore
max distance offshore
Basin, channel
MMIM11111
NMI
Milli
cubic yards
Boat ramp
Boathouse/ Boatlift
r0mm
NOW
—
Nimmons
MOUP-mm
ONE
=OMMI!
Bulldozing
Beach—
IMOVE
0
MEN
M
Is
NEW
501
11
IKIMM
No
�
MENEMENNEEMONE
MEN
�Nm�ESEUM
NMOMEN
IN
No
M.
MMIMME
mommmom
1111111MJlEs111
ME
I
-10
"1
1111111
Shoreline Length-
SAV-. not sure yes (6-0-�
Moratorium: n/a ye: n) 0
Photos:
ME
1M1I11K11011
-
MEMBER
IWO
El See note on back regarding River Basin rules.
A building permit may be required by:
Note Local Planning jurisdiction)
rat(}
Notes/ Special Conditio s .-A V
J:
Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature Pleaseiread compliance statement on back of permit Signatpr
-
Application Fee(s) Check # Issuing D to Ex pi6tionbAte

.* ow t
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 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/ 1-888-411COAST
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.net/
Revised 08/27/14

to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of Mta _ 15J-7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on
(Waterbody)
Property Owner)
ss, Lot to GrlrCet..' J ; N.C.
(CityiTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to a 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)
RECEIVED
OCT 21 2015
WAIVER SECTION DCM- MHD CITY
I understand that a pier, dock, mooring pilings, 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 towaiv the setback, you must initial the appropriate blank below.)
d wish to waive the 15' setback requirement.
RECEIVED
o q
I do not wish to waive the 15' setback requirement. OCT 2 7 2015
(Property Ow er Inf at! on)
Signature
t or T pe Name
M iling Address
City/State/Zip �� 2s2- �
TelephgpelNumbfr
Date
(Adjacent Prope Owner Info �iW M H D CITY
(/, 1.
n riX�J%f
Telephone Number
16 g�
Date,
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to S)OY0: 'w i lY `� is ,.
(Name of P operty Owner)
property located at a0LI 2f-1
(Addy s, Lot, o , Ro d, etc.)
on GL� vz , in G.Z, N.C.
(Waterbody) (City/Town and/or County
The applicant has described to me, as shown below, the development proposed at the above
to 'o
I have no objection to this proposal.
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)
rejA) 6LO UKI
WAIVER SECTION PSce1\1E®
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must bksg5
back a minimum distance of 15' from my area of riparian access unless waived byWi . $
wish to waive the setback, you must initial the appropriate blank below.) C1_V1
RD
��Z�L I do wish to waive the 15' setback requirement. I)CM'
I do not wish to waive the 15' setback requirement.
(Property Owne I ation) (Ad acent Property ner Information)
Si tune S1 re
M WJ P Abbj
P ' t or Ty a Na not or Type Name
n Ad ress ailing Address
City/State2ip City/Sta 5 5 _63 a c
2.5 Z --g (��i -G �3 of 5� RECEIVED
Telep o e Nu Ter.-- Telephone Number,
i a 8 S 0- �� - �s OCT 2 7 2015
Date Date yyyy
(Revised 6✓1�W - M H D C I T

107MA15 '
ConnectGlS Feature Report
CONNECTGIS
WEB HOSTING
611
b
n
e-
Carteret2
Printed October 27, 2015
See Below for Disclaimer
Address Points
•
Parcels - Updated 10-1-2015
1-1
Centerlines
NC Railroad Right of Way
519 O
County Boundary
Y
Other County
<all othervalues>
Cart
PIN
Acreage
Parcel Dimensions
Lot Number
RECEIVED
OCT 2 7 Z015
DCM- MHD CITY
the information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and
3ther public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for
verification of the information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret Countydoes no
3ua mtee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services an
access methods at will.
ht¢):llcarteref2.conrlectgis.comlDavNoadFile.astm?i _ags_map6Od6fl26r/3944e6b777d94Po1g3eM.htm&t=print 1/1

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