Connolly, Mike (2)

iCAMA / DREDGE & FILL A B C D
GENERAL PERMIT Previous permit #
llNew -Modification ❑Complete Reissue ❑Partial Reissue Date previous per issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources t�l
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' �4/"
❑ Rules attached.
Applicant Name
Address
City
Phone # (__) E-Mail
Authorized Agent
State ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s) i
Floating Platform(s)
Finger pier(s)
Groin length F
number
Bulkhead/ Riprap length
avg distance offshore_
max distancoffshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
M
Shoreline Length ?tom
SAV: not sure yes . no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision — -- -
City ZIP_ —.
Phone # ( ) River Basin
Adj. Wtr. Body (! ` + ` r (nat /man /unkn)
Closest Maj. Wtr. Body
(Scaler ` ; C)
Moratorium: n/a yes no ''
Photos: yes no
ir "9 ?(
Waiver Attached: yes
A building permit may be required by: V4 A ! ',w� f / ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)' fl
.�
Notes/ Special Conditions d
Agent or Applicant Printed Name l Permit Officer's Printed Name
Signature,"
Signature Please read compliance statement on bac of perm' *
fi
Application Fee(s) ` Check# Issuing Date Expiration Date
�...n •, ?et[ ,.,.9,��.�y�i�.�-_.�'_�::s.n,:_+�.. Yir,9#,��&sr}wvs -. _gi5dir... iat ' ^zaw'ta1iT_- � m,^.n '. �..._ - :+ M1r:.`XLr.,a'.,auYay. •u

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 howto complywith 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.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

Proposal to dredge areas adjacent to existing Docks
at
1107 Caracara Drive Sec. 1 Lot 37 in Fairfield Harbour
Dear George Pushner, Diane Coagan and Sandy & Eric Thinguldstad,
I am your new neighbor and wish to conduct some dredging work around my existing docks in
front of 1107 Caracara, New Bern, NC 28560. The CAMA permit requires that I notify the
adjacent neighbors of my intentions.
The Adjacent Riparian Property Owner Statement form is attached. I have also included a site
diagram with the intended areas to be dredged, outlined in red dashed lines, for your review.
There is a section on the form for waver of your riparian rights to me. Understand that is
absolutely not necessary for this proposal. Your riparian rights are not to be infringed upon.
Sincerely,
,-24,12Z t,,,& 67141�
Michael D. Connolly
Zp MPIV7 0PWIeP4;WG

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ADJACENT RIPARIAN PROPERTY OWNER STATEIRU
I hereby certify that I own property adjacent to GH¢)EL- 10%JAI 's
i •� Name of Property Owner)
property located at f� •� CAP' #' DOVE �� _I 1�`-'371' -
(Address,Lot�.�Block Road etc•) CQAVf nil N.C.
on "'+R � L t U in �fQA) r -,� Ili
(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.
1 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)
e.DJa'� fti'l A/G,,� rD D'�/,+V� �t�20tJ To m <
Agf'AS Jvm"e-z 76 8P— DP -EDGED /qRe: INDIGA7"64)
uJ4-TIC R-JrErD -DASNC-D GltiEs .
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.)
1 do wish to waive the 15, setback requirement.
i
I do not wish to waive the 16 setback requirement.
Owner Information) (Ad* cent Property Owner Information)
(Property
c
�--' Si -mature
Si ture �� G' 6 N�OZl-
�G Print or Type Na e
P n r T e nn Y ►� �!
t I �5 u r 1 v
k dd� Mail► p �ddress �\ 1 �- 4
�� was . NC 7�5"6a �
City/StatelZi Ciry/State/Zip / / ! V / Vb
�� �--2,�3=psi � '? �r�
Telepho a Num g Telephone !�Mll
Jz � Z
Date
Date
(Revised 611 &2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own, property adjacent to M 6 C-HP6 Z - OCQV A1d 1'L 's
�((Name of Property Owner)
property located at a A eAC P P' 0- ,1 RJ VE. 516C -I LeT3 �
(Address, Lot. Block Road, etc.)
on GXR A V�Z-- 4"1-in N , ISO, (?, G i2&E N%N.C.
(Waterbody) f (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)
Ta
y r-ADA5NE'D
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si ure
MatD, (!!26A)A101
P int r T p e
II�aJIi� I ERWNC
City/State/Zi
Telephia Num er
(Adjacent Property Owner intormauonl
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
Date Date
(Revised 611812012)

