Lazowski, Ed

❑CAMA / ❑ DREDGE & FILL 2 70467 A B C D
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous per 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 El Rules attached.
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Applicant Name
Address
City State ZIP
Phone # O
E-Mail
Authorized Agent
❑ GW
❑ EW ❑ PTA
Affected
ElOEA
❑ HHF ElIH
AEC(s):
❑ PWS:
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❑ ES ❑ PTS
❑ UBA ❑ N/A
Project Location: County L
Street Address/ State Road/ Lot #(s) [`x:
Subdivision
City ZIP
Phone # () River Basin ✓/ ! -'
Adj. Wtr. Body (nati /man /unkn)
Closest Maj. Wtr. Body
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No
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of Z
mit **
69 ;7
Application Fee(s) Check j#
PermitOfficer's Printed Name
s"
Signature,
Issuing Date 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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(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:[phone]
(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: [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 7/06/ 17

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I herphy certify #uV I own WOWY 3*"M to
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The applicant has described 10 Me. as Shown beinw, the devek4xnent proposed at the above
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j/ I have no ob)ecbon to Ns proposal.
I have objections to this P(OPOSM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
or atisch a sift dhww&W
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WAIVER SECTION
I understand that a pow, dock. ffmong ~, boat ramp, Weakwat". boathouse, lift, or grow
must be get bade a rmnirmsm distance of 15' from my area of riparian acrA-. --R unless waived by
me (If you vAsh to vahm the wdxKk, you nwM kO" the appropriaM blank beiDw-)
I do wish 10 waive ft 15! Sawa* mwwwnw*
(Pn)peh-,,- Ckww Worawdion) Ykg*KMd Property Owner k0ormaWn)
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Phrit or Type Nomw
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(W. cased Aug. 2014)

From: Edward Lazowskl harrisneck321 @gmail.com
Subject: Re: Boat Lift Project
Date: May 17, 2018 at 8:O3 PM
To: Brandi Robertson [e-mail]
Hi Brandi,
I affirm that you may act as my authorized agent to obtain the CAMA permit for the boat lift project.
Thanks,
Ed
On Thu, May 17, 2018 at 4:27 PM, Brandi Robertson <[e-mail]> wrote:
Dear Mr. Lazowski,
I have received the replies from the Notification Letters that I sent out to your neighbors and am ready to set an appointment with the CAMA
Rep to do a site visit for the boat lift. Please respond to this email affirming that I have permission to act as your Authorized Agent and may
obtain the permit on your behalf.
We are working on a project across the River and will be installing your lift when we get back on this side. We appreciate your patience.
Thank you.
Brandi Prescott Robertson
B Prescott Marine Construction, LLC
252-249-0149
brandiprobe rtson@gmail com