Stallings, David

r-
-ICAMA / '-1 DREDGE & FILL A B C D
GENERAL PERMIT m It Previous permit #
Eli New Modification ❑Complete Reissue El 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 I SA NCAC
71, Rules attached.
Applicant Name Project Location: County
Address _ ( Street Address/ State Road/ Lot #(s) r.
City 1 State ZIP' .:a
Phone #(��!�1[Mail� Subdivision "�---
Authorized Agent 3 0 ' �`` 's t ; . City y ZIP
t�` . j
❑ CW S EW D PTA [ S [IPTS Phone # ( U(J 7 d ,River Basin
Affected E,, OEA ❑ HHF C IH ❑ UBA ❑ N/A Ad Wtr. Body________ man unknAEC(s): ❑ PWS: 1 Y _�— I
Closest Maj. Wtr. Body �'� -- I
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
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length /
SAV: not sure yes / no
Moratorium: n/a yes F no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent dr Applicant Printed Name
(Scale: r..-' )
��� * ` t t : % ❑ See note on back regarding River Basin rules.
r
Signature ** Please read compliance statement on back of permit **
d
Permit Officer's Printed riame
Signature
Application Fee(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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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.nccoastalmanagement.net/
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 08/27/ 14

Mar Z3 18 10 37a David Stallings Floors
9198286178
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify teat I own property adjacent to "• `� • ` i s
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
ri
On 1. tt. ,Ir 1 V�,-Lr .N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to rr,e, as shown below, the development proposed at the above
I
I have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must t'iil in description below or attach a site drawing)
1 f r
( l ! `� ��� 1 • 1. YL _ i .,l' \. 11,."� ,..�\ t , ! "t t
7
WAIVER SECTION �-
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be se, bacK a minirrurn distance of 15' from my area of riparian access unless waived by
me. (!f you wish :o waive the selback, you must initial the appropriate bank be ow.)
i do v.ist• to waive the 15' setback requirement.
I do not wish to waive the 5' setback requirement
(Property Owner Information)
-Signature)—i d G . f>E rd I �0Q�
Pnrrt or Type Name y
13 b9 Cr i c. k 1 Gwo(A C4
!4 ading Address
1 C- i CAh t'1'1C �``l UQU
City/State/Zi
sjS I QDT i%. Ys�
eiephone Numbe /email address
- _.�- k5--.Le&— — - -- --
11w
'Valid for one calendar year after signature'
(Ad ace �t 'rop" Owner Information)
�, /t i ✓ `vim �,� �
Si >nature
Tint or Type N ame �—
Teleph number! ernan address
Dare
�t �

Mar 23 18 10:37a David Stallings Floors 9198286178 p.2
t•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6a\, � cA S-E ' l 1 I '\-C-I S I
property located at
( (Name of Property Owner)
L'� ���-� 5 j,�,�rt h h -t
(Address, Lot, Bl k, Road, -- t qtc.) (i
on e �L�� rr� , in c;r ,
c , N.C.
(Waterbody) (City/Town 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
r)f-w �� � BLS 1W" -1 ,'--,6-bA A i -.-x I s vl ,I 'n. ( Icy, -c—c° -
ff
WAIVER SECTION
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 ouw�'s
�J�h to waive the setback, you must initial the appropriate blank below.)
-'!�" II do wish to waive the 1 ' 5 setback requirement_
! do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent roper
Owner formation)
4012,J'a M JdO2
ature Signal re*
�
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Print or THOC? ype Name Print or Type Name
1 r i{� tinir�fU
ailing Address ar rng dr
/vG 28.5�%
City/State Citylstate/Zip
�(a be 4 I��h r e� - ��a
Telephone Numbe /email address Telephone Number/ email address
Dale Dale'
(Revised Aug. 2014) 1-1'Valid for one calendar year alter signature*

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David Stallings
Mailing Address: 1309 Cricklewood Ct
Raleigh, NC 27603
Phone Number: 919-795-5375
Email Address: [e-mail]
I certify that 1 have authorized Bogue Banks Construction Inc.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replacing bulkhead
at my property located at 5225 Webb Ct Morehead City, NC 28557
in Carteret County.
furthermore certify that l 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
David G. Stallings
Print or Type Name
Owner
Title
3 / 22 / 2018
Date
This certification is valid through . 1 9 / / 1 Y
RECEIIE®
APR 04 2018
®CM- WID Cl T
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