Bell, Edward

L
., ❑EAMA / -DREDGE & FILL
GENERAL PERMIT
No 71326 A B6CD
Previous permit #
7ew 'Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality J I// /; Cs
and the Coastal Resources Commission in an areaofenvironmental concern pursuant to I SA NCAC Erules attached.
Applicant Name C °.r, /r *' " Project Location: County r"r "`f
Address Street Address/ State Road/ Lot (s)
Cityr State,/C /" ZIP
Phone # ')�f�f E-Mail Subdivision f
Authorized Agent (--✓' ' City t,_�,��j ZIP
Q Cw ❑.EW ❑ PTA ❑ ES ❑ PTS
Phone # ( )
% River Basin £ t
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
. at Oman /unkn)
AEC(s):
m
❑ PWS:
Closest Maj. Wtr. Body
ORW:
Yes /''no PNA yes, / no
.r
Agent or Applicant Printed Name
Sign ure ** Please read compliance statement on back of permit
_71
Application Fee(s) Check #
i
r
l e-
PermitOffif s Panted Name
Signature,
Issuing Date Ex iration 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/ I-888-4RCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to,�' �.✓�•LI is
(Name of Property Owner)
property located at�.,l.0
(Address, Lot, Block, Road, etc.)
on N.C.
(Waterbody) ( ty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_02S_ 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
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be i set—
back a minimum distance of 15' from my area of riparian access unless waived byRa ap
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
,IUN 0 4 2a1a
--- I do not wish to waive the 15' setback requirement. CM_MHp CITY
(Property Owner Information) (Adjacent Property Owner Informmati
_l adl
,nn re
Print or Type Name Print or Type ?me //]]
Mailing Address n Mailina Address
City/State/Zip � � . � f b � iv Crty„2 t' Z Ip
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Telephone Number�V Telephone m r
90— tar
Date Date
SY 4 6 � _ (Revised fih &2012)

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VERNON WAYNEJOHNSON 0
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ENGINEERING —SURVEYING h h 4
6900 HICKORY DR.
1O O /O /?O RALEIGH,NC 27603
919-772-9640
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BOUNDARYSURVEY
FOR
MARKET PLACE PROPERTY SRVS LLC
STRAITS TOWNSHIP
PIN A 732704946205000
COUNTY: CARTERET STATE: NORTH CAROLINA
DATE: 3/5/2018 SCALE: I"=60'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to / M- 's
_ (Name of Property Owner)
property located at 5 -2
(Address, Lot, Block, Road, etc.
c �' N.C.
one (Waterbody) 'n City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc ry.�
l✓ ' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 y
wish to waive the setback, you must initial the appropriate blank below.) C�c/V FO
1 do wish to waive the 15' setback requirement. ✓OAV 0
I do not wish to waive the 15' setback require nt. �C4l►,/ ¢�018
(Property Owner Information)
j
Si ature
Print or ype Name
--3U i u� �
Mailing Addre"..�L� oZ CD%
City/state2ip
Telephone Number
Date
Owner Information)
Print or Type Name
I � z,
Mailing Address
/VQ,(, Ad�
Teleph Number
Date
���P Revised 6,11812012)
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ROCNI)ARY SLIRVr-.Y
FOR
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STRAMTOVIWSILW
ENGINUEJUNG—SURVEYING PO4 N 732M"62am
bmtf"CRYM c, jL?4TY; CARTM-T FFATE: MXMI CAROUKI
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6-ct ` Z
7—
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Z2-49&-tt C- --07 6ofj2
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Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 3-�OA P411-1 fJ - /0 jaAA jo _ t,5�
at my property located at ,
. County.
I 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 0 rmation:
Signature
Print or Type Name
Title T
PECEIVED
D^
3 018
D(;itt(!-IVIHD CITY
This certification is valid through

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to oq_.G& 's
(Name of Property Owner)
property located at , L` & &P
(Address, Lot, lock, Road, etc
on �,ti • —,in C.
(Waterbody) (Citotown 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 flll in description below or attach a site drawing)
4j500
+ �5,
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61
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wish to waive the setback, you must inivai the appropriate blank below.)
Mg 3 2018
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(Property Owner information)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to a 13.t.0 's
(Name of Property Owner)
property located at
(Address, Lot, lock, Road, etc.)
on Y" .- , in N.
(Waterbody) ((Yty/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)
CYI.- 'Z*x
w xj�
WAIV CTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by rREMWID
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. MAY 2 3 2018
I do not wish to waive the 15' setback requirement. DCM-MHD CITY
(Property Owner Information)
)�Ifp axe
Signature
.CA
Print or Type Name
5369 iVoobs6g7.c
Mailing Address
City/ ate/Zip
68
Telephon6 Nfmber
Date
(Adjacent Property Owner Information)
Sign ,e
,`4r,- l I. lc, .-I
Prinnp Type Name
M ng Add%mss //
C�c (?UL! v (
c,ty7Y.12 Y
Telephone Number
S , J-2- / 9
Date
(Revised 611812012)

v I'R\'OIN'W YN A E JOHN SON
rNGINEWUNG—SURVEYING
6900 HICKORY DR
Iza RM 1 1 '" :
'419 772-MAI;
BOUNDARY SURVEY
FOR
NI ARKET PLACE PROPERTY SRVS LLC
hA f ���,gyo STRAMSTOWNSHIP
PIN # 732704"620M
c(RNTY: CARTERET STATE: NORTH CAROLIN A
DA I F 3/5,2019 S('Ai V: i " 60'

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