Washburn, Malcolm

a
rAALC_
W
AM GE & FiLL
10 66746 A B 'C,,./ D
NERAL PERMIT Previous permit # U� e El Complete Reissue El 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 e �Itonmental concern pursuant to 15A NCAC ..files attached.
Applicant Name 61)�l f Project Location: County
iy A- AA
Address Street Address/ State Road/ Lot#(s)
il 'A " , ""'. 1) '�
Ci 701
ty
j 'A A State)v(, Zip
Phone # (_) E-Mail
Authorized Agent ill "I f 4'Je
,D-tW
.,EyEw .&Ffm El ES El PTS
Affected ,
AEC(s): 0 OEA
0 HHF 0 11H EI UBA 0 N/A
11 PWS:
ORW: yes # no p.
PNA no
Type of Project/ Activity Cy /. (' 2, (_� (3 r
Pier (dock) lei
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channel
cubic ya
Boat ramp —
Boathouse/ B4
Beach, Bulldog
Other
Shoreline Len
SAV: n(
Moratorium:
Photos:
Waiver Attacl
Subdivision
CityZIP
Phone# River Basin
Adj. Wtr. Body I'll A-14 6 V;"a /man /unkn)
Closest Maj. Wtr. Body— 1( 11 rt 112-z A. 6""
(Scale:
A building permit may be required by: El See note on back regardingfiver B I asin rules.
Note Local Planning jurisdiction) 4
CJ-
Notes/ Spfc1all C nditions dJ 'J_"
Af e'

