Miles, Richard

I�(;ICp►MA / ❑ DREDGE & FILL
V GENERAL PERMIT Previous permit# A B OC D
New ❑Modification El 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 enviro mental concern pursuant to I SA NCAC 7 A/ `fC
Rules attached.
Applicant Name ��� ✓ �' ��� Project Location: County c y rf l 1
Address Street Address/ State Road/ Lot #(s)
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City r (� .:. State "F1f ZIP i)�' .1 .. f"I l (� �-� i�. 0/41
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Phone # ( �)T�(' `l ' �':t E-Mail
Authorized Agent
Affected ❑ CW -DEW -fTPTA ❑ ES ❑ PTS
AEC(s): ❑ IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: r'-ems'! no PNA ye / no
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Type of Project/ Activity It 91
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Pier
Fixe
Float
Filing
Groi
Bul
Basin
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City f f ! ZIP
Phone # ( ) River Basin
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A building permit may be required by
( Note Local Planning Junsdictio )
Notes/ Special Conditions / J
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Agent or Ap
Printed Name
(, f - ❑ See note on back regarding River Basin rules.
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Signaturb Please read compliance statement on back of permit
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Application Fee(s) Check #
PermitOfficer's P
pntgq Name / AL 0,i
/; /
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Signature
Iss
.,uing Date Expiation 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:
❑ 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

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Signatu

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: ,
Address of Property:
kA_P__ C" R
(Lot or Street #, Street or Road, City & County)
Agent's Name #: lam-[
t A_ r 1 S Mailing Address: P, 01 60Y / JL
Agent's phone #: o� �'�3 l�� �mevddT-S A)�- p<105'�z—1
hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing; the development
they are proposing. A description or drawing with dimensions musf be:provided wiWthis letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listing orby calling 1-8884RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
1 do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Propert wner Information)
ignature
R'�C' 6 fd A. (-e t)
Print or Type Name
ai6 C.) �.-�+0,4<81i 2P
Mailing Addr
6 Nc
City/Siate/Zip
(�S2, % OFF
Tel hone umber/Email Address
i 0 -f-s
D to
(Riparian Property Owner Information)
�(�
Signature
fi U5
Print or Type Name
aI�oarLk
Rd.
v
Mailing Address
RECEIVED
City/State/Zip
SEP 2 1015
Telephone Number/ 8mail Address
Date
(Revised Aug. 2014)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
R C- vA
Mailing Address:
NC- L e5 L;�,
I certifythat I have authorized (agent) t S to act on my
(g )
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) OGt+yIou6e-
at (my property located at) lJ� V11 � R l V W P I
This certification is valid thru (date) d
�lk - V,
�v
Property Owner Signature Date

CgnnectGIS Feature Report
Page 1 of 1
^t` 'iECTGIS Printed September 17. 2015
WEB HOSTING See Below for Disclaimer
. Parcels - Updated 09-03-2015
I
85
Centerlines
L]
1:133 Feet
NNCC Railroad Right of Way
CCoounty Boundary
Other County
<all othervalues>
Cart
PIN
Acreage
Parcel Dimensions
Lot Number
sg 2 4
e inf=cn displayed by this website is prepared forthe inventory of real property found within thisjurisdiction and is compiled from recorded deeds, plats, and oth
ublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted (or verification o
he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee th
he data and map services will be available to users without interruption or error. Furthermore. Carteret County may modify or remove map services and access methods
http://carteret.connectgis.corn/DownloadFile.ashx?i=_ags_mapaadba280dabd47afb4d633f... 9/17/2015