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CAMA / ❑ DREDGE & FILL No 71000 A B C D
GENERAL PERMIT Previous permit#
New 'Modification Complete Reissue Partial Reissue Date previous permit issued
r r i I l ('-.,�• f�
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
I
Address f' d/ Lot #(s)_
City.State ZIP Street Address/ State e Road/ l ` t ` �
- - - --
Phone # (_ ) E-Mail ___ Subdivision
Authorized Agent City - - _- ZIP
r .
CW EWnA ❑ ES ❑ PTS Phone # ( _) River Basin
Affected
A Affected
— OEA : HHF El El N/A Adj. Wtr. Body __ _ _ __ _ (nat /man /unkn)
PWS:
` ---
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body .._.-
Type of Project/ Activity
(Scale: I )
Pier (dock) length �—
Fixed Platform(s)
Floating Platform(s)._y__7
Finger pier(s) ('x�
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Beach Bulldozing
Other
I'
Shoreline Length
SAV: not sure yes no
i
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"
s
I
Signature
[! See note on back regarding River
<<
Name
rules.
ApplicationFee(s) 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: 252-247-3330 Fax: 252-948-0478
(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: 252-264-3723
(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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to %a, lb A� '1� ���'r s
p, _-(Name of Property Owner)
property located at 03 06_� 0 , ,6Prlcl /Ur / , ell -
(Address, Lotj Block Road etc.)
d
on /�a,�Th / /Cd<U��rt L/P�� , in eGt( /O/ T , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I a'
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)
J�nsr/l 3nvk(vT1,-74)�
I rNvidve N PN r
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
tg�jWureo�Qs 5.=1 �s P,...�
Print or T pe ame Print or Type Narpe
Mar g Address rlrng Addr�sss� C
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City/State/Zip City/State/Zi
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Telephone Number Telephone Number
Date' 'r Date
(Revised 611812012)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 12dw4'f N /�1, /�✓ s
A (Name of Property Owner)
property located at
on /h ilel/9nC�,��f/ , in
(Waterbody
Road, etc.)
(City/Town and/or County)
N.C.
The lic nt has described to me, as shown below, the development proposed at the above
lor,�t
,r I have no objection to this proposal.
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)
�o4" i 1wile t l ?'V
1/ -1 A1L/ ofa w, y
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) ( djac�nt Prop
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ivqture
Print or T pe am
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Mar g Address
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City/State/Zip
Telep one N ber
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Date
Mailing AddM S>•--%�,����/(�
City/State/Zip
Telephon Num er
Date
(Revised 611812012)
103 Shore Dr
Beaufort
Carteret County, N.C.
New 911 Address
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GIS Department
DAte: 8/25/2017 252-728-8506
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Along Approximate
High Woter Line
6
103 Shore Dr
Beaufort
Carteret County, N.C.
New 911 Address
1;
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IW�tu3►.� � .E � � � j � � e g 1� . M; Department
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Wron,-Heather M.
From: Ryan Miller <ryanmillert@gmail.com>
Sent: Monday, March 12, 2018 12:53 PM
To: Styron, Heather M.
Cc: 'Tom'
Subject: [External] RE:
Attachments: dock drawing.pdf; Miller-CAMA Adjacent Riparian Property Owner Statement Piver.pdf;
Miller-CAMA Adjacent Riparian Property Owner Statement Wolfe.pdf
erns, ; , : Do not clic . r open chments un
Heather,
Please see attached drawing and riparian forms. Please let me know if there is anything else needed.
Thank You,
Ryan Miller
MilCo Contracting, LLC
PO Box 1040
205 Vine St.
Beaufort, NC 28516
C: 252-269-2766
F: 252-631-0223
ryanmillert@gmail.com
www.milcocontracting.com
From: Styron, Heather M. <heather.m.styron@ncdenr.gov>
Sent: Tuesday, February 13, 2018 3:20 PM
To: ryanmillert@gmail.com
Subject:
Hey Ryan,
I apologize for just now sending. I have attached the riparian forms for the general permit. Once you have them
complete, send them to me as well as a drawing and once the permit is ready I will contact you for payment and to pick
up.
Thanks,
Heather
Heather M. Styron
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
2k 808 2808 ext.216 Office
heather. m,styronCd,)ncdenr.qov Email
400 Commerce Ave.
Morehead City, NC 28557
'—"Nothinq Compares-,,,
Etnai/ correspondence to and from this address is subject to the
North Carolina Public Records Law and may he disclosed to third parties.