White Oak Bluff HOA

P,
u CAMA / DREDGE & FILL q B '` C D
r. 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 c?ncern pursuant to I SA NCAC
QA.ules attached.
Applicant Name IJ ? _- Project Location: County
Address J i x y Strree Ad ress/jSt to f o d/�Lfot #(s
Ci State ZIPJ
Phone # >; E- ail Subdivision
Authorized AgentCity—
Affected 21CW D Ew .11 A ❑ ES ❑ PT5 Phone # ( ) River Basin
AEC(s): ❑ OEA - HHF ❑ IH ❑ UBA ❑ N/A Ad j Wtr. Body
t '� ► na /man /unkn
El � ,� t
ORW: yes / no PNA yes
Closest Maj. Wtr. Body
Agent or Applicant Printed Name
r
si n'tyAm ** Please read compliance statement on back of permit
df,`
Application Fee(s) Check #
PermitOffi Printed Name - ^'

11
_,
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 complywith 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/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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/
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
I hereby certify that I own property adjacent to White Oak Bluffs HOA 's
(Name of Property Owner)
property located at White Oak Bluffs Boat Ramp
(Address, Lot, Block, Road, etc.)
on White Oak River , in Carteret County N.C.
(Waterbody) (City/Town and/or County)
The applipant has described to me, as shown below, the development proposed at the above
loca
I have no objection to this proposal.
1 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)
Replace old wood dock with a new concrete hog slat dock in the same footprint.
WAIVER 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 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 15' setback requirement.
(PropertyZQer Information)
ig r�
j�A-W S&PPE
Print or Type Name
& RIV 79
Mai-S-,4 Mass
Cd yCdy/State/Zip
9���30IY y7 SA1�,e� P�/c76ry1�/L
Tele ho e Nu�ber/email address
Dare
'Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Signal ure
Mona Ray
Print or Type NaT e
/yy �Utic�r ,,all.R/,fr to
Math Ajddress
t 2 q . �✓c ASS Z
ads%d�3
Telepone N tuber/email address
2.120 ) 20 19
Date*
(Revised Aug. 2014)
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I hereby certify that I own property adjacent to White Oak Bluffs HOA 5
(Name of Property Owner)
property located at White Oak p
(Address, Lot, Block, Road, etc.)
on White Oak River , in Carteret County , N.C.
(Waterbody) (City/Town and/or County#
The applicant has described to me, as shown below, the development proposed at the above
locio n,/ // I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(/ndtvidual proposing development must fill in description below or attach a site drawing)
Replace old wood dock with a new concrete hog slat dock in the same footprint.
WAIVER 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 access unless waived by
me. (it you wish to waive the setback, you must initial the appropriate blank below.)
3/90B %G t do wish to waive the 15' setback requirement.
t do not wish to waive the 16 setback requirement.
(Propertx Owner Information)
Sign ure-
I-R v/
Pent or Typ Name
PD PoX deg
Mao,o fj�d�saA& ZOM2
c�tr�starer2;p
9/D 3�D �13�17 Sq/�r�,pUd�iL/ic .
Telephone d�umber/email address (rphj
2/u /2G / f
Dare
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Sigvrarrrn •
Thomas White
PP t orAype Name
�1y9144 White Oak Bluff Rd.
A18ilvng Addross
Cirylvarclzo
/r • r. k�i le G - ��f6- SCC-7118C
�Telepl*wA'u 'per/email address
Z/lq !8
a •
(Revised Aug. 2014)
,s-nnned by CnrnCrnnnPr

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: White Oak Bluffs HOA
Mailing Address: & 8
S e lla 7 Y6 2S 5r9 Z
Phone Number: ylU
Email Address: �`✓ og (, 1J�/L
I certify that I have authorized Harber Contracting 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: replace old pier with new
at my property located at White Oak Bluffs ,
in Carteret County.
l furthermore certify that I am authc)ri-(?d to grant. and do in fact grant permission to
Division of Coastal Management stab the Locr�i Permit Officer and their agents to enter
on the aforementioned lands in conne,;bon t�ntlt evaguatiiriy information related to this
permit application.
Property Owner Information:
A
(Signature
/�7 -
fil/i
Pnnt jor Type Na ne
Title
Date
f1
This certification is valid through r'tl l
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x

White Oak Bluffs HOA
Pier
Handrail
5-0"
0
i+>
400 girder
tb
126'
Harter Contracting Inc
Drawing: WOB Pier
Note: % thru bolts
P.O. Box 4562
For :White Oak Bluffs
used at 4x10 girders.
Emerald Isle NC
HOA
28594
5/8 thru bolts used at
252342-9987
hogslats and 6x6s