Turner, Stephan

LAMA / b DREDGE &FILL
..
GENERAL PERMIT
Previous permit# (S
Neal ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
.__..�
As authorized by the State of North Carolina, Department of Environment and Natural Resources l f J
t✓
and the Coastal Resources Commis ion in an area of environmental concern pursuant to 15A NCAC !
—$ r:.n T- f/I
«®ftules attached.
,�. r
Applicant Name f
Project Location: County ,
... . z {—
AddressIlk
Street Address/ State Road/ Lot #(s)
Cityr+ t' t : �) t> r` Stater..,"CZIP N
Phone # (�4) -'� ft -Mail
Subdivision
Authorized Agent `" 0- + r ' l
City ��"t t �' ► ZIP
❑ CW [ EW _�F`+TA El ES ❑ PTS
Affected ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A%
Phone # ( ) River Basin
) f
AEC(s):
Adj. Wtr. Body t c '� t''r`r %T''` r (nit./man /unkn)
❑ PWS•
ORW: yes /y no PNA es no
Closest Maj. Wtr. Body
Type of Project/ Activity )C
Pier
r r
Fixe
Float
Fing
Groi
Bulk
Basin
Boat
Boat
Beac
an
Shor
SAV
Moil
Phot
Wai
(Scale: 11-i I f )
ON
M
&MEMN
ME
MHUH
"No
MENOMMENMEM
No
MEM
ME
110
IMIENMEMINEMME
mommmil
M
■��i■
isIN
��avg
number
�
IMMEMEM1111111MMME
■■
EN
M
ME
MEMO
distance offshore
A building permit may be required by:
( Note Local Planning jurisdiction) { 1
Notes/ Special Conditions
i
❑ See note on back regarding River Basin rules.
Agent orYApplicantRriarfng y -, ,. PermitOfficer's Printed Name
ue-." Please read compliance statement on back, ermit Signature
Signa !
E�Cpi
Application Fee(s) Check # Issuing Date j # rationbate ` `

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 andvoid.
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:
❑ 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/ 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)
RECEIVED
DEC 17 7n14
g'M7wlH5 t6I1y
http://www.nccoastai management.net/
Revised 08/27/14

9A
�a 7,A
?,3a 6

Eric Ellis
Marine Construction '
DOCKS • SEAWALLS -BOAT LIFTS '
DECKS & REPAIRS
Phone & Fax: [phone]
Cell: 252.342.6775
205 Nottingham Lane Morehead City, NC 28557
i• •
R CEIVE
DEC 171V
DC -M11D ITY

Davenport, Ryan
From: Jasa Ellis <[e-mail]>
Sent: Monday, December 15, 2014 7:01 AM
To: Davenport, Ryan
Subject: Fwd; authorization for Eric Ellis to obtain CAMA permit
Begin forwarded message:
From: Stephen Turner <[e-mail]>
Date: October 31, 2014 4:59:17 PM EDT
To: Jasa Ellis <[e-mail]>
Subject: Re: dock sketch
Eric Ellis has my permission to obtain a CAMA permit to modify my dock and install a boat lift at my home
located at 341 Stewart Drive in Straits, North Carolina. Thank you, Stephen T. Turner ( 336) 312-2711.
Sent from my Whone
On Oct 31, 2014, at 3:24 PM, Jasa Ellis <[e-mail]> wrote:
<Scan 8.tiff>
RECENED
DEC 171014
DCMWH. Crrr
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that. I own property adjacent to S�C�r W '[y.r 's
(Name of Property Owner)
propeiEy-located at
(Address, Lot, Block, oad, a c.)
on 7�c .�7Ta,r , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
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)
RECEIVED
WAIVER SECTION
DEC .� 7
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin mu t beet
back a minimum distance of 15' from my area of riparian access unless waived tf easogw
wish to waive the.setback, you must initial the appropriate blank below.)
I o wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
:i
Sign ure
Print or Typee ame
Mailing Ad Tess
ity/State/Zip
Telephone Number
Date
(Adjacent Property Owner Information) . _
Si tur
144
Print or Type Name
©7 41
Mailing Address
City/State/Zip
Telephone Number
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that.I own property adjacent to �7Gr'�cri� V��C--r- 's
(Name of Property Owner)
proper' located.at
�� .1 (Address, Lot, Bloc , Road, etc.)
on ra s , in �7 ira i �-F . , 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 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)
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
I do wish to waive the 15' setback requirement. DEC 17 2014
I do not wish to waive the 15' setback requirement. Dem-MHDef►Y
(Property Owner Information) (Adjace t P operty Owner Information)
Signature Signature
, �� i-pw—1 <-- /J 7:� r /i 6-r-- vAok(Aes
Print or T pe ame / Print or Type Nar�e
-ia`�
�73a�ac�m�44' �0xs
Mail' g Add ess ailing Address
�F � �s �r
City/State/Zip Cit /State i
Telephone Number"" - - - - - = Jele honeNumber
Date Date
(Revised 611812012)

RECEIVED
DEC 17 204
hsthY�_ha��hd��

Eric. Ellis
Marine Construction
DOCKS • SEAWALLS •BOAT LIFTS
DECKS & REPAIRS -
Phone & Fax: [phone]
Cell: 25Z.342.6775
205 Nottingham Lane Morehead City, NC 28557
R
EIVED
DEC
7 P14
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RECEIVED
DEC 17 209
DCM-MHD C!1",

■ Complgto items 1, 2, and 3. Also complete
item 4 if_Restricted Delivery, ls desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of.the mailpiece,
or on the front if space permits.
1. Article Addressed to:
'/d-
P6 1
ZVI-
A. S)gjatu
X U 13 Agent
❑ Addressee
B. i do Name) Date of Delivery
I/'let° //-G •Iy
D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service'lype
*Certified Mail- O Priority Mail Exprese
0 Registered 13 Return Receipt for Merchandise
❑ Insured Mail E3 Collect on'Del*ell�-- i x
4. Restricted Delivery? (Extra FK... OX.AM -1
2. Article Number .- :-'.•4.. .
ll�_ 7[]14 �150 00-00 4785 7533
(Transfer from service labeo ---
f?S Fomj,38 j 1 j Juiy 2013 .C( Domestic Return Receipt

UNITED 5-1�bS AL AL
First -Mass Mail
Postage & Fees Paid
uSPS
PermitNo: G-115
• Sender. Please print your name, address, and ZIP+4® in this box"
RECEIVED .