Somerset Plantation

1
CAMA/DREDGE &FILL ��ya 513
GENERAL PERMITS i,�o1�Previous permit# A B c D
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
" As autho ed by the State of North Carolina, Department of Environment and Natural Resources
and the astal Resources Commission, in an area of environmental concern pursuant to I SA NCAC
j t S i 3 R attached.
ules
Applicant Name. Project Location: County - T
Address t "i ; ' �' F Street Address/ State Road/ Lot #(s)
city—i 1 State ZIP t ;<'• -{
„ Phone # () `,�.--f' � E Mail���Subdivision �— _ f•�- �
Authorized Agent ; a ' ` ` ``' City ` ' ZIP
d }F .
Affected ❑ Cw r.Ew PTA [I ES Prs Phone # Basin ( River ? f L
AEC(s):
❑ OEA ❑ HHF ❑ IAdj. Mr. Bod
H ❑ UBA ❑ N/A nat \/man /unkn)
y ,� t •X � ,(
❑ Pws: j
(' Closest Maj. Mr. Body y ,
ORW: yes / 'no PNA yes / ono t
�, I
Type of Project/ Activity
Pier (dock) length �» .
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore —
cubic yards_C
Boat ramp`'��—
Boathouse/ Boatlift
Beach Bulldozing ---
Other
Shoreline Length i
SAV: not sure yes no
Moratorium: n/a yes ' no
Photos: yes no.'
Waiver Attached: yes ' no
A building permit may be required by:
( Note Local Planning Jurisdiction) ,
Notes/ Special CInditi ns
�t 't )�1�
Hi
i
�\ i:.. 1 i
ONA.�.
EMMMMMEME
f i? i (, ❑ See note on;back regarding River Basin i
,+
Permit Officers Printed dNamg'' X f -
Tt,
Signature A _� P-lease read compliance statement on back of permit*. Signat
Y. 4
i
Application Fe@(s)„ Check# Issuing D to E
fd, .�

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, 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:
El 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: [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

AMA /rtIftREDGE &FILL 6 A ,/ C ?p
ENERAL PERMIT Previous permit#�
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As autho ze by the State of North Carolina, Department of Environment and Natural Resources j
and the astal esources Commission in an area enviro ental concern pursuant to 15A NCAC
L., RulesChad.
Applicant Nam Project Location: County.
Address Street Address/ State Road/ Lot #,(s)
j t City. 1 ', v�J`�' ,: � State 1 ZIP,
Phone # (_j -Maigl Subdi i io
Authorized Agen City ZIP
t ~~
Affected ❑ CW .W TA ❑ ES ❑ PTS Phone #"W!
River Basin f
❑ OEA ❑ HHF H ❑ UBA ❑ N/A , �'
AEC(s): Adj. Wtr. Bodat man unkn
❑ PW -�
Closest Maj. Win Body
ORW: yes / r p J} PNA yes /
Type of Project) ActivityVQ L
(Scale:
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)—'""""'
Groin length
number"
Bulkhead/ Piprap length
avg distance offshore""'"
cubic yards
Boat ramp`-.-.......
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length . P J r
SAV: not sure yes
Moratorium: n/a yes
Photos: yes Eno
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special C nditi ns
1 1f.,l �; (1 ?i IE r
rerr
Sig tan u ~ ° Rl ease read compliance statement on back o permit* Sign
4�
ApphcationFee(s) - Check#. ; ; Issui
■■■■■■■■■N■®■■■■®■®■
■■■■■■■■■ ■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■ ■■■■■■■■�M'',■■■■■
■■■■■■■■■&ANN■.■■■■■
■■■ ■■■■■■■■■■■■■ ■■
■■■ ■■■■■■■■■■■■■■■■
■■■■■■■■■■:■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■ See note on,4ck regar�ing Riyer Basin rules.
r L"14— - a-,
1 ! _ WE FVZA
y
I..

5-12eo)00I5-
e'er, G-,i-x4 ham.,
P/u awz��
y6tA-Af --a� .,Q
01 All 'e", 'OJ4
y14
RECEIVED
MAY 21 2015

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to.'�)mEQTNTrYITi&y�,rrt©A `s
(Name of Prope Owner)
property located at �H�'T ,�4���rsed� qY L�it/D P�-c
'�,,,,�,� (Address, Lot, Block, Road, etc.)
on ;°�'X=e- SOUn b , in /�&� , N.C.
(Waterbody) CltylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati9n.
have no objection to this proposal.
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)
? �p9 wrll rc �fhov� S � A--r 7746 C4-r �grh
� M&OCA
eAQble+z bps . � G�rlt .fz. d©�
f1 >,l <SEUc �4fi S �-
©N SA,tc .4r � Rine
AN � � ovr{�! 20 FEET" ou-r FpoAt 77ft✓ conCrt 7ZZ � m�
6 / `� 5 7 A4'
A-n6 /Z -/.S �GtrIDC. , fNE fiat ! �TC/j'IQC,�
{{ �c02��9NGG w'r�fi, `thE /<ntir Off' A6e�e2ACr
�lA� �1'i Cr4Cvr2C wh r BUe rn A�p2 #T fee
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
V_ 'c4se t on
ei�ure ,Sr nature
Print o ype Name Print or Type Name
Ab 'y 4,:13A &C7 !`Tull Cr2c1F�
ailing Address Mai hg Address
/ _N A 21 -� *5-Vy pagr, N- C , d8s70
CflylStatelZip CitylSta e/Zip
a6:2 - .1c1-'7 l !/(r &cam - - `yBSg
Telephone Number 7-EivED
Telephone Number
T)nte
Date MAY u 12015
14001gpOW P;i'4 i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !7 's
(Name of Property Owner)
property located at w F,�p�? �C n.6 47-&1b 6�0/mz� dL14
(Address, Lot, Block, Road, etc.)
ont.L 5��� , in .,�� , N.C.
(Waterbody) (Cit /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiyn.
V 1 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)
Guy f/ /e1"� .S4nD ,4T �"#'E .cam/7` �/�/h�
%lam ��� This w�)
/AU4C-J) -�Ae R boats .
be., doie- o,lJ sA PAE
G�/ll 6� /��►r�� �
-rk con cow %?41,np
RT
7/
/Z lM l {SE-L F
�5
17em0�/RLa
AA1
q z,6,1
7, ?Oklgh (V ;2 0
`46E7'
d9u-r F&OI)l
.4nb /Z - 1'6-`W14i5
Gene i¢/%It S >s '9 SAP 9#9 e46VP Ioh m rjoVe 4A
'R�
WAIVER SECTION �
1 understand that a pier, dock, mooring pilings, breakwater, b athous ,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.)
I do wish to waive the 16 setback requirement.
I do not wish to waive the 15' setback requirement_
1 A RECEIVED
(Property Owner Information)
Si ature
Gt3 • IC/ hs--
'A5a _ '�Iw/- 11/ cQ
Telephone Number
Date /$ — Z. ®/ S
Informatio%AY 21 2015
Si Lure
ApAeldanb-#0414- V ugAo
Prin or Ty Name 11
ULL/� (.l.£ SEJQ_SLT %��vTtJr/O�cJ
Matfing Address
96,0 -PO 9L 00
C atwz*
I rYwlie
Telephone Number, C�
1s
Date
(Revised CVIW012)