Wingfield, George

ilew
AMA / ❑ DREDGE & FILL N? 67554
NERAL PERMIT Previous permit#
A B °
❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resourcesj
and the Coastal Resources Comission in an area of environmental concern pursuant to I SA NCAC -7
o �`'les atta ed.
Applicant Name 6-rolr"Ve!fie (/� Project' Location: County CSV
Address � �W e M / Street Address/ State Road/ Lot #(s)
City ��il�'lt)� State_ ZIP 3
Phone fli" J� .7 G2 E -Mail yy Subdivision
Authorized /{gent / yArA0 City 0r+et z, ZIP
Affected t41'CW 'PW yePTA O ES ❑ PTS Phone # (_)River Basin 4a 1
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body e 61_ na man unkn
❑ PWS:
1l a'L
ORW: yes no PNA yes //no')
Closest Maj. Wtr. Body
Type of Project/ ActiVrty
T /
A i
Pier (dock) length P
Fixed Platform(s). 16V6
Floating Platform( s)
Finger Groiinleirigth :■:C■:®•'''.:'■'■■®■'■:'■:'■:■''.■
nurriber
Bulkhead/ Riprap length
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avg distance offshore
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max distance offshore—
Basin, channel
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cubic yards
Boat ramp
Boathouse/ Boatiift i� 66
Beach Bulldozing
Other
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See note on back regarding River Basin rules.
4-
Agen�o,fflplicant Printed a Permit er's hrited N:
r/J(p, t✓.
Sign re P1 read compliance statement on back of permtt Signature/
zit i
Application Fee(s) Check# Issuing ate
It

CAMA/ El DREDGE O
EDGE & FILL N, N 6'7 5 5 4
ENERAL PERMIT Previous permit # A B �C D
"ew ❑Modification ❑Complete Reissue F1 Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ! j
and the Coastal Resources ComMission in an area of environmental concern pursuant to I SA NCAC
,� �% les atta ed.
Applicant Name - 6-rctlrne ()p:

PO�
LAMA / ❑ DREDGE & FILL JV tv CI "°"
� 554 A B RC1 D
GENERAL PERMIT Previous permit#
Clew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
r / 4[ 'u les attached.
Applicant Name C,,7" Project Location: County
Address Street Address/ State Road/ Lot #(s)
City. StateUr, ZIP
' i r �
Phone # (,' �' %?r r� $ E -Mail Subdivision
Authorized Agent .'°s ,r City , ZIP,
�• r
i r
❑'CW `,j" eVTA ❑ ES ❑ PTS Phone # ( ) 'ver Basin `" '
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A r ,'
AEC(s): Adj. Wtr. Body r �+°:' natman unkn
❑ PWS: r' 4
ORW: f yes;/ no PNA yes /,"'no
Closest Maj. Wtr. Body : ,..t ,
Type of Project/ Activity
Pier (dock) length q y 5 u ,
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Piprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length -7 to
140 010 C
b �('
(Scale:
SAV: not sure yes loo
Moratorium: n/a yes no -� +, - - --
._. .. .... ........ . ., _....... ....._. .. -- --
Photos: yes On/o,
Waiver Attached: yes
A building permit maybe required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning Junsdicti )
Notes/ Special Conditions
�' /` r

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 ❑ 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)
http://www.nccoastaimanagement.net/
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)
Revised 08/27/14

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AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address:
V'4 -
Telephone Number: Nov `J/Y" ©mea
r
I certify that 1 have authorized ZX "52 k-400, (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permit
necessary for the proposed devel prr��t ✓of � ,, 't2c � X iG U.,
i
at my property located at
This certification is valid through (date).
Title, co. owner or trustee for property
ate
605"1,5/%- 6aea
Telephone Number
mail Addre
RECENED
jut 1 1015
RECENED
J& 18 1015

ADJACENT RIPARIAN PROPE,RG�TY OWNER STATEMENT
I hereby certify that I own property adjacent to /N �,�e� It 0):/i , i
" 's
Property located at (Name of Prop Ownerl
on____ (Address,
�(Wat�erbod�y), in _
,k, Road, etc.)
(CitY/Town andlor Country) N.C.
The applicant has described to me, as shown below, the development proposed at the above
locationj�/�
—__ I have no objection to this proposal.
C44 gne- O'w� .lift r TA
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development ust ill in d cripgion b w or attach a site drawing)
T I/�_ 0 -Ir
OX /6
IeAye
UAW
J..4r Cr
111
I understand that a pier, docl
must be set back a minimum
cme. (if you wish to waive the,,
�` ---- do wish to waiv
I do .not wish to
7/
rinpilings,
ce f 15' frc
C, y u must
the 15' Jetback
4>' o
®,.,e, p 4, td o w lv e rr (ti)
*0 s-vr►- W eS j L
P"9y we�,_&i-I
eAr1�4p( t.��S•� LP,)<e_
at ramp, breakwater, boathouse, lift, or groin
my area of riparian access unless waived by
tial the appropriate blank below.)
airement.
the 15' setba k requirement.
(Property Owner Informatio
,d/ 1 I (Adjacent Property Owner Information)
i(v
91W,Q g
81 ature
tor ype N t
L Print or Type ame
S 2t o (U e VA -AA- lav 2.
7mg dres Maltingg Address
Cliy/sta e/Zip ir 3 _ ikS U
_Crty/state2ts
� a t*/s S"8�`�2J
Teleph e N ber/email addressTelephone Number/emailaddress
le _1U(H
Da --
Date*
'Valid for one calendar Yee r after sig e* (Revised Aug. 2014)
,i%�e�t .
n vleAl
` 6 U
RECENT
.001wyl ^ }y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
! hereby certify that ( own property adjacent #o
Property located at (Name of Prop Owner)
on (Address, Lo dock, Road, etc.)
(Waterbody) in
(CRY/Town and/or County)
lN.C.
The applicant has described to me shown below, the development
l , a
--- I have no objection to this proposal. proposed a# the above
----,._ I have objections to this proposal. 4
DEiFRIPTiOtil AND/OR DR�4W►iV{; OF PROPOSED ©EV
(ie�divrafua! proposing developmentP'2��
ELOPMENT
vrr or attach a sine dra�ring)
Ir .
I understand that a pier, docs
must be set back a minimum
me. (If you wish to waive the ;
------- _ I do wish to wai,
I do not wish to
(Property Owne-
n - _ 5 % ./ t 1 r
L epi re �' ° �, �s s� f b o v
moorinpilings,
fistance
f 15' frc
aback,
u must
the 15'
etback r+
Rive the
5' seth,7
i - aa��
Telephon Nu er/email addres
Date
"Valid for one calendar year after
JUL 13
ar ramp, breakwater, boathouse, lift, or groin
my area of riparian access unless waived by
tial the aPPrOPdate blank below.)
airement
requirement
t,Ku,ac t Property Owner Information)
Signatzr�-e
Pnnt or Type Name
MatlmgAddress
M/7;^
hone
l
Telephone Number/email address
Date
X
13 te r.. ie
(Revised Aug. 2094)
.'?8Z57 -T