Hoft, Randy

r
CAMA / ❑ DREDGE & FILL No 70917 A g C D
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
y -b
City State ZIP'
Phone # ( ) E-Mail - —
Authorized Agent
❑ CW ❑ EW El PTA ❑ ES ElPTS
Affected AEC(s): ElOEA ❑ HHF ElIH ElUBA ElN/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
a
Floating Platform(s) 1'
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore —�—
max distance offshore
Basin, channel
cubic yards .._
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other a(
Shoreline Length
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
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
Street Address/ State Road/ Lot #(s)
Subdivision
City _ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
d/
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
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
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)
http://portal.ncdenr.org/web/cm/dcm-home
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 7/06/ 17

do
A -ENT AjjTHQRg&fl0N FOR LAMA PERMIT APPLICATIOi�t
. s Name of Property Owner Requesting f'erntit: -- ^-� mc ---- -_
rl
Mailing Address,. f6 P, s
Phone Number:
Email Address; i `v' ' _ _i _�_�_. .__GD M
I mrtity that I have authorized %c WaA - -
Agant! Cohtrncdtr
to act on my behalf, for the purpose of applying for anct obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in - - C;rekcel 7 __County.
l furthenwre cettify Utat 1 an? aathorrzed to grant, and do in fact grant permission to
Division of Coastal Management staff, the t_ocat Permit Officer and theft' agents to enter
on the aforementioned lands in connection tOlh ovaluat+ng information relates' to this
permit application.
Property Owner Information:
ul . —ft . -1- 04
Stnatult
14 o>rY
Prk or Type Name
Tote
U9tP_
This certi ica"On Is valid ttu6tigli i t
RECEIVE®
JAN 2 4 2018
HD CITY

= 2011FIED MAIL. • KETURN f2ECEtf'TAg-QPESTEP
DIVISION OF COASTAL MANAG15MENT i
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIO NliMMAIVER . I ORIM �
Name cif Property Owner. `+Z /?_•�,',j .- 1-� O :
Addtcw of trrpartY;
(Lot U StrCrt 9, Fitrrrti;t crr RO.A. City 6 C:rwrrtyt 1
i%gonru Name #1 . L � +�.v ti _ .� d! p } MzFi N Addre-..w:
Agent'* phony #:. _ Q11 i -T - - -
I t1e;cby certify that I own prop -arty adac�nt to the above (e4leforsi'ed pmperty. The ir4Wklual
applying for Uiis pera if hzs described to Ine as shown an the attaohed drawing -the aev6loprrent
they are prc.pos.,ng. A dG4riotion n: drawh—q, vnt11__din r• }loos rntrs-t be tarayftied ft�th tl>;fi tea r.
have no of icctinn% Tp uric prvp'a: il. I haw. objcouo s to this ptopo&--ti.
tt you hive objections to wnst;s 4cing proposer, you Mustncltity dM t'ivlsiotr afCaa$falMafragement
(0CM in wrl,rrig within Jo days of r�r_�:lpt of (ilia: notice. Contact Information for RCM offices is
0Yailrhl$athtrpllvrfi�rincc 4rafrnanaoem��nirn�tT►vFh� f fait isGtrgorbycallingf•$3S-4RCAAST.
Nb resprjniZt iy ct;r',sicd the serve aK ro objection /t you have hrert r1ot+nSt by Gettif5ed ,t�ai!_ --
WAIVER SECTION
I undolatand That a Fier, dock, moo nq pilings, boat i-anip, k;'eak-water, bo;athovse. G; tilt must
be et bock a rni.- irtsurn di-.tarI06 of 15' from my atrya a; r?p-,j tt -,cce:�y unloss vraired by r:*-L. fit
yrosa MMI too waiva V10 !;ethack, you rrttlst Initial Sits appropKate Me* barn}}.)
f c:) vdeh to svajV.0 IAA` t5' sethmw% regtriremont.
I do not with to waive tk:e I V toUia& requirement
(lsroperrty Ovmer Information} (Riparian Pray rt owner Inform "s;r;)
-14
Stsneirrerc 1 $;tir;;ea:ur�
Prim v. Typt Natr:�� /'tint tic l yr {r 1J�fi
i tJ r1! 4 0 M K S t7� O--
1t42t't AcAftr�ee l ewdtA XE-S
AJb 2,`1(d��j �j4 /ve ii s-Si�—
I;ih�/4YulufLrn �C
q 19 D. (P S -)- 5 ;4- G / 7 5' 7 0 /
Mep nC NCKr> ; i ia;t 1+ c,� b i t !3 �► 1l-L OFT N(p r 'Ems.•} Rt /eSs
RECEI�/ � ® (P,#y�sed hug. ;rvr��
JA N 2 4 2018
DCM- MHD CITY

