Morgan Creek Landing HOA

N
*AMA / ❑ DREDGE & FILL � N2 70953 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 Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
f n Rules attached.
Applicant Name 1f S 1µ Project Location: County
Address I(4'.a '' )---Street Address/ State Road/ Lot #(s)
-
City `` i--eC4( it:4.�,J State iv - ZIP
-
Phone # ( )� ;�'? t Mai(,, Subdivision _
r i 2t 1 ` ZI
Authorized Agent t.t,.k' ,2 1 ) ' ' (.�, City P
Affected ❑ CW ElEW )❑ PTA Li ES ElPTS Phone # O River Basin
AEC(s): ❑ oEA ❑ HHF ❑ IH ElUBA El N/A Adj. Wtr. Body 4t /man /unkn)
❑ PWS:_
ORW: yes / L- y
PN ;es s / ' Closest Maj. Wtr. Body - —
Type of Project/ Activity'
(mot'
',,tom
•��C
t'�`
(Scale:
Pier (dock) length "
Fixed Platform(s)
-
Floating Platform(s) �,., t r C,- JJ
I
Fi,
Finger pier(s)
Groin length
I
j
number
Bulkhead/ Riprap length --
avg distance offshore
max distance offshore'
Basin, channel
i
cubic yards
j
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other �t(-" 14 :i'Z
Shoreline Length
SAV: not sure yes no
I
I
Moratorium: n/a yes Ito_.
I _
r
Photos: yesTf
X'.
Waiver Attached: yes tTb
_ .
A buildingpermit may be required b : f ��j �� ❑ See note on back regarding River Basin rules.
P Y 9 Y ��-
( Note Local Planning jurisdiction) I
1
j ,� 1
_ J � (-
Notes/ Special Conditions _ _
f ° / i <. t-yz `f
a �✓
Agent or Applicant Printed Name _-
Permit Officer's Printed me )
Signature ** Please read compliance statement on backof permit
Signature f.-
.. !
j.
Application Fee(s) Check #
Issuing Date 4 Expiraftion 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
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
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 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mener-)
Mailing Address: 3 s rove— S13ri1
Phone Number:
Email Address: �D_rr, /go - lAn it - , Zle ,
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at -j)
in_(=,e, e-7'_ County.
.mole- L.t S_4Z E1of+- j lr
/ furthermore certify that / 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:
Signature
Pnnt or Type Name
0 E
Title
a
Date
This certification is valid through (:;), / 07 I / d /%
RECEIVED
FEB 2 S 201E
DCM- MHD CITY

A©.)AGENT RIPARIAN PROPERTY OWNER STATENtENT '
I hereby certify that I own property adjacent to (00QA,1
C.&Gk- �"✓1G� n4S /Yp/yYp�lne/'s %T�"l•
property located at 07 I A OLD (',, {Name of Property Owner)
sfw.� E�
on (Addressnil;
Road, etc.)
CQ�e-)L. , in
aterbody) tylTown and/or ounty) ° N.C.
The ap Iicant has described to me, as shown below, the development Proposed
to n: at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR ©RAWNG OF PROPOSED DEVELOPMENT
lid/ da/ Pr©p®s/erg deveioP en" muse aft in descdpfaon below or a Each a site drawIn gReoxve-' Ir 7 a J -
I understand that a pier, dock, mooriWAI IER SE ION
ng pilings, boat ramp, breakwater, boathouse,
must be set back a minimum distance of 15' from my area of riparian access uns wor afvedr by
rne. (if ou wish to waive the setback, you must initial the appropriate blank below.) y
5 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement_
r.T,"IFNIFF
,Si e l
Fruit or Type)
fUi tt►%g Address
Crfy/state/Zip '
Telephone Number/email address co. %
2-
Date
YeValid for one calendar year after signature*
(Adjacent Property Owner information)
Srurfure
Print or Type Name
�XIII Ile jlo�lll'
Mailing Address F R 2 S ZQ1$
C! tap
Telephone Number email address ' W
Date* —
(Revised Aug_ 2014)

i hweb certify that i o a„AI A pPERTY t��l'NER 8°�
Y � grope IYT
PrOPWtY located at oat t , ©� ''ulacent to f gn�
(N me of Property
r«r
(W terbody) s, Lo(ty! �E
trE t e i.
'F18 applicant has described to me, as
i0C �OR.
i have n0 objection to Mown belOti�+,
this p���sal.
-----_., I have objections to this prop,
own arid%pr n� N.0
tthe devoioprnent prepilSed at the abov
)ESCRIP7'l0iJ Aar®!OR
(IrIQ►itrjdua! proPosing development WING OF PROPOSED DEVELOPMENT must fill in descrilttlsn below dr zo, M _ _,
/cam je
te
r„
t understand ttlat a pier, dock, W Iyr rl=C i I
must be set back a minimum distance ng pilings, boat ramp, breakwater, boathouse, lift, or groin
me. (If you wi*fl to waive- »Ie seit�a distance of 15' from my area of riparian � . ; unleas wai>�d by
YOU must initial the appropriate blank glow.)
--- I do wish to waive the 15- setback req,,irerrent
----- I do not wish to waive the 151 setback requirement
(pro rty Owner to rmation)
.,
(Adjacent Property Owner tnformafn
/7
+
(/
Print or r'ype !llama
M Urr�g Address -----
Print or Type Nste
�� r �.
City/stateop
�(
Mftin Add,
--/�C�u� t5�'�1✓
Telephone Nut bertetaii addict Lrr►+.
Telephone Number!'enadds
-Valid for Ca . a- �R dctgd Aug- 201 d!
cedar year after sign -
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Na CITY