71519A_Jeff & Amber Hammer_20180612

NCAMA / ❑DREDGE &FILL N2 71519 B C D
GENERAL PERMIT Previous permit#
[New dification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by theta e of North Carolina, Department of Environmental Quality ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC � H. lluo
Rules attached.
Applicant Name 3t 4 k A ,, , o,r 14,.,-, ey t r Project Location: County C r c IC
Address VVI shoit. Dr
City t`'„., . A ,, c K State IVY ZIP a ::� q ci
Phone # (40)(6)k0 — 1040 E-Mail
Authorized Agent _ ti1/�,�,� $ d c f1
Affected ❑ CW SEW JQPTA ❑ ES ❑ PTS
AEC(s): [IOEA ElHHF ❑ IH ElUSA ❑ N/A
❑ PWS:
ORW: yes / (iVo) PNA yes /7
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) lea Xla
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
Street Address/ State Road/ Lot #(s) 13ci So,.,-c4 s AOt t Or
5i tt ►iti� . Zat a ;4
Subdivision &., i 1,, So.,..• cI
City C cK ZIP 214C,4
Phone # () River Basin ��� •, o }� k
Adj. Wtr. Body [,,, r - k. St,,. , cA 9%piman /unkn)
Closest Maj. Wtr. Body Cvr i k L k 5�-1� C1
M.
■■■■■■■■H
�■��' "�■■■�'
■■■
■■■■■■■■■■■■■
- 100=00111MMEN■I�■■��■■■■
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit 4
JAw W 9wq
Application Fee(s) Check #
a^
(Scale: 1 " = t 1 U'
❑ See note on back regarding River Basin rules.
C—:2 L C+ Z
Per mitOffic N
Si ure
61111.1019 /o�la /aof8
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sliest
i .
Applicant: )•%a ^''" `�� �c7-T 1� M }v/
Date:
Permit #: 'I- / S) 5,4
Describe belo'i the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
o w,
Dredge [IFill ❑ Both El Other
a��
aye
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2803 ;: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 14A
Mailing Address: 13 9
Cj12-L T-JC,k N C 2�SZ9
Phone Number: -7S' 7 ( 2 -3 - 10 Y J
Email Address: J �-�� i �P tM� L c vim•
I certify that I have authorized w `'
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: D (36l'—
at my property located at 13 1 S 0 vr-6 Sf' '�f aez' ',/t
in -c-41- 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 connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to TC Name of Prope y Owner)
property located at 13 S a.)
��
prop y (Address, Lot, Block, Road, etc)
on CJr� in ��22►TJ� N.C.
(Waterbody) (City/Town and/or County)
as shown below.. the development proposed at the above
The applicant has described to me,
locatio
I have no objection to this proposal.
_ I have objections to this proposal.
DESCR------------
IPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
{J
J�
WAI ER SECTION
I understand that a pier, dock. mooring pilings. boat ramp, 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 you wish to waive the setback, you must initial 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) (A 'acent Property Owner Information)
.Sl4�ilCtll(rE, .`<rlT[ilit�P�:
JI&M aS
Print or Type Name Print o pe ame
139 S.'Jeo 01-ou'✓I' / o +si �'�tor� �r -
Mailing Address Z�� Z g nrnding Act es N G 21 R 27
CJ�17"vcK �'L -
City/StatelZip Ci %St telZip
IS-7 6��-- !o yo- 1 - 1�72
Telephone Number/email address Telephonp, Nu fiber/email address
(Revised Aug. 2014)
*Valid for one calendar year after signature`

N PROPEKI Y vL'ff * ''-L`t,y f�/� ,►.,v��r?
I hereby certify that I own property adjacent to
property located at 134
on
(Waterbody)
me. as shown belowthe development proposed at the above
(Name of Property Owner)
N.C.
so ✓ri0 0-0/t Q2
(Address, Lot, Block, Road,, etc.)
��.rD , in _ e
The applicant has described to
location.
I have no objection to this proposal.
(City/Town and/or County)
_ 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)
6 0
b 0 r��
LQw.`L I�iiT
I Li WAIVER SECTION
I understand that a pier, dock. mooring pilings. boat ramp. 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 you wish to waive the setback. you must initial 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)
Si•�uttr'c
Print o-q —vNpN V
39 S
M, iJgiL2eTs� •�J L Z7 q 2 �
City%tatelZip
75,7 L 'Z
Telephone Number/email address
l)rte
rent Property owner inrormation)
t
Print or Type Name
Mailing Adcdre& j, if MC_ Z�cf Z9
City,'State/Zip
7-s'2 t3 Z 2S3 Z
Telephgel)[r be�/email address
'Valid for one calendar year after signature`
(Revised Aug. 2014)

