Hampson, James

v
CAMA / DREDGE & FILL No 71632 A B C D
GENERAL PERMIT Previous permit#
LSs1New ❑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
❑ Rules attached.
Applicant Name ' y !"'r f Project Location: County
Address Street Address/ State Road/ Lot #(s)
City_
Phone #
Authorized Agent
State i zip %< i
E-Mail
Affected ❑ ew ❑ EW _APTA ❑ ES ❑ Prs
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
CityZIP
a
Phone # ( ) River Basin /' ( '..f
i
Adj. Wtr. Body .ft /l//man /unkn)
Closest Maj. Wtr. Body
EFFIEMNIMMnj::::OEM
m::::::::■i
■■
■E■■E■E■E■■■■■■■NEaIE■r■ri■■::::
..■■■!M■■■■■.■■
..........■■■■■■.■■■E■■N■
■■..■■■■■
■E■■■■�1■■■■■■IN
NNN■■■■■Son
■■■■ELAN■
■■■■■EL
E■■■■N
■■■■■■■■■■■i
M
ME
■■■E■■■■■■■■■■N■■m■■■E■N■■■■■�■■■■■■■■■■
■Il■■■NN■■■■■ENN■■I■■NN■NNE
�■N■■■■■■■■■■■
0
ME
ME
n:ECM::SEE:�:®�:�:�C■o
0
■■■■
■■
■EIS
11[lIR1N'ITI■F.
■E■■
■■■■
■■
■■■N■
■■■Eft■■■MEMIN■NN■■■
MEN
■w
JINN■■■■E
■■NNN■■■■EliiE■NNE■■■EN■■■■■■■ENfi■■E■■■■E
■■■■■■■■■■■■
■■■E■■■
MEN ■■■■■■■■■■■■■■■
ME I MEN
■■■N■ ..■■...■■■.11
MEN 0 is 0
■... N■■ ■■
......
......■■
.....■■■■■■■■E■■.
MEN ■M EO■■■■.
MEN
MEN .■■■■Np�■NNE■■
■■■...■.■ IS IS
•■....■■■■■■N■■■..
MEN
■■■■■■■■■■■■■■..■■■■
No ME MEMO'
SEEN M
No 0 ME
IS limm
MEN
0 JEU In IS IS
NIS IS ■N�■®■■■■MINE
■:■.■■...■.■■■
■■■■■■.■ ■N■■N■■SEE
NNN■E■■.■■■N■■■■■■.■
■■■ ■■■■■■ ■■■■ E■■■■■■■■■■E■■KNEE■■■■■
■■N■■■■■■:■■■■:■■■■E■■■■E■■■�ill�i■EN■■■N■
:: :::::::::::::::::::::::::�
::::
NEN■■■:NE■■N■NEN■■■■■■■■■■■NN■NOEN■■■■■
Agent o(Applicant Printed Name
S} ature •• Please read compliance statement on back of permit'•
f�lg.
Application Fee(s) Check #
-
Permit Officer's Printed Name
Signature
Issuing fate ,' Expi ation gate

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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: cJA WIES y 4490C %4tylP,50(J
Mailing Address: 5 1 '2 1 (LADE- LJINDS 1�
E W
IVE iA) 2A.) f JA'(RF/E-C p API
Phone Number: 2 S Z - & 2 G -5677
Email Address: AIti1P5,D� A G YVI411- ,Co n1.
I certify that I have authorized eRI C PIA K e -A 2 04 &rmgcTI NG
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
6'BST9_uCT/DNS (Lot; 190075) PMM DOCK 14IZ04
at my property located at 5 3 2D Tn A> E W oom ant N WO 9M
in 06 9AV6-9 County.
l furthermore certify that l 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:
t-tvj>SUrL
USignature '
JA mEs l-1 AYWPsa�j
Print or Type Name
IPPeapd try 61JJL)6?_
Title
�l APR4 20/,5r'
Date
This certification is valid through / I
(jo S4bL4e-�

te% I
'I � 1 .. ..r, . . %

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J AWIE,S A e4-190L 1-41UPW fJ
Mailing Address: �J '� 20 (P t> Wim)s RW
Phone Number: 2 5 2- G 2 6 -`to' 77
Email Address: J Nkc- H A )A 1 P5D t A G PVI 4/(. , Co r►L
I certify that I have authorized 'ZRIC PW K F 3 R CD&r7IZACTt NG
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
013STI2-00T/DN_
—oczr--666- /I t gTmjg c_
r-rom DOCK /41Z&;1
at my property located at 5 3 2D TODE ICE W oauDS d Nl N Ll.J (2REEK
in C RA1IE14 County.
/ furthermore certify that l 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:
i>su)Q —
USignature '
J /+m6s J4,+Y pyW
Print or Type Name
IPf-a?E7LT-\l 61"JNn-
Title
APR, 2e)4r
Date
This certification is valid through / /

