Downey, William

1
CAMA / ❑ DREDGE & FILL \ ,s _� `' \_ND. 75778
+ GENERAL PERMIT •" '' Previous permit # A B C D
New ❑Modification ❑Complete Reissue "❑Partial Reissue Date previo s permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Repources Co mission in an area of environmental concern pursuant to 15A NCAC L
I _ / ❑ Rules attached.
Applicant iyame
Address `l
City i.J(t State IE
Phone #
Authorized Agent j J'-J
1:.:
CW El EW
❑ PTA ❑ ES ❑ PTS
Affected
❑OEA ❑HHF
❑IH ❑UBA ❑N/A
AEC(s):
❑ PWS:
ORW: yes / No PNA
yes
Type of Project/ Activity
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s) -_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshor
max distance offsho
Basin, channel
Boat ramp,
Boathouse/
Beach
Other
Shoreline Length
SAV: notsure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: ys no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent of Applicant Printed Name
Signature .. Please read compliance statement on back of permit>s
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s) _
I-X�
Subdivision_ _
l I
City ZIP_
Phone #f/River Basin
Adj. Wtr. Body .
Closest Maj. Wtr. Body
❑ See note on back regardingRiver
(nat-/man /unkn)
PermitOffcer's Printed Name
C �
Signature -�
Issuing Date Expiratioh Date
E

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ��� LI �'"� '✓Dw��
Mailing Address:
Phone Number:
Email Address:
l( 0 4 G2.4im E;,?c� eo u tz-r--
2A-t,Gi6 ,,c, 3,1&09
�1)a( 4 a-Z - 3052
I certify that I have authorized IT �N �� F%Z0014-S
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: '�) /✓ `e��[
D INf In O/( l� ( �oPit^� � r�Lv%nG�
at my property located at
in Ckarr,-1Q6T" county. PV V (-Ir,44 N G—
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
Signature 41
Print or Type Name
'MAX.r4
Title
7 l_:l �� o
Date
This certification is valid through I Z l5( l

rterel County GIS Websrte
10/l/19, 6:08 ph
Carteret County GIS
County Nome Page (https://wvAv.carteretcountyne.govt) I GIS Hone
Search Results Layers
K
+{
Results List
m
Details
_
Measure
X
'arteret county
Parcel
w1�1
1
Feet
Miles
920 Tax Parcels
Contains 2.019 changes
1
)WNER:
DOWNEYWILLIAMASIR TRI
"
Segment
0.35
addresses:
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{j
638618407380000
I
Total Length
9,402
aIN:
(https://arcgisweb.carteretco,
pin=638618407380000)
r
Clear
Dismiss
j
)eed Ref:
1583-87 7/31/2017 (assets/cc
Net Ref:
- (assets/carteret/deedhandle
rotal Acres:
0.281
v
_
Segment-tten:
9.05�
ialePrice:
$0
i
.and Value:
$727,012
k;
itructure
$90,253
d
7alue:�-
)ther Value:
$38,2426'
r;ry
)ondo:
0
r
township:
1351 MOREHEAD
)ity:
MOREHEAD CITY
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s ;r
'at4 Ixe�
510013 MOREHEAD CITY Cc
delghborhood:
mttpsWaregisweb.carteretcot
-ire District
3escue
tps://arcgisweb.carteretoountync.gov/maps! Page 1 of

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to V V j q �'t 1 �� WA
property located at
on )j & Gi (/-e j Dot rn
X
(Address, Lot, I ck Roaa, etc ► i
in _ D I-e- ��r
(City/Town and/or
nty)
N.C.
The li ant has described to me, as shown below, the development proposed at the above
to
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
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 wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacer�perty Owner Information)
A A
Signature
Print or Type Name
Mailing Address
City/state/Zip
Telephone Number/email address
Dare
`Valid for one calendar year after signature'
Print or
Address
ma/
City/State/Lip /,C -7 5-� �33�7
Telephone Nuber/e� mail address
q /
Duce" ,J i77 U
(Revised Aug. 2014)

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