Sadler, Carole

CAMA / '❑ DREDGE & FILL A B C D
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue r 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
i❑ Rules attached.
Applicant Name
Address
City
State ZIP
Phone # ( ) E-Mail
Authorized Agent
❑ CW
❑ EW 4 PTA
Affected
❑ OEA
❑ HHF ElIH
AEC(s):
❑ 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
Beach Bulldozing
Other } i
❑ ES PTS
UBA J N/A
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP_ - -
Phone # ( ) River Basin
Adj. Wtr. Body. gnat /man /unkn)
Closest Maj. Win Body
Vit—L
g < ,a
Shoreline Length `�
y
SAV: not sure yes no
I
Moratorium: n/a yes no
i
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: '
( Note Local Planning jurisdiction) t
Notes/ Special Conditions v
Agent or Applicant Printed Name 7
Signature Please read compliance statement on back of permit **
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
Application Fee(s) Check # Issuing Date
i
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-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.nccoastaimanagement.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

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner ApplyingforPermit: _ &ole � j� -
Mailing address: / J 3 L ~'74 Sd( _
/VL ZP
Telephone Number:
I certify that I have authorized _ <7-;rv*-fe .e (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
Lam' Y� eGCt n �mQ� r
at my property located at q/ 3 FC se
This certification is valid through L 2 - 1 Y (date).
(Property Owner Information)
Signature
Print or Type Name
r-
Title, co. owner or trustee for property
Date
Z5 OV i cJ �O ✓ r
Telephone Number
Email Address

ADJACENT RIPARIAN PROPERTY QYMM STATEMENT
I hereby cerbTy, that I gown property adjacent to 01
Property located at _ r 13 Frp— + (Name of Property owner)
(Address, Lpt, Btoa oad et ---
(Waterbody) ICitYn Own andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objectiloin to this proposal.
I hays objections to this proposal.
DESCRIPTION AND)OR DRAVMMG OF PROPOSED DEVELOPMENT
{individual "ng davw/ 191In description below or attach a site Wig)
8 r& —PC-a_'keef
i t-P , P r t _ KOO ine
� x l 2 Riw-p
le@p [A-c /
& X5-
(B4�N9
WAIVER SECTION
I understand that pier, dock, mooting pilings, boat ramp, brsa, boathouse, lift, or groin
roust be set back a minimum distance of 16 from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate Wank below_)
1 do wish to waive the 15' setbook requirement.
t do not wish to waive the 1 V setback requnament.
(Property Ow Information) (Adjacent Property Owner Information)
S!�" tatwe Sr� nature" ! r
CQro�e SA4 rpfkd (IoN4�G (+��A.rJIS
I3T ✓-t —4 neNam
3311- 6ALIf
C 'D GlylSlatelZip
TelophcneNumber/email address TckphorteNimtber/e 7address
'Valid for one calendar year after signature' (RaWsed Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o
/ 1 (Name of Property Owner)
property located at / 3 %_/�. / 1-1-
on -
on , e (Addresrsit Hloc)
oa , etc.
C
(Wat¢rbodY) (City/Town andl#County)
The applicant has described to me, as shown below, the deveiopment proposed at the above
local
I have no objerdion to this proposal.
I have objections to this proposal.
DESCRIPTION AND/Oft DRAWING OF PROPOSED DEVELOPMENT
(individual pr/oposing development must flit in description below or attach Ia Site drawing)
KiNe��I °/e r�X(Ft Reber Too S
'Je /Z G�Ikot n'2� r l
� /a AA-P
m Cr T
( AIVER SECTION
I 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 aocess unless waived by
me. (If you wish to waive the setback, you must initial die appropriate blank below.)
l do wish to waive the I5'sathack requi(ement.
y I do not wish to waive the 15' setback requirement
( rty Otwner Informatlpn) , (Adt pi
4CLU
or
i l 4 IJ C �.f oar 04
crTaiephone Nurriberl &mad address lep one mbar / email address
Uu;r---
-Valid for one calendar year after signature' (Revised Aug. 2014)

A

Styron, Heather M.
From: Hair, Sarah E CIV CESAW CESAD (US) <[e-mail]>
Sent: Friday, April 20, 2018 12:33 PM
To: Styron, Heather M.
Subject: [External] FW: Google Earth Image (UNCLASSIFIED)
CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
FYI ... see below
Have a great weekend!
Liz
-----Original Message -----
From: Arnette, Justin R CIV USARMY CESAW (US)
Sent: Friday, April 20, 2018 12:28 PM
To: Hair, Sarah E CIV CESAW CESAD (US) <[e-mail]>
Subject: RE: Google Earth Image (UNCLASSIFIED)
CLASSIFICATION: UNCLASSIFIED
We would not have any objection with this. Thanks.
justin
-----Original Message -----
From: Hair, Sarah E CIV CESAW CESAD (US)
Sent: Tuesday, April 10, 2018 10:36 AM
To: Arnette, Justin R CIV USARMY CESAW (US) <[e-mail]>
Subject: FW: Google Earth Image
Justin,
913 Front Street, along Taylor's Creek, in Beaufort.
We have no historical permit action here that I can find, and no current permit application.
Please see Heather's request below.
Thanks,
Liz
-----Original Message -----
From: Styron, Heather M. [mailto:[e-mail]]
Sent: Tuesday, April 10, 2018 8:27 AM
To: Hair, Sarah E CIV CESAW CESAD (US) <[e-mail]>

Subject: [Non-DoD Source] Google Earth Image
Hey Liz,
Can you please forward this to the navigation section. The applicant is asking to replace the existing 6' x 50' floating dock
with a new one in the same footprint. A portion of this (app. 20') encroaches over the setback line so I need to see if
navigation will be ok with this.
Thanks,
Heather
CLASSIFICATION: UNCLASSIFIED