Patton, Robert & Linda (2)

Q7L CAMA / O DREDGE & FILL
EN ERAL PERMIT Previous permit #
,Npw ❑Modification ❑Complete Reissue El Partial Reissue Date previous perm4issue-
As authorized by the State of North Carolina, Department of Environment and Natural Resources ; r
and the Coastal Resources Commission in an area of environmen concer pursuant to I SA NCAC cc
( i ( _ Rules attac dd.
Applicant Name 'I `# l - � `j r �Y�t nX
t ; ] t',+oject Location: County ? `�-- ` t
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uthorized Agent City'i� l t� �;-- ZIP
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Affected
AEC(s): ElOEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PVyss ❑ FC
ORW: yes / no PNA yes / �no Crit.Hab. yes / no
Phone #
Adj. Wtr. Body t ( d_ #
Closest Maj. Wtr. Body
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Basin rules.
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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 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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ 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/ 1-888ARCOAST
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

� - 1
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date .4' J 0 1 /'¢
Name of PkBperty Owner Applying for Permit:
R'D )3 &-x I h A T-Tj V
Mailing Address:
2 og
13 &"A ki F v cT ,,V C
I certify that I have authorized (agent) �� oy NI t' JZ s to act on my
behalf, for the purpose of applying for: and obtaining all. CAMA Permits necessary to
install or construct (activity) Do r- JC ,
at (my property located at) 2- .7 -q w -, S /Z U
This certification is valid thru (date) `-t I -S I / /'+
Property Owner Signature Date
AN � 3 814

Apr 0314 02:47p Eddy Myers Real Estate
2527285005 p.1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _RQS A -� Gi N p Po'T'Tu.%l °s
property located at © _ � iS (Name of Property Owner}
(Address, LotBlock, Road, etc.)
On 0/� /I�D.cr a %?t,i K ., In l�y� ;A c -, JS �` /!i G N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to Lion.
0 2 I 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)
r T 0cr/yvrc-
APR 0 3 2014
WAIVER SECTION i
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 waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
W4&-- I do not wish to waive the 15' setback requirement.
(Property Owner Inf ation)
Signature
2Q4t'r7- A-r-rst/
Print or Type Name
Mailing Address
_66-/Attu)— tic 2 r sw
cd( mate/Zip
`72 R-Z-
Telephon Number
Date ���
(Adja, nt Property Owner Information}
Sign�rture"
PrintTro�ype Name
Mailing Address �"
CrTy/state/Zip
Telephone Number
Date
(Revised 61152012)
!C

Apr 0314 02:47p Eddy Myers Real Estate
2527285005 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RL9t36 ,e-- -,- Li NPO Pk4%7-1.✓ 's
(Name of Property Owner)
property located at 2 D c.-7 lel)
(Address, Lot Block, Road, etc.)
on t2t i /6er14 Iz t"eve in .4 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed of the above
location.
I 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)
S� L /-7 T- T !4Cf ► 4 e: --A, I XtECE Y
APR 0 3 Z014
'DCM-=CTCY
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 waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(PropedyOwner In oration)
Signature
Ro . i nT"TJ�✓
Prinl or Type Name
") -q= ,,ors R v
Mailing Address
3
City/statelzip
`72 zr - Z-
Telephon Number
'z
Dale
(Adjacent Property Owner Information)
n.
Signature
re
l
Print or Type Name
2 r9 8- Z,Ff is A'P
Mailing Address
tie- 2 2rs-1 d
Telephone Number , `{
Date
(Revised 6/1WO12)

Lewis I2oi�,3
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Apr 0314 04:31 p Eddy Myers Real Estate
r
EDDY MYERS
REAL r'STATE
2527285005 p.1
— �q I V-0 VI
Eddy Myers Real Estate Fax cover
131 Middle Lane
Beaufort, NC 28516
(252) 72S-ig10 Fax: [phone]
Date: LfaZ
To: ,i ,ram Fax: -�
From: �G� m rf Fax:[phone]
I r.• : C'
Re: O� QW LS
Please expect additional pages.
Remarks:
ti 4494- r1 - &IA-
C f",� T - DZVA t T_

Name: Robert Patton
Date: 4/28/14
GP Habitat Sheet
Permit #: 63811C
Address: 209 Lewis Road
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
High marsh
50
50
n/a
n/a
Open water
235sf
235sf
n/a
n/a
Low marsh
840
840
n/a
n/a