1ZFK)
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT tf
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K__
l Applicant Name IfS t' Aen+b , Hc r, .0 Ir Phone Number
is Address ►3q
City 0„r.-,4v, K State NQ- Zip 13gA6
Project Location (County, State Road, Water Body, etc.) 134 50 ,n.,d l�ho uc , tt2 13ti� apt s '
iL !h' .�r Jig vrs-iu:, ', i. "uf/.{.,�1.� Crn., r+T<f ,Gt�,Lu ., t" �n •i til i,Llr ,�-L.+c i� fiu.^f�
Type and Dimensions of Project i41214u_ o 11 30,E+� , ,�„ � „ cU I V ,
f; } [ } 1 -4 1 w,In j p�
�i4 .7i (,.r lvrci (wv�diM.4-rth out l kt
TT_
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to 15 NCAC 7K . This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE: I'
as
. _
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has beenobtained from adjacent
landowners certifying that4hey---have.-'ie--objections—•ts-4he---
proposed work.
Applicant's signature —
�" t
Official's sign e
Issuing date
-P a-' .401 a -
Expiration date
Attachmtnt-+5-North Carolina Admieistrative-Coda2K_

Im
pk. tsar
M, =-7-

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: T
Mailing Address: "/V 0/2.,v('
rj c Z z
Phone Number: 7 IS-
Email Address:
I certify that I have authorized
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 P 3 q
in ��"�''`'� County.
f 0 ,�,j� SI �- t C /) /2,
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 connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
7 I I? l 1W
Date
This certification is valid through

n
ADJACENT RfITAWAIV PI OPERT Y Or1fAVER STATLcMfNT
1 hereby certify that I own property adjacent to ra (C 4
�nw„p n{ pragern Ownerl
property located at 139 S'`✓'SI�&6y l'
f (Address, Lot, Block, Road, a c.)
,-7-t �c l-� So ✓I") . i n C /t.."z I N C.
(Waterbody) (City/Town and/or County)
The a iglicant_ has described to me, as shown below, the development proposed at the above
*cation. ,
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 attar—h. a site drawing)
JC", ((A JIr0) J1"d 6,4 61,t i Z ,'. fi
WAIVER SECTION
I understand that a pier, dock. mooring pilings. boat ramp. breakwater, boathorise. lift, or groin
,tTws,t .bP se-1 back a minimum distance of 15' from my area of riparian aiccess unless waived by
me. (If you wish to waive the setback, you must initial the appropriate Uank below.)
J do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner fnformation f tAdyasmt Propg4y' owner lnfprmation)
Print or Type Name , Print or Type Narre
Mailin Adss Mailing Address I �� 2 7f27
City/state2ip C ity/Sta te/Zip
Teiephon Nur aber/email address
Telephone, NO ber/ email address
*Valid for one calendar year after signature*
(Revised Aug. 2014)

V
ADJACENT RIPARIAN PROPERTY OWNER STATEME VT
I hereby certify that I own property adjacent to n f� 4AI"1"C 11— s
(Name of Propertq Owner)
property located at 3 q S� N-VVI,
j,, '_ (Address, Lot, Block, Road, tc.)
on C•rr•�/l�,t+-C-L in C-►22►.�l� N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below. the development proposed at the above
location.
I/ I have nb objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must li'h irr, sS2s�v5p �✓.�, j3e(faac a' attach. a site drawing)
h
WAIVER SECTION
I understand that a pier, dock. mooring pilings, boat ramp, breakwater. boathouse. lift, or groin
m&k5,t bf, met .b-ack a minimum distance of 15' from my area of riparian Eiccess unless waived by
me. (If you wish to waive the setback. you must initial the appropriate Uank below.)
,I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner fnformation f ,4d t Pfopprty pwnpr Info mation)
.�ltii1c111.PC' �
Print or Type Name Print or Type Name /
►� q 5o ,-I 0-nz �►�t 13-7 .5
Mailing AddyQ 1 Mailing A�dcls
C ..�-r11 •Jc 2� 9Z9 L �L
City/State/Zip `ry/State/Zip�
7r7b2�,ay� �D� a
Telephor e Number/email address Telephon Nu berl'email ad ress
(Revised Aug. 2014)
*Valid for one calendar year after signature`

Renaldi, Ronald
From: alan evans <[e-mail]>
Sent: Tuesday, September 25, 2018 5:08 PM
To: Renaldi, Ronald
Subject: [External] Re: CAMA GP#71519A Hammer @ 139 Sound Shore Dr
hi ron would you change the width Oft thank you
On Tuesday, September 25, 2018 4:06 PM, "Renaldi, Ronald" <[e-mail]> wrote:
Alan,
See attached permit. The permit expires on 10/12/2018, but if the pilings are in place prior to that I will
not require a permit reissuance (additional fee involved) if the work is not completed by then. Also, if
Dr. Hammer would like to go to a 4' width, there is enough shading left to do that, just let me know
and I will make the change.
Ron Renaldi
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
[e-mail]
[phone] Ext. 237
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
_ `'-Nothing Compares _.-
01-
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
1