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iCAMA / ❑ DREDGE & FILL (F y
GENERAL PERMIT Previous Permit# -.. a
El[�ew ❑Modification ❑Complete 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 ! J
r Ip.Rules attac�ed.
. r Project Location: Coun
Applicant Name 1 ? f j t)
Address t f t Street dd =_ ss/ State Road/ Lot #(s)
City i ' 1 }, t ) State ZIP
Phone # ( ;:; LI :�1, E-Mail'-- Subdivision
ZIP j
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Agent or Applicant Printed Name M
Permit Officer's Prirl ed(Name,
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Signature Please read compliance statement on back of permit
Signatur ":
1
APP' () :,
Application Fees Check
Issuing Date' '
Expiratiofi Date ,
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, 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 ❑ Other:
0 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/ I-888-4RCOAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www. nccoastaimanagement. net/
Revised 08/27/ 14
LAMA / ❑ DREDGE & FILL N967405 .
A B
8ENERA,L PERMIT
Previous permit #
ew ❑Modification OComplete Reissue ❑Partial Reissue Date previous permit issued--.,
OAsauthled 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 I SA NCAC
C2 ules attac ed.
Applicant Name L. Project Location: County.,
Address C Streettd State Road/ Lot #(s)
City StateP ZIP
Phone# E-Mailer / Subdivision `
Authorized
Affected ❑ CW ?HH-F
WPTA ❑ES ❑ PTS
AEC s :❑ OEA H ElUBA ❑ N/A
❑ Pws:
dj. Wtr. Body_�
Closest Maj. Win Body
r x�
NCDENR
North Carolina. Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor IDirector
Date / '�' -le q
Applicant Name S' ��/� L- L C
Mailing Address F /i✓1 Z-
Secretary
I certify that I have authorized (agent) 1- 2 (C _ FC us r F44r o act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
&P-7—
z— t %T , at (location)
R'4')I0 Z5tft�,
This certification is valid thru (date)
Signature
. G /) ZZ-
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
RECEIVED
MAR 18 2015
E)C-M-MHD CITY
NorthCarolina
NaAWAY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
t I hereby certify that. I own property adjacent to s �✓ ,S
_ �., p��p.�y..lo�atecl$ r / t/� .... ;
(Wand of Property Owner
(Address, Lot, lock, Road, etc.)
on �T (•� Pa lZ Rlv in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. f
1/ 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)
��15r,Nc�
WAIVER SECTION
I understand t t a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a mini um distance of 15' from my area of riparian access unless waived by me. (If you
wish to ve the setback, you must initial the appropriate blank below.)
RECEIVED
I do wish to waive the 15' setback requirement.
MAR Y SLl11�
I do not wish to waive the 15' setback requirement
(Property Owner Infor ation)
L.
Signature
Print or Type Name
f/3 /a-ltF�vo�GL-ST,�ih //�
Mailing Address
.l" H
City/Stat Zip
2G'-`/�G�
Telephone Number
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nt Pro r Information)
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Date G Date
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(Revised 611812012)
1211W014 ,
ConnectGIS Feature Report
Cot\JNECTGIS
WHEI HUNTING.
Carteret2
Printed December 15, 2014
See Below for Disclaimer
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Acreage
Parcel Dimensions
L_ .. Lot Number
235
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4-r�'
2146
RECEIVED
MAR 18 I
The information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and
other public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for
verification of the information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does no
guarantee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and,.
access methods at will.
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