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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, 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 ❑ 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 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
4
http://www.nccoastalmanagement.net/
Revised 08/27/ 14
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to �- w—te..:1✓ty'Jiz9 10, oftverA&s ` 's
01P �N , / (Name of Property Owner)
property located at 1/l64
on 0 0A L (Address, Lot, Block, Road, etc.)
in � C I-eA�,eT- ��1 �" , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indh4dOW proposer development rust fill In description below or aftch a site drawins)
RECEIVE®
FEB 2 2 2017
DCM- MH® CITY
WAIVER SECTION
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.)
do wish to waive the 15' setback requirement.
i< I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signc'� ti �. 4 Z�
Print ojrr Type Name /0 G /zi✓py --hL
Mailing Address
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City/Sta /Zip
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Telephone lyumber/email address
Date
(Adjace Property Owner Information)
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Print or ,Type N me
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Telephone lyumber/email address
Date*
MAR ® 2 2017 (Revised Aug. 2014)
*Valid for one calendar year after signature`
®CM- MH® CITY
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I herebycertify that I own roe adjacent to 4&1-ee k v 1W N' w'(
fy property rtY J
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on �' '� o , in, Q 'N.C.
4
(Water o ) (Tow ndJor County) r
C-*�He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to E D
FEB 2 2 2017
(APPLICATION AND DRAWING OF PROPOSED DEVELOPSNT ATTACHED)
D CITY
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Print or Type Name
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Telephone Number
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Date
MAR 0 2 2017
DCM- MHD CITY
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Styron, Heather M.
From: paxon holz <paxonh_nc@hotmail.com>
Sent: Thursday, February 23, 2017 11:06 AM
To: Styron, Heather M.; dbrooks62@ec.rr.com; sherri; Elizabeth
Subject: Authorization for CAMA permit to be issued for Manatee Investments Limited
Partnership
Dear Heather:
Please consider this your authorization to issue the permit for the bulkhead repair to proceed on the lot on
Country Club Point if all other items necessary are in your possession. Thank you.
If you need to speak with me, my number is (345) 947-7650.
Paxon M. Holz, Manager
Manatee Group, LLC, General Partner of
Manatee Investments Limited Partnership: property owner
Sent from Outlook
RECEIVE[
MAR 0 2 2017
®CM® MH® CITY