McGruther, Randy

CAMA / DREDGE & FILL A B C D
GENERAL PERMIT Previous permit #
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 15A NCAC
E�Rules attached.
Applicant Name `{`'/ t ,r l i ( }�' {y Project Location: County' t
Address i iir"i f``�; !�` Street Address/ State Road/ Lot #(s)'
City ,w ,� j (" ITa State NU, ZIP
Phone # ( ) �in 7 E-Mail
Authorized Agent j obed5bd
Affected ❑ CW XEW ,PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes (no)
Type of Project/ Activity
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 r
Boathouse/ Boatlift
Beach Bulldozing `
Other
Subdivision
City ZIP
Phone # ( ) River Basin t__.,,u
Adj. Wtr. Body n h> man unkn
Closest Maj. Wtr. Body ,
i
(Scale:,/
Shoreline Length 1
i z
SAV: not sure yes no ——
Moratorium: n/a yes no
-..�.......... -.- -- + _ _ ._ .__..-.. -- ....... — — .. .
Photos: yes no ;
Waiver Attached: yes no ~
A building permit may be required by: V ElSee note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions}
4--
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
f`
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 -
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.nccoastaimanagement.net/
(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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I o/Iwn proppe�rty adjacent to � Ol L d-,' a +Y �s
-of
Own
property located at
t.l� t� I YTD{�1 .'N rjeY) 51 er)
(Address, Lo Block, Roa etc
on ��e ��� e- Vim- , in k(' p 4a I., n I i CO N.C.
(Waterbody) (CitylTown 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 developnnot mast Mi w description below or attach a site draw no
PI o Erdd
YJ -\k)n
Ptqa" McCr�+her
WAIVER SECTION
A1bee,
Nope"
G �eC�ze1L
1 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 16 setback requirement.
(Property Owner Information) (A ' nt Properly onmation)
e
Si Sna lure Si �k)4dz D (-
Print or Type Name Print 7 Name
Mailing Address Mailing Address
City/StateMp Cty�� � p Z S 7/
Telephone Number/email address Telephonp Number/email address
Sa 2S
Date 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 I
��9 Y (N Y (� yProp Owner)
property located at (_(�
C� Yee � CYe e, k- (Address, Lo�Block, Roa etc
on , in r-P n i OLM l i C© , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locationf'
y 1 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)
Pr'0poSQL-�'
16Al. .A
P c &tU+'VAP r-
�ro r*y
41 nCI
Albee
WAIVER SECTION
1 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
-' I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Li
Si ture �Signature ^
not or Type Name Print or Type Name
Mailing Addr— sT Mailing Address
/)l-/eni�o�� AiG25157/ City/StateOp City/State&ip
�e� - — ;-�- — a 17
Telephone Number/email address Telephone Number/email address
k, cx-4) e r i r ,e, Q DD , c o vy\
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

From: Randv McGruther [e-mail]
Subject: tie: boat Lift Project
Date: Aprii 6, 20 i8 at 2,e AM
To: urandi i iocyertacn bran [e-mail]
You've got it! We should be around though, but if not you can act as agent. Let me know when you make i ne aW.
1 z =nr
Bars".
Sent from my W"ne
On Apr 5, 2018, at 3:03 PM, Brandi Robertson <brandiprobertson@gmail. com> wrote:
Dear Mr. McGruther,
I am ready to schedule a site visit with the CAMA Field Rep, Mr. Connell. I am hoping that I can get an appointment for next week.
In the event that you are not available to meet with us on site I would like to get permission to act as your Authorized Agent. This will allow
me to obtain the permit on your behalf.
Please respond to this email confirming that I have permission to act as your Authorized Agent.
Thank you and I will be in touch.
Brandi Prescott Robertson
B Prescott Marine Construction, LLC
252-249-0149
[e-mail]