Ryan, Pat

-CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
New 1Modification lComplete Reissue `.-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
F-1 Rules attached.
Applicant Name Project Location: County
Address _ Street Address/ State Road/ Lot #(s)
City _ State ZIP
ZIP
Phone # ( _) ;' Fax # () Subdivision
Authorized Agent CityZIP
Affected - CW EW PTA ES -IPTS Phone # (_ ) _ _ River Basin
7 HHF IH -UBA =, N/A
AEC(s): oEA ' - Adj. Wtr. Body (nat /man unkn
PWS: C FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
IType of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number_
Bulkhead/ Riprap length
avg distance offshc
max distance offsh
Basin, channel
cubic yards
Boat ramp ' ' - --
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length __ , - -
SAV: not sure
Sandbags: not sure
Moratorium: n/a
Photos:
Waiver Attached:
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
U See note on back regarding River Basin rules.
)I
Permit Officer:g4jgnature
r s,
�
Issuing Date
Expiration Date
Local Planning jurisdiction Rover File Name

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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 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 Morehead City Headquarters
Mailing Address: 400'Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ I-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
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

GP Habitat Sheet
Name: Pat Ryan Permit #: 65234C
Date: 9/23/14 Address: 206 Bayview Blvd
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
High ground
n/a
n/a
10
10
RECEIVED
OCT 0 9 7"'
DCM M:,HD CAY

1
A"ja
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
Date Mm �i �
Applicant Name of
ay
RECEWLD
S 7 ?o14
Dck-mo0-1°Y
Mailing Address S yo.3 j6ellt A.-*.iP` V; /sct r
N,C, 2 7*74
I certify that I have authorized (agent) Iflu,e "Ie" /04� to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
o Wit
WWI
10 r x s ;n
e- KJw//
at (location)
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This certification is valid thru (date) % Z "
Signature
RECEIVED
OCT 0 g 2014
DCM-MHD CITY
400 Commerce Ave., Morehead City, NC 28557 One
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net NorthCarohna
An Equal Opportunity l Affirmative Action Employer Naturally

ADJACENTRIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A/— A.,t7 's
a e of Property Owner)
property -located at Z D
on A/� Address, Lot, lock, Road, etc.)
gr rc 5,9W./1 , in ��„ &�- h , L . )N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at 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 belo&for attach a site drawing)
E i7/0
� t1IDMr
r
' 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.)
RECEIVED
do wish to waive the 15' setback requirement.
/ OCT 0 91014
I do not wish to waive the 15' setback requirement. DCM-MHDCay
(Pro erty Owner Information) (Adjacent roperty Owner Inf rmation)
Si at e Si re \
Gr k, _�56"y
Print or Typi Name s Prim or Ty e Name
3I, 3 �,-�!-f��l� f' 0. r)( 1121
Mailin Address Mailing Address 278�.6
c, t (so,ti N. C. 27g9G i s t1s��l N-�
City/State/Zip City/StatelZip
zsz - 77` / 2 SZ - 2 "_ s-c,sr.
Telephone Number Telepz
ne Number
14 I '�,�
Date Date
(Revised 611812012)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIOATIONIWAIVER FORM
Name of Property Owner: P VUCtC &d
Address of Property: 1262 _
- (Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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. 1 have objections to this proposal.
If you.have objections to what Is being proposed, you must notifythe Division of Coastal Management
(DCM)_ in wrifing.within 10 days of receipt of thls.notice. Correspondence should be malled to: ao
Commerce.Ave., Morehead City; NC, _28557. DCM representatives can also be contacted at (252) 808-
2808 No response Is considered the same as no objec#Jo If you have been notifled by lCeWfied Mall_.
WAIVER SECTION
1 understand that a.pier, dock, mooring pilings, breakwater, :boathouse, lift or groin must beset
back a minimum distance of 15' from my area of ripariamaccess unless waived you
wislyto waive the setback, you must initial the appropriate blank below.)
do. wish to waive the 15' setback requirement. `'14
V-
I do not; wish to waive the 15' setback requirement.
My
(Peop+ner Information)
Signatun
Print or Type Nanfe
Mailing Address
14,S oA/ Alc-- 9.iFFt�
City/statelZip.
Telephone Number
9/ �/-?- lV
Ddte
(Adjacen Property Owner Information)
L
Signature
Print or Type Name
Mailing Address
3o3z�-
CityXstatwzip
Telephone Number
Date
Revised 61IN012
RECEIVED
Oct -os AW
DCM-MHD CITY

u CEIV�U
SEP 1 7 2014
DCUVIlD C
RECEIVED
OCT 0 9 2M
DCM-MHDCtW