Davis, Leslie

No. 73248 v
CAMA / ❑ DREDGE & FILL A B C D
GENERAL PERMIT Previous permit#
�INew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality d
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
J Rules attached.
Applicant Name C
Address _—
City __ State
Phone # ()
E-Mail
Authorized Agent
❑ CW
EW 11 PTA
Affected
OEA
- HHP - IH
AEC(s):
PWS:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/, Riprap length
avg distance offshoreFTI
max distance offshore _I
Basin, channel -- -
cubic yards —
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
ZIP_—,-_
Project Location. ounty
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP_
_ -_- —
ES ElPTS Phone # ( r River Basin
❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Shoreline Length
SAV: not sure yes no
i
Moratorium: n/a yes no Ij
Photos: yes �A�0
Waiver Attached: yes AYo
A building permit may be required by:
( Note Local Planning Jurisdiction) ,
Notes/ Special Conditions j
t
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
#I f
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
i
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, certifythat 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 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 - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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

moron, Heather M.
From: Lexia Weaver <[e-mail]>
Sent: Friday, September 07, 2018 1:38 PM
To: Styron, Heather M.
Subject: [External] GP request - 166 Sunny Point Lane
Attachments: Project Location Map and Work Plat Drawings-Davis.pptx; Adjacent Owner Forms.pdf;
Authorized Agent Form.pdf
Good morning Heather. I hope you are well and had a great week. I would like to request a
General Permit for an oyster shell bag marsh toe revetment at 166 Sunny Point Lane in
Newport. Attached are the drawings, adjacent riparian signature forms and authorized agent
form. Let me know what day and time is good for you. Thanks so much!!!
-Lexia
Lexia M. Weaver, Ph.D.
Coastal Scientist and Central Regional Manager
252-393-8185(o)
252-646-2408 (c)
3609 Highway 24 (Ocean)
Newport, NC 28570
Visit of(-j to join or learn more.
Get the latest coastal news with Coastal Review Online.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Les I I-C to • Z�-A V a' 5 4 J (. .S
(Name of Property Owner)
property !ocated at SV r,ny Ptt rn4 LAII+E'�
(Address, Lot, Block, Road etc.)
on RtJe. SoU rl ci in Nt t,v`, r a- eyetcn. N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
. 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)
WAIVER SECTION
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 Hparian 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 reouirement.
(Property Owner Information
.Signature
ll t tC.ttiG
S 3
Print or Type Warne
I(D k S u nn.t 2ctht
Lan e
ms Marling Addf s�—
cityls tattemp
D5a_ 522 •- 3SI tQ
1 dew i PC ri.
relephorm N'umbor t en1faif
S�f
address
rhrre
'Valid for one calendar year aftw sv%ature`
(AdjacProperty Owner Information)
sr•gna '
67AA y /- 1 L_1. Y
Print or Type Name
MuMing Ad&ass
ac. A8S?
citylstal&ZO
Telephone Numberl email address
/4/ /f
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that i own property adjacent to Lesll-c- t 5 J r .
�ynny
s
(Name of Property, wner
�p I n}
jr-
Property located at _ �� f
on O�ylt- SoV Address, Lot, Block, Road etc.)
�a - in j��crt� t'� N.C_
' (Waterbody) (City[Town and/or County)
The applicant has described to me, as shown below, the developmen* proposed at the above
location.
I have no obiection to this proposal.
I have objections to this proposal.
�+w�.nlr l KJN ANU(QR DRAWING OF PROPOSED DEVELOPMENT
(Individual
proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
l understand that a pier, dock, moor=ng pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minlmuM distance of 15, fram my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below,)
t� I do wish to waive the 15' setback regWreMent.
I do not wish to waive the 15' setback requirement.
(Pro Uwner inform(a iota) Ia nrty Owaefj nnation)
:
S`fgrtarute ``'�� .._ Si ar�rre+�--5 `•�
Late w \Gs 3c- 1 c
Print or Type Name Print or Type Nam
,(D(o SlDbC:AJ �;ll1t {p�_e
Matting Address I
y\ Mailing Addre� -
Gi, YStat p f l -��s� ' ' if!�sZiC-- 57- - SC%eC dr. _. . ¢ 51f
Te?eoixre tiumbereadaresq CQfI-Teis %0
N borlem addres3
sa
Date )at;;
*Valid for we caleraaar year after signature' (Revised Aug_ 2014?

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _Le5u- , Lo . TnV� 5 , J ('
Mailing Address: IL06 SV rww j?b t )+ Lcx-R e.
Phone Number: ��Z• �Z�-�,�5Co
Email Address: S 1( 03 Cd fry
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: 0 Uc,--[P,r W (}
at my property located at VtD(N 5 nu 1 n � LCI
in County.
1 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 Information:
Signature
Print or Type Name
Title
Date
This certification is valid through 9 1__ S— _I -� t