70652_Uncovered Boat lift in slips A1 A3 & B6_20180202

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GENERAL- PERMIT Previous permit # N) A
New n1Modification OComplete Reissue El Partial Reissue Date previous 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 15A NCAC b1 N • Z v Dy' .
Rules attached. ,
Applicant Name Lt T�4 l M /� r r_ �C . t�0 A �) L Project Location: Countygt,a� aI�T Lc> .
Address -tk I L - Cfl Street Address/ State Road/' Lot #(s) bf L.
CitylI";i oo--4I State4:N t ZIP 2--) q ! 9-, T TZ A GT "+ d f- y, J /+
Phone # (:as Soa--u�C4E Mail -
Authorized Agent 4E 0 Q a -r-t 1
Affected ❑ CW ;KEW 7PTA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF 'b IH ElUBA ❑ N/A
❑ PWS:
ORW: yes 6-Do PNA yes C no
Subdivision � AC-, L£ T TZ A-G C
City `}x.o%j4.7- 4, L ac ZIP
Phone # ( ) River Basin )6,trPAt. �L, 4p
Adj. Wtr. Body "Pp^'� �� l _t —Z' v t:-A— (na /m�k'n
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Type of Project/ Activity I-' STALL A 1-6 U e-eUF- -J 10 St: 1
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A building permit may be required by: rj- c-2) P'See note on back, regarding River Basin rules. -
( Note Local Planning Jurisdiction)
Notes/ Special Conditions L O'r 15 M Pei rl"1 P,-1141- 0 L1Z-k-) Q )
Agent or Applicant ntedae
ignature Please read compliance statement on back of permit
d>
Application Fee(s) Check#
Permit-- is Printed Name
Signature .
2- '.F•a�s-�,9,u /ttbvt '?�1 � \ � it �- 2� t � . '` -
IssuingDate ExpiratiodDate` JJ

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Applicant: A �� L E '1"'fZ t-,A• ST jrk 40A - o-A e- , Permitt ? a Co S
Date: 3
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Describe balo`' the HABITAT disturbances fog the appCcadan-. Ail'value-s should match the name, and units of measurement
fourtd in your Habitat code sheet.
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temp impacts)
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: Eagle Trace Master Home Owners Association, Inc.
Address of Property: Eagle View Lane, Blounts Creek, Beaufort County, NC Eagletrace Marina, Boat Slip # Al. A3, B6,
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Kenneth Brabble Mailing Address: 276 Eagle View Lane, #12
Agent's phone #: [phone] Blounts Creek, NC 27814
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me as show_ n on the attached drawing the development they are proposing. A description
or drawing, with dimensions, must be provided with this'letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Contact information for DCM offices is available at
http://www.nccoastalmanagementnet/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
XX I do not wish to waive the 15' setback requirement.
Kenneth Brabble
Print or Type Name
276 Eagle View Lane, #12
Mailing Address
Blounts Creek, NC 27814
City/State2ip
252-904-45841 [e-mail]
Telephone Number/Email Address
01/12/2018
Date
(Riparian Property Owner Information)
Signature
Sameh Ghobrial
DCM
Print orType Name
4469 Wispering Oaks Drive
JAN 2 6 RECD
Mailing Address
A KU
North Port, Fla 34287
City/State/Zp
518-986-1515
Telephone Number / Email Address
Date

DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
Installation of a 4 post Boat Lift in Boat Slip A1,A3,B6. This slip is 15 foot by 30 foot. The lift requires 4 post to
be installed approximately 12 foot on center. The post will be located within the assigned boat slip.
Q P AM LI CO RIVER
m eo�u Js e
Slips A1,A3,136
y Ja "J s
4
U
(Riparian Property Owner Information)
Sameh Ghobrial
4469 Wispering Oaks Dr.
North Port, Fla. 34287
N 6191'12"' W
� 36,2A
M @$ Ws-v W
-'- 1467.48
NG�!'TiU 149N171MC.
-00?^ 6E 1487'
Mcm
L
JAN 2 6 RED

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: Eagle Trace Master Home Owners Association, Inc.
Address of Property: Eagle View Lane, Blounts Creek, Beaufort County, NC Eagletrace Marina, Boat Slip # Al. A3, B6,
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Kenneth Brabble Mailing Address: 276 Eagle View Lane, #12
Agent's phone #: [phone] Blounts Creek, NC 27814
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 provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Contact information for DCM offices is available at
http.11www.nccoastalmanaaementnet/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is
considered the same as no objection if you have been notrted by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
XX I do not wish to waive the 15' setback requirement.
Signature
Kenneth Brabble
Print or Type Name
276 Eagle View Lane, #12
Mailing Address
Blounts Creek, NC 27814
City/State2ip
252-904-4584 / [e-mail]
Telephone Number / Email Address
01/12/2018
Date
(Riparian Property Owner Information)
NC Eagle Trace 2006 LLC / Lot #15, Eagletrace
Signature
Print or Type Name
C/O CAPOSSELA COHEN LLC
ATTN MIRIAM COSTA
368 CENTER ST
Mailing Address
Southport Ct, 06890
VI%C
City/State/Zip
866-598-2546
JA N 2 6 RECY
Telephone Number/Email Address
AR0
Date

DESCRIPTION AND/OR DRAWING OF F PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
Installation of a 4 post Boat Lift in Boat Slip A1,A3,B6. This slip is 15 foot by 30 foot. The lift requires 4 post to
be installed approximately 12 foot on center. The post will be located within the assigned boat slip.
PAM�LIC?O RIw/ER
Wirt -)
'Slips A1,A3,66
a, s s�oa
b'__
x
El
r-;x2.r
N 82VW541 W
j— 1 %7.4
CONTROL MQZ�
'iOr^ Rt 1"7'
(Riparian Property Owner Information)
Shelving Rock
NC EAGLE TRACE 2006 LLC
ATTN: MIRIAM COSTA
368 CENTER ST
SOUTHPORT, CT 06890-1462
X
�J
JAN 2 6 REC'J

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United States
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• Sender: Please print your name, address, and ZIP+4® in this box*
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