Baggs, James 73104C

CAMA / DREDGE &FILL'x. _? 1 )--
GENERAL PERMIT Previous permit # A B
—New Modification -.Complete Reissue 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 I SA NCAC
_ 'Rules attached.
Applicant Name - _ - _ Project Location: County__
Address Street Address/ State Road/ Lot #(s)
City State_ ZIP
Phone # ( _) _ _ _ E-Mail __ Subdivision
Authorized Agent City ZIP
CW EW PTA ES PTS Phone # ( ) _ _ River Basin
Affected C oEA HHIF IH UBA N/A
AEC(s): Adj. Wtr. Body _ _ Cat /man /unkn)
.__ PWS:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no
I Type of Project/ Activity
Pier (dock) le
Fixed Platforn
Floating Platfc
Finger pier(s)
Groin length
number
Bulkhead/ Rip
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be requires _
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
C D
(Scale: )
Permit Officer's Printed Name
Signature's �t
' kF
d
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 Headqu rters 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 -
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)
(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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CCCAMA / ❑ DREDGE & FILL r V"" Q, 73105
�� ` � A B C D
CI-IriGENERAL PERMIT Previous permit #
C►' previous permit issued
14
mewew ❑Modification El Complete Reissue El Partial Reissue �O\� Date p v ous per t
As authorized by the State of North Carolina, Department of Environmental Quality f�fj
and the Coastal Resources ommis ' n in an area of environmental oncern pursuant to I SA NCAC e
rr les attached.
A licant Name �J Project Location: County //VUI V
PP
Address
City
c
State. G ZIP
#
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Phone
, )
/` ,6
-Mail
1 W ovi
Authorized
Agent
�rA El ES ElPTS
Affected
Affecte
A
ElOEA
❑ HHF
❑ IH ElUBA ❑ N/A
❑ PWS:
ORW:
yes / no
PNA
yes /
Street Address/ State Road/ Lot # S)
Subdivision
CityV VN ZIP
Phone # ( )A River/Basin
Adj. Wtr. Body U U d n ' man unkn
Closest Maj. Wtr. Body Z' CLJ ' L.
MENEM
MEN
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Signature � Please read compliance statement on back of permit"
Application Fee(s) Check #

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent t� -i t �ttC�uylw IV �is5—e �i 's
(Name of Property Owner
property located at C mje'►— '
C �l (Address, Lot, Block, Road, e�tc )
on k ) , in nIoj'l N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
1 have no objection to this proposal. --
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual propoWnd development must fill in descdpdon below or attach a S& dr*WkW)
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) (Adjacent Property Owner I ion)
4 ,�gnatur lure
Print or Type Name ✓ PHI or Type Name
10 G o, f" mil,%/ y -f/6 E, s-Z;
ailing Addre s / , �— Mailing Address
. CCi9/S,t0atelZipC► p--�2& -4.s���r
Telephone u ber4email address Telephone Number/email address
_ 1�2 " /6-9 —lA
Date Date*
(Revised Aug. 2014)
-Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to *an44a:hne.- A6Lskfy�
property located at (3 S Q er a ame ��Pro rty Owner)
(Address, Lot, lock, RMT�
etc)
on hi t 0 ak?� �e r , in Q jao , N.C.
(Waterbody) (CitCounty)
The applica t has described to me, as shown below, the development proposed at the above
locatio
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 attach a site drawing)
d f iw l rj
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 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)
M4.z
Aignature
�-,4,, RZoIr
Print or T Pe Name
Mailing Address
rV w v - V-,, 757�
City/Sl te/Zip11 ,, 6/`
Telephong NuNu ber / email address/ email addlress
CJ
Date
`Valid for one calendar year after signature'
Own
rg ire
Print or Type Name
TGng Addre s N C d $
J�s9uio
City/StatelZip
9/0 7 �
Date*
/ email
(Revised Aug. 2014)

Cannon, Amanda J
From: Mark Massengill <[e-mail]>
Sent: Tuesday, October 09, 2018 9:36 AM
To: Cannon, Amanda J
Subject: Re: [External] 413 s water st, swansboro NC property of Blake Massengill
Attachments: image002.png
Its a repair but lost all the decking and some pilings are pulled up.
hoping to put some of it back as a floating system but keep the same foot print.
Mark Massengill
Raleigh, N.C. 27612
Mobile [phone]
On Tue, Oct 9, 2018 at 9:32 AM Cannon, Amanda J <[e-mail]> wrote:
Is this a new build or something existing that needs to be repaired due to hurricane?
Thanks!
Administrative Assistant
Division of Coastal Management
Department of Environmental Quality
252.808.2808 Ext. 200
252.247.3330 Fax
Amanda. Cannon @ncdenr.gov
RECEIVED
OCT 092018
DCM-MHD CITY
1

400 Commerce Ave
Morehead City, NC 28557
0
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Mark Massengill <[e-mail]>
Sent: Tuesday, October 09, 2018 9:26 AM
To: Cannon, Amanda J <[e-mail]>
Subject: [External] 413 s water st, swansboro NC property of Blake Massengill
Amanda,
attached is
Agency doc.
Drawing
Survey
Mark Massengill
Raleigh, N.C. 27612
Mobile [phone]

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: `��3 5 Al
Mailing Address: /04- U4n 121 1 i Ova <.4
v q p t , , '--c /1- C Z% SZ.(,
TT
Phone Number: 7<9 a2 V 1
Email Address:I« ss.zri%tr a t"f�L1 �L+
I certify that I have authorized Ail /71A-esen
Agent J Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: yf 3
at my property located at `�
in ac County.
l 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 Informatio
Signature
Print or Type NamW
`V Title
9 / /6
Date
c
This certification is valid through /U I / '/l'
RECEIVED
0 c, 0 9 7.018
DCM-MHD CITY

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Hurricane Florence Repair Request Form
Name of Property Owner: S Date: IO 15
Address of Property: ��� �� �\ � C)
Mailing Address (If different than above):
Telephone Number: G �q —
av
Repairs due to hurricane Florence will be made in the existing footprint of the previous i edEs s ructure.
OCT 15 2018
Signature:
***Please note that if the structure is within the 15' setback of the riparian line and/or any dredging you must
have the adjacent riparian property owner notification/waiver form signed.

Y a.
GoMaps
October 16, 2018 1:500
0 0.004 0.008 0.016 mi
3 0.005 0.01 0.02 km
2018

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