McKee, Patrick / Bennett, Henry

A B ihPAIVIA P-DREDGE & FILL %
C -iD
PENERAL PERMIT Previous permit # 1qNew ElModification ElComplete Reissue ElPartial Reissue Date previou� permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
i
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC i
�0 Rules attached.
roje County Applicant Name P` `i�tLbcation: C
Address I Street Address/ State Road/ Lot #(s)
City State Zip
' 1J,
Phone # •­7 Subdivision
Authorized Agent' City ZIP
DEW D PTA DES 0 PTS Phone # River Basin'
Affected
D Cw
0 OEA 0 HHF 1011H D.UBA 0 N/A
AEC(s): 0 FWS: Adj. Wtr. Body t'(na/man,/un"n
Closest Maj. Wtr. Body
ORW: yes /,,:no PNA yes no
Type of Project/ Activity
(Scale:!
FixJ
Float
Fingo
Groff
Bulk
Bash
Bow
Boat
Beac
Othl
Shor
SAV
Mor
Phoi
Wain
Platform ir
I
ing Platform(s)
r piers
length
EMS
ma�i
ME
0
number
iead/ Riprap length
IMMUNE
EMEMMEME
avg distance offshore
�:0�°
max distance offshore
io�i
■
channel
cubic yards
ramp
BEEN
iouse/ Boatlift
MEMEMEM
E
MIEN
IN
ME
011
Eff
it
iBulloozing`
MESON
SEEMS
MON
INN
MIN1461
MISIMMEMEMIN
MOM
OEM
No
0
dine Length
not sure no
yes
BENUE
,torium: n/a yes ,no­-
ts: yes_ 11101
mr&vic�Fad: f,VP_q,
A building permit maWFe-required by:
(Note Local Planning jurisdiction) r
Notes/ Special Condition
s N,
C: •0
Agent or Applicant Printed Name
Signature *,*Please read compliance statement on backofpermit **
Application Fee(s) Check#
❑ See note on back r
V
A
Permit Office . r's Printed Name,-,
Signature
Issuing Dite
It I
arding River Basin rules.
J
Ex 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, certifythatthis project is consistentwith 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 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/ 1-8884RCOAST
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.nccoastaimanagement.net/
Revised 08/27/14

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Project Name IIEZ Dock Solutions
Project Name
PREPARED FOR 5568 Hwy. 70W,
+ Customer Newport, NC
DRAWING NUMBER Tql FREE No. 252-764-1234
Drawing Number
PHONE N0.
DRAWN BY DATE
` Drawn B Date 252-648-8026

ADJACENT RIPARIAN PROPERTY 2WtJ1H MI MENT
I hereby certify that I own property adjacent to @,�4cu- t—%%-�kcc •�'T r
Z g
property located at l �t o (Name of Property Owner)
(Address, L o Block, Road, et
on , in Mi'T `.0%WtkC-• N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
�ECEIVFD
411608 281S
h� w
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set bads a minimum distance of 16 from my area of riparian acoess 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.
do not wish to waive the 15' setback requirement
SOP- tum
Print or TYPP Name
Date
(AcWacent rroperry owner inrormauon)
gtymmta✓Zip '
ZS2-'{49r/4( Z.
Telephone Number/emal address
RECEIVED
gU 0 41015
09
(Revised Aug. 2014)
"'Valid for one calendar year after signature*

I hereby ce" that I own property adjacant to-
me of Property Ownerj
property located at
C" Anh N.C.
(WaterpoltY) (Clty/iown anther County)
Ttte applicant has ducrlbed to me, as shown below, ttte develgpmert proposed at the above
iocatlarl/
a�// I have rto objaCiort to this pmpOsal.
I have objactkuna to this proposal.
DESGRIpnON ANWOR DRAWIN0 OF PROPOSED DWELOPMONT
(fnd&idaetlPfbl osTd d cf6Qdr f+nv§!,( it �f{e rp ►o 6iekirir or fa a sjtQ dr Ar9)
1 understand that a pier, dock, mooring plIfts, bolt Compq breakwater, boalhouwe, lift, or groin
moat be set beck a minimum distance of 16 from my area of dparlai access unless waived by
me. (iffy you wish to.walve the setback, you must tnatiat the appropriate blank below.)
J W. I do wish to waive the 15' setback tequlremeM.
1 do not wish to waive the 1 W w0ack requirement.
(Peperty Ownerr Info"ation
rare_ lemadeadmw
core
"Vaud for one cakmdair year alter slgrumfe+
Information)
(Reyh ed Aug. 2014)
rp7•
RECEIVED
AUG 0 3 2015
RECEIVED
AUG 0 4 266

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION. FORM
Date
e of Property Owner Applying for Permit:
Mailing Address:
RECEIVED
Allf, 0 3.205
I certilythatl have authorized (agent) �to act on m
Y
behalf for the purpose of applying for and obtaining all CAM Permits necessary to
install or construct (activity) ,
at (my property located at)
This certification is valid thru (date)
VI
Property Owner Signature
1 1 7-q.1 is -
Date
RECEIVED
AUG 0 4 2015