Watts, Charles

GE & FILL
1. 4V 77 9 A B D
WA
E PERMIT
Previous permit #
e ElComplete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
711 000
and the Coastal Resources C mmisslin in an area of environmental concern pursuant to 15A NCAC
FrR les attached.
Applicant Name,ry"�+'Project
Location: County
CAddress
Street Address/ State Road/ Lot #(s)
City. 10ia4 StateiQ ZIP 6"'1'
Phone # ay /93
t r171
Subdivision
Authorized Agent
city ZIP
w 'Za ZIqA El ES 0 Frs
Affected IR-I!
Phone # River Basin
0 OE0 HHF 0 lH 0 UIBA 0 N/A
AEC(s):
Adj. Wtr. Body--L)—(.k,- Z-e nat an /unkn)
0 PWS:
011W: 111;1�s no PNA yes
- ) rn�
!�
Closest Maj. Wtr. Body— -op
Type of Project/ Activity
Eir
N 0 0 NONE N NOMMENNEENEEMEN ftwo
INININNIENNINNO ME E E
0 0 NNN
WOMEN
x (
Beach Bulldozing
Other
Shoreline Length
SAV- not sure yes n
Moratorium: n/a yes 0
Photos: yes 0'
Waiver Attached: yes t 71,
A building permit may be required by:4El See note on back regarding River Basin rules.
Note Local Planning jurisdiction) -1
Notes/ Special Conditions 1,4_i cl-t kw
ot
A
&ht or Apolicant Printed Name PermitOffi r rin6ed.flle
Please read compliance statement on back of permit" Signaturg'
ication Fees) ,Check # Issuing Date Ekiratton bite

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 consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Project:
E] Tar - Pamlico River Basin Buffer Rules 0 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 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.nccoastalmanagement. net/
Revised 08/27/14

V. AMA / ❑ DREDGE & FILL:.
N*16 66779 A B 11
GENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environment and Natural .Resources d�j^
the Coastal Resources C mmissi n in an area of envir nmental concern pursuant to 15A NCAC 7//
les attached.
C�hcant Name C6 1V C" Project Location: Coun +
�-
iress ,7 41 + /p Street Address/ State Road/ Lot #(s)
State ZIP �J r 6 le�0. f .'q
�n *V) i -Mail Subdivision '
H`orizedAgent u-0.-t`+r City 1 ZIP -u
-e
.
■ • ■ ■
■
L of Project/ Activity■
r t V ra W.&"M
f'
I
MEN::::C
�■
.::■
.�.....■.:....�C...NOME
ength
:::■:::.■■:.:::::..:.ONE
.■
.
.::■■..:ME
um ber
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■
■
■■■
■■■■■■■■■IMMEME■■■■:■■■■
■■■■■:■■■:■.■■■■:■.:■■:
mom
:�::■■■:
NONE
::
:..
.max
■■■■■■e■■■■■■■■■■■■
����■.
■■..
distance offshore
i
M.ME
:■::::
it
-RA
cNUTA
�Ah channel
■■
■■■■■
r�lr■,�■r
r■a■■■■■■■■■is■ro��■■::■
Pubic yards
.
.........■■..■■SWAN■
..................No
■■■■■■■■■:a■:■:
■
■■■■■■■P:
r5plim
UI
WORWIMM■■■■
■■■■■■■!1■M■■■■
OWN
,■■■■■■Laal'QUL
hiIJL!Il
WAN
■■■
ach Bulldozing
the
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ate■�t��i�■■
■i�.
■I�.r...!"ws��rr.....•':"�
i■`av
&'r■■
■
■■t�ii■
"�'"�i�_
.-�
L :���r�l■■[`!�(�ll�
.,.
illi■Ir��Mi:tl:iP
lirlO■■■■■■
��■■
. _
EN
-Owl
■■�■r►'I���IA�■mil■r■�Illi�l�lil�ll�l�lrl�lri■IIIII��III�i'i■■■■■■■■■
..
..
■:■■.V:N
...i.■..■■■"■■■:Iffa
.■
.:
e Is pecial Conditions
IN
•fir •
>

I hereby certify that) own property adjacent to
I
(Name of Property Owner)
property located at � Ei1 kf�rA 0i It.`�" Cr
{ (Address, Lot, Block, Road, etc.)
on btct in 5vyLQA,11 75j.Z N.C.
(Waterbody) (City/Town and/or County)
The ap licant has described to me, as shown below, the development proposed at the above
ioc ' n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
RECEIVED
JUN 0 8 2016
WAIVER SECTION DCM- MHD CITY
1 understand that a pier, dock, mooring. pilings, boat ramp, breakwater, boathouse, lift, or groin
must beset back a minimum distance of 15' from my area of riparian access unless waived b
me. (if you wish to waive the setback, you must initial the appropriate blank below.) RE E I V E D
I do wish to waive the 15' s-tkaci:. �:Gci; ;;gent.
JUN 14 2016
I do not wish to waive : !� :etba,_k. ; e-auirement.
Pro e Owtapir Informatio H D CITY
( rIy / (Ad ent Prope y O n r Info a ion)
Signature Si t rep` I
el
Print or Type Name Print or Type N me
, 8 t e LA-wv�l tUL- 6 7- 7%G� 94r> e�___ t"6 -
Mailing Address Miing gddress�
`i6id.�ri2+di✓43 ��c-f � Al
Cit lstatelzip Cif l3tate/Zip
Wq -- ��f - at, 3 ` /� -,A
Telephone �Nu mb rl email address Telepj�oneyN�mberl email address
Date�
Date*
(Revised Aug. 2014)
"Valid for one calendar vear after sionaturp*

I hereby certify 'that I own property adjacent to
I
Cr (Name (Name of Property ©weer)
property located at LO �.i�Yti Qf /i,'`L�' �-!
(Address, Lot Block, Road, etc.)
or cvu VkA in !SXV4, .AW :Z5t5,, , N.C.
(Waterbody) (City/Town and/or County)
The ap licant has described to me, as shown below, the development proposed at the above
i0c n.
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)
S6 c - A -r-,rA attll>
RECEIVED
JUN 08 2016
WAIVER SECTION �+�p D CITY
i understand that a pier, dock, mooring, pilings, boat ramp, breakwater, boathotQ4ffr!'argruin
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
1 do wish to waive the reqU4z ment.
I do not wish to waive ;. ,etba,;K;i. ),uirement,
(Proerly C}wyr Inforrnatio
Si mature /
Print or Type Name
'S J t it c-,-v*ttt fU6- 6 7
Mailing Address
citty�/Statelzip
119' — (016y —
Telephone Numberl email address
;t9-/4-1 t
Dare
'Valid for one calendar year after signature"
JUN 14 2016
(Revised Aug. 2014)
MHD CITY
57-1—

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address: S
Telephone Number:
sy
I certify that I have authorize a (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of & v 0
✓ kz'
at my property located at -11
This certification is valid through
(Property Owner Information)
az&a4-c "=
Print or Type Name
Title, co. wner or trustee for property
r 2�
Date
Telephone Number
Email Address
(date),
RECEIVED
JUN *14 2016
DCM- MHD CITY
l 'd. 99S1 'ON WdWL 9106 '(l 'unr