Lee, Lynn

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16CAMA /1�113R'EDGE & FILL
GENERAL PERMIT Previous permit #
PNew ElModification El Complete Reissue al Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
Uand the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Q Rules attached.
Applicant Name" 1 1"7 Z 7 Project Location: County
ddress CA -t k-k i
77� 41 Street Address/ State Road/ Lot #(s)
;CityA'
State I;,? ZIP �#
Fax SubdivisionPhone #
A uihzip
Y) cl� � H'zed' City
4iES 0 PTS Phone # (2LN:-NCf2�
DCW ViJEW Y-PTA River Basin '
Affected
El OEA 0 HHF 01H E3 UBA 0 N/A
AEC(s): Adj. Wtr. Body (n-at1 an Junkn)
El pn: 0FQ
ORW: yes / noPNA yes / Uo Crit.Hab. yes no Closest Maj. Wtr. Body —
Type of Project/ Activity -IL�
Pier (dock) length
Platform(s)
Finger pier(s)—;LV �11
Groin length
.. ...... number
,Bulkh'ead/ kiprap length
'1-- avg'distance offshore -
max distance offshore
( Basin,,channel Ir r),
cubic yards Z'7153
Boat ramp
Boathouse/ ioartfift [% I
Beach Bulldozing
Other
Shoreline Length
SAV. not sure
yes:
Sandbags: not sure
yes ono
Moratorium: n1a
yes �no
Photos:
yes,
Un:
Waiver Attached:
ves (
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A building permit may be required by. i
Notes/ SpeciakConditions � L-1
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El See note on bai
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Statement of Compliance and Consistency
• f
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, certifythat this project is consistentwith 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-411COAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

V C DE JV1090aD of COP, 5an I G'fl�'J2a dl' ilm6srnpo-' I CaI-npI] zhtza�
Applicant: ��nn ' '
Date: 10 1 tp
11"5
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
Al
Dredge ❑ Fill Both ❑ Other [Ell
DredgeV Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
J
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 ❑
262-008-2303 :: 11-8804RCOAST ::
revised: 02103110

I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LYNIV 6-r is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
in f%%rE^E Cal ��� , N.C.,
(Waterbody) (Town and/of County)
Applicant's phone #: 0LQ,?as'S`04-4 Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
RECI~IVHI�'
OCT 15 202
DCM MHDC1Ty!'
----------------------------------------------------------------------- ------------------------------------
(Information for Property Owner Applying (Riparian r rty O r'Information)
for Permit)
Mailing Address `Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date

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Eric Ellis
Marine Construction
DOCKS • SEAWALLS -BOAT LIFTS
DECKS & REPAIRS
Phone & Fax: [phone]
Cell: 252.342.6775
205 Nottingham Lane Morehead City, NC 28557

September 11, 2013
To Whom It May Concern:
RE: 5229 WEBB COURT, MOREHEAD CITY, NC 28577
I am the owner of the above property. The purpose of this letter is to inform
you that Eric Ellis has my permission to acquire any permits necessary to
construct the bulkhead and dock at the above address.
If you have any questions regarding this matter, please don't hesitate to let
me know.
Yours truly,
Lynn T. Lee
5864 Sapony Creek Drive
Nashville, North Carolina 27856
Mobile: [phone]