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Proposal to position Floating Platform between existing Docks
at
1107 Caracara, FH
Dear George Pushner, Diane Coagan and Sandy & Eric Thinguldstad,
I am your new neighbor and wish to place a floating platform to use for Th all watercra permit
aft
between the existing stationary f the PCC of Fairfield Harbour. H will not my property. view my proposal until I
requires
from CAMA and approval
have secured the Permit from Craven County, CAMA.
CAMNs approval form for the permit is attached. I have also attached a site diagram and a
photo of the completed platform in its current location in Michigan.
The PCC only meets once a month in the winter months. Their next meeting is December 14tn
I would like to be able to make appli
cation to them at that meeting. If I can indulge you to
make a speedy reply to me that would be most appreciated. Please send the signed CAMA
form back to me at 1107 Caracara.
There is a section on the CAMA form for waver of your riparian rights to me. Understand that is
absolutely not necessary for this installation.
Sincerely,
Michael D. Connolly
a) FLOATING 00ewK

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /I f6d PF—L L'I C-�� 40 L-L-' 's
D el U r- (Name of Property Owner)
property located at- A fg is L01- - '7 f & 1 LR U
(Address, Lot, Block, Road, etc.) HR R 130U R
l]/2 i=QG QU GAN^ L , in NF I.y %3 �? J1d� �AI,�FI E„f D, N.C.
on (VYaterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
PC -5r i eAi A=G O r /)VG Pt✓Jq�-Fe e� F'o I N S MR L L_ OOA TS
AN,o CAtVo�. /3, '7-uJEElli EarlsrIJVG
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C c. p rgr-Arp-o . what itl My Rl PARffed
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RIPARIAA/ A6GE-�--,S BELOW' PGRr Fee
PG E 1S �S j BRA I,r., Y6 AN'O Pf4o7"0
RtMACHED
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.)
ZJ�L I do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requirement.
(A ' cent Pro Owner Information)
(property Owner Information)
Signature
M/G/-061- 0,
Lt or T pe Name
/ o eAGA ��
Mailin Addre 60
cu �,V,ff C,)� ae
City tatelZi
i�.
Tele ne N bar
Date
Print or T Name U
mailing Addre
City/Stat Tp
Telephone Number
1 If/3o /� 7
Date
(Revised 611 W012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l'l ic,NA6,- [-)� t^ b/V- 0 L.L-. 's
p e j V e (Name of Property Owner)
property located at 11 Q Z- CA R A CA R A L0 T / ! U
(Address, Lot, Block, Road, etc.) HAR 130I! R
on 0/2 rDGF-D GAAIA L_ , in NF-tN l3,TRA/•- FAJR=l F f N.C.
(Waterboody) (City/Town andlor 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)
p0 S / 7'/ dN i=L 0,9'riN6 PLP T'=QRAv� FOR S MA L t... 130A TS
AAv iD CAtv'0F. ,(3E'TWEEW Fx/S r/N'G 00C K5 AL 01VG 5 iiDE.
5EAWAL=i SiZE A ESS� L�15 H6-r
L iMi3jG JS
pippFD 6ALVAAor1Z9b OR S%'Al
C G A ?"i2, ATL�U TN�S l S wft1.. w l r� l iv My RI PAR I AV
iY0 AI �i� 7-0 cD/V'-6/i�Et� WA i V 9-9 OF
YOUR
RIPAR JA A/ AWE —SS l3F—LOw.
PL��9S; Eel/.� ORAWWO Aug Phlo7a o �4R i F'e,eM
/9 r1rA CH E o
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(property Owner Information)
(Adjacent Property Owner Information)
Signature
isi� 64- Q, C49MOG�-1/
Signature
Print or T pe Name
Print or Type Name
CA LD R,
Mailing Address
CitM State/Z►
%3 / C L
citylStatelZip
Tel N mber
l P 2ne � 20 ! 7—
Telephone Number
Date
Date
(Revised 6✓182012)

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Craven GIS
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