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t
CAMA / DREDGE & FILL ljo
GENERAL PERMIT Previous permit#
New !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 I SA NCAC
�] Rules attached.
Applicant Name Project Location: County --
Address Street Address/ State Road/ Lot #(s)
City______ State ____ ZIP
Phone # (__) Fax # ( ) _ Subdivision
Authorized Agent City __- ZIP
Affected -I CW EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) _ _ _ _ _ _ River Basin
AEC(s): I I OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body - gnat /man /unkn)
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)_ _
Finger pier(s)
Groin length _
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards__
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length ----_-- _—_ __
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no((�_�.
A building permit may be required by:
_; See note on back r�inRg�' vMr in rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statementon backof permit **
Application Fee(s) Check #
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 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules F] 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 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)
Revised 08/09/06

LPFTA
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
Applicant Name ��Gv e ` o C 4 M
Mailing Address
e;jAns
7 5��
I certifythat I have authorized (agent) Dm A'S �i4W /"CN C ,eto act on m behalf, for the
(� ) y
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
ko -e 5: , at (location)
e el- Z ag-�S-7 7
This cer ' ' a io s valid thru (date) 7�
Signatu
RECEMD
SEP 0 8 2014
DCM MHD CITY
400 Commerce Ave., Morehead City, NC 28557 One
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.nef NOTtj1caT/JO/hTla
An Equal Opportunity 1 Affirmative Action Employer �lxturQ��l�'

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w 1AQ w Ltvc,k- wCk-LA k
iT-LT

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(Name of Property Owner)
Property located at 7 WS qy e. S*reat'
on NelSp,J
'(Address, Lot, Block, Road, etc.)
�a�u in _ Sea I,.e_ve.l , N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
.n /
11 I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
1v , ts0to
AUG 042014
DCMMNACITX
WAERffeakwa
I understand that a pier, dock, mooring pill gs, boathouse, lift, or groin must be set
back a minimum distance of 15'from my rea ccess unless waived by me,a;(lf V6V.IVW
wish -to waive the setback, you must initial he blank below.)
I do wish to waive the 15' setback reouiremant. S E R 0 8 2014
I do not wish to waive the 15'-..�etba k requiement. DC:VM—TI'JC:TY
(Property Owner Information) tAd' cent Property Owner Information)
Signature Signq e
S%ev �1 c�m
Print or Type Na Print or Type e
till- Sovu l�ArkeyCVre� O
Mailing Addres • , C M yng Address 9
Ices er rV
Citylstat&z- CVg48qP
14 _ p _
Telephone Number Telephone Number
o=f-/2 L-; o:O r F- 3- /
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Skye ` A6 CU&Mkzr- is
(Name of Property Owner)
property located at
C-
(Address, Lot, Block, Road, etc.)
on �e SO �J I�c',c� , in--r—�C'A ycv 1 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
ocati .
7C have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND1 R DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
ale 1 s 0 tad• y -
AUG 0 4 2W
1DCM- cnT
WAl ER tCT10
I understand that a pier, dock, mooring pili gs, b eakwa er, boathouse, lift, or groin must be set
back a minimum distance of 15' from my rea o ripari n access unless waived by me. (if you
wish -to waive the setback, you must initial he a _Proprito blank below.) 4
I do wish to waive the 15' setback rewirembnt.
SEP 0 8 ?014
do not wish to waive the 15'-.0etb#k requkement.
(Prop rty Owner Information)
Signa tore
Sfi ve Slocuc,nlr
Print or Type Name
10 ►* SouAb �u rVeu CrY eLc
Mailing Address
4Y-
Date
4-
mauing cress
Crty/Sta Zip if A'LR L6770N V V.
Telephone � Number a r /r
Date - D
(Revised 611812012)

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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 not 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 al
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he 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 othe
ublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
he 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 a
ill.
http://carteret2.connectgis.com/DownloadFile.ashx?i= ags_mapc8e8lfOI779644ec9bdc4c8... 8/7/2014