Harris, David

DCAMA/ DREDGE &FILL
GENERAL PERMIT Previous permit #
ONew .'Modification D 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 15A NCAC
n, Rules attached.
Applicant Name -_---_-
Address
City
State ZIP
Phone #
Fax #
Authorized Agent
El CW
Affected
[I EW D PTA El ES El PTS
e
AEC(s): El OEA
El HHF El 1H 1:1 U BA F-1 N/A
0 Pws:
11 FC;
ORW: yes / no
PNA yes /f no j' Crit.Hab. yes no
Type of Project/ Activity
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
BoathouseA BoatliJ
Beach Bulldozing
Other
�f ` "'
y-i
Li&
Shoreline Length
SAV- not sure
yes no
Sandbags: not sure
yes no
Moratorium: n/a
Photos:
yes no
yes no
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
Agent Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lotf(s)
LP
Subdivision
City ZIP
Phone # River Basin
Adj. Wtr. Body (npX /man /unkn
Closest Maj. Wtr. Body
J k regarding Ri er Basin rules.ic .1 0 See4
, i'
r Xk
Permit Officer's Signature
Issuing Date 'Expiration Date
Local Planningjurisdiction 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
landowners).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules EJ 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/ 1-888ARCOAST
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

Appli , rit: -/) V
TP3/
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
f
/A
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbahce•total
includes any
anticipated
restoration or
Jempimpacts)
FINAL Sq. Ft.
(Anticipated. final
disturbance.
Excludes any
restoration
and/or temp
irjipact ou—temp
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑. Both ❑ Other
mat;
Dredge ❑ Fill❑ Both ❑ Other
_
Dredge El Fill [I Both El Other
I v
Dredge ❑ Fill ❑ Both ❑ Other
f
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 ❑
volneed,

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 3 •1S -1-A
Name of Property Owner Applying for Permit:
,✓ t7f,v a w t-k",M cx � S
Mailing Address:
./ C*02.1 -re;rv43va.y c0aP.-r
✓ t'zA�¢�c�ti ty�- 7-1c40i41
a 5a - (.,e q�6 — ce-,4,
I certify that I have authorized (agent) %tg'i-jjjv�10 PU83SEr to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) J7 6;
at (my property located at) 7�1 N CiA�S (�(� �l�l�PO(z7� NG a8Sr7�
This certification is valid thru (date) 4 -q b - t 4
Property Owner Signature
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !A U i D(C r'i is
(Name of Property Owner)
property located at _ (511 —T77u)i h__Ohu cc, t Tam- S"knit-�rtQ�pT
one (Address, ot, Block, Road, etc.)
r , in , N.C.
U�(Waterbody) I (City)Tawn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
iocat— iol P.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING JW4ROPOSED DEVELOPMENT
(individual proposing deve►opfient must rh description below or attach a site drawing)
E it
V-
�9-
ex�S�, k %
Ct� d it V'fl G S� Ci o r�l
WAIVER SECTION
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 -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 16 setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/state2ip
Telephone Number
Date
(Adjace rop Owner In ation)
J
Signature
Print or TYPe Nam
Ma/ling Ad %ss G 2,
, .e; � o
City/State/Zi �il, —7 }
Telephone Number
&�
Date
(Revised 611812012)

Styron, Heather M.
From: Colin MacNair [[e-mail]]
Sent: Monday, April 07, 2014 2:35 PM
To: 'Peter DuBose'
Cc: Styron, Heather M.; 'Evelyn Dubose'
Subject: RE: dock permit
Attachments: image001.gif; image002.gif; image003.gif; image004.gif; image005.jpg
Peter:
Thanks for your call today. I am in agreement about your boat dock and lift construction. I do prefer that the boat lift be
on the east side of your dock. Dock and lift is OK with me.
Good luck with your purchase of the lot.
CoL. vL mpr Nair
Broker Advisor, CRB, GRI
RE/MAX UNITED
51 Kilmayne Drive, Ste 100
Cary, NC 27511
(0)919-481-9000
(C)919-795-0328
From: Peter DuBose [ma i Ito: pdu bose@ bl uewateryachtsa les.com]
Sent: Monday, April 07, 2014 2:09 PM
To: [e-mail]
Cc: [e-mail]; 'Evelyn Dubose'
Subject: dock permit
Colin,
Please e-mail Heather Styron to grant us permission to build a dock behind our lot on 157 Twin Oakes Lane,
Newport,N.C. Time is of the essence. We will need a dock permit prior to closing. I do agree to place the boat lift on the
east side of our dock. Thank you for your cooperation.
Peter Du Bose
Peter Dubose
pdubose(a)bluewatervachtsales.com
Sales Professional
Beaufort, NC
252.725.3133 (Mobile)
252.728.2645 (Office)
252.728.2768 (Fax)

psi
ORAND HAMM
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F►jq11vc4ff55 r-A^
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Why Buy or Sell Your Boat with Bluewater Yacht Sales?

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1� 1Q t Q I)a {r rl� 's
r (Name of Property Owner)
property located at (1
(Andress, ot, Block,'Road, etc.)
on Tg2)e c 7) 0 VVJ , in I) on(p - I , N.C.
—U (Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal. f
J�J i ri O Y
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING ROPOSED DEVELOPMENT
(Individual proposing developenf must � iescripfion below or attach a site drawing)
fi 1
I-
5
WAIVER SECTION
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 to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
x I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature
Rick Luettich
Print or Type Name Print or Type Name
110 Gloucester Ct
Mailing Address
City/State&ip
Telephone Number
Date
Mailing Address
Newport, NC 28570
City/Statellip
252-247-6435 / 252-342-6437
Telephone Number
3/29/2014
Date
(Revised 611812012)

ConnectGIS Feature Report
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