Quick, David

PCAIVIA El DREDGE & FILL
U L'C- NO 66964 A B C D
GENERAL PERMIT Previous permit #
-'New E]Modification El Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources —7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Eglules attached.
Applicant Name Project Location: County _T7
Address Street Address/ State Road/ Lot #(s)
City i State ZIP
Phone # E-Mail Subdivision
Authorized Agent ZIP
Affected 0 Cw 0 EW 0']PTA EaES 0 PTS
AEC(s): OOEA DHHF 01H El UBA 0 N/A
F-1 Pws:
ORW: -yes %.` no PNA yes no
J
/ , � —/ - I -/
Type of Project/ Activity ,/
Pier (dock) length (!7, 7
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic ya
Boat ramp _
Boathouse/',
Beach Bulklo;
Other
Shoreline Len
SAV: n(
Moratorium:
Photos:
Waiver Attacl
Phone,# River Basin 4KV
Adj. Wtr. Body (na't­ /man /unkn)
Closest Maj. Wtr. Body
c.w
(Scale:
A building permit may be required by: See note on back regarding River Basin rules.
Note Local Planning jurisdictio)n)
Notes/ Special Conditions

T.
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, certify that 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 0 Other:
EJ 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 comply with 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.nccoastaimanagement.net/
Revised 08/27/14

PdAMA / ❑ DREDGE & FILL
r
GENERAL PERMIT
A B
Previous
C.� D
permit#
New ❑'Modification El Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources`` '
g
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
[B-Ruies attached.
Applicant Name . ° r :"
Project Location: County
Addresses # : , ,; y+ , r -
Street Address/ State Roadt Lot #(s)
City, r t State `'.Ar ZIP;,
Phone # ( 1/i) ., ;� `i E-Mail
Subdivision ;
4
Authorized Agents prn ; ;
"
City! c-' - '` ZIP
,'f
Affected ❑ CW MEIN p-PTA []ES ❑ PTS
Phone # ( ) Byer Basin A
s,.
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body*' ,6atf�man
/unkn)
❑ PWS:
ORW: ,yes /: no PNA yes /no �
Closest Maj. Wtr. Body F �';,
E °
INN
ME
M
OMEN
0
OEM
EMMOMME
MMMMMMMMMNMM
MERNMEMEMEMEME
MEME
IIIIIIIIIIIIIININIffill
milli
MOME
I
IMMEM
Milimill
M
M
M
MEN
MEIN
MOMM
MEN
MENNEN
MEMEMEM
IN
MNMNMMMMMMEMMMMMMMMI
NNE
MINIMMEME
0
NINE
M
M
OMMEN
0
INIMMEME Nil
I
MEIN UNIIIIINME
101
NNE
ON UNUME
0 OMEN No MOEN
IN IIIIIINNININN
NUNN MOMMEMMOMMOM
ON .
} } plicant rtlaAgent orApsPermit Offcer s Printed Name a
4 . r�•
S7gn Please read compliance statement on backof permit a Signature
l
,dppli on Fee(s) Check# Issuing Gate f Exp)-'ratio bate

