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70929 .-
ICAMIA / ❑ DREDGE & FILL
A B iC D
GENERAL PERMIT
Previous p#
❑New [-]Modification []Complete Reissue ❑Partial Reissue
Environmental Quality
Date previous permit issued
7
As authorized by the State of North Carolina, Department of
of environmental concern pursuant to I SA NCAC
and the Coastal Resources Commission in an area
es attached.
Applicant Name
i o ""'t r e, Project Location:
County
'` r Street Address/ State Road/ Lot #(s)
Address
!
+`
City
c State ZIP
Subdivision
Phone #)`"�%� E-M it ##
^
ZIP
Authorized Agent i %! CityA.
,...- _
ElCW ❑ EW b PTA ❑ ES ElPTS Phone # ( )
'ver Basin
�
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
AEC(s):
s' �'�` r, .. ar` nat man unkn
❑ PWS: tFt
Closest Maj. Wtr. Body
t
ORW: yes / no PNA yes I no
7 . ' i
Type of Project/ Activity
Pier (dock) length 1 1-10
Fixed Platform(s)
d
Floating Platform(s)
Finger pier(s) i ! ° ' T i
Groin length
number
Bulkhead/ Riprap length
avg distance offshore f
max distance offshore:_
Basin, channel 9
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length dAny "l
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planningjurisdicti6p)
Notes/ Special Conditions JJ r
Agent or Applicant Printed Name
J J
Signature ** Please read compliance statement on back of permit*
❑ See note on back regarding River Basin rules.
_ Y "
Permit Officer's Printed
Signature
Application Fee(s) Check # Issuing Date
� (z
r,
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: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
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
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ``' --i +
Mailing Address:
Number:
'At -)'A ) `I�� :)
Em it Address:
I rtify that I have authorized Agent / Contractor
toact on my behalf, for the purpose of applying for and obtaining all CAMA permits
ne essary for the following proposed development:
27
at my property located at � � is � `=� -, :_,-,., « ) � K � .� �= �: �,-7 E; •� v� � ;.� .�� � L
in L4ft}'-`i County.
I rfhermore certify that I am authorized to grant, and do in fact grant permission to
D ision of Coastal Management staff, the Local Permit Officer and their agents to enter
o the aforementioned lands in connection with evaluating information related to this
p rmit application.
Owner InformOgn:
Print or ;r
Title
Date
Name
certification is valid through I /
1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1y ►rn C (a q A- 's'
(Name of Propeft Owner)
property located at L" �' c�J 3 v ►" O 2t U C'
(Address, Lot, Block, Road, etc.)
on J �U�- -l7 ,in E-n � rv3 tJ =S I c N.C.
(Waterbody) (City/Town andlor 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)
TZ-
Id 1)a(-k
rN
h
S!a m C
r^o-D+P!,
it I
RECEIVED
FEB 0 2 2018
DCM- MHD CITY
WAIVER SECTION
1 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 16 setback requirement.
VI do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
;:,� L,
Signature Si ature
—T rn -i` 1 1 U
Print or Type Name Print or T— vpe Naniii e
i 11-) :� m,i. 7 6 /e:—, _�"r� S
Maduirif Address M ' ' g Add/�ss
City/ City/Stat
Telephone Number/email address Telep one lyumberlema4l address J
i -z -7 _- I 'J ll.,?6 Z/
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature`
,From: Dean Barnes -nudbucketnc@gmwI com N
Subject: Fwd: Scams 2 document
nt AM HP ePrint user
Date: JanuarymaiLcom
To: marylloney@ g
My address is Dean Barnes 507 Hedrick Blvd. Morehead City N.C.28557
Dean Barnes Inc.
Mud Bucket Dredging
Dean Barnes Builders Inc.
507 Hedrick Blvd. 28557
Morehead City NG
252-241-1504
dbM ketnc@omail.com
-------- Forwarded message ---------
From-. <eprintcenter@ho com>
Date: Mon, Jan 22, 2018 at 7A7 AM
Subject: Scanned document from HP ePrint user
To:
m.
