Nelson, Jeff

❑
LAMA / DREbGE &'SILL . F`
...
A B D
NERAL PERMIT Previous:-perm,it #�
ew , OModification ❑Cgmplete Reissue El Partial Reissue Date previous -permit issued'
"
As autho`l iied by tfe State of"North Carolina, Department of Environment and Natural Resources ##
and the Coastal Resourcesy ' ommission„in 4n area of environmental concern pursuant'to 15A NCAC-
.
`•� iii "''
Rules atta h`ed.
�'
Applicant'Name : , Project'Location: County {
=�
Address ' �� ( Street Address/ State Road/ Lot #(s)
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CiState F ZIP ty ( 4^
Phone #,('
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, ,. r� E-Mail 5ubdivisionr
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Authorized Agent / s 1 ZIP
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CW EW TAB El ES ❑PTS Phone#r" i�7 ` ver$asin i �,i
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-Affected
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body i '� b t t nat `man unkn
"
ElPWS, r
ORW yes /a PNA ' yes / o Closest Maj. Wtr. Body�f_1
Type of Project/ Activity
`1
Pier (dock) length
r
Fixed Platform(s)
Floating Platform(sj-" ""'
Finger piers)
_...1
.............
....
_
.......
..................
.....
... .....
..
Groin length
r
s ,
number.,..
{
Bulkhead/ Riprap length
'
avg distance offshore`'
l
max distance offshore "' '
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4 °
Basin, channel
,-
cubic yards""'""'"'
141
r y,.
Boat ramp
+1
Boathous Bo tliftI
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✓
Shoreline'Length
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SAV: not sure yes
Moratorium: n/a yes
- - -
Photos: yes
Waiver Attached: yesAno
x .
A building permit,may be required by:
❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
.y
Notes/ Spezia Cond'i ions
'
Agent icant Printe " FVame
Permit Officer's, Printed• ame ' r
Sig ure4 P,le"asere coMpliancestatementonback fpermit
Si n ture
P-7
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App ic�tiorrFee(s) check
��,�
Issuing Da
Expiration ate
�.M .�,. ...' � .. ��ly �� /! 1•t� p •�'''�.+,.1 ,! � {. ?•, w.�r p`+1 .�, �r'; �N n.fip5'k''� ,i v.
�a �� .} .0 �; ,. � > � ' r 1, �' a., StS� :� . .. �'.

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, certifythatthis 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 howto 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/ 1-888ARCOAST
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

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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date / % 3 s /
Name of Property Owner Applying for Permit:
Mailing Address:
/6 7 15;e,o
%�� w�� ✓°fie c Z �5-70
I certifythat I have authorized(agent)'>o cte&,v/,
/�j/�� s �<��/1�'�6szrto act on my
behalf, for the purpose of applying for
and obtaining all CAM1AjPermiit-s necessary to
install or construct (activity)
at (my property located at) ��✓ / ��ti��� �� C, % G�-t'
This certification is valid thru (date)
Signature
/3 /7
JAN 2 3 2017
DCM- MHD CITY
Date
RE(;E',VE®
JAN 19 M7
CCM- MVAD CITY

a
Jeffrey M. Nelson
167 Pearson Circle
Newport, NC 28570
October 10, 2016
Mr. Samuel T. King
161 Pearson Circle
Newport, NC 28570
Dear Mr. King:
I am applying for a CAMA Permit to construct a single family dwelling, pier, and retaining wall located at
167 Pearson Circle on Broad Creek in Carteret County, North Carolina. The specifics of the proposed
work are outlined in the attached survey.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you of
the development in order to give you the opportunity to comment on the project. Please review the
attached riparian owner form and survey.
Should you have any objection to this proposal, please send your written comments to the District Cama
office within 30 days of your receipt of this notice. Such comments will be considered by the
Department in reaching a final decision on the application. No comment within 30 days will be
considered as no objection.
If you have any questions regarding this project, please call me at 252-659-2314, or email me at
[e-mail].
Sincerely,
Jeffrey M. Nelson
JAN 2 3 2017
DCM- MHD CITY
RECEIVED
JAN 18 2017
DCM- MH'D CITY"

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RECEIVED
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RECEIVED
JAN 18 2017
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DEED BOOK 1515 PAGE 004 �9FOOFFOG
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COASTAL WETLAND LINE WAS MARKED JUNE 7.2016, BYNEATIIER STYRON, NC
DIVISION OF COASTAL MANAOMENT MOREHEAD CITY OFFICE
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VSAC'E404WE'ILAND LINE WASMARKPI)JUNE23.2016, BYTOMCHARLES. USAGE,
WB,dEt40TON076TRICT.
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ALL OF PROPERTY IS LOCATED INFLOODZONE'AE'WITH BASE FLOOD ELEVATIONS
OF6 AND 7FEETPcrF1RM3720631500J, PANEL 6315, MAPEFFECTIVE DATE JULY 16.
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COCATIONAND SIZE OF ALL STRUCTURES .4NDS8PTlC SYTEM, ARE PROPOSED,
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7. PROPOSED ONE
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REFERENCES; EIP EXISITNOIRONPIPE
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DEED BOOK 14 PAGE 237
DEEDBOOK 1513 PAGE W4 11WL HIGH WATER LINE
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AND THAT THIS MAPMEETS TRBREQU1REMENTS OF THESTANDARDS OF
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PRACTICEFOR LAND SURVEYING IN NORTH CAROLINA(21 NCAC56 w6ryR
1
-------------
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THIS 101E DAY OF AVOUST, 2016' OA,K CAR ejF
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PLOTPCAN FOR
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KR BARREOQT..Vr/RVFVINF'
JEFFREYM. NELSON
BEINGALLOFLOTS 76AND 77,"J.W PEARSON BROAD CREEK
BROAD CREEK COMMUNITY
WHTTEOAK IVWNSIfIP
CARTERETCOUNTY
C-2621
- KR BAREFOOT, PLS L4236
SUBDIVISION", ASSNOWNONMAP BOOK 3, PAGE 115,
NORTTI CAROLINA
PO BOX 1751
AS RECORDEDIN THE CARTERET
SCALE; 1"n 20'
NEWPOItT NC, 28570
COUNTYREOISTER OFDEEDS
AUGUST 10, 2016
(252)1342-6230
OCTOBER 2 201C
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NICHOLASBRINKLEY
LAURABRINKLEY
DEED BOOK 1487 PAGE 237
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BOAT LIFT
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TOTAL AREA OFPROPOSED DOCKAND PIERS-2189.5gR
IMPERVIOUS SURFACPS INSIOR 7.5'AEC
DWELLING-888.2g1t
PORCH =218.7,g0
PAVERS@1009: n138.9egR
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TOTAL AREA INSIDE AEC -9M..4 sq 0
TOTALIMPERVIOUS AEC-1704.6,0-18.9%
ns6NucscAce

