Middens Creek HOA

❑CAMA / DREDGE & FILL C �<<: r t-.� r-� No. 73940
GENERAL PERMIT A B C D
Previous permit #
nNew 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 15A NCAC 1
Applicant Name
Address ' 1
City_ -
- - State ' ( ZIP
Phone #
E-Mail
Authorized Agent
Affected ❑ CW
EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
__ HHF ❑ IH ❑ UBA ❑ N/A
❑ 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 len
avg distance off
max distance of
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length _
SAV: not sure
Moratorium: n/a
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
r �
Subdivision
City _ _ _ - ZIP
Phone # ( ) River Basin
/ f
Adj. Wtr. Body r ,(hat /man /unkn)
Closest Maj. Wtr. Body
(Scale: %LI f J )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
t: C l
Issui g 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
Iandowner(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 consistentwith 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)
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

MIDDENS CREEK HOA
Date: February 4, 2019
Reference: Dock repair that was damaged during Hurricane Florence
Mr. Davenport,
We respectfully request to rebuild our community dock to the same footprint it was at prior
to getting damaged during Hurricane Florence in September 2018. Please let me know if you
have any questions or concerns. My contact information (cell) 252-269-7279.
Respec y,
r �
ARand
A
Fren
President of Middens Creek HOA.
RECEIVED
FEB 0 6 2019
DCM_JWHO CITY

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5

CERTIFIED MAIL - RETURN RECEIPT REGUEaTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner L ct i` r y V/ a Y r, e Q a 'j 5
Address of Property: '►-? M j l o^ S C r e o k D f x/ t' ,� w, y r
(Lot or Street #, Street or Road, City & County) `� S 5 q
Applicant phone #: 7 0 -t - q 16 - R 6 b 3 Mailing Address: / D/ a o
Nl� V �r°as and NG ZAi�
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A deSOPtiondimensions, -provided with this letter.
_X I have no objections to this proposal. I have objections to this proposal.
N you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of recelpt of this notice. Contact Information for ACM offices is
available at www.nccoestalmongement:neticontact dcm.htm or by calling 1-8884RCOAST. No
response /s considered the same as no objection if you have been notifled by Certified Mall
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 muses thappropriate blank below.)
CW D I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
�_ot.,✓ ,Dg41-.-
Signature
Print or Type Name
(Riparian Property Owner information)
Signature
Print or Type Name
10690 g6,,- " a A g 2 e1 12o�al
Mailing Address Mailing Address
Ott-,
-,'N G ZP �ZS�
Clty/Stata/Zip
-70't -''90 - 1?8 b-,
Telephone Number
2 Z7-1011 _
Date
City/State2lp
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: James and Harriet McCarthy
Address of Property: 119 Middens Creek Dr. Smyrna NC 28579
(Lot or Street #, Street or Road, City & County)
Applicant phone #: [phone]
Mailing Address: 1216 Castlemoor Ct.,
Raleigh, NC 27606
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter_
t. I have no objections to this proposal. I have objections to this proposal.
FOR REPLACEMENT -IN -KIND ONLY rw
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.)
P14 1 do wish to waive the 15' setback requirement. FOR REPLACEMENT -IN -KIND ONLY `ar-h°
I do not wish to waive the 15' setback requirement.
(Properly Owner Information)
Si,fnature --
James McCarthy
Print or Type Name
1216 Castlemoor Ct.
Mailing Address
Raleigh, NC 27606
City/State/Zip
[phone]
Telephone Number
natn
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelZip
Telephone Number
nnt,-