This email and attachment are sent on behalf of mudbucket t @ ct mM IL*co tnc@GMAIt_.com directly or you may consult your email
If you do not want to receive this email in future, you may
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Regards,
HP Team
eti� �P�►iUA ER STAITEWU.
i hereby certify that i own prope►tY odjar eni to}
/ _ (I"M
}G 4i Ca ra a N of ownwD T) P-S Nart
property ioc-90 6 At Lot,Bk}ck. Road. ctc.)
on} E) in (City?own artdlor Co
to M. as sh'Mn jaeiow, the dwmlopment prnQo3-�
The applicant has described
lacatton. i ito this prryx3s�+i.
-,avd no ofJj��
I have objections W this Prtrposal.
- DE9CRIPIWr4 ANDIOR DRAWWG OF PROPOSED DE'✓
(pndAddual sing develoPfrrent mast f # in doscdOon b8to,
wAlyir� sic..
rr,ocring pilings, boat ran.,
i understand tnat a pier, deck, eras
rnust d* be sct baa mWrn+rrn distance of 15' from my
� 4
me. tit you wsh to waive the 3oeU)ex*(, you trust indtal d'so apprWri3te blank Wow.)
I do wish to waive the IF setback requllrejrnmt.
WI do not wish to waive the 15' setback mquirement.
(Omperty Owner Informail6m) (Adjacont Propetty Ownw h0mmefitm)
SIONfiffre Pe* L
oT
R, r, IrDir:znI4,T7I"0 1 if (60, ,
ddress 4%tA
e I,:;, I I _=L 294o
Telephone Wwrdmi / ema awam
sma#7 address
Dme
'VaW tar one nakwKisr year aft- signature'
(Revised thug. ?014)
WAD C"TY
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[I CAMA / 1:1 DREDGE & FILL
A B 'C D
GENERAL PERMIT
Previous permit #
�Aew ElModification ElComplete Reissue ElPartial Reissue Date previous permit issued
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 I SA NCAC
L3RUT6s attached.
County
Applicant Nam
Project Location: -
Address
Street Address/ State Road/ Lot -, #(s)
�
City_,�
e -f Statq_�AC ZIP
Phone # �-`'M ai I
Subdivision
f
Authorized Agent Ai i_ iv l
City ZIP
ty
E3 CW nIw El ES 0 PTS
Phone # J?1ver Basin
Affected ..'0WA
0 OEA El HHF 0 IN [I UBA 0 N/A
AEC(s):
Adj. Wtr. BodyA _115aT man /unkn)
El PWS:
Closest Maj. Wtr. Body
ORW: yes no PNA yes no
;K
Type of Project/ Activity
4F
Pier(4ockJ1ength
Fixed.1latform(s)____JJL ;Klf" ME
Floatilh
Fingel
Groin
Bulkh!
Basin
Boat
Boat
Beac
Oth
Sho ...
SAVk
(Scalle:'Zv
I,umber
0
Platform(s)
g
IN■
No
IMM■■■■i■■
length
0■0
-ad/ Riprap, length
a distance offshore f
vg
max distance offshore I
channel
ubic yards
-amp■L=
louse/ Boatlift
..............tl...■!i■■■■■..■■C■■■.
i Bulldozing
r
NEWS,
I
INE11
H
Ml
ME
line Length
not sure yes no
man
00
NOMEN
MEN"
Mo torium- na yes no, 'EM
s: Pholl yes no _005 1111111 Z
A building permit may be required by:
Note Local Planning JurisdictiW
Notes/ Special Conditions -
WIN KE, U, 11909
orVoD1k=-F'PrkiGd �a=rne �� ,f ". ' ' — Permit
❑ See note on back regarding River Basin rules.
tz'
lease read compliance statement on backof permit" Signature.-'
Expiration Date
Check # Issuing bate I