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-•. ❑.CAMA / ❑ DREDGE & FILL 2 7048 A B ' C D
GENERAL PERMIT Previous permit #
ENew ❑Modification ❑Complete Reissue ❑Partial Reissue • «t Date previgusl, 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
Rues attac4Q.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City ! i_State' ZIP_
Phone # W&7-Mail
Authorized Agent ---
Affected ❑ CW W ,.PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑HHF /❑I'H❑UBA El N/A
❑ PWS:
ORW: Yes / no PNA yes / no
Subdivision
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Printed.
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 activitiies 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
From:TUCKER PSYCHIATRIC CLINIC 804 320 2050 05/16/2018 08:46 0198 P.002/002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Cln, e.,4^ /'1-g-e— s
(Name of Property Owner)
property located at / 3 k /34 9 u;r ca 13kle„ 4, � Aew t4
(Address, Lot, Block, Road, etc.)
on i3o�rat ti?�.QfAdtk in N.C.
(Waterbody) (City/To n 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)
YJror,(S�
U+nilta�
/lot ems^ ►1cs 600-4- ), 44-
4uAvw
IODJQ�r�
Q/ldo-,5
SQ� boc�l On Qn�
O�P.
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.
U� I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Pd Q,) h- ja t/
MatlO Address
/f �ns�on NG-
city! ttacityl t
(Zf�20�-7,Z33
Telephone Number/ email address
Date
"Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature*
v tr r t-
W i t'( f-
Print or Type Name
Mailing Address
City/statelzip
Telephone Number/email address,
Date*
rC0 fL ve
(Revised Aug. 2014)
i
Brad Mercer
From: Carolyn Culbertson <carolyn.culbertson@wcsga.net>
Sent Wednesday, May 16, 2018 3:49 PM
To: Brad Mercer
Subject: Re: 134 Bayview Blvd - Atlantic Beach
Brad,
I have no issue with the dredging to be done at Cameron McRae's boat lift at 138 Bayview Blvd. on Atlantic
Beach.
Carolyn Culbertson
864-650-5911
On Wed, May 16, 2018 at 3:30 PM Brad Mercer <brad.niercer becaiun.com> wrote:
Ms. Culbertson,
I am reaching out to you on behalf of my boss Cameron McRae. He owns property at 136 & 138 Bayview
Blvd in Atlantic Beach. We are trying to do some dredging under a boat lift at 138 Bayview and CAMA
requires adjacent property owners to agree that they have no issue with the work. If you would please give me
a call at either of the phone numbers below I would really appreciate it. We are in a bit of a time crunch as the
dredging vendor is in the area for only a short time.
I look forward to speaking with you.
Brad Mercer
McRae & Associates
Office: (252) 208-2233
Fax: (252) 208-2878
Mobile: (252) 341-6276
brad aabecaun.com
1
Confidentiality Notice:
The information contained in this e-mail transmittal is privileged and confidential intended for the addressee only. If you are neither the intended recipient nor the
employee or agent responsible for delivering this e-mail to the intended recipient, any disclosure of this information in any way or taking of any action in reliance
on this information is strictly prohibited. If you have received this e-mail in error, please notify the person transmitting the information immediately.
Carolyn Culbertson, Speech Therapist
Cohutta Elementary School
706-694-8812
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 0001'er'q'i
Mailing Address: P013ox 70V
%P', A) C- Z sd
Phone Number: i ZsZ 2 0 Ir - ;Z
Email Address: e— 0. LAO 4C ei j
I certify that I have authorized — 1&oXj Le d g + 074 - - C 6--"3 JI-e- C A
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 f 3 t 1K, u; t -j 61ad. tre- h IV
in County.
/ furthermore certify that I 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
A,
Print or Type Name
4 w'l 1�'
Title
/Y / 761�-
Date
This certification is valid through 7 1 i / 7o / g--,