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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
Other:
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/ 1-888-411COAST
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 DREDGE & FELL
14' 6674f)
LMENERAL PERMIT
A B CCfp D
Previous permit #
01IMew ElModifikation ElComplete Reissue ElPartiall Reissue Date previous permit issued
*Uihorizecl by the State of North Carolina, Department of Environment and
Natural Resources
Id the Coastal Resources Commission in an area of e vi onmental concern pursuant to I SA NCAC
iOlieant Name AA,
e�s attached.
Project.Location: County
idrbss �tAAA 0
Street Address/State Road/ Lot #(s)
ZIP,
V'd State
—Y("" '—f i IQ
lone # E-Mail
Subdivision
ithorized Agent 3A Ve
City Y'Vk Y)r A 40- ZIP
e0tW eE�REW _,,21rTA EIES 0 PTS
fected.
Phone # River Basin
m
Qs): 0 OEA El HHF . E11H El UIBA 0 N/A
Adj. Wtr. Body man /unkn)
0 Pws:
R�W. yes Krn, PNA ye no
Closest Maj. Win Body. ()M-
Ype of Project/ Activity CJ (3 C t'
17-iKl. _'.�-rarl"11
(Scale:
,flow
Gro!
Bulk
;h9F
XT&
110
■NONE■
ON
Platform(s)
IN
MENIMMIMMEEM■
'ng Platform(s)
MENNEN
MMINGUMME
E
MENOMMMOMMOMMEMMENE�
r pier(s)
No
INNNE12MININI
MMIN
LYJ111M
0
i length
number
M
ME
I
I
WIN
1,20wortIONMENOMMEW17
,
SERM
UNION
M
:ead/ Riprap length-
avg distance offshore-
ME
0
rmax distance offshore
::::■■:■
channel
ME■
N
IMAr
11111110JEN&JI&"M
MANN:::■■:::
■::::
ramp
EMMEEMENNOW
MANEENNION
MOMENEEMMMMMOMMEN
-iouse/ Boatlift
M
Bulldozin
on Oft,
4g`
I. ww"W�"9'
0
0
0
M
ME
M
M
EMMEMEMOMMMEMMEMI■
ENO
NEMMMMOMME
No
ONOMMEMENEEMENNOMEN
MEMMUMMEMEEM
MNMMMOWUNMMMM
UUMMEMI
Phot�s: yes
es WaiVer Attached: _LIE
A building permit may be required by:
Note Local Planning jurisdiction)
Notes/ Sp*cial Conditions
El See note back regarding
Permit 0,fficefs AFiTdName 1
Basin rules.
read compliance statement on back of permit
Check #
aignaWre
"
IssuEXP
lihi ,ate 1rati6l Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
v T" V, (3 '%✓4 17.�.� t--) C:
Z52--%2--�7—
Email Address: 4Gk r,.) `C e-C"Yv � col -
-
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
� /necessary for the following proposed development: �` S�
at my property located at / `L & 1k
in County.
r/� /L'
W-S '/-) y
I furthermore certify that I am authorized to grant, and do in fact giant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
ft(_o0Lkj-j
2. Lil
Signature
I.JAS� Eli rr✓
Print or Type Name
Title
2C�(
Date
This .certification is valid through
RECEIVED
JUN 10 2016
DCM- MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to 101,42AwD 43kO®A L✓,os,�cf�,�i✓ 's
(Name of Property Owner)
property located at � � �'�i✓G Alt' al,
(Address, Lot, Block, Road, etc.)
on rA , 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
I have no objection to this proposal
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
Exisfiv6
�2dyioviNGlaar pE Exisi�Nl 16
i ,� i3�r c�.N 6 �l�iSriN b
L1Af
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 mtyw
wish to waive the.setback, you must initial the. appropriate blank below.) RE— I V E
do wish to waive. the 15' setback requirement. JUN .1 0 2016
I do not wish to waive the 15' setback requirement. DCM_ M
HD C1.n�
(Property Owner Information) .(Adjacent Property Owner Informati n)
,a
S gnature , `` Sig ti re
WA LC uL ►V� - (,� f�51-�3 le y 1 �- �+*� a �,
Print or Type Name Print or T pe me
Mailing Address Mailing Address G ��
pt-4
City/Ste/Zip City/State/Zip
--7—Z I I S (v
Telephone Number Telephone Number
Date Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to XlWeg, t.4. -Awb � .+�A d�,os Bv, N 's
(Name of Properly Owner)
property located at 2y •i"`�Pliv� N � _
(Address, Lot, Block, Road, etc.)
on in ji�l, N.C.
(Waterbody) (Cityfrown 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
I have objections to this proposal ,
DEVELOPMENT
DESCRIPTION AND/OR DRAWING OE PROPOSED
(/ndividual proposing deveJopmerrt must fill in description below or attach a site drawing)
/Ire; F : P-4 AAK 7 &fti Y4 St�.n.�d�
J iE4!/r GAi:4/ b J
�nGr_tNG
- - �pG1G17i"
ly
WAIVER SECTION
I understand that a pier, dock, mooring pilings,. breakwater, boathouse, Hft, 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.).
RECEIVE
I do wish to waive. the 15' setback requirement.
I do not wish to waive the 15' setback requirement. JUN 10 2016.
(Property Owner Information) (Adjacent Property Owner Infor HD C I TY
,Si re Sio
�cv 2 WV�-S �2N� reA 14 h
Print or Type Name, "Piint.or T pe lV e C E I V E
�`r•"U w
f � ,
Mai . g Address Mailing Address N 10 2016.
�'
City%Si ..%Zip % (J Cky/Sa s� p - r� n/ "�
%`� 1/�CIYI--M6`�® ��ffi Y
Tele�horie Number Telephone Num er
612 — 2,6 1A si
Date Date
(Revised 6/18=2)

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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 other
)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
vill.
http://carteret.connectgis.com/DownloadFile.ashx?i=_ags_mapcb2f260fl 11445ac9b9fb066... 6/1/2016

ConnectGIS Feature Report
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CONNECTGIS Carte
Printed June Ol, 201616
WEB HOSTING See Below for Disclaimer
Address Points
•
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Parcels - Updated 5-19-2016
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Centerlines
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Parcel Cirnersior,;
0322
.5 I I; o, �, Lot Number
66 Feet
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 other
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://carteret.connectgis.com/DownloadFile.ashx?i= ags_maplbO1c7f3e49c4lfbaf9c00f74... 6/1/2016