Ashley, David

C7'CA",AA / ❑ DREDGE & FILL
!dt"VERAL PERMIT
Al ew ❑Modification Complete Reissue Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commissiont in an area yof environmental concern pursuant to I SA NCAC
¢ i
No 71643 A B ii C t D
Previous permit #
Date previous
1permit
�issued
F7 Rules attached
rProject
Location: County
Applicant Name_�j�
1-7
State Road/ Lot #(s)it
Street Address/
Address
e r
` I '
S/ ZIP
t ' ` —
City, �
tate+t`
_
Phone # (� ') 601 I E-M i�
Subdivision -
Authorized Agent
j
t" •' {
r tj`'`/ f
City "i ZIP -
❑ CW
_nt* 0 PTA
©.ES ❑ PTS
{f
Phone # (_ _) River Basin
Affected ❑ OEA
❑ HHF ❑ IH
❑ uBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
AEC(s):
— PWS:
Closest Maj. Wtr. Body
i
DNA /
inn
Agent or Applicant Rrinted Name
Signapdre Please read comp ' me statement on back of permit
f ;
plication Fee(s) Check #
Permit Officer's Printed Name
Signature
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 h 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)
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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

ADJAOENT RIPARIAN PRaPERTY QWNSR STATEMENT 4
.� ,
rr'' AACCC� ,
i hereby certify that I o�rri. propeCty adjacent to
/ NowQf. Pt opliY. Owner) :=
property located at�CP , 1 l wt f72r��r f
(Address, -Lot, loch, oa
r C.
on : `7�G� , iriJ�
Cit /Town artdtor G.ountY)
. . (Waterbody)_ (, Y
,
Th0 applicant has described. to me,•as sflbwn below,'the.dedelopment peoposdd at the above.
location..
have no o4jection to .thi8 .proposal:
• - -•
hsvo. objecf'ions to this propesaf. ,. .
.j
DESCR(PTIOI� AND/0 DFIA Q OE 'ROP03 D DEVELOPMENT,
Indiyiclual ro oslri develo m nt:►tr�s f l.. "►n descril3tton below ar attach a s fe drawing]
i. p.�... 9. .P,_
: ; :..: • a
RECEIVED
y D.CITY
=. DCM-MH
. r
,
:. WAVER MOTION
-ter boathouse tiff, or roin must bo set
s l u..nderstahflhat,a pier} -dock, mQprip0.101lm s,,13reakw . _ , . ; , . 9
6'Qiparian:acoess unless waived by me. (If you
` ; -
back a (nirliCrium disc nce of f5' frdm ray area
ro riate blahl� below.
wish to waive.the ect.ack, :you mustzirntia[.the.app.: p ).
'I db wish••ta v aive.tf 61 'setback requirement.
dv not wish fo waive the 16' setback requirement.
Properky b�uner_Informaioh). (Adjacrit P operty wrier lnfarmatiott)
M
ti1AJta Ad1%s��
Date
e►epnone wumuer
Date
(Revised 6/18/2or2)

I,-

ADJACENT fllP'ARtAN PROPERTY QWNSR STATEMENT
properyaacen.to S�i hereby certifyt4at I�oW' _ ''s
(.tne 4f Propety.. er)
property located at 4 ytl�'e�t I
(Address tot Blo l Road ' etc.)
on -� a c �r�t =`iri 2✓r. (c _ ; , N.C.
t .
(Wdterbody) _ _ (CttyRown.anof r.County)
The applicant has tlescCibetl to me,. as SMewn below, `the.developmerit proposed at the :above.
location.
' [have no objection to.this proposal
i
_ I havo.objeei'ion� to thiso
p. rosa(..:.':
P
`
DESCRIPTIONANdJ01 QRaVI(IINaOF_OROpOS9Q.DVELOPMENT:
(Iridi�iidua( proposing:dovelopmnf; �rusWt fi11 in descri'00on below oar attach a life drawing)
;
•., F.} `t
CITY
DCM-MHD
:.
WAIVER S60TION
_: l uriderstarid.ttiat;a ler -dock, rrroorip pilings, hrsakwa er, boathouse; lift, or groin must be set
t
{
back.:a Minimumdis price o�`f5' ffam rr.. area of-Xiparian:access unless waived by me. (if you .
wish to waive.thes tack, you mustsliirtial th0 apPropnate blank below.)
' I do wish. to Waive. tti-e �15' .Soto 0 requirement
I do -not wish to waive the 15' setback requirement.
' 3
(Property Owner Information}. ` : : (Adjaci'�it. P'rQperty Owner Infiofmation)
. •- �
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;tire
Pri or T' a Name Pr!►it:or TypeName
Mani Aal�re // /' - M. a l ii " /Addres/s,,
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Te a Numberelephvne Number
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Date Date
(Revised 6118120f2)

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Davenport, Ryan
From: Carl Heverly <[e-mail]>
Sent: Monday, July 30, 2018 7:46 PM
To: Davenport, Ryan
Subject: [External] 1206 Timber Trail
140'x5'w/16'x16'
Sent from Yahoo Mail on Android
On Fri, Jul 27, 2018 at 1:27 PM, David Ashley, Ph.D.
<[e-mail]> wrote:
Dear Carl,
Please accept this email as authorization for all permits related to our dock build at 1206 Timber trail Emerald Isle
David Ashley