Cornett, Robert

N T I�
❑CAMA / ❑ DREDGE & FILL
M 7V9" ! A B C D
' GENERAL PERMIT
Previous permit #-
ONew ❑Modification El Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
t t%
and the Coastal Resources Commission in an area of environ ntal concern pursuant
to 15A NCAC
(j "••�
, ules attachel.
p
Applicant Name. P
Project Location:
County
Address / t f' t t `
Street Address/ State Road/ Lot #(s)
!l
City y, _,� State i,- ZIP�
Phone # (::1 :
' E-Majj
Subdivision
Authorized Agent' rY �l ` #
City
ZIP -
Affected ElCW ❑ EW E l P A El ES ❑ PTS
Phone # ( )
River Basin
AEC(s): EloEA ElHHF ElIH ❑ USA El N/A
Adj. Wtr. Bod
r tha :man unkn
❑ PWS:
Closest Maj. Wtr.
'I
Body —
ORW: yes / no PNA yes / no .
Type of Project/ Activity
J .,? fl3�) :t Y (I
Pier (dock) length
Fixed Platform(s)
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/ doatik
I
i
Beach Bulldozing
Other
Shoreline Length
t -,
SAV: not sure
yes no
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by:
( Note Local Planning jurisdiction) /
Notes/ Special Conditions
Agent or Applicant Printed Name
ftlr .
Signature ** Please read compliance statement on back of permit"
1 Q'Y1
(Scale:} )
❑ See rrno a on back regarding River Basin rules.
VrJorte_ d Name .--.------
Application Fee(s) Check # Issuing Date ` r 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

J :i6
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C� ' E PAC NE �
Mailing Address: 7) 613 VCLy/\/ (2 (yG { C)IV.-O
Phone Number: �? / � - �-' / 8 - g" F!� �
Email Address: R C'.©'�/ of -fe S: C
I certify that I have authorized f� /2V2�1' /VC) C-Z
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: l- M E1R-(+t b 6�'i-.q,-, 1 0 T .roiV
at my property located at 91P 9 -71y" I; 0-r V--0 U" Lam'' i ►47:0� P-,D
in CYW-�F12F i County.
l furthermore certify that 1 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:
�1) - 6'/����
Signature
C92 ejQ- A-�) C�,2Ne c i
Print or Type Name
wNFJ12
Title
Date
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Av
c� (Name of �R operly Owner
property located at O �10 �Y11��-� P�1' r'"6ii/ S�
(Address, Lot, Block, Roa f, etc.)
on tom. �OyrvD , in k11�IRC��� .�S L Lcaucr'tevc`�) , N.C. ASS
(Waterbody) (Citylrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, bre;
must be set back a minimum distance of 15' from my area of ri
me. (If y wish to waive the setback, you must initial the apprc
V
I do wish to waive the 15 setback requirement.
I do not wish to waive the 15' setback requirement.
(Property/Owner Information)
d-4 ot4U, &4/2
Print or Type Name
'7/03 kVR4rV
T
M,7 � ailin Avdrg
City/State2i
/21 - 8! �gFs� �CofZN� <S cow,
Telephone Number/email address
/'7'(9
Date
r, boathouse, lift, or groin
access unless waived by
Plank below.)
(Adja ent r rty dwner Information) Aof /lb
Signae
-�i�ul L. domes
Print or Type Name
/ur Au,c
Mailing Address
(-*AV
City/State/zip 910- 9/ 77- % 73 IOLTu''IP-J 19GG&
Telephone tyumb§pr / email address CWIA� . Cu ••�
1 a3 zo � 8
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �orc'Q. J �'�7�e < < 's
(Name of operty Owner)
property located arG O % 1(� �YYI� �t1�TSD���.
(Address, Lot, Block, Road, etc.) ^-
inr-j'► &KV1-LQ /< - mot° , N.C.
cJ'9�!
(City/Town and/or County)
The pplicant has described to me, as shown below, the development proposed at the above
loc ion.
—I— 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)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacen ro rty Owner Information)
Hof 13
Q
�ignatureSignature* c ✓Pl ��
((Cn A1CrAAeA (— 6' ZAti�- Lx't d1
Pri t or Type Name Print or Typ"ame LO 11
7ro3 E�Nel, Oak
Mailing.A(JdTess
lie
a7s�7 Mail/Addr� 6 /
City/state/Z'. ® City/St/aa /Zip
- lf�S QO p i2J1.'1 �Ccirf "�S �k Co V l 0 l U
Telephone Number / email address Telephone Number / email address
1--7 -ssr
Date Date*C 6, t,/
(Revised Aug. 2014)
"Valid for one calendar year after signature"

January 7, 2018
Paul Jones
26 Pinewild Drive qJ6 --977 - 4F5 73
Pinehurst, NC 28374
Dear Mr. Jones,
Roger Cornett is applying for a CAMA permit to add a 4 foot section to Lot #14 on the
existing dock to make the lift accessable located at 8710 Emerald Plantation Road
on BogueSound, in Emerald Isle — Carteret County, North Carolina. A photo of the two Cornett
Docks and sketch are enclosed.
As the adjacent property owner to the aforementioned project, I am required to notify you,
And ask you to complete the CAMA form. Please review the attached property
owners statement and drawings. This addition is being made between our 2 docks. We own
both lots. If no questions, please that you have no objections and sign the document.
Should you have any questions, please give me a call at 919-818-8888. Or you may
Send me an email at rcornett tcstk com.
Sincerely,
JRer Cornett
8710 Emerald Plantation Road
Emerald Isle, NC 28594

