Graton, Wayne

�'SGAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑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
_ �;,) ERules attached.
pplicant _ r��5 r Project Location: County ' w "a
Address -f 1 71
Street Address/ State Road/ Lot # s lG` L
Ci � r � � ``� �' � ��;` �•�-Stat � ZIP `'' _.., � �� �
i tyL L
# "`
;Phone (i")
Fax # (—)
Authorized Agent'
Affected ❑ CV1/
YEW G�'PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
❑ FQ
ORW: yes / onoI-)
PNA yes /ram o'' Crit.Hab. yes �a%
Type of Project/ Activity
,t
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse Boatlift•j
Beach Bulldozing
Other
;Shoreline Length ti Jf
; SAV. not sure
yes(no
o
,Sandbags: not sure
yeso
Moratorium: , n/a
yeso
`
Photos:
yeso
Waiver Attached:
yes
A building permit may be required by: IF
Notes/ Special Conditions
Subdivision
City (ri f,,i:' i 4 ;�,i1 - ZIP T"•/ .,{
f
Phone # River Basin /00 f Ji i./,- <,
> `c l p i1 nat /manl /unkn Adj. Wtr. Body � ; - � ( )
Closest Maj. Wtr. Body
11 / -,
/
(Scale: / ­= l V )
r�
f ❑ See note on back regarding River Basil rules.)
1 /,:;ill
� � 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, 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 Quality. Contact the Division of Water Quality 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

, NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Graton
Date: 8/28/13
General Permit #: 63016C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
169
169
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastatmanaaement.net revised:02103/10

August 17, 2013
I give Eric Ellis permission to obtain a CAMA permit on my behalf to install a 12x12 boat lift at my
existing dock. The property address is:
108 Beechwood Dr
Pine Knoll Shores NC 28512
My mailing Address is:
Wayne Graton
7417 Cobble Glen Ct
Wake Forest NC 27587
Wayn Graton
919-345-6858

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: W -2 !1 P 9 A-4z
Address of Property: ec-,to, Df .?rn< Vvim Sonoc= c Z$5/2
(Lot or Street #, Street or Road, City & County)
Applicant phone #: l 9 3YS_ &gS9- Mailing Address:- -7 y t 7 024 L I e G(f' C'f
._.W a kC 62rr's4 /,/c 2 -)Sg-7
I hereby certify that I_own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description 'or drawing with dimensions ` must be'provided with this letter.
V I have no objections to this proposal. I have objections to this proposal.
11 you have objections to whatis being proposed, you mustnotify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoasfalmangement.net/contact dcm.htm or by calling 1.8884RCOAST No
response is considered the same as no ob ection If jou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
Pl I do not wish to waive the 15' setback requirement.
(Property Owner Info mation)
I I t&4��
Sig tore
Wa`me- C
Print or Type Name
791-7 cots (e Gleg 0
Mailing Address
CifylSfate/Zip
2/1 '2y-5, 4
Telephone Number
(Rip tan P oper 0 er Information)
Sign fz�re
Pdnt or Type Name
Mailing Address
nu- A! U
City/Stateaip
2. �r2 -247
Telephone Number
Dale Date

icy'
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911 - 3 qS- �Ssg

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Name Property Owner:
Address o roperty:
Applicant phone
(Lot or Street #, Street or Road, City & Cc
Mailing Addre/
R FORM
I hereby certify that I own operty adjacent to tjaove referenced property. The individual
applying forthis permit has de cribed tome as shthe attached drawing the development
they are proposing. descri do * or drawin withons must be rovided with this letter.
I have no objections to th proposal. I have objections to this proposal.
If you have objections to what Is being pro os tl, you mustnotlfy the Division of Coastal Management
(DCM) In writing within 40 days of recelp f this notice. Contact Information for DCM offices Is
available at www.nccoastalmangement. ntact dcm.htm or by calling f.888.4RCOAST. No -
response is considered the same as no ecti n if you have been notified by Certified Mail.
WAIVER CTION
is,
^ ?.,rt „:rbrewater boathouse or lift must be set back a
os -. =a f : �-=i ^ ar, ss unless waived by me. (If you wish to
waive the setback, ' iai a:� f:�: :laf_ :._ �1F.- AFtdofri LL SuO YYQIVG the 15' setback require el
Signature
Signature
- , CltYi.s�-

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: I c)% R Peen La,J Dr P;nc 1<n, H %ales �c 2Asr2
(Lot or Street #, Street or Road, City & County)
Applicant phone M +a% 3 Y.T 69SS Mailing Address: , 7 `il 7 Cob 41e 41,e l C-f
11Jake &cea - t& 27tg7
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within f0 days of receipt of this notice. Contact Information for DCM offices Is
available at www.nccoastalmangemenLnet/contactdcm.htm or by calling 9.888.4RCOAST. No
response Is considered the same as no objection If you have been notified b Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the I6' setback requirement.
(Property Owner Information)
Signattte
Wa o
Print or T.Vpe Name
-?Llm e6661-e �ren C
Mailing Address
I�.�/ i x<4 1,1c 77«7
City/Statemp
Telephone Number
/11 113
Dale
(Rlparian,Property Owner Inf rmationJJ
Signature
i
�o�i�►� 3 �� I,nt � ��
Print or Type Name t
Mailing Address
City/State/Zip
25
Telephone Number
'V
Date