Burns, Robert

Dt�P'1f
NO. 73401
A - DREDGE & FILL{
�4M /
A B C D
-. G,='NERAL PERMIT
Previous permit#
-;,Jew ❑Modification Complete Reissue -Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
�r7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
( �j c'; i.� Project Location:
Applicant Name
Jr
County f !'' '-
` ! Street Address/ State Road/ #S)
Address
—Lot
f !�/� ZIP_."-
� -, it �' S State
/�
City. , _
Phone # () !> �'�iE-Mail —_- Suni i bdivso
l' r" /' zip
Authorized Agent r / f sr! n = / City
CW J EW PWTA ❑ ES El PTS Phone # ( )
River Basin
Affected - OEA HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
)
�oi^�c ! _� ✓'' /
�unkn
namanAEC(s):
PWS:
Closest Maj. Wtr.
Body t
y
now. PNA ves / no
Type Project/ Activity
of
(Scale:
)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
distance
I
r
max offshore
Basin, channel
cubic yards
i
I
j
�
I
�
/
!
Boat ramp
Boathouse/ Boatlift
,f
Beach Bulldozing
Other -
- - T___.-
I
Shoreline Length
SAV: not sure yes no-
Moratorium: n/a yes no I i
I
Photos: yes no _
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name r
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's
Signature y�
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 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ROBERT BURNS
Mailing Address: 176 TAYLOR ROAD
MARSHALLBERG, NC
Phone Number: Z�Z 4 7
Email Address:
I certify that I have authorized DENNIS 8, SONS MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
1-3' X 16' FINGER PIER 2-3' X 13' FINGER PIERS
at my property located at 176 TAYLOR ROAD
in CARTERET
County.
FRAMING/DECKING OF 150' X 4' DOCK
1 furthermore certify that 1 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
t�1 O. 4er
Title
Date
This certification is valid through 12 / 31 12019
RECEIVED
JAN 16 2019
DCM-MHD CITY

A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
DUSTY BURNS (VWF- Z-T g
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at
on CORE SOUND
(Waterbody)
,� Ten rw RnAn
(Address, Lot, Block, Road, etc.)
in MARSHALLBER&CARTERET N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
bc 1 have no objection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(in&WUW proposing dovefopmont must HN in dowdodw befow or sttech a sfte drawing)
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) (A ' r Information)
Signature
DUSTY BURNS b �W
Print or Type Name Print or Type N/$�(n�e D 1 -0
176 TAYLOR ROAD 2 6 cr i nx a�f sole �`
Mailing Address Ma{ g AS�ctu(
ess C 2 77K
•. ^ ;e�+a LLA3 E Ust . N G �"�.rT7u'
City/state/zip city/stat 10 �� + •C�1(
2�o-�rY`i3�Yg
Telephone Number/email address Telephone u r / email address
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature` RECEIVED
JAN 16 2019
DCM-MHD CITY

From: WILLIAM DENNIS dsmcllc@gmaiLcom 46
Subject: Fwd., BURNS NEIGHBOR FORM
Date: January 3, 2019 at 5:23 PM
To: LINDAWMAC@gmaiLcom
---------- Forwarded message --------
From: WILLIAM DENNIS <: smcl gmail.com>
Date: Wed, Jan 2, 2019 at 5:39 PM
Subject: BURNS NEIGHBOR FORM
To: <LINDAWMAC (c-�gmail.com>
Ms. MacDonald,
My name is Crystal Dennis and my company has been hired by your neighbors Mr. and Mrs. Dusty Burns to replace their dock.
We will be framing and decking the dock to the previously existing dimensions. The dock will be 150' x 4' with 1-3' x 16' finger pier
and 2-3' x 13' finger piers by the existing boat lift. If you would please sign the attached neighbor form and return it would be
greatly appreciated. If you have any questions or concerns please feel free to contact WT at 252-241-6962.
Thank you,
Crystal Dennis
DENNIS & SONS MARINE CONSTRUCTION, LLC
109 SEAHORSE DRIVE BEAUFORT, NC 28516
OFFICE: 252-504-6329 MOBILE: [phone]
ADJACENT RIPARIAN PRORERTY OWNER STATEMENT
I hereby certify that I ak-in property adjacent to OUSn' ems -s
(Name of Property Owner)
property located at _ N -Aricapruc _
(Address, Lot, Block, Road, etc.)
on=4R=_SOtJD _ in VAR 94AUBUZr-w:AR cF£T N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
loca io .
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description buluw or attach a site drawing)
AiEcemfE=D
JAN 7(1(q
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
e. tlf you wish to waive the setback, you must Initial the appropriate blank below.)
?Zt�— I do wish to warve the 15` setback requirement.
I do not wish to waive the 15' setback req uirement.

(Property Owner Information) (AdJacont Pr Ow ormation)
SigSrl�nufur�
n.,srY eurSURNS �� SI
Pnnf or Type Name Pnffl or Type Name
Mating Address 114a4Addfess
MAR-SHALLBEOA, N C d'
as,9- G,/,7 �� cayr 44 � rt,
Telephone Number/ email adds ss Telephon Number ' e ! addre s�sj
(RewsedAug. 2G 14)
'Valid for one caiendar year after signature'
RECEIVED
JAN 16 W9
DCM-MHD CITY