Hink, Howard

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-JCAMA / 7 DREDGE & FILL
A B C D
GENERAL PERMIT , Previous permit #
-New 'Modification ❑Complete Reissue EPartial 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 15A NCAC
D Rules attached.
Applicant Name —
Address
City State '' ZIP
Phone # ( ) f f -Mail
Authorized Agent
Affected ❑ CW ❑ EW O PTA ❑ ES ❑ PTS
AEC(s): E OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision _
City < =.,f ZIP
Phone #River Basin
Adj. Wtr. Body % rf-t �, (nat /man /unkn)
Closest Mai. Wtr. Body v ' -—
r
- .. .07AUPIWATOO MI A OEM MEN
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Agent or Applicant Printed Name
f.
Signature Please read compliance statement on back of permit
Application Fee(s)
Permit Officer's Printed Name
Signature
Check # Issuing Date
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
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
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/
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

03/21/2018 13:54 FAX [phone] CAROLINAEAST Z0002/0002
CER-flHED MAIL - RETURN REPRET REQU-E*T---
'OF CC-`ASTAteMANAGRUVENT
AP�JACENTP,?PAR$At�iPP�oPr--.rZTv R --p—mo-n OWN= I C A TIO N VjA- N E R
WT-
:L-�,t nx-
Agerifs Nam tE.
Nilaiji:lrgi Address:
gerY
s Phone
hereby ce,� 'fY 1lEal i C*JPl PFOPerl.11-4acent
to the above re-jerericen perty, WO
e id:v'duai
2PP.M.11-0 for this permit has described to me as shown On the attached drawirtgo the dev
th-ey af-!3.Groposing. dz ; :-,,- r - .. .;
kdutt�i e�opmeai
L!T�k have 110 *rectiousq to
: �f, have obiec-Cioa-S to -zll-' ro�
ptoposal-
is gz posai.
1 ,Pori J?aye 04fecgons to &vhafis beil?g, Proposed, you nnust T?GW Me
(DCA91 in Evtifinn vsqthin -,,o
days --r- reOc-iof of this nagoe,
Cofift-Ef"t il-rfolmahbn for DCP.# --;gees is
afflabe at
same as F?o ubiecrign w,-, Tart have b
M,
----------
A% 1 VE. —TION
;llngs boat rase, Understand That a pie', dock, froaring ps P-. bi-eakWater, boathoj-�Sa: or
be set bacV a Hnimurr, distance oy'15, frol-n lWy area of ripEgian access L rllus�
You wish to %;.uaived -b�f me.
WaNe the setback. �io
a0,110priate Wank beio,,,)
f do wist. ro 'waive the I 55'setbacir rm-quiFefrlej-��
e 1 F
waive do not wish to waithe Tau : m
j 5- Ulf-e
V Owrier �nrogqrfatjo;j)
Signam.'re
Or I YP9 Name
.AQVICNFFRC-114-1
f , � C
(Riparian Property 0:%j1ef
VS,
Sigmtwe
4A
Min' OF Iffle mme
V�,
Ma#,'rl9Add,TSS
2014)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO IFICATIONMAIVER FORM
Name of Property Owner,
'2
of Pfo;iefty:
q-0t or Street #' Streak or Road, Uy & COUW
Agent's Name #: Mailing Address:
Agents phone#:
i hereby certify that 1 own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the devetopment
they are Vopusing. A j _e4griptim or draw Ing, with dimensions, must be provided 4vr1h this leftr.
I have no ol].jections to this proposal. I have objections to this proposal,
A
L.— If you have o4OcVons to what is being proposed, you must noft6f the Division of Coastaf iftniageiren
(DCM In wifflogi wWW7 10 days of receipt of this notice. Contact Informalfori for DCM offices is
I LLak-lisdo X orby caffin . gl-866-41RCOAST.
No rasJsonse is considered Me same as no oNactfbn If you have been noitWea by CwTithid Mai;,
WAIVER SECTION
I understand that a pier, dock, mooring pifirigs, boat ramp, breakwater, Zboathouse, or lift mus',
be set back a minimum distance of 15''Irrom my area of riparian access unless waived by me. (If
you wish to i w
;W7
the setback, you ame06iftl the appropriate blank belc.')
o wish to waive the !Fsetback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner information)
is
Print or Type Ivame
Matrix! AA**M
Daft
riparian Property Chwnel Viformation)
Sig—fuhure . i
Print or Type t�
4a'fis
Au P'.3 C- Z'rr
c'4*statamp
isifised ALV. 2014)

