Steen, Walter

170
❑C,AMA / ❑ DREDGE & FILL No 70936 A B C D
GENERAL PERMIT Previous permit #
CtNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date pr vi s 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 15A NCACJ i
[�] Rules attached.
Applicant Name Project Location: County
Address
City State ZIP
Phone # O
; E-Mail
Authorized Agent
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❑ EW ❑ PTA
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❑ OEA
AEC(s):
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❑ PWS:
ORW: ves / no
PNA yes / no
pJES ❑ PTS
❑ UBA ❑ N/A
Street Address/ State Road/ Lot #(s)
Subdivision ----
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Agent or Applicant Printed Name
Signature Please read,compliance statement on back of permit
Application Fee(s) Check #
PermitOfflcer'sPrinted Name
i r
Signature ] ��
i i,rr
Issuini Date
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 (252-946-648I) 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 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
401 S. Griffin St.
Ste. 300
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �JALTE/e S%EEiJ
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
II &Soulib 1)�Zl✓r-'
qI q-661,5F-17
57;,Fr�j,,)3 eGrn4IL co ►
�,� 7Er2 .13t3�L1-E
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 114 S 044 rJJ 1� %Zi ✓ fE TLr9 r�T� Q ��4�
in County.
I furthermore certify that / 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
Print or Type Name
�
Title
/l 2�� l/ C
Date JAN j 2 2018
CCIW_ MHO CITY
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1) 41-7V 12 5'r,5;5o"" s
(Name of Property Owner)
property located at d � 6 S Du�� ,� r21 V E
(Address, Lot, Block, Road, etc.)
9 c l4 , N.C.
on in /9-
(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.
-
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u t. c(a''�fifi ai9 a k a s a o
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R,£eif1e- EK'sii77--5' f
K 6 k' If4
JAN 12 2018
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boatho orAD CITY
must be set back a minimum distance of 15' from my area of riparian access u iJ
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 Property Owner Information)
l� V
Si natr��
i�
Signature
Print or Type Name
Print or Type Name l�
Mailing Address
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City/St to ip
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Telephone Number/email address
e e hone Number/email address
7
Datd*�
Date / `-2 —t
(Revised Aug. 2014)
"Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at I � �, S�tt.r�� �21' ✓F
(Address, Lot, Block, Road, etc.)
on ,. in 4-77,1 i` -rl C Rg�-c-/-1 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
J Uo9iR E)crs-f'i/-'C 7s r
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. E b
I do not wish to waive the 15' setback requirement. JAN 12 2918
(Property Owner In r ation) (Adjacent Property Owner Ir'�i ''or>a, H ® CITY
Signature Si atu
I Jt¢ Li!L S T,'F_ri
Print or Type Name Print or Typq Name
Mailing Address M il►n Address
Cit�ItatelZip City/State/Zip
Telephone Number/email address Telephony Nu ber/email address
/'-/ice e2 ,� �/ec1!7
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

r
� � M
William T. Turlington, IV, M.D.
200 Townsend Drive
Clayton, NC 27527
919-795-8428
February 16, 2018
1 have received a request from Walt and Natalie Steen to make improvements on the
sea wall and dock on their property adjacent to ours at 118 Sound Drive in Atlantic
Beach. I consent to their request to waive the 15 foot setback requirement.
Sincerely,
William T. Turl ngton, IV, M.D.
118 Sound Drive
Atlantic Beach, NC 28514
C
FEB 19 2018
DCM- MHD CITY

LA GE & FILL LN270936
A B CC
GENERALPERMIT Previous permit #
LNew
OComplete Reissue El Partial Reissue Date prriUs permit issued
As authorH zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
R les attache4.
4
Applicant Name i r Project Location: County
Address , 1 Street Address/ State Road/ Lot #
k A, i- (s)
—L tateV CityP
� T6
Phone # Mail Subdivision
Authorized Agent Ile /1 1 �f ACityZIP -n
[:1 CW 'dEW -SkTA ❑0 PTS' Phone # V Basin
S
Affected
0 OEA EJ HHF El IH 0 BA EIN/A
AEC(s): El PW$; Adj. Wtr. Bod (nat If an unLn)
A
Closest Maj. Wtr. Body
ORW: yes / no PNA yes If no
Type of Project/ Activity
Pier I
Fixec
Float
Finge
Groh
Bulki
Basir
Boat
Boat
Beat
Otho
Shor
SAV
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Wai
(Scale: I )
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avg distance offshore
max distance offshore
channel
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ramp
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not sure yes 0
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Y
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s:
yes
N
A building permit maybe required by: \-x I
Note Local Planning jurisdiction)
-Y �1, U7 Notes/ Special Conditions1/ f e, 3
❑ See note on back regarding River Basin rules.
Sig
Issuing ate Exp'iraiion Date