Hardin, John

P
,MA / DREDGE & FILL N� 71341 A Br •, D
r`' �E'N E_ RAL PERMIT Previous permit # �.�✓
New Modification []Complete Reissue Partial Reissue Date previous permit issued}
As authorized by the State of North Carolina, Department of Environmental Quality `�
and the Coastal Resources Commissions in an area of environmental concern pursuant to 15A NCAC ,Rules attached.
Applicant Name- .,�
�+ ,,' pel t° �� Project Location: County ( c e f
Address +' , , v
Street Address/ State Road/ Lot #(s)
W
City r ^ ,, 3,_: r State ZIP:
Phone # ( _) E-Ma(I
Authorized Agent 1�..
CW EW PTA ❑ ES ❑ PTS
Affected OEA HHF IH ❑ UBA N/A
AEC(s):
PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock
Fixed Platf
Floating PI
Finger pies
Groin len€
num
Bulkhead/
avg c
max
Basin, cha
cubi
Boat raml
Boathous
Beach Bu
Other_
Shoreline
SAV:
Moratori
Photos:
Waiver P
Abuildingpc[ ii—i1gar—,­i­ .-. 1.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Si tpre "Please read compliance statement on back of permit
Appfication Fee(s) Check #
Subdivision
City p e, .' ZIP
Phone # () River Basin
Adj. Wtr. Body
f nat .man /unkn)
Closest Maj. Wtr. Body
.",I! ot. � I-V
iit0 icer P inted Name
Y
W
(Scale:.' I j)
0
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:
'7 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

l
AGENT AUTHORIZATION FOR CANIA PERMIT APPLICATION
Name of Property Owner Requesting Permit: `�(,� ]
Mailing Address:
Phone Number: (n`
Email Address: 1Mt
i certify that I have authorized __ ,�\i +ice F= •t _ Rai <T ! , \ �` - �-
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
in -.Alt �County.
1 furthermore certify that 1 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 connectionwith evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through 1 1
i

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner
Address of Properly:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be 2npV t ii b this letter.
,
;I have no objections to this proposal. I have objections to this proposal.
If have
l
you objections to what is be/rrg proposer!, you must notify the Division of Coastal Management
A (DCM) in writing within 10 days of recaW of tiNs notice. Conind Information for DCM offices is
ZVhma�+k�%-L,
available at hit :/ coes lnran ementnetl�veb/cm! orbycalift9-888-4RCOAST.
-�No
--Wonse is considered the same as no objection if you ha►re notltled byCertitied Mali.
trWAIVER
SECTIONI
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
' tm dista f 15' fro
a in unce o III my area of mm nparion access unless waived -by me. (if you wish to waive the setback, you nuM initial the appropriate blank below.)
e I do wish to waive the 15' setback requirement.
z
I do not wish to waive the 15' setback requirement.
C
(Property Owner Information)
Signature
Print or Type Name
Marling Address
(Riparian Property Owner Information)
Signature
s S AGA l''fQ.T �Ql�jr f
Print of. Type Name
Mailing Address
City/State2ip City/State/Zip
Telephone NUmcarl Email ddress Telephone 1-Yurnberl Email Address
iz_
Dote Da:e
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property � 3 I i �'1 i) li P � I (� t✓ n,r .�1 yA }y/.I>1S �� 2 ^J_ � �J
;Lot or Street #, Streat or Rcad, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced ro p party. The individual
,r applying for this permit has described to me as shown on the attached drawing the development
they proposing. AAdescdpoon or' dtawino with dimensions.,riiu; t be nrr,W r.
have no objeections to this proposal. ' I have objections to this proposal.
""' • ' < tf uhave
Yo objections to what is being proposeat you must notify the DIO on of Coastaj Management
i is in wrtling wlth/n 10 days of receipt of th/s notice, Contact /nformatton for DCM offices is
t avellable of amas 17womentfle07a orby calving 1-M8.4RCOAST.
No + Manse is considered the same as no objection jfyou have been notified by Cerdt%d Mail
l WAIVER SECTION
1 I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
i be set back a minimum distance of 15' from my area of riparian access unless waived by me. (1f
you wish afve the setback, you Mt t MMW 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)
Signature
r ' 1n n N(Syt' fl
Pant or Type Name
Marling Address
(RI an n ation)
Signature
Print or. Type
Name
It
Mailing Address
Sl.r„[�(�11Sh('�G-r C_ � 5� q
CftylStatelZip C41stetwop —'
S 2-50�AHa�
Telephone NumberlEmel; Address y Ct D p. Syr77elephona lUumhsrlErrrail Address h
JU- ) 12 4;)x 2r —Zej 1
vU�
rte/e
(Revised Aug. 2014;

Dock Live Load of 62.5 lbs/sgft
Low Profile Dock Live Load 30 lbs/sgft
N.
NOTICE'.! Read EY Dock Limited Warranty carefully. Among other things, EZ Dock does not Nremdnt damages,
failures or defect,r caused by unauthorized modification of EZ. Dock Product, and/or unauthorized attachment to/of
EZ Dock Product.
MADE IN
USA
i`< t
General Notes:
I. This drawing does non rencct anchoring. Once srfaciom i,f—wim A
cnnttplacd Proposal RegocN Form comet ring water and bottom cocditiotu
is rccttived, anchoring may be dcoolod.
2. Vote: It is the dock ownetropersoh responsibility to sacertam and c—ply
with all applicable Federal, State, and local laws, ordinances and
rephniom, as well u all inapoctio . ix mining and licensing requiremen.
patsinmg to the inrlallation, application and use of CZ Dock pond.,. on
the owrureop=wes premiss. F7. Dock. Inc. aasurn s no duty car
responsibility with resltcct b the k.Wity or complimey or the
owner.nperomra chosen i.staaation, application or use of F./ rock
producu.
3. Ref— EZ D-1, O— Manual for additional dMilc

5/22/2018
Go ge Maps 334 Shoreside Dr
334 Shoreside Dr - Google Maps
Imagery 02018 Google, Map data C2018 Google 100 ft
https://www.google.comimaps/place/334+Shoreside+Dr,+Swansboro,+NC+28584/@34.716B893,-77.1002313,367a,35y,180h/data=!3m111e3!4m5!3m4ll sOx89aBe4a723d4c33d:Ox8ob8b3dfc9d6366c!8m2!3d34.717

J-ohn +AaWin
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334 Shor-es-de Dr.
swa rG boro, NC 28 ST4
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