Lewis, Martha

QF
AMA'/ ❑ DREDGE & FILL`'1.`` 0
EN ERAL PERMIT ��� Previous permit # A B LC
' °
�
ew❑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
� � t 1 ©Rules attached.
Applicant Name � " t-J -, _(7 l / % S Project Location: County z:;,
,
Address , ` ./ c)ilk �. i, �' ,n fir Street Address/ State R ad/ Lot/ f#(s)
City. ,i-t r State .v � ZIP cf`
Phone # EN),.; 1 (L E-Mail Subdivision
Authorized Agent L "If f 1 4 , .A,_U City 0 ' I I r, ZIP •"SG�w �'
Affected ❑ CW PEW 9PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /4 na PNA yes ,3no I
Type of Project/ Activity
Phone # ( ) River, Basin U`4 (1`
FI
Adj. Wtr. Body^, ! nat man unkn
Closest Maj. Wtr. Body
(Scale:
Pier (*
Fixe<
Float
Finge
Groi.
Build
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Mon
Phot
Wah
)I
=MMMMMwM
NUNNERY,
win
MHTNMM11MMMMMMMMMEMMMP
MM
FROWN
i length
number
EMEMENEEMEMEME
ME
avg distance offshore—
EMMEMME
MEMEN
wwKJ1wwKM=MMM
am
ME
max distance offshore
MMMMMNMMMMMMMM
EMEMEM1111
cubic yards
ramp
ME
ME
INN
OMEN
MEN
�.o
r—
Q
mom
MOMMMEEMnot
fline Length
�
r
rrr�ur
sure yes
torium: rVa yes
NIEMEN
A building permit may be required by: t_ i''r " "f :1
( Note Local Planning Jurisdiction) #
Notes/ Special Conditions �j l�(_ 1
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Permit Officers Printed (Vame"'"�
Signatur i Please read compliance statement on back of emit ,.
Signature
Application Fee(s)
Check#
Issuing Date
- piration Date

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:
El 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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
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.nccoastalmanagement.net/
Revised 08/27/ 14

LAMA/ ❑DREDGE & FILL�58:Q
A, B C D.
JENEP.AL '' PERMIT
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 --y" J -
t6fj
and the Coastal Resources Commission in an area of a vironmental concern pursuant to 15A NCAC `
;
LEMles attached.
Applicant Name
IJ
Project Location: County
Address }-
Street Address/ Stattee R ad/ Lotter#(s)
`
City c !� State ZIP-
� '�J i 'U�i� +�Ir
Phone #� E-Mail
Subdivision
Authorized Agent Afi)'A/!+„� i
City 3 1 f ZIP
❑ Cw PEW ❑ ES OPTS
Affected
Phone # (_) River Basin `✓ .: 4 . `
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body 1 n man unkn ;
❑ PWS:
i
n
ORW: yes 1 PNA yes / no
Closest Maj. Wtr. Body T
Type of Project/ Activity f V_ u c
t/
t o /,n X 3 ! a �
(Scale:
)
Pier (dock) length GK3LI
Fixed Platform(s)
Floating Platform(s) -�
I
Finger pier(s)
Groin length
number..,.:,: �
y
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel

• �. AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying fo
r Permit: �R.t�A ,��P,ECJ � W f-S '�' �-•�
A l
Mailing address:
Telephone Number: Yf ld .;3
^ i sqo
I certify that I have authorized (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
ro osed development of R
8 x
necessary��-
��DaDfor the proposed -
Ib L\
at my property located at
d � p �
This certification is valid through J �'RE- (date).
(Property Owner Information)
`1
Signature
MAXa���e�
Print or Type Name
Title, co. owner or trustee for property RECEIVED
MAY 212015
Date
9l0-'a
Telephone Number
Email Address

MVJMVGIV 1 RIr"MF- MIY r'RVI-CRI i VVVIVCIC 01M 1 CIVICIV 1
I hereby certify that I own property' adjacent to Al gwi..S D.n 's
property located at L ,' , d k` �� e rope eve{ a , /L � �r
, 11 (Address, Lot oc��cc oad et . ` C__,
on WW1 \' ©�3V- �� in C.' — �;V GI, N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
locat
I have no objection to this proposal.
i
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
I v//7
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.) ;
lylu "" I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Informa ' n)
Si Lure ' Sig�nnature
-rac2 ��/S �Yle (rAn Y I° IV74 / S0,4A
Prit r �6Tyq� am altjPrint or Type Nam
ATess n p Mailing Address
l l is •� 1 �C 0 2 �TL` 11.4 IV C � S%✓C �,. RECEIVED
/Sta Z.t Ciyt S ate/Zip
2 - -1890 ��,� c;c . e�,CCM eL A - 3 7,3- �C 3� MAY 21 2015
Telephone Number/email add ss Telephone Number/email address
Date Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature"

6
AN
-4-
r
RECEIVED
MAY 21 IM,
yz r,?. -0, H o c ff

- /1VV/',VGI1I PAN r111\II%I•rfw r cf\I I VVV1.4 /11 GIV11--tIYI
I hereby certify that I own property `adjacent to /` Zetvi5 �,17e-4's
property located at ( of Pro y�wne
(Address, Lo ) /J
!17k,
on Xva N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locates..
))� V0 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.) ;
,L y "I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
>` b
AMOAd AaJi,5 O/IE.1 MCC %lt G rP%/inn
Pfint /2tl rG�' f am� ,i'� /�� A
..-w 7 3s0 _ 199a
Telephone Number/email address
S /9 -,lqa /-5-"
Date
*Valid for one calendar year after signature`
RECEIVED
(Revised Aug. 2014)"M 21 1'0'S
oerr've''a 6"

c-XI
N
RECEIVED
MAY 2 12015
RECEIVED
MAY 2 12015

0
Page I of I
Parcels - Updated 05/07/2015
1-1
Centerlines
NC Railroad
I Right of Way
13
Courty Boundary
to
Other County
<all othervalues>
Ca rt
PIN
Acreage
Parcel Dimensions
Lot Number
RECEIVED
MAY % 11015
yj,;jO-PA0kO!-"
http://carteret.connectgis.com/DownloadFile.ashx?i=_ags_map820c I 8cdc2fc42099af6c6O... 5/20/2015