January 7, 2018
Vance Stevenson Estate
107 Eagles Rest Road
Shelburne, VT 05482
Dear Mr. Stevenson,
Roger Cornett is applying for a CAMA permit to add a 4 foot section to Lot #14 on the
existing dock to make the lift accessable located at 8710 Emerald Plantation Road
on BogueSound, in Emerald Isle —Carteret County, North Carolina. A photo of the two Cornett
Docks and sketch are enclosed.
As the adjacent property owner to the aforementioned project, I am required to notify you,
And ask you to complete the CAMA form. Please review the attached property
owners statement and drawings. This addition is being made between our 2 docks. We own
both lots. If no questions, please that you have no objections and sign the document.
Should you have any questions, please give me a call at 919-818-8888. Or you may
Send me an email at [e-mail].
Sin erely,
Ro Cornett
8710 Emerald Plantation Road
Emerald Isle, NC 28594
:L" k6

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 12a � -(-e_ Ne (( -'s
(Name of R, ope y Owner
o-
property located aS91O km4+(-0 P�t4lyTw r'�z9�!/ (.0 A �,p�"
(Address, Lot, Block, Roayetc.)
on q t�. �VrvD in k'�'11��Lftl o . J.S L t__/ C�r'teyc`t'` ) , N.C. a-§94f
(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)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
9n, AA�K�
AigtOtur
Print or Type Name
-9/03 .4-;VKQrV(21 wck-
ilincJ,Avdr�g,.A/ �,G � �l 71
City/Statelz
GIi9- 8r �QFs. �cot�N�'
'Telephone Number/ email address
/-7'(:5
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information) Ao-f- /b
Signature*
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to oAe2 P.
(Name of operty Owner)
property located at�7 (d �m '(k-� �c—y ATIZ-;Q ( c� ()!�� is
(Address, Lot, Block, Road, etc.)
on �V'L SOCINO , incMQ<Y4-co �L.t= A4 - eA�$--a , N.C.
(Waterbody) (City/Town and/or County) ',;14 S `' `4
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)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
gnature
CO-4AICaRAC� ( �ie�ne(4 (., 1mov-
Pri t�Name
-7fo3 Evc,4 ev61Oak
Mailing vcAw, Ile— a7.s 7
City/state/Zi
- �& le -i'S ?-±tdo tt W—ttO -CS' +k cb
Telephone Number / email address
/'7 Si,
Date
'Valid for one calendar year after signature"
(Adjacent Property Owner Information)
4of 13
Signature*
Print or Type Name
Mailing Address
City/state/Zip
Telephone Number / email address
Date*
(Revised Aug. 2014)

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1/3/2018
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GE & FiLL N270927
T,FE PERMIT Previous permit # A B D
ElComplete Reissue EJ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r V,
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
iaRullsattache
Applicant Name -,(.�re C) e' A Project Location: County t­ e-e e-,,
Address 1.0 V e KiA Ci rc_t1- Street Address/ State Road/ Lot #(s)
J, ILI
City— . State/1 ZIP4
),!
C
A'TfJ 1VPhone # —I
Subdivision
Authorized Agent o,--1 4- City ZIP
[I CW ETEW I El-FitA E3 ES El PITS Phone# R" er Basin
Affected El OEA 0 HHF El IH 0 UBA 0 N/A
AEC(s): Adj. Wtr. Body in man unli
0 PWS:
V"
cl
Closest Maj. Wtr. Body —
ORW: yes [no PNA yes no
Type of Project/ Activity i
(Scale:
Pier i
Fixec
Float
Fini
Groh
Bulkl
Basir
Boat
Boat
Bea<
Oth(
Shor
SAV
■MINEEMEEMMEMERM
EMMIN—M
ROME■ME■MEMMOMMI1
■EMEMMEMEMEMMU"11
UMMUNWHEME■MEMOMMENEW
0
.-ig Platforni
pier(s)
ME
length
MEN
MENISIMINNI
adJUJOINUMN
mum
NFAMME
MEMEM■MEMO■M■EMMElill
number
ME
M
MEMOMM■0
61
MUMEM■EMMEM
MINOMEM
ead/ Wiprap length
MEMEMNEOMMEM
Fvg distance offsh orel
MENOMONEE
MOMMIME
IMEMEMMEMEM
M
MEMME
,channel
IEEEI
■EEEMME■■■■■■■■■MMMSESEEMOEE■�■■■■■■■■
OEM
cubic yards
amp
MEMEM
MEMMEMEME
0 e/ Boatlili') Us
EMEMMEMOMMEEME
Mil
'010MMEMOME
—0MMMMMMM
MMEMEM
MENEM
-i Bulldozini
EMMEMEMEMMEMMEME
r
MEN
SEEM
MEMMOMMONME
MilEMEMMEM"""ME
mom
No
Jine Length
not sure yes no
MENEM
MMEMEM
MEMMEM
NOW
-ME
No
10
0
11111MMEMM
-
maim-
NEON
ME
EMMUMEME■
MEMI
NMI
EMMMMIRM
I
MONE
EEMMftA�MM■EI�M
Mo torium: n/a yes 0 w
PhoI yes no
Wai I c AftPrbP--r1- ;(R� 0 n
A building permit may be required by:
(Note Local Planning Jurisdiction
Notes/ Special Conditions
r i
.,r � /-, L, -� � -t�, Ii, !,­ ­1
Agent or Applicant Print Name
Signature' "Please read compliance statement on back of permit
A;Zirn tinn F.Ak) Check #
Permit
Issuing Date
El See note on back regarding River Basin rules.
A/L
Date