73207

J CAMA / DREDGE & FILL No. 73207
-,. A B C, . D
GENERAL PERMIT Previous permit#
New Modification ❑Complete 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
[-]Rules attached.
L j J"�' Project Location: County
Applicant Name 1 —
Address
City .. Stag ZIP L44
.
Phone # ( )_%' E-Mail
Authorized Agent
Affected CW
F_- 0E4
AEC(s):
PWS:
ORW: yes / no
W e*TA
❑ HHF ❑ IH
PNA yes / no,
Type of Project/ Activity
Pier (dock) length t.d ;I `V
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
ES ❑ PTS
❑ UBA ❑ N/A
�t 00 4 n c h
5 xl
Street Address/ State Road/ Lot #(s)
Subdivision
City '.. , ° , + ZIP /'..
'!'1
Phone # ( ) River Basin
Adj. Wtr. Body_ - i� / F° hat /man /un_U
Closest Maj. Wtr. Body i t
2AA jP/o^J • t --^
(Scale: ' 1� )
cubic yards
Boat ramp k ##
T::44-
Boathouse/toatlft ` F
I.
Beach Bulldozing
Ise
Other
- - - ....
I
!
- - -- - -'- -- -.._ - - -
I
Shoreline Length _.
SAV: not sure yes np -; _�_.
— - - -
Moratorium: n/a yes
Photos: yes ghnWaiver Attached: yes _
A building permit may be required by: (+ fl�J ` -' ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) �y /
Notes/ Special Conditions
{ d
Agent or Applicant Printed Name PermitOfficer�3 irfte ame ,
Sign re Please read compliance statement on back of permit" Sig ature.
Application Fee(s) Check # Issuing ate piration 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
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

ADJACENT RIPARIAN PROPERTY• OWN8R STATEMENT
hereby certify that t oiam. property adjacent.to
-rD �+eS.
pro ems�// located at a (,{ ' (Neliiii P,roperfiy. Ownet)
on 1��" (Address; Lot, Blocl�,Road etc.) _g
atet ddy _
aunty
.,: - .. .. _ :ti . : •,:fly .1
The applicant has described to Me,.a ..8hOwn below,'�the.d6wlopment proposed at the above.
location. .: '• . ..
&•.�..
i have no'gbjectio0 to.this:proposal:
have. objeefona to this proposal .
`.DESCRIPTION.ghfD%0� QRAWiGO". 1�ROPO$[�.DVELOPMENT. ;
(IndiYicdcial proposing deve%pmerit: must film descril3t(on blow Or aftach s sife drawfngj M
- ;.. ,
D a'c- k
WAIVER 8150TIQN .:
_ I. understand. that; a iar,. dick, [rioorm ijin s reakrtiater boathouse tiff or groin must beset :_ r
f. _ _.
back a r1�itlirrium distance of 15' fCom ray. ar'eaf Xiparian:aecess unless waived by me. (If you
wish to waive .the setbmack, :your must initial thr3, ap rQ riate blank below.)
_ F-
. _ • "'I do .wish .tg v�aive: the 1 �' setback •• e • uiremen • ' - - - - -''
do -riot wish to waive the 15' setback re uir m `nt
ci o . e
(Property bwn+ir Infordi�rtion :.
a (Adjacent Property Owner Information)
Sign
. re Sigriatiare
Pnnt•or a -Name
Xp . Prht:or Type Name t -
AMaiiij, Addr. ess IlMallin Adalress
CrtylED
te%�3p
_5� RECEIVED
Telephone N mu ber Telephone Number j }
'f
�...
Date Date `.' P 0 7 2 Q 18 . i
(RevlsePS02M) D CITY ;

U.S.
Postal
Service''
CERTIFIE[I,MAILO
RECEIPT
nnmestic
Mail
Only
r-q
Ln
f—
tr)
C�
u'1
r—
CO
O
O
C3
C3
m
a
CIO
C3
f`-
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article se Addre d t :
5cXt4r' 7
0Uj- C,((21(e`j�p`,L C-4,
A. Signature
❑ Agent
X ❑ Addressee
B. Received b(Pdnted Name) C. Date of Delivery
- vy
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
ED
��C�IP ��r I RECEIV
�
3. II �'I�I'I I'll I'I I III I I �I II' I�II�II I I (� III I I I Service {
Adult
S0
❑ Adult Signature Restricted Delivery Registered Mail Restricted
9590 9402 3916 8060 9003 85 ❑ Certified Mail® Delive
❑ Certified Mail Restricted V _Mq W*r
❑ Collect on Delivery A� e� �" �Y� � Si T"
9 arfici-hh jmhor (Transfer from service label) 4 Collect on Delivery Restricted Delivery ❑Signature Confirmation
"ail 0 Signature Confirmation
7 018 1130 0000 7575 7 514 sil Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt a

005 to-k- 54 "%-- j .. --5'
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l
I,
104 .
5�
i
RECEIVFD
Z018
DCM-MHI CITY

ADJACENT RIPARIAN PROP..ERTY O1NNpR STATEMENT
hereby certify that I own. property adjacent.to
ro ert located at 0 iiame. of Property. Owner)
(Address, De -
Lot, B(ock, NO etc.)'
on.
p
in
(Waterbody) _ (Crty/Town.and/or.:County) ...
The applicant has des . Od to me,. as shown below, #he.development proposed atthe above. t
location.. =r ,;
r have no' objection to .this .proposal:
havo. objections to this proposal.
...
DESCRIPTION AND/OR L?RaWING OF.ROpOSEQ ®EVELOPMENT: ` fi
(lrtdiv a+ual propos�rtg:developm ni; must`f111 rn descr% fi'on below or'attach a sife drawing)
}
Dvc-k*
joc y.5
' - b � dam- 1 In.' c � � � ,e� A-y.•��r
i
WAIVER MOTION
_ r understand that, a pier, dock, mooring pilings; breakwater, boathouse; lift, or groin must be set
back a rnirtimum distance of t5' fram r)iy:area of,ripanan':access unless waived by me. (IfaCEIVED '
wish 'to waive the sethacK; you must:intitidIjhO appropriate blahk bolow.)
do wish to waive-tfi-e:15'.sOtback requirement. SEP 0 7 2018 t-
do riot wish.to waive the 15' setback requirement. DCM-MHD CITY.. .
(Property Dwner lnformatson .'
(Adjacodt Property 0 ner Information). j
}i
Sign ' re - Si
Print -or . ype Name Print :or Type IVa
tilaiifng Address Maliin 'Address _ y
Cit' , Sf to%i '
Telephone Nwber Telephone Nuiir
-
Date Date
(Revised 6/18/200 + .

Davenport, Ryan
From: Ryan Jones <[e-mail]>
Sent: Wednesday, September 5, 2018 10:25 AM
To: Davenport, Ryan
Subject: [External] 804 Emerald Dr permits
CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an
attachment to Report Spa m.<mailto:[e-mail]>
Good morning Mr. Davenport, hope you're doing well. Carl Heverly has my permission to pull pier/dock/boatlift permits
for me at our property located at 804 Emerald Dr., Emerald Isle. Let me know if you have any other questions.
Thank you,
Ryan Jones........ property owner
919-291-0538