Jeffrey M. Nelson
167 Pearson Circle
Newport, NC 28570
October 10, 2016
Mr. Nicholas Brinkley
97 Bailey Road
Coats, NC 27521
Dear Mr. Brinkley:
I am applying for a CAMA Permit to construct a single family dwelling, pier, and retaining wall located at
167 Pearson Circle on Broad Creek in Carteret County, North Carolina. The specifics of the proposed
work are outlined in the attached survey.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you of
the development in order to give you the opportunity to comment on the project. Please review the
attached riparian owner form and survey.
Should you have any objection to this proposal, please send your written comments to the District Cama
office within 30 days of your receipt of this notice. Such comments will be considered by the
Department in reaching a final decision on the application. No comment within 30 days will be
considered as no objection.
If you have any questions regarding this project, please call me at 252-659-2314, or email me at
[e-mail].
Sincerely,
Jeffrey M. Nelson
RECEIVE®
JAN 18 2017
®CA& A4Ho Ciry
JAN 2 3 2017
DCM- MILD C` 1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Jeffrey M. Nelson
Address of Property: 167 Pearson Circle, Newport, NC 28570
p
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Jeffrey Nelson
Agent's phone #: [phone]
Mailing Address:
167 Pearson Circle
Newport, NC 28570
I 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 must be provided with this 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 nccoastalmanapement.net/web/cm/staff-listing orby calling 1-888. 4RCOAST.
No response is considered the same as no objection if you have been noted by Certified Mail_.
WAIVER SECTION
I 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 nitial the appropriate blank below.) RECEIVED
i/ I do wish to waive the 15' setback requirement. JAN 18 2017
✓ '��I do not wish to waive the 16 setback requirement. --- M a Ni H D CITY
(Property Owner Information)
"X-
S' ture
Jeffrey M. Nelson
Print or Type Name
167 Pearson Circle
Mailing Address
Newport, NC 28570
City/State 0p
262-659-2314 [e-mail]
Telephone Number/Email Address
October 11, 2016
Date
(Riparia ro Owner information) .
Y
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Allc r
Print or Type Name
1 ?7 f;?;*eS0^J ��IVE®
Mailing Address
/'�awP')1 , l�L Zi S JAN 2 3 2017
City/StatelLip
(9.19) 499-&3C0Z �&HD CITY
Telephone Numjbeer/Email Address
Dt'&
Date
(Revised Aug. 2014)

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RECEIVED
JAN 18 2017
DCM-MHDCITY
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SAMUEL T. KING It
DEED BOOK 1SIS AGE 004 ou�po�o�G
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DIVISION OF COASTALMANAOMENT,MOREIf4ADCITYOFFIC£
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MADE UNDER MY SUPERVISION. DEED DESCRIPTION RECORDED INBOOK C
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AS DRAWN FROMINFORMATTONIN(SEEREFERENCES); THATTHE RA770 (]
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THIS Ift DAVOFAUGUST, 2016 ��� CAR �I♦♦
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REVISED
167PEARSONCIRCLE
PLOT PLAN FOR
NEWPORT, NC
PINY-63150279.55E
KR BARFEQoTQI/RVPVTNI.
JEFFREYM. NELSON
BEINGALLOFLOTS 76AND 77, VW. PEARSON BROAD CRECK
BROAD CREEK COMMfM
3vrrrre OAK Tot
CARTERETCO
C-2621
FOOT,, PLS L 4236
SUBDIVISIOM', AS SHOWNON MAP BOOK 3, PAGE 115,
AS RFCORDEDINTf1ECARTERET
NORTH CAR 'LL
SCALE;l%
O 11.11751
C_ R.TNC,28570
COUNTYREOISTPROFDF.EDS
AUGUST 10, 201
D ( 2j"'.j.6jJ,
OC70BER Z 2016 i
NICHOLASBRINKLEY
80d W110
LAURABRINKLEY
DEED BOOK 1487 PAGE 237
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N ^ TOTAL AREA OFPROPOSGD DOCKAND PIERS-2789.5sglt
T
IMPERVIOUS SURFACES INSIDE 7AAEC
DWELLING-888.28gft
PORCH-SfR.7,pft
PAVERS (d 1004'e ^138.98g8
I'BULKfI-AD CA •(�211 egft
DOCK(NartAECWHWL)-2S4.08gR
TOTAL AREA INSIDE AEC-9000.48gR
TOTAL IMPERVIOUS AEC ^1704.6sq R-18MA
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