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CAMA / DREDGE & FILL f �''`� �' NO. 73410
A B C D
GENERAL PERMIT Previous permit# CNew --Modification lComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality —7 f /
and the CoasSal Resources Commission in an area of environmental concern pursuant to I SA NCAC ] t
C9.Rule attached.
Applicant Name i f { vj'- f Project Location: County
Address / �:` I �p { jj Street Address/ State Road/ Lot #(s)
`r �. //( ZIPS
City f'' / f✓ . -S State
Phone # ( ) ?L% / -_Mil Subdivision
Authorized Agent City L,` _ __ ZIP__ I
CW EW ❑-PTA [I ES ElPTS Phone # ( ) River Basin A-1
Affected OEA HHF ❑ IH ❑ UBA ❑ N/A ~ fit.
AEC(s): Adj. Wtr. Body__ naf man unkn
PWS:
ORW: yes / no PNA yes no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) ler�
Fixed Platforn
Floating Platfc
Finger pier(s)
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic yai
Boat ramp _
Boathouse/ Bi
Beach Bulklm
Other
Shoreline Len
SAV: n
Moratorium:
Photos:
WaiverAttacl.__.
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agen,�,mr Applicant PFjnted Nalne
Signature ** Please read compliance statement on back of permit*
Application Fee(s)
Check #
(Scale: /,,/" I.- )
El See note on back regarding River Basin rules.
j< t
Permit Officer'$'Printed Name
Signature
Issuing Date txpirati6n Date
I
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 I) 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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:252-264-3723
(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: 9 10-395-3964
(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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mitchell Shue
Mailing Address: 7023 Archers Creek
Phone Number:
Email Address: wintervillecarwash@hotmail.com
I certify that I have authorized Harber Contracting Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace storm damage dock with
hog slat dock
at my property located at 7023 Archers Creek
in Carteret County.
I 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
Mitchell Shue
Print or Type Name
Owner
Title
12 / 12 / 2018
Date
This certification is valid through 12 ! 31 1 19
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hcrehy certify that 1 own property adjacent to Mitchell Shue s
oror)erty located at 7023 Archers Creek (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Bogue Sound in _ Emerald Isle N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
M
11rr
I have no objection to this proposal.
IN
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)
Attar,hPri Drawinn
WAIVER SECTION
I understand that a pier, dock. moorinq 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 wisn to waive the setback, you must initial the appropriate blank below.
I do wish to waive the 15' setback requirement.
I rin not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Pr pe Owner Information)
"Wt{ O Shue
L..riU✓ iL'. ai�G �.. ���y� �i4
Print or Type Name DrinF nr 7i,,•T)c+ !\lame
Meek CA- Zl 16<<w=5
Mailing Address MailiV Address
Fk 2 �1 5 2'�
city/S'ate/Zip
Telephone Number / email address Telephone ember / email address s
UiUe 1 Jutr �
"Valid for one calendar vear after signature'
,Revised Aug. 201411
1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mitchell Shue
property located at 7023 Archers Creek (Name of Property Owner)
's
(Address, Lot, Block, Road, etc.)
on Bogue Sound in
(Waterbod Emerald Isla , N.C.
Y) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indlvidua/ proposing development must flit in description below or attach a site drawing)
Attached 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)
Off Shue
Print or Type Name
Mailing Address
City/state2ip
Telephone Number/email address
Date
'Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Signature
Print or Type Name
_UR F W&AT gam+ £ �
Mailing Address \1 v V Vf4 v1 1.4-'� tvC Z?%tib
City/Statef, irf , KZ '7 0 ,Z Cy
Telephone Number/email address
l - 73- /C!
Date *
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to
Mitchell Shue
I
(Name of Property Owner)
property located at 7023 Archers Creek
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Emerald Isle N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatia .
Vrr 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)
Attached 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. (11 ou 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 Information)
SOROWff Shue Signature*
by le'e o m /3• $ t-3-orl)
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date
'Valid for one calendar year after signature'
Print or Type Name
/Z,0 F wEATJ'9'1;F' e £ c
Mailing Address
`1 o v t/t c'c� i✓G 7'7fq
City/State/Zip
�l�t• L4Z7- o'Zcty
Telephone Number/email address
t - 7 3 - /cl
Date*
(Revised Aug. 2014)