McCann, Keri & Jeff

0,PAMA El DREDGE & FILL
GENERAL PERMIT Previous permit # A B D
New ElModification ElComplete Reissue ElPartial Reissue Date previous permit issued
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As authorized by the State of North Carolina, Department of Environment and Natural Resources 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 10. , I'll
(ice-`
attached.
Applicant Name Project Location: County
Address— t wi ItO Street Address/ State Road/ Lot #(s)
City. State i ZIP
Phone # (EO.) E-Mail Subdivision L
Authorized Agent �Yl CityZIP
V t4kA DES 0 PTS Ph #
DCw 12P ji;Uver Basin
0 OEA 0 HHF 61 H 0 UBA 0 WA Affected
AEC(s): \Xdj. Wtr. Bodyhat '/man Junkn)
0 Pws­
Closest Maj. Wtr. Body
ORW: yes/ no PNA yes / cJo
Type of Project/ Activity L!f-j Ll� (A
Pier (dock) length`' --
Fixed Platform(s)
Floating Platform(s)� (fill
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
ayg distance offshore_
max distance offshorpr$0,
Basin, channel
cubic,
Boat ramp.
Boathouse/
Beach Bulldozing,/
Other—
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ShorelineLength
SAV: not sure yes no
lv�-
Moratorium: n/a yes f no'
Photos: yes tpo,
Waiver Attached: yes Qn__iot
A building permit may be required by:
( Note Local Planning Jurisdiction}
Notes/ Special Conditions
1 3w�
or
Signature tP'Please re�d compliance statement on back of permit"
J
Application Fee(s) Check#
(Scale: I I lZkj o 1
El See note on back regarding lover Basin rules.
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Permit Officer's PHnted Name/
Signature
Issuing Date Expiration 151tv

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 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 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
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ I-888-4RCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
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

3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
w I hereby -certify that.I own property adjacent to
(Name of Properly Owner)
(Address, Lot, Block, Road, etc.)
on A CAA—) , in N.C..
(Waterbody) (City/Town and/or C nly)
The applicant has described to me, as shown below, the development proposed at the above
location.
_ I have no objection to this proposal.
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)
AUG 20 7Q ti
WAIVER SECTION
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. E(Ifau
wish to waive the setback, you must initial the appropriate blank below.) R C au
AUG 2 7 1015
do wish to.waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adl t Property Qwner Information)
Signature Sign 4E f
��.p I Ac-e- Cnh� /
Print or Type Name Print r N
-�13 er,,�,►� S'
Mailing Ada're�s M Ade s
YIr1 NLC 2-&S5-7 -
CitylSW i��CitylState/Zip �—�`7
��3 / ..--
Telephone Number e1�2e#{r ber�"!
Date Date
611NO1.2)

N077CE1 Read EZ Dock Limited Warranty carefully.
Among other things, EZ Dock does not warrant damages,
failures or defects caused by unauthorized modification
of EZ Dock Product, and/or unauthorized attachment to/of
EZ Dock Product
w ae 252-764-12
x 0!

-, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�e e �rl s
hereby certify that. l own property adjacent to
' (Name of Pro Owrner)
3` er!155C !1'), ,� Ina
(Address Lot Block, Road, efc.)
:. . N C
�1� ` IYIO G�..
i
on .. , in,
Ci iToWn and/or Cty)
(Waterbody) ( tY
i
The applicant has described to me, as shown below, the development proposed of the above
location: V60D Fop ` piglob DUiUw.ED /� RESOlU71c ,
OC I have no objection to this proposal �� }
W
I, have objections to this proposal:.
.:
DESCRIPTION AND/OR DR►WING OF PROP05ED DEVELOPMENT
'
(Individual proposing development muss ill in description below or attach a site drawing)
-,f•
WAIVER;$ECTION .
(.understand that a pier, dock, mooring ilings,,breakwater, boat house,. lift; or groin must.be set
back a minimum distance' of 15' from my area'of ripanan;access unless waived by me. (If you
wish to waive the setback; you must initial the appropriate blank below.)
RECEIVED
. I do wish to;waive the 15'setbe ck:requirement. AUG 2 0 `10i5
do not wish to waive the 15 setback requirement. _
• wo
Pro a Owner Information (Adjacent Property Owner Information)
�:.. pray �..
Signature q Signature RECEIVED
AUG 2 7
Print orTypePrint or Type Name 1015
t
�13fH1EAudcl.L Six►
1Vlailing Address ' Mailing AddressZ g 5 5
City/Sta f e/Zi Gity/SfafelZip/-
a- 4a a= k& 6 '77�C n
Telephone Number Telephone Number
_ 13-15
Date Date
,
.
(Revised 6110012)
r

NOTICE! Read EZ Dock Limited Warranty carefully.
Among other things, EZ Dock does not warrant damages,
failures or defects caused by unauthorized modification
of EZ Dock Product, and/or unauthorized attachment to/of
EZ Dock Product.

Styron, Heather M.
From: Arnette, Justin R SAW <[e-mail]>
Sent: Tuesday, August 25, 2015 3:42 PM
To: Styron, Heather M.
Cc: Horton, James T SAW
Subject: RE: Jacks Water Front Bar Temporary Dock (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Heather
Naviagion does not have an issue with this as long as they abide by the same rules as last year.
NO parts of floating structure encroaching in the channel.
NO pilings placed in Setback.
And must be removed by Oct 8th.
Usually this request comes through our regulatory department but the above is what we send them every year. thanks.
Justin Arnette
Land Use Coordinator, Cartographer
Wilmington District
U.S. Army Corps of Engineers
(910)-251-4196
[e-mail]
-----Original Message -----
From: Styron, Heather M.fmailto:[e-mail]]
Sent: Tuesday, August 25, 2015 2:55 PM
To: Arnette, Justin R SAW
Subject: [EXTERNAL] Jacks Water Front Bar Temporary Dock
Hey Justin,
Every year Jacks Waterfront Bar ask to install temporary docks for a boat race and the Seafood Festival. I always let them
know that I must receive the navigation section approval before I can issue a permit. The setup is the same as the past
couple of years and they want to keep them in until after the seafood festival. The festival is October 2nd-4th. Do you
have any issues with this? I have attached the drawing and permit from last year.
Heather
Heather Styron
Field Representative
NC Division of Coastal Management
400 Commerce Ave
1

Morehead City, NC 28557
[phone] Extension 216
[e-mail]
Classification: UNCLASSIFIED
Caveats: NONE
RECENED
AUG 2 7 2015
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