Hardison, Rockman

L JtCAMA / ❑DREDGE & FILL����
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' GENERAL PERMIT
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Previous permit #
New Modification ❑Complete Reissue
❑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 15A NCAC
Rules attached.
Applicant Name __
Project Location:
County_ - --
Address
Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # (----) — Fax # (_.---_.)
Subdivision
Authorized Agent ,
City
t:
ZIP ,� y
Affected ❑ CW ❑ EW E7-PTA ❑ ES ❑ PTS
Phone # (_ -_)
_ _ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA D N/A
Adj. Wtr. Body
- --(nat /man /unkn)
❑ PWS: ❑FC:
_
Clncest Mai Wtr Rnrlv
vn... yes i nu r1141A yes / po %.nt.riacf. yes / no
Type of Project/ Activity
Pier (dock) length -- _
Platform(s)
_4;
4-
Finger pier(s) '�-
Groin length -�-
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore --
Basin, channel �.
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing ----
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: ) I
# J i
1 -i.
KX..
n See note on back regarding River Basin rules.
PermitOfficer's Signature
Issuing Date
Local Planning)urisdiction
Expiration Date
Rover File Name

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
Neuse River Basin Buffer Rules
Other:
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/ I-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

j.:- N:+ ..'�L
Adpplicant:
Date:
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
tempimpacts)
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
tem im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑. Both ❑ Other
redge ❑ 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 ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date I©-, tq
Name of Property Owner Applying for Permit:
Roc ,- vr%b V1 N,<:�%r % S cO In
Mailing Address:
� 3 3 T r y- %v\ A
OA
I certify that I have authorized (agent) t1, d , V" to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) o4-\- 2 V,csj Doc Y,11
,
at (my property located at) e —1 F r a v% T 5 r- c t= tx (� o
This certification is valid thru (date) cJ 1 115
Ar� 04 A��� l o /a /i t�
Property Owner Signature Date
RECEIVED
NnV 241014
Derr-rHD Cnv

11/17/2014 12:57
10-29-2014 02:01PM
3362942683
FROM-DENFORT MIDDLE
MCLEAN LIGHTING PAGE 02/02
[phone] T-063 P-001/001 F-526
ADJACE11T IMlOOl2ii�G p �I�Y� BO ��TFT/BO}!. f �� NER �'"_riT
(FOR A PIE
I berebv celzifY that I o-�vit property adjacent to sOC- 1L •�`,
"454�s
(Name of Property Owner)
property looatcd aT
(Lest, Block, Road,
on Tcs-t(.lo'c� _C-—---' (TQti,�, end/or Count]
(Waterbody)
y �- t� S -7 A'[ailing Address.
Applicant s phbssQ tT:�� �•`"�'r� ��C. -2jV,!7- 16
lie has described to me, as shown below, the development Ile is proposing at that location, and, I
have no objections to his pro! 11. I understand Chat a pierlmooring pilings / boatlilt / boathouse
mtlst be set back a miniinuin distance of fifteen feet (151) from my area of riparian access tinic5s
tivaived by me. (I£ you wish to Nvaive the setback, you must initial the appropriate blank
below.)
I mot wish to waive
I do wish to waive that 5jiback regoiminent_
_.�..------- --
---------------------- ------------
---
----..,,- Dt, SCRIpT1«TM AND/oR DRAWING OF ppOpOSED DEVELOPMl;N f:
(To baflilled it: by hidividual pi•oposinti development)
3 �� f�, �40•..�+aa��l
la o6T
,,
---------- .... T-------- -......
-----------------
------�----•-- , I t� rriAtion)
(Irifo�rulation for Property t�4vzier A t p Iping
for Permit)
M-,Iilhlg Andress
Ciiy;$ca�Ciz.ip
�iotto I�iumbI; —
r�
� � ertd r;ti►•t
Da ti,
(riparian prop ty U 'riar n
- Prini oy A. Nzil ►j(,
- ozle Niumtwr
o t f //p,-22
&AW
RECEIVED
Nnu 2 4 2014
Hk!RIA--NAH 1~"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILLYGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Roc km,cam HorcNwo s�6 y's
(Name of Property Owner)
property located at 1 D-.® `7 Fr o n * . ; T-
(Lot, Block, Road, etc.)
on TO-\/ C0 rS Cre,-- LS ,in QecS ks. c� � `�,C (�' .c.
(Waterbody) (Town and/or County)
Applicant's phone #t2Sa. -Ros -?ew Mailing Address: ( 33 I ik in--yLq1 U-� 3
Rem sS;o,r-T , C. , �"6� ( 6
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in bji individual proposing development)
q `g la' Q 4�o�^m
Y
- 30'
i3,,Iv L %j�- 7
& ' )( d-`f' Flo-ot1-,5 Ooc-K
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1 3 3 T• F N v W 0l�rr�•� 5�y�,
Mailing Address Signature
City/S LaLe/Lip
oo S _
Tele lone Number
Signature
Tate
J
+ i- L Y- A41 T1+
Pi lilt or T ype Name
Telephone Number
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RECfB
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AM 2 4 209
DCM-MHD CITY

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RECEIVED
mnu 2 4 2014

12/3/2014
ConnectGIS Feature Report
CO N N EC TGI Carteret
Printed December 03, 2014
WS +u rM MfG See Below for Disclaimer
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Cart
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Parcel Dimensions
Lot Number
*.- LS1 _40 Feet
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
other 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 County does no
guarantee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and
access methods at will.
http://carteret2.connectgis.com/DownloadFile.ashx?i=ags_mapdd8f99b55ce04707b3f962628dab263dc.htm&t--print 1/1

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