Morris, G. Quinn

PC. / DREDGE & FILL ° ' ��` '
GENE L PERMIT Previous permit# 1---
lew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued`
As authorized by the State of North Carolina, Department of Environment and Natural Resources ! � I T- t�h 14
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC�r !
__ [(\/�♦` Rules a ch d.
4pplicant Name.m/ �p.i, r I �. > Project Location: County
Address 0 el "* Street Ad ress/ State Road/ Lot #(s) 1
City �''.� 1� State ZIPr"
_SubdiviPhone # x # (s'on
Authorized Agent City :` "i t ZIP
Affected ❑ CW C PTA YK S ❑ TS Phone # (�, r � 'f r " 1 ° . i er Basin
❑ OEA ❑ HHF ❑ IH UBA ❑ N/A
AEC(s): Adj. Wtr. Body
❑ PW ❑ FC: _.
�) Closest Maj. Wtr. Body
ORW: yes / o PNA yes / CritFfa es no
�� �� r rr
T e of Project/ Activi ; J� 1` lTf' G+,
yp J ty. L,'t l t 9
(Scale:
Pier (dock) length
Platform(s)
Finger piers)
Groin length 'J—
number`
�t
Bulkhead/ sIengh {
avg distance offshore tvi
max distance offshore ' t
Basin, channel Le j
cubic yards l4
Boat ramp— _
Boathouse/ $�oatlif t
Beach Bulldozing'��
Other
;Shoreline Length f
'SAv: not sure yes' no
!Sandbags: not sure yes rig
Moratorium: n/a yes no
:Photos: yes fnql
I. Waiver Attached: yes no
A building permit may be required by: t j 1 i t� 1�t �' �1 � See note on back re arding River Basin rules. ,
Notes/ Special Conditions t -1 !'r
717
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etnt or Applicant Printed Name� Perm..it0 cer's Signature. '
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signature Please read tom :ante statement
on back of permit" Issuing ate f Expi tion Date
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Application Fee(s) Check# Local PlanningJurlsdiction Rover File Name
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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 I) 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:
0 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 Quality. Contact the Division of Water Quality 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters,
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Y-

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: 6.1QuiNAJ f i%orr, S
Mailing address: pct.
r✓eeiu u� I(e_ Jvc .2295
Telephone Number: aSo? -33a'2 -Da ?I
I certify that I have authorized A/an (34 ;Jey (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of -R61 k b bad , o6e-k .
at my property located at l i t) Say U i e cJ 9-Lad-
This certification is valid through %- 3l " /5 (date).
(Property Owner Information)
49
Signature
QyiNA fil0rriS
Print or Type Name
Title, co. owner or trustee for property
'q -/ -/5
Date
c2SO - 3a -2-Da9q
Telephone Number
!ZmDrr;s (c-� syd d e i AA k . /)e%
Email Address
RECEIVED
MAY 13 20 1s
Pti;M-ol!R CJ7Y
RECEIVED
APR 2 9 2015
Wte2 ME) CITY

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Alan G. Bailey
PO Box 93, Morehead City, NC 28557
504-0737 o 726-5443
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Postage $
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Ln M Total Postage & Fees $ Q.79 04101/2015
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Alan G. ' Bailey
PO Box 93, Morehead City, NC 28557
504-0737 o 726-5443