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AMA / ❑ DREDGE & FILL Na 71355 A B CC D
GENEAL PERMIT Previous permit#
PNew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
tsued
As authorized by the State of North Carolina, Department of Environmental Quality —71 / ? ( 6
and the Coastal Resources Commissiori-in an area of environmental concern pursuant to 15A NCAC jl
/ Iules attached.
d- Project Location: County !, ' r' ' r r' "!
Applicant Name
Address A t ( , V '
City CC, r ' ^ State ZIP 13
Phone #) i E-Mail
Authorized Agent � C t .> 'r
Affected ❑ CW ❑EW q or< ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ElIH ❑ USA ElN/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
l
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathous Boatli
Beach Bulldozing
Other
Shoreline Length j
SAV: not sure yes no
Moratorium: n/a yes n
Photos: yes 'na'
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Street Address/ State R ad/ Lot #(s)-
Subdivision
City t r°`c;- _ ZIP_ ---
Phone # O River Basin
Adj. Wtr. Body. nat man unkn)
1 , .1 11 r ,
Closest Maj. Wtr. Body— -
l3 K
(Scale: ,,V- ( )
(-I" ❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name 7 rermtt-myei
Signp't Please read compliance statement on back of permit Signat re
pplication Fee(s) Check # 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
landovvner(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: 252-247-3330
(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
252-261-3901
Fax: 252-264-3723
(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: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington 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)
Revised 7/06/ 17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Amber Smith
Mailing Address: 107 Dolphin Bay Estates
Phone Number:
Email Address:
Cedar Point, NC 28584
919-901-8636
ilovesweetpickle gmail.com
I certify that I have authorized Harber Contracting, Inc.
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Boat Lift
at my property located at 107 Dolphin Bay Estates - Cedar Point, NC
in Carteret
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 Owner Information:
gnature
Amber Smith
Print or Type Name
Homeowner
Title
Date
This certification is valid through 12 / 31 / 18
HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/AfOO ING PILII1iGSBOATLIFTBOAT'HOOUSE)
I hereby certify that I own property adjacent to t_ _r - :t7_�- J --'S
(Name of Property Owner)
properly located at —.Ad 97
(Lot, ]clock, Road, eic.)
on _!-t) aa�tiC �_: �' r.., in N.C.
(Waterbody) _ (Town and/or County) ll
3/9 Mailing Address: d'a
Applicant's phone #: �' vj� g
He has described to tne, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal, t understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I Y) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
belofv.)
I do not wish to waive
I
J do wish to waive that setback requirement.
-------------------------------------------------
DESCRIPTION ANiNOR DRAWING OF PROP(
(To be filled�rin by�indiivvidual-prropocing
(Information for Property Owner Applying
for Permit)
h4ailing Address /
City/State/-Lip
DEVELOPMENT:
—1 q ],
(Riparian,Property Owner Information)
Signature
4JPrint or "I-ype blame
S Telep n er r'' Telephone Number
Date
iatur
Date
NAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER fOORIIVG PILINGSIBOA�I.LIFTIBOATHOUSE)
I hereby certify that I own property adjacent to L _ �Is
(Name of Property Owner)
propery Located at A;_ -lkl�'-
(Lot, Block, Roa , etc.)
on _ in Gj.__�_ �rt�, N.C.
�J1
(Waterbody) (Town and/or County)
Applicant's phone 017-9C-%- gep3e- Mailing Address=_��� -� E:c-
--C�l A
He has described to me, as shown below, the development he is proposing at that location, and, l
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a mini]tium distance of fifteen feet (I T) from my area of riparian access unless.
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
,.J. C� 'l do not wish to waive
I do wish to waive that setback requirement.
- --- •------------------ ----------------------
DESCRIPTION AND/OR DRAWING OF PIZOPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
.O
4W
---------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/417 ..it Ci �Jr?c1 _.. �i
Mailing Addres ►gnature
r v
City/State/Zip Print or Type Name
VTelepne er
r Date
Telephonc Number
Date
Clay
Call
Boat
Lift
12'-6"
24'-0"
O O
Proposed
Existing Boat
Boat lift
Ramp `_�'
0
io
Existing Boat Lift Pergola top
Existing survey
stake
23'-0"
10'-0"
46-6
"
16'-0"
97'-6"
Herber Contracting Inc
Drawing:
P.O. Box 4562
107 Dolphin Bay
Emerald Isle NC
Estates.
28594
For :Clay Call
252-342-9987