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1 ' ' Z a) - ) 5
Name of Property Owner Applying for Permit:
C )AV C-1 6301 Gle-
Mailing Address:
%\Jew
MAR032p16
octk
I certify that I have authorized (agent) _ wm u i n m 1Q L-n n 6 to act on my
bsnnig: bons rnaRin& c-arlsT. L(A—
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 'DC)CK Q 3ocT-uTT ,
at (my property located at) l a 3 OLD S e 44 06 L f cAS E R00.D µ uR k.E2S IS Lck-n D ,10�
This certification is valid thru (date) yGa . 31. Z 611,
Property Owner Signathre Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:_ -G AV lid Q-L i GK
Address of Property: I9l3 OLD 3CHCl 0t, t-Foust 120AD 4aR-1<6i-S t'SLCtnp CCc.2�k-F-T
(Lot or Street #, Street or Road, City 8 County)
Applicant phone i#: _qiq-Alonj 0 Mailing Address: 019t to l+IT Yyi Ernoru q c. Ct+uQc44 �A .
Wtt✓t_ow SPR-196,Nc A-75gcl
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.
1 have no objections to this proposal. _ 1 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 www.nccoastaimangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified bj Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me.Sla
waive the setback, you must initial the appropriate blank below.) 4ffdEK1ED
I do wish to waive the 15' setback requirement. MAR O 3 2016
-* ___ 1 do not wish to waive the 15' setback requirement. DCM- M H D CITY
(Property Owner Information)
.Si�Jr�c�rtu�c
Print or Type Name
q1 Z 1 W W tTC MC nioFZ.t A-L CRUD V-D
Mailing Address _
1&.Li l -Lb cw t_N c i 59a
City; Statelzip
1 -A10- 1399 _
Telephone Number
(Riparian Property Owner Information)
�. 7i'A
Signature
A,
Print or Type Name
5 6�(ee-ts
Mailing Address
�oy-Ncelool-0, FCC,- 8
City/State2ip
a�-- 1(0'70L do- l -1
Telephone Number
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: -1 K\hE:) Qwcl<
Address of Property: la-3 OLD sCROOL- k40" RbPt), V1ARICFR_S 1SL-AMD - CR2T&R-E -
(Lot or Street #, Street or Road, City & County)
Applicant phone#: gig- aio- 1369 Mailing Address: gal WHITE ?n&McPAPvL CHLtkC -t eD.
wOuow SPP-106' Nc- a-i59a
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,
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
(DCh9 in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certffled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.) RECEIVED
I do wish to waive the 15' setback requirement. MAR U 3 2016
uRAI do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
�Ac> caw c�<
Print or Type Name
q a k W" kTL 1\AEVAC)V21 AC, CHU UFN Rb,
Mailing Address
wt"wLO S1FR1N36,Nc a-759a
City/State2ip
91G-a10- 13��i
Telephone Number
Date
ON 1i t,Ti I O` Fox"We
(Riparian Property Owner Information)
Signature
Nl'# /Ahl ILI, .&/q &Z.)6 ff5
Print or Type Name
PO Z24 3� 9
Mailing Address
City/State2ip
-�(7. 7
Telephone Number
/� a�
Date /
TLC R5 [-5
FI L�-
U u-T-

Not for Recording
Deed Book 1374 Page 131
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P
ACREAGE
1
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BY COORDINATE METHOD
13324.79 SF.— 0.31 AC..
"1 1
NSF MICHAEL MILLS
DB.1238
/
PG.180
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N 05'20' 14"E
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N\F MICHAEL MILLS
De.
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181.63'
''-•75 � -�
�"
(TOTAL)
PG.
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SIR � �� �
148.87'
� EIP
` �' S 03'36'34'W 29 08'
99.54' S 03- 40'35"E oP
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---- ----
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LEGEND:
EIP - Existing Iron Pipe O
ECM - Existing Concrete Monument Q
EIR - Existing Iron Pipe 0
EPKN - Existing P. K Nail 0
ERRS - Existing Rafted Spike 0
EA - Existing Axle 0
SIP - Set Iron Pipe 0
SCM - Set Concrete Monument p
SPKN - Set P. K. Nail 0
CL - Centerline
C.P. - Computed Point
R/W - Right of Way
R - Radius
A -Arc
MBSL - Minimum Building Setback Line
Sq. Ft - Square Feet
MB - Map Book
DB - Deed Book
AEC - Area of Environmental Concern
LINE LEGEND:
Long Dash With X = Chain Link Fence - — x — x — x — x — x — x — x — x — x —
L.ong Dash With E = Overhead Electrical Lines - E — E — E — E — E — E — E — E
Solid Line = Stationary objects (i.e. buildings, pavements, curbs, sidewalks, etc.) -
Long Dash With Two Shorts Dashes = Boundary or property Hines (existing or proposed) - — —
Short Dash = Setback lines, ajaoent property owner lines - — — — — — — — — — — — — — — — — — — — —
Long Dash = Easement lines and proposed or adjoining lot lines within same property or sutxWWon - — —
Long Dash With Short Dash = Center lines of streets - — — —
■■■■■■■■■■
■■■■■■■■■■
N >-
CAPE COpKpUr � v
DR' 0 0
z
15_00 OR O Z J
N W SITE o
(n _J
0= Q
BACK SOUND
VICINITY MAP
NOT TO SCALE
SURVEY FOR
David Quick
123 Old School House Rd., Harkers Island, NC 28531
Deed Book 1374 Page 131 — PIN 733514229549
Surveyed By
Professional Land Surveyor L-1079
Post Office Box 310
Morehead City, North Carolina 28557
Telephone [phone]
Email: adenning@ec.n•.com
DATE 02/15/2016
Scale: 1' a 40'
Field Work By. Tim
Drawn By. Art
Checked By. Art
Acad Fie: 3513A