Castillo, Danny

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-1CAMA / J DREDGE & FILL
GENE_ RAL PERMIT
= iNew Modification _ Complete Reissue Partial Reissue
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 NCAC_
Project Location: County
Applicant Name � ' `/ ' ' � Pro j ry
Address t �. !'( ' �'�'. Street Address/ State Road/ Lot #(s)
e/0
State ZIP
C >
City \ ' �
Phone # ( ) _
E-Mail .___ `'
Subdivision
r-
Authorized Agent
City
❑ EW
❑ PTA OES ❑ PTS
Phone #
Affected
AEC(s): OEA ❑ HHF
❑ IH ❑ UBA _- N/A
Adj. Wtr. Body___
❑ PWS:
Closest Maj. Wtr. Body—
ORW: yes / no PNA
yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel s
i'
cubic yards__
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing r
Other
Shoreline Length
1�
SAV: not sure
yes
no
Moratorium: n/a
yes
a
/no
Photos:
yes
i no
Waiver Attached:
yes
no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Minted Na e
Signat ,e Please re d compliance statement on back of permit
117
Application Feels) Check #
?40 71345 A
Previous permit #
Date previous permit issued
attached.
ZIP
River Basin
B C D
_ lnat /man /unkn)
_? vc- i
(Scale:
See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature ,1
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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 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)
http://portal.ncdenr.org/web/cm/dcm-home
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

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address: J I LJ'.
0 �'; evA �A )3 5 71
Telephone Number:
i certify that I have authorized
(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 5V%V C^ CJ
at my property located at S C•W'\e-
This certification is valid through (date).
(Property Owne Information)
s
x r
Signature
Print or Type Name
Title; co. owner or trustee for property
Date
3C)k 641_ 6 1 3'
Telephone Number
Email Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
's
1h�eof
� \
that I own property adjacent to (NopertyOwner)
t hereby certify \ J (A'
3!2 ('
property located at (Address, tot, Block, F d+ e c �� N.C.
�,.��� Cr e e in (CitylTown andlar County)
on (Waterbody)
e, as shown below, the development proposed at the above
The applicant has described to m
location.
I have no objection to this proposal.
_ I have objections to this proposal.
D11 ESCRIPTION AND1OR DRA�VING� dePROP
R pton �� ow oEatOta h a site draNT '�ing)
(individual proposing development must fill
WAIVER SECTION lift, or groin
ilin s boat ramp, breakwater, boathouse,
I understand that a pier, dock, mooring p g , f 15' from my area of riparian access unless waived by
must be set back a minimum distance °ou must initial the appropriate blank below.)
me. (If you wish to waive the setback, y
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number/ email address
Date
'Valid for one calendar year after signature#
(Adjacent
Information)
(00
Print or Type Name .� LJ C JvJ. kVA- ( J
Mailing Address ��` LJ 51
City/State2ip 0`�tu
Telep umber/email address �3
Date
(Revised Aug. 2014)

:t
€i-SP-W:
INTERNATIONAL USPS PACKAGE TRACKING
Enter USPS Tracking Number:
Track 1
Tracking Information 70110470000219867760
Your item was delivered to an individual at the address at 2:32 pm on June 25, 2018
in GOLDEN, CO 80401.
Tracking Records
Date and Time Location Status
Jun 06/25/2018 00:00 am In Transit to Next Facility
Jun 06/24/2018 05:28 am DENVER CO DISTRIBUTION Departed USPS Regional Facility
CENTER
Jun 06/23/2018 12:20 pm DENVER CO DISTRIBUTION Arrived at USPS Regional Destination
CENTER Facility
Jun 06/23/2018 00:00 am In Transit to Next Facility
Jun 06/22/2018 00:00 am In Transit to Next Facility
Jun 06/21/2018 01 03 am CHARLOTTE NC _
)rigin Facility
i .
Signet e
■ Complete items 1, 2, and 3. A. ❑ Agent
■ Print your name and address on the reverse X Addressee
so that we can return the card to you. g Received by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece, i
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
�r�e 11 If YES, enter delivery address below. [3 No
ee nr Ottawa® o°
�l`5 -0\ 7 �� V1, v� ' Q / Toronto
3. Service Type ❑ Priority Mail Express® 0Phia
II I'lll'I I'II I'I I IIII II III II I'I II�IIIIII I I III ❑ Adult Signature ❑ Registered Mail R
❑ Adult Signature Restricted Delivery ❑ Re
isten:d Mail Restricted
❑ Certified Mail® ❑ Deel ve Receipt for
9590 9402 3099 7124 9890 23 ❑ certrfied Mail Restricted Delivery Merchandise
❑ Collect on Delivery ❑ Signature ConfirrnationTM
❑ Collect on Delivery Restrioted Delivery ❑ sign ature Confirmation
2. Article Number (transfer from service label) Restricted Delivery
7011 0470 0002 1986 7760 ;tdctedDelivery
Domestic Return Receipt
PS Form 3811, July 2015 PSN 7530-02-000-SU53
Houston t.3 7 1e, • Map data W018 Google, INEGI