ft
RECEIVE®
.'AN 2 4 2018
DCA4- Milo CITE

U- II'IE© MAIL • KETU IN RECEIPT REQUESTE1i
DIVISION OF COASTAL MAMA(15MENT
ADJACENT RIPARIAN PROM-TY OWNER NOTIFICATIONMAIVER r0kM �
Name; of PropWty OhnFr !?• �v�J_ �i .L l' D 7� i !
Addtos� of Prrperty 5 —�_ � 1� A Al
(Lot ct Strad, 9 Vrotut of Pala. City 6 C-C u. rty)
R
Itigcnt s Narne # 100-ing A.ddAgenr;
s• 1 L'i `�. S�, ZQo', "�. '4t • {9 !1i% 'a `t f� b i
I hcYeby certify titbit t ov!•n proparty acrac�!nt to the abwa rGfeiaitued pmr:e". The irdwiklval
applying for this permit has dwcribed to ilia as she tvn on then attached drawing the tleutJapment
titA dosluicition n: d0wirQ, g4#)0iitleflsio�sb rritsst be [iroufti tt Mth rl>;t iettCr:
T have nctrth,cctinm to this prvpa-:il. 111aw. obja(10:is tv 111iS lirep<)-sal.
Nyou hove objectlons to ► hat is Doing proposed, ycumust natity dm MvisiOn of Coastal b a"agement
(DCA j In wiltity within 10 days of rr:edol of flti, notice. Con0d lnterMailo" for Dcm Offices is
.availa67aafhiinl,'vr�,rinkco 4,t rrnanaoern��nLrrrtA to+t #af; istit�g0 byG lt)ngf•$$ RirQA$%
Na �;~ 13 c ag&r*d the same &,% co a lien it you have beery notitiod by Cetfi?ed Mail
WAIVER SECTION
i understand itt t a (tier, dMk, MW.-irlg pilings, beat Tamp, bmathoUse. Of lift rrtul
be -( tack a ►Tti: iuvirn distance of f 5- from my area a6 rfp;4tian at ce s unless vraivrid by me. {11
yo.*a vrl I1 fry n� • Via setback, yott rttiist Initial Ut4 sppropemlO blMk Ue'ftl
I dovji .h to3vQitio the 15' Setback regttirem nt.
I do net Nrich to wslVe the IV St-tbadk tecw1mment
(Proporiy Owner (nfflrrnatlQrt)
W. rs. -j
.S`ti'atCtit:rC
Anti 1Z i+
Ptir+t ter Ty{.ti+ 143tt.
Mail-mg-t ass - srf 0i� at tit dxcs 1
r �
f:tl��Y¢rrv,2i,� T L.'ttyJy7ltcrlp
3'efepi�ipec N! i rtn+ad A-41ye-q-, 14 bC- i 6P rl A >a.�pF•t- Ntgrt�Fae- r� Ems'Ati Mss
�1prk r7:71:
RECEIVED
JAN 2 4 2018
NO
(P,v1 edAuq kVK)