Dock Live Load of 62.5 lbs/sgfl
Low Profile Dock Live Load 30 lbs/sgft
13
NOTICE! ReadEZ Dock Limited Warranty carefully. Among other things, EZ Dock does not warrant damages,
failures or defects caused by unauthorized modification of EZ Dock Product, and/or unauthorized attachment to/of
EZ Dock Product.
MADE IN
USA
Project Name:
,NC
Distributor Name:
David Anderson
Mock Solutions
[phone]
Drawn by: David Anderson
Date: 1, 26/201 N
DWG Name: 000_41126610560
EZ Dock, Inc
878 East Highway 60
Monett, Missouri 65708
Phone: [phone]
Fax:[phone]
' General Notes:
I. This drawing does not reflect anchuring. Once sufficient informrim &
completed Proposal Request Fomn concerning weter and bottom conditions
is received anchoring may be detailed.
2. Note: It is the dock owncdaperame/ responsibilily to ascertain and comply
with all applicable Fetleml. State, and local laws, ordinances and
regulations, as well as all inspection, permitting and licensing requnementa
pemmiag to the iratallslion, application and uae of EZ Dock pmdtuta on
the ownedoperate's premises. EZ Dock, Inc. assumes no duty or
respomihilily with reepw to the legality or compliancy or the
m—lopaatufs chosen installation, application or asc of EZ Dock
products.
3. Refcaeoce EZ Dock Owner Mount for additional details.

3/20/2018
1705 Front St - Google Maps
._ �o g e tdaps 1705 Front St
Imagery 02018 Google, Map data 02018 Google 50 ft
https://www.google. com/maps/place/ 1705+Front+St,+Beaufort,+NC+28516/@34.7113541,-76.643265,114m/d ata=!3m 1 ! 1 e3!4m5!3m4! 1 sOx89a8909e75d240cf:Oxc25f5fc64778bo42!8m2!3d34.71199!4d-... 1 /2

Styron, Heather M.
From: Howard Hink <[e-mail]>
Sent: Thursday, March 08, 2018 4:37 PM
To: Styron, Heather M.
Subject: [External] Authorization
CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
Let this authorize David Anderson as my agent to apply for the dock permit. Thank you.
Howard Hink
Sent from my iPad

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ' -b I) t ' _
Mailing Address:; 0 1 rl 1 L �
Phone Number: ' `(' t 5:
Email Address:`i11131�
i certify that I have authorized�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: ! kC 1 t,, }{ ,(
max.
at my property located at 5.-,-k-
in`f' .,i County.
l furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staf, 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:
Signature
PLL jj ! K K
Print or Tvpe Name
T� "L 31
Title
1 2 (1 1�
Date
This certification is valid through I 1

Dock Live Load of 62.5 lbsisgft
Low Profile Dock Live Load 30 Ibs?sgR
MADE IN
USA
13
-8n
Project Name:—�—
3 aka
NC
Distributor Name:
A
.,x.
David Anderson
�-
EZDock $o!uaous
(252)?73.0?93
N, ti ��
Drawn by: DavidAndt:rsan
'
Date: tP2N201R
. , ....
DWO Name: 000_43126610560
EZ Dock, Ine
0 0 i
878 East Highway 60
-------
6'-6"
Monett, Missouri 65708
Phone: [phone]
Fax: [phone]
NOTICf31 Read EZ Dock Limited Warranty carefully. Among other things, FZ Dock does not warrant datnages,
failures of defects caused by unauthorized modification of EZ Dock Product, and or unauthorized attachment to;of
UZ Dock Product.
/ General Notes:
1, 71iis dtandng does not reflect anchoring. Once sufficient infornsatim dr
cotnplxtxd Praposai "icsl. Pono conceining watcr and Ixtuner capditiom
is rcmeived, acehonng may bedettsitcd.
7, Nate: It is the dock owiur'opemtor's respomibility to ascouln and comply
with all npplicahie Pedeml, State, and I cal laws, wdmascoa and
mmtdations, as'. 11 as all inspection, pcuninmri and licensing rcqu#n;ments
penaining to the iastatialKo, application and ase of EZ Dock pmd lets on
theowncc`opowofa pmmiscs. EZ Dock, Inc, assusaes'no duty or
respmsihility with respect to the Icgality or compliancy or the
owner; operatm'a cha.+an installation, application or use of FZ Dock
p'..ta.
3. Rcre v= EZ Dock Ow it setuat for addaional details.

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1/29/2018
Google Maps
Imagery C2018 Google, Map data 02018 Google 50 ft
https.I/wv"v.google.com/maps/dir//l706+Front+St,+Beaufort,+NC+28516/@34,7115873, 76.643398,130m/data=!3m1!Is3!4m8!4m7!imO!1rn5!lml!isOx89a8909ddb9843cd:Oxbe5036147aOb7083!2m2l... 1/1

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• Print your name and address on the reverse
X ❑ Agent
so that we can return the card to you.
_ 13 Addressee
■ Attach this card to the hack of the mailpiece,
or on the front if space permits.
Received y tinted } C. D e Tf Delivery
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1. Article Addressed to:
D. is delivery address different from item 1? C1 Yes
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt