Whitaker, David

CAPAA 1 DREDGE & FILL
A B �C D
31ENERAL PERMIT
Previous permit #
'—New `!Modification ElComplete Reissue
—Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal ResourcT Commission in an area of environmental concern pursuant to I SA NCAC
=&d.
/ 11
71 Rules
Applicant Name
Project Location: County__
Address f
Street Address/ State Road/ Lot #(s)_
City State zip
)u
Phone# 6— E-Mail
Subdivision A
Authorized Agent 77 °1
City, fa i ZIP
Affected ❑ICW[EW EPTA EPTS
Phone # iver Basin
E OEA Ll HHF El IH El UBA L-1 N/A
AEC(s):
Adj. Wtr. Body nat 4man Junkn)
_
PWS:
QL-'
Closest Maj. Wtr. Body
ORW: yes / no PNA ye / no
Type of Project/ Activity C)
MNMONE
E lax
No bi 11■■■■■NE
0 11M
N M 11781awlJON
RON N
M
cubic yards
Boat ramp —
Boathouse/ Boat
Beach
Other
Shoreline Length k 11
SAV: not sure yes (0,
Moratorium: n/a yes
Photos: s n
Waiver Attached: yes n.
JU
A building permit may be required by:
( Note Local Planning Jurisdictio
Notes/ Special Conditions riuli
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
J
Signature
Issuing Date Exo , irationbate

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 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/ 1-8884RCOAST 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)
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)
http://www.nccoastalmanagement.net/
Revised 08/27/14

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to li�f1 ✓ �l�.�w%E�
(Name of Pro erty Owner)
property located at L,o Z G �,( 3 "of IV,' row
(Address, Lot, Block, Road etc.)
on A4,'P ,,d 4� in Ce e- l�� ,'f , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
doca�p. 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)
3v l , y i' , � CAof x 14
I *- 3
i
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.
(Property Owner Information) (Adjacent PrAperty Owr Information)
tea" n !1
Signature J _
Print or Type Name /
/-ZU N t h r, vca2
Mailing Address
r► s�rlle. N. r,
City/state/Zip
3 3 f- 4 53 -- #-z `7L---,—>
Telephone Number/email address
3
Date
*\talid for one calendar year after signature*
Signat " *= �)
Print or Type Name
Mailing Addre _
Z'
W
o^o
U
.
ity�s
>
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N
0
/Zip
UJ
o
Telephone Number/email address
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*
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Date
cc
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(Revised Aug. 2014)

�3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (J 't`, k6 r 's
(Name of Property 0 ner)
property located at 3
(Address, Lot, Block, Road, etc.)
on �� f� ,, , in �� ��c r P'¢ , 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 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)
Signature
Print or Type Na e
Mailing Address f
City/ tate/Zip
Telephone Number/email address
3-rig-
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature*
l�vJ4
7T
Print or Type Name
N
�aili g Address p
City/State/Zip
Q52)?z3-3yL
U
Telephone Number / email address
2
Fare
(Revised Aug. 2014)

Davenport, Ryan
From: jasa ellis <[e-mail]>
Sent: Wednesday, April 4, 2018 11:39 AM
To: Davenport, Ryan
Subject: [External] Fwd: Request for Eric Ellis to apply for CAMA Permits
FEExternal email. Do not click lin or open attachments unless verified. Send suspicious email as an attachm
am.
Begin forwarded message:
From: "David Whitaker" <wdavideyre .aol.com>
Subject: Request for Eric Ellis to apply for CAMA Permits
Date: March 27, 2018 at 6:36:11 PM EDT
To: <jasa5 ,,ec.rr.com>
Cc: "'Richard Whitaker"' <IbdzekeCcDqmail.com>
Eric,
Please apply to CAMA for permits to build a retaining/seawall and dock for lots 2 & 3 in Doebler Minor
Subdivision.
My full name, address, and phone numbers are given below:
David Eyre Whitaker
120 North Cherry Street
Kernersville, NC 27284
Home Phone: [phone]
Cell Phone: [phone]