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GF E RAL PERMIT Previous permit #
Ch' 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
fRules attached.
Applicant Name.— ?T, y i- i `° Project County Location: Coun k
Address + r 5 { n : Street Address/ State Road/ Lot #(s)
City. ¢ i State
Phone #-Mail M_.. Subdivision
fj Authorized Agent 'r r` City ZIP i1
f 5 t
Affected ❑ Cw y4EW RTAS ❑ ES ❑ PTS Phone # ` (i I ) ; ! ;.. ` } River Basin
AEC s . ElOEA '❑ I- LJ IH ❑ USA ❑ N/A Ad . Wtr. Bod ' t nat man unkn
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i ) Closest Maj. Wtr. Body
ORW es f #
y /�1n,' PNA yes / � .. ..
Type of Project/ Activity
M M 0 M No NOMMEMEMOMEMME INC iffillu
i_"M Jr MEN
Shoreline Length tt
SAV: not sure yes VQ11
Moratorium: n/a yes ......... ....._ -..Photos: yesI , I , I " I I ".,
Waiver Attached: �s , no 9 L
C f
A building permit may be required by: R. { + , .., ❑ See note on back regarding River Basin ryles.
( Note Local Planning Jurisdiction) i } f . ` )
Notes/ Special Conditions.IJ
Cent, or Applicant Printed N Permit Officers Printed Name ,
Sign u", 1 ere comp iance statement on back of permit Signature _
Application Fees) Check,Check,# Issuing Date' x irat i
f®
ate . 7 y
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
landowners).
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:
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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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
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IN
Shoreline Length i
SAV: not sure yes
Moratorium: n/a yes
Photos: yel
Waiver Attached: no
A building permit may be required by:
Note Local Planning Jurisdiction)�r;
i
NgtTs/ Special Conditions
r ^-
ILL
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XE le
Applicant Printed
!�Sign�u ;'e re ccTcompliance statement on back o
Apphcarion Fees) '
f permit Sigriat e
R (�
Check# lssuingDae . .
❑ See note on back
Name
(Scale:•
_
xpiratron C a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
herby certify that I own property adjacent to �eoheh . ��e�ohc�r,b 's
(Name of Property Owner)
property located at
J (Address, Lot, Block, Road, etc.)
on �� 00 J e'r S e r e�l� , in MomhrA d Gfu. , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
i/ 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)
SEE A TTq C N E J
RECEIVED
SEP 112015
RECEIVED 'i
SEP 0 2 2015
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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 Owne Information)
Signatu a Signa e
5tv��� L. Sfe�ohcena �i�UQ.
Print or Type Name Print or Type N me
a-2 8 Trescoff o . /Yio At-enole d/ S'7-
Mailpi g Address Mailin ddres
/ca-1 ergh /VC 274,/ Y r e e a �" /'V0 a� �
City/State/Zip City/State2ip
f/q. -q-V7- 40 Y..?
Telephone Number Telephone Number
?- 2-%5
Date Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to = -: 'wh L - fiL4h c-n U 's
a (Name of Property Owner)
property located at /D 8 &�7dy Cf
(Address, Lot, Block, Road, etc.)
on -SP�r �r5 Cr ee K , in /yloThead r YU, , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiam
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)
i
SEE ATTACHLD
RECEIVED {
a
SEP 112015
i
i
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.)
K— I do wish to waive the 15' setback requirement.
RECEIVED
I do not wish to waive the 15' setback requirement.
SEP 0 21015
Adjacent (Property Owner Information) ner Inform; "`
Signa re 3 'g ature
Print or Type Name ant or Type Name
/120 8 TesCo # Ct- 1 10 & Aa, 11 ri
Mailing Address Mailing Address
City/State/Zip City/State%Zip
Telephone Number Tel hone Number
9 2 /5e.—
Date Date
(Revised 611812012)
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STEVE STEPHANO mrn
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108 GRADY COURT m MOREHEAD CITY NC 28557
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1. ADD TWO FINGER PIERS TO ACCESS BOAT FROM EITHER SIDE OF LIFT.
2. REPLACE EXISTING 13000LB BOAT LIFT WITH 16000LB.
3. MOVE REPLACED 13000LB LIFT TO EMPTY SLIP WITH ALREADY EXISTING PILING
Davenport, Ryan
From: Steve Stephano <Steve.Stephano@iatinsurance.com>
Sent: Friday, September 11, 2015 2:08 PM
To: Davenport, Ryan;jkerr@ec.rr.com
Subject: CAMA Permit
This is to authorize Jon Kerr to pick up the permit on my behalf...... Stephen Stephano
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mail, including any attachments, may contain information that is proprietary or confidential and is intended solely for
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RECEIVED
SEP I 1 2015
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