Peters, Matt

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CAMA / C7 QiREDGE &:FILL� �,,,�
GENERAL 'PERMIT Previous Permit#
�VeW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmentand Natural Resources L ` r t
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �j ' I
_ __ f _ A. r Rules attached.
Applicant Name 4 � � .,1/ f -le - W Project Location: County�r l � � ,-u'
Address VAC) N:.",j �:� t� '�, _ Street Address/ State Road/ Lot #(s)
9.i9City �_1 ; State MZIP-0 i f m �" ,) � � .�.-�_ ! N O,
Phone # /i) �__ SubdivisionJ—
Authorized Agent TX'1%J )I-li t } � i^.' City .t,\ 1` ZIP !"�'i
%IAEW
PTA
❑ ES ❑ PTS
Affected ` `
AEC(s): ❑ IDEA . ❑ HHF
❑ IH
❑ UBA ❑ N/A
❑ PWS:
❑FQ
ORW: yes / (101, : PNA
yes /
(0 Crit.Hab. yes / no
Type of Project/ Activity
..,
l.n.cc , 0_4' ( l -112
, bier (dock) length
4 P
7 1
,;;Platform(s)
x
si
Finger piers) —
trc :`Groiri length" ' �
i `$ulkhead/, Riprap length
avg distance offshore - I
max distance offshore
Basin, channel
cubic yards
Boat ramp
• I
Boathouse/ Boatlift
Beach Bulldozing
Other -1
I
1
'Shoreline Length
e
SAV: not sure yes no
Sandbags: not sure yes no
r
Moratorium: n/a yes no
Thotos: yes no
Waiver Attached yes= no
A building permit may be required by: i
Notes/ Special Conditions
Phone # ( ) I LA7a;:517-6-ver Basin I t 4
Adj. Wtr. Body
Closest Maj. Wtr. Body `t IT, lit t:) C
(Scale: I I
91 )
❑See note on back regarding River Basin rules.
---r t J

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
landowners).
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 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/ 1-888-4RCOAST
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)
R vised 08 09 06

C I' z 5f F '^� r n' i 7 6a rye•
Applicant: (1 n
Date:
� I ali
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance•total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
.
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount
Dredge ❑ Fill Q Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other/
Dredge ❑ Fill ❑ Both ❑ Other
-'
Q,nve,v
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ . Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other
• Dredge ❑. Fill ❑ Both ❑ Other. ❑
JUN 11 2014
DCHiM CITY

Styron, Heather M.
From: matt peters [[e-mail]
Sent: Saturday, June 07, 2014 5:40 AM
To: Styron, Heather M.
Subject: Re:
Hi Heather,
As we discussed on the phone, I would like have my Mom (Judy Peters) pick up the permit for the dock at
Gales Shore Circle. I suspect she will stop by Monday morning.
Thank you again for all your generous help.
Kind regards,
Matt Peters
On Wed, Jun 4, 2014 at 11:00 AM, Styron, Heather M. <heather.m.s ronkncdenr..gov> wrote:
I have attached a list of Marine Contractors in this area fo'r you. Please let me know if you need anything else.
Heather
Heather M. Styron
Field Representative, Morehead City District Office
NCDENR
NC Division of Coastal Management T I3EIVEA
400 Commerce Ave JUN j 1 2014
Morehead City, NC 28557
ACM MIiD CITY
[phone] ext. 216
[e-mail]
E-Mail correspondence to and from this address is subject to the North Carolina Public Records Law
and may be disclosed to third parties unless the content is exempt by statue or other regulation.

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
-I-P�K 17zs ri� lV� c617W
RECEIVED
JUN 2 8 2013
DCM MHD CITY L.
I certify that I have authorized (agent)-b�j�� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 45E�S Sft-WEP G 1 G�
<6 Prz=�5 c---p�UZZ k, 1-4
aKr.
G
This certification is valid thru (date) ; JUN
DG14i.MHD C1Ty
1,4
Property Owwner Signature
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to. �'TMS; is
(Name of Property Owner)
property located at Qa3 G R Lc5 S}IO pe
(Lot, Block, Road, etc.)
on GALE:`' in ta•E'oebp'i l C7 N.C.
(iaterbod\y) (7['0�and/or Coin )
� 4-7�-•S 1?4 Mailing Address: 1 � y4ciLC--c`� tobb
Applicant's phon�# i �
a t ? y8-
He has described tome, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
JUN 11 2014
v.���(11�G 'y 1 � � •
RECEIVED DCU- yM Crn,
information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
(Riparian Prop
JUN 2 8 2013 �6
MA-14HID CITY
n)
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to. M49T P67-6t;5 is
(Name of Property Owner)
property located at R.23 G -R uS5 S}k'br c- Ir-c Lam' ,
(Lot, Block, Road, etc.) _
on 94C'-S ce� k , in xkToPb e5v , CptRTue.V 1 , N.C.
(Waterbody) (To`w� and/or County
Applicant's phoCe 17.E Mailing Address: 13 Y--A L.e���-°�
He has described to, me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
-7-a
-----------------
nformation for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
A%
RECEIVED
RECERm J U N 2 8 2013
JUN 11 2014 . DCMMOCITY
=--=---- - -= ------------------------=-----
(Riparian P per- r Information)
Signature
Print or Type Name
elephone Number
Date
i