Murdoch, Preston

UU AMA / DREDGE & FILL 0
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GENERAL PERMIT Previous permit #
gNew ❑Modification ❑Complete Reissue El 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 environmental concern pursuant to 15A NCAC s_! O l
Rules attached.
Applicant Name J 1 i ; `i! " v `' �; i C Project Location: County 1. �t `�`t ,t(? ,
Address L.`, :! Street Address/ State Road/ Lot #(s)_(A ;
City i' i i' f i I , 'i i State ZIP
T mac- '
Phone # ( cf � i 2-611.?;OE-Maila'""`rSubdivision
' f
Authorized Agent ' t , i j (M " i s f "`---� City�i'f� 1-r.��n l: 7 a t �. r� ZIP
Affected ❑ CWI . 'PTA )dES ❑ PTS Phone # (" 1 ?� �S' y'River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑TUBA ❑ N/A Adj. Wtr. Body ' '� 7 { tv i 1(•'� nat m unkn
El PWS:
Closest Maj. Wtr. Body
ORW: yes / no i PNA yes / no
Agent or Applicant Py}rinte Name j+S ,^ i PermitOfficer s Printed Name .
�,gnatvre i ** Please read compliance statement on back o permit` , ,, Signature
< } it/i�•'
Application Fee(s) ,Check # Issuing Date 5icpira Da; '

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 andvoid.
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 how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
John E. Skvarla, III
Secretary
Date CD- •
Applicant Name S % a t4 op7)y c—q RECEIVED
%1
_ I - Mailing Address FEB 101015
_ I °i l'*a� Cay f�T~
• pGrr,-MNfl Can
I certify that I have authorized (agent) to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location) .
13 �1 5 0 •� t-t v '>a2 A1�TI c c e
This
Signature
valid thro (date)
RECEIVED
FEB 16 tip,;
6'SM-MHE) CITY
400 Commerce Ave., Morehead City, NC 28557 w . ,
Phone: [phone] FAX:[phone] Wwnetc www.ra=Wmanagamnt.net t'/tf�Tl"1, arro/1Ma
An EqualODpw(unitylAfWmabeActionEm*yer ( iti[H Ikli�
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Gl/ 10/ Glob 1z: 44 lY*Y /kb;Mbb A B COOPER JR PAGE 02
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ADJACENT tp IAN PROPE'T�rr pyyN�R ST, M � �r
I hereby catty that I own property adjacent to
tj
g
Rr°ferlYlocated at ( % �OOOSD ��(Name of Propter:y Owner)
on aAddress, loth 8 ) �.�..
lock, Road
(Mtewody) — in G
(SYtowrt anr County)
IThtvPplicent has described to me, W shown below, the developmem p_oposed at the abov R
�`�VT' ' have no objectiot to this proposal. ® Fc
F
A4 . 'I'Fo
I have p r
bi®ctions to this proppgal•
DESCRlfa AND/OR DRAWING of PROPOSBO p�y����pM
f ne7vfdual proposing �ywoomen! must till inEwTaftariptlon below or a►tch a -site-drawing)
�__--- -f1?bP0C> �
v > -' y�
C
Q�
I unaerstand that a er, do I�R SEC
P' ' dock, mooring pilings, breakw1191. boathouse, lift, or grnlr+ must he set
back a minimum distance of 13' from Rry area of riparifln SCMag unlen Wdlvrtl by me. b you
wish to waive the setback, you must l"I'dal the appropriate blank below.)
I tlo wish to wafvo the 15• S$thaCk roquimment.
----- I do not wish to waive the 1S setback roquirement.
(Prop" Owner InParmatcn) (Adrt n(pr
Owner lnformatyon)
STgrwrioe
--
print or t'yge karns RECEIVED
tar YQe a-ne
Mailing qda ----- a S oc �� jam_ FEB 16 2015
Add - g `^-'•---------,_.
CrTY�Rftvvp ---- At Tt C. Tcfl r4c v?QMzMPIP eiry
Telephone Nomber
Revised 4hei2orl
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UvIt
M� �
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to iZ . mad 1IJZI>DS1 's
(Nam® of Property Owner)
property located at � � 5 D JN p I�
(Address, Lot, Block, Road, et )
on (ACO oOt4A(- in RTLIar ric. N.C.
(Waterbody) (ITown and/or CCo_unty)
The applicant has described to me, as shown below, the development proposed at the above
to a
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
i;�Z`bst � FEB 10 1015
a C C DCM-MHD CITY
. •fly �� ��1���)
<-+J 5-r1 v-
s�w�o�
a'
WAIVER SECTION
I 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. (If you
wish to w ve the setback, you must initial the appropriate blank below.)
RECEIVED
I do wish to waive the 15' setback requirement. FEB 16 1015
I do not wish to waive the 15' setback requirement.
I+JR 1=I�'Ifif9 eITY
(Property Owner Informatiori)
(Adjacent Property Owner Information)
Signature
Si tur
U"I UL�
Print or Type Name
Print or Ty a Name
Mailing Address
Mailing Address
#TI-B447(G_ /
City/Siate2ip
C' a ip
T
Telephone Number
Tzgephofiethlumber
Date
bate
(Revised 6/1WO12)
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