Deerhake, Bill

--CAMA / DREDGE & FILL A B C D
GENERAL PERMIT Previous permit#
4-'New ❑Modification ❑Complete Reissue ❑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 environmental concern pursuant to I SA NCAC
Ll Rules attached.
Applicant Name Project Location: County _
Address i Street Address/ State Road/ Lot #(s)
City ! State zip
I : ;r'
Phone # (_=) �-Mail Subdivision "
Authorized Agent City T �- _ ZIP
r,
CI CW ❑ EW PTA ❑ ES PTS Phone # ( { f (f River Basin
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body _T= t (nat /man /unkn
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body F 't:
Type of Project/ Activity
�(Scale:
Pier (dock) length
Fixed Platform(s) r? r I
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshorg
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/ Boatlift - -- --
Beach Bulldozing
Other
�t
J
Shoreline Length '
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
I
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction) i
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Application Fee(s) Check # Issuing Date
{ t
i
F r
i
Expiration Date

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, certify that this 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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.nccoastalmanagement.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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: bc,
/1 �l%�
Mailing Address: n �l L C- /�,,1j
�{ f
Phone Number:
Email Address:
I certify that I have authorized
/L t"0, , fuG ice C Y
9 t9 — 13 1 — (,e —7 9 L/
W, d r hu 0ce 0 �f
,J
IL1vY1 i1 �) , C&
gent / C ntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: / X f Lf Q �� rn be r- W A-1rk-tJ
10/y('�I L1,
at my property located at 66-1
in Oar kA'(- County.
l furthermore certify that / am authorized to grant, and do in fact grant 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:
Jgnature
t 1 k tL (A&i RV k kr
Print or Type Name
Title
a f ,
Date
This certification is valid through 9 / o2/ / 1
MAR 2 � 2018
CCU" MH) CITY

Ma r. 21. 2018 9 ; 36AM
No. 3018 P. 2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycerti that I own property , �/' 1) r ' ` t " �LCt f C_
fy p perty�adjacent to _ �� ' ,s
property located at
5 l >7zv' � (Name of property Owner)
"l _
(Add ess, Lot, Black , eta.),
on �1�' Z'11 �, p� , in � N.C.
— / (Water>body)
(Ci Rown a �®ro ntvl
applicant as desrrtbed to me, as shown below
Iv V�
I have no objection to this proposal.
I have objections to this proposal.
the development proposed at the above
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
Undh4dual proposing development muat fill in descr pfion below or aftach a site drawing)
See fJ��--Q-0k
MAR 2 12018
DCIW- NjH® cl T
Y
W VEUE,CTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
do wish to waive the 16 setback requirement.
�do not wish to waive the 15' setback requirement. _� U"t 1
( rofterO Owner Information)
SLQ a .
Si afore
FLL(AK ��E R1+A1C
Prin or Type Namc
l 01 C,- e Cx--
M fling A ddress
At_e%6L."
Telephone Number/email address
CS-_
Dare
*Valid for one calendar year after signature
S4 ture %
Print or Type Name
Mailing 4,&
Ulylsra
LT,ellapho "NUar/em ! ad �c Q
Dote*G�U
(RYised AVug. 2014)
,� a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that l own property adjacent to ty" t l : c r. v, �.� �,�C.t' 's
property located at �} (Name of Property Owner)
Wl .�____r- `� `I
� (Address, Lot, Block, Road, etc.)
on .�,�- S c - �, , in il P 1, 0 ts ® , N.C.
(Waterbody) (CitylTow andlor County)
The applicant has described to me, as shown below, the development proposed at the above
to 'on./
0 t t have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Ondilddual PvoPOsing develoPment must fill in description below or attach a site drawing)
See Mk�.t-mil
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
J '511 do not wish to waive the 15' setback requirement.
(P11roo�pe{rty- Own nformation) (Adjacent Property Owner information)?
Szgnature Si tzcr-e
Print or Type Name Print or Type Name" ---- 0
M ff ng Address - -��I�T ja in ►1
.A LGI66 - Mar ing Address
C/3fa Z 1 citylstafelz \
Telephone Number/email address Telephone Number/email address
Q to(.� 93 i - b`i�� �3. deer ►�lte-C atft• Ae�
1 t IL -3�12 -joke Date
Date*
"Valid for one calendar year after signature* (Revised Aug. 2014)
......... . .... .... ...... .

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MAR 2 1 2018
CM- MHD CITY

("jam + Carteret2
COV N E I G' c J Printed February 05, 2018
WEB H05TING See Below for Disclaimer
Address Points
•
Parceldata - Updated B? -22-24
2046
Centerlines
1066
NC Railroad Right of Way
0
County Bourdar,y
, 0
Other County
„ tall other};alues>
Cart
PIN
o
Acreage
a~ .
Parcel Dimersiors
.umber
e
)E.
-11 `1 i : 89 Feet
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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
lic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
information contained on this site. Carteret County assumes no legal responsibility for the information contained on this s te. a r 6qes not guarantee that
data and map services will be available to users without interruption or error. Furthermore, Carteret County may m e d access methods a
MAR 2 12018
®CM- NIH® CITY