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NERAL PERMIT
Previous permit #
A B s C D
'lew []Modification El Complete Reissue
El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources "°-7
'1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ii %
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[51MJes attached.
'(..:.-c
Applicant Name'" %'-
Project Location: County Y
Address ":'.'Y': /!�
Street Address/State Road/ Lot #(s)
Checker
• f. d--,. �State e�% "ZIP
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n �',` , «� r y : -• ,N -ti.:'
Phone # ( IF) rl (J E -Mail
Subdivision
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Authorized Agent e i t ,�
City ` f �`
ZIP
Affected `SEW J7 PTA ❑ ES El PTS
Phone # ( ) River asin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body b' ' ,•
/ i t man unkn
❑ PWS:
ORW: /'yes/ no PNA yes//` -no;
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length % "1 ), -f
Fixed Platform(s) J6 x' f
Floating Platform(s)
Finger pier(s) -
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/tli
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes tido,'
Moratorium: n/a yes o
Photos: yes g1
Waiver Attached: yes nod
ET
4.
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
1',3
/Vk .'`/
i` i•_!
(Scale: IVT1 ) .
❑ See note on back regarding River Basin rules.
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Agent Applicant ,Printed Nanae r
PermitOffic is Printed Name_'J
Signature ** Please read compliance statement'on back of permit
Signatur
Application Feels)
Checker
Issuing to
Exp ratio Date ?
n �',` , «� r y : -• ,N -ti.:'
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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 I) 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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules El 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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)
http://www.nccoastaimanagement.net/
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)
Revised 08/27/14
Signat re`*Pleasereadcompliance statement on, back ofpermit22 Signatur
iL
00
Application Feels) Chock Issuing to Exp raCio Dat
„.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f 's
/ r� (Name of Property Owner)
property located at 7 616 Sb J Nof .i'r
(Address, Lot, Block, Road etc.)
on BoR F So d , in Eri. E r-. 0. t -s �� , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca
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
RECEIVED
I
FEB 0 4 2016
DCM--MHD CITY
17 rop4Er fY
41pr
WAIVER SECTION I
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.
_mac _ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
;oke Zo ifg
Print or Type Name
?0 /6 5cs �c•� Dr
Mailing Address
E 7 r d. f �f . �� lF A/G
City/State/Zip
9/9 `1S -1-70R
Telephone Number
Date
FEB 12 2016
(Adjacent Property Owner In ormation)
Signature --�
Fr>w K A. j2-, 4 J v
Print or Type Name
7500 E4m..3,41 pr,,�,
Mailing Addres
cm.,0 1si" &J c 2 W Y
CltylState/Zip
L52-- 35y '3Y2�t
Telephone Num er
Date
(Revised 6/18/2012)
D CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
' 1 hereby certify that.l own property adjacent to Q&Xtj 20 is
(Name of Property Owner)
property located at :�� .�;/ o:.
(Address, B3 Lot, och, Road, etc.
on o Q u � So o ,a-/ , in ,`c Fr-� /� �� , 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.
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)
REC MFn
FEB a 4 2016
0 C M - M .4 D c;1
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.
A% rOLP FEB 12 2016
11 Ido not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property TY
-tom f4LA �Aok-Di -J& S
Signature Signature
Print or Type Name Print or Type Name
,.. ����cls tnal�
Maim Address Mailing Address
NG
City/State/zip City/State/Zip
Telephone Number Teleph n Number
Date Date
(Revised 6/98/2012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that.I own property adjacent to zm/'/ —,7—° is
,.-, (Name of Property Owner)
property Ylocated at /�..
_.
(Address, Lot loch,
on AL5 j r/E ,in ,wtFr2
(1Naterbody) ,So o r d (Ci
own and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.,,
V"*'- 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 attack a site drawing)
RECEIVED
FEB 0 4 2016 �!
DCM- MHD CITY lax
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. FEB 12 2016
I do not wish to waive the 15' setback requirement.
DQM- MIT C=IT1C
(Property Owner Information) / (Adj e y Owner Information)
SignatureSignature
�,C 2,k ��
Print or T pe Name Print or Type Na e
�
Mailing Address Mailing Address nC'
s r�I d �sLer Al. j` A cre
City/State/Zip / $ g~ City/State/Zip
g/9 yL 970 (9 "(
Te! phone Number Telephone Number
ot(q b�
Date Date
(9(10-q It b
(Revised 6/18/2012)
1/1512016 444e Report
�CUN N ECTGIS Carteret
Printed January 15, 20166
WEB HOSTING See Below for Disclaimer
r
Address Points
•
Parcels - Updated 1-07-2016
1
5916
' Centerlines
X20
s-:
NC Railroad Right o= Way
fill
❑
Courtv Bourdary
4W
21 Other County
4852--
7841 <all othervalues>
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Acreace
Parcel Cimersiors
Lor number
RECEIV-
FEB 12 2016
DCM- MHD CM,
JJ LqS
E1 :100 Feet
**12/29/2015 Attention'*****"'xxx++r++x++r+r++r+rr+r+rr+rrrrr+r+++++r++rxxxrxxr+r++rrr+rr++rr++ We are aware that the link to the property sketches and photos may
equire you to hit refresh on your browser to get the images to appear. We are working on this and expect it to be fixed the first week on January. Thank you for you
patience.*******"'**'***'****'*"**""'*'**'**********'**********'********"«* The information displayed by this website is prepared for the inventory of real property
ound within this jurisdiction and is compiled from recorded deeds, plats, and other public records and data. Users of this information are hereby notified that the
forementioned public primary information sources should be consulted for verification of the information contained on this site. Carteret County assumes no legal
responsibility for the information contained on this site. Carteret County does not guarantee that the data and map services will be available to users without
nterrur)tion or error. Furthermore. Carteret Countv may modifv or remove mar) services and access methods at will.
http://carteret2.conriectgis.comIDawrioadFile.astu?i= ags_map3e53c929419448S8aO76Dc3e6ib87?8bx.htm&t-prirt 1/1
Davenport, Ryan
From: Jasa Ellis <jasa5@ec.rr.com>
Sent: Friday, February 05, 2016 8:41 AM
To: Davenport, Ryan
Subject: Fwd: CAMA Permit
Begin forwarded message:
From: John Zoltek <jmzoltek@yahoo.com>
Date: January 15, 2016 8:40:20 AM EST
To: Jasa Ellis <jasa5 @ ec.rr.com>
Subject: CAMA Permit
Reply -To: John Zoltek <lmzoltek@yahoo.com>
To whom it may concern, I give Eric Ellis permission to obtain a CAMA permit on my behalf.
Thankyou,
John Zoltek
RECEIVED
FEB 12 2016
DCM- MHD '°,