�
�
�
w�
Lb
�u
A
2
\
t
«
If,
)
\
7
}� 2LL
9 \
�
a}
§
{
7
]{
G
`
$
-
\
�
�
.
�
\

s
Adjacent Riparian Property Owner's Statement
Adjacent Riparian Property Owner:
Section Number: -r&006 7 Lot Number:
Name: J O $14 Wek-rWIFI nt
Address: S 31% TRADF W mps 'Z& NEW $ERN
Telephone Number:
E-mail Address:
Co31- 6(0- S118
1 hereby certify that I own the property adjacent to:
Section Number: ToaRoo 7
Owners Name: 3AYv\e'S
Lot Number: 1 35
4?2ot- HAritASON
Address: 53ZO TAADE WINDS 7J
Telephone Number:
E-mail Address:
2 S 2-626- 4677
3NCHAWVPSON @ 6mAu -Cotes
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed Work" form and have no objections to the proposed work. I understand that
docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (I S-o") from my
riparian line unless waived by me.
I do not wish to waive the setback requirement
I do wish to waive the setback requirement.
Adjacent Riparian Property Owner:
Signature d - -
Print Name •kUS4,.ti - k)GC
/�-T
Date Iff2_0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J AMr.S /-14mpsoa1 s
(Name oj�Property Owner)
property located at
532o TRaDt' WINDS ice/. F41RF1 -cp
(Address, Lot, Block, Road, etc.)
on UJ CRt-e"Y' in NeW &-RN N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
_ 9 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill 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. (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 #aive the 15' setback requirement.
(Property Owner Information)
SigaalSh
Print or Type Name
,5317 Try s
Mailing Add ass
City/State/Zip uncq m(j?
Telephone Number/email address
Date
'Valid for one calendar year after signature'
(Adjacently Owner Information)
ram ----
Signature
J�rnt-s /-�i41M?soA
Print or Type Name
532U 7-tZgDE LJ"vDS (Z4.
Mailing Address
N6:w )3E t-m , N.C. 2irs6a
City/StatelZip
ZTA: 6z4� - SG 77 JNCHA► 1 PS®x' .6b
Telephone Number/email address
y- y- Zole
Date"
(Revised Aug. 2014)

Description and ]hawing of Proposed Work
Property Owner:
Section Number: T0IIRC36 7 Lot Number: 1336
Owners Name: 1/ h 1 4` eIq 20G /-IW i i 1 PS 0 A!
Address: 5'320 7_/2r4t_�E /,J/"S �Z/,
Telephone Number: 252 — 6 Z(o - 56 77
E-mail Address: P501A-/ G fMA)l - eUAL
Contractor:
Company Name:
Contact Person:
Address:
Rlc A49e JR. Co,vsrA(jeT)ov lxc
S (?A9E 2d. 3EAUrOR-7 our -
Telephone Number: 7-52 - 72 S - q -7 q D
E-mail Address: OMr 1)/3N/0RKE GyNp/�.COWL
Detailed description of proposed work: 5-1
1)RED6G R CHgniNEL SO X Al" Ta R DG'PTN air (o FT
e-UIIZ Arrcy rya- DEnrl� /3 APFRox tmsarEuj .y-I
9-5140✓E 2`6F 5a+vn nn
"To -scale" drawing ofpropos9d work:
m ��WCINGS >>
O.Z�D���
ZAmP
RSovT eo6 ca ycl, of
S'PO /LS

Ni-DP�,-T- C);,
7 p ` r-��
� © jam
U.S.
Postal
Seryice,.
,
4'E
71FIED
MAIL°
RECEIPT
Domenic
Mail
only
visit
our
website at www.usPs comma-
For delivery
information,
M CertrlsdMallFea 3, 0671
Ln
$�}�
} 1
EMra es services Fe(checkbwc eaaree
M ❑Ream R.Ipt(We Y) $ a�J.UV PaeMOdc
�Ree^a Receipt(.Ie nic) $
p ❑cel MallSwa`c aDelhrery 6 $f1-1715 Nere
O QMunvgnawm Required 0 �
❑Mu00igneture RmWcteOW" S
C3 Postage $0.50
o 04/02/2018
. 9 J
$
Iq Sent ,b?—H�n9As- Dupm�1N
svaalaa�x. y��rrr�nlvD %SUE

NW Creek dredging.jpg Page 1 of 1
Adjacent Riparian Property Owner's Notification
by Certified Mail - Return Receipt Requested
Adjacent Riparian Property Owner:
Section Number; �t 6 7 Lot Number: _ �.3s
58i NOW B&*Af
Name: TNog7A5 /J�gpY Dyz)mK1n/
Address: 102Z 5=0 AVIZ (jED_ W 7*W.t1,c�'G' Zf,r/90
Telephone Number:
E-nlailAddress: _!t'1DUDMgrJ� SV..�'"°"2eFnterecS't—
I hereby certify that I own the property adjacent to: �O �'n1 off C o !M
Section Number: 7oIIH" Lot Number: 036
Owners Name:. QDG JAMEs/y71iSOA/
Address: 5320 T2Abe Ltl/,JDS
Telephone Number: f(o-7
E-mail Address: J1 I+AMF-W/JCAG!1 A/c.e0jy,
The individual applying for this permit has described to me the scope of work as shown al the attached copy of the
�//
"Des J:t o Drawing of Proposed Work" form.
I have no objections to the proposed work.
If you have objections 10 the work being proposed, please write the Division of Coastal Management, 400 Commerce
Ave., Morchead City, NC 28557, or call 252-808-2808 within ten (10) days of receipt of this notice. No response is
considered the same as "no objection" if you have been notified by certified mail.
I understand that docks, pilings, tie poles or any other marine strrtcmre must be set back a minimum of fifteen feet
NY-0") from my riparian line unless waived by me.
I do not wish to waive the setback requirement.
1 do wish to waive the setback requirement.
Adjacent Riparian Properly Ovvtxer: r, v"� _'F-
SignaNro�j
-rr�rf �1a ��4,Lyryr� Date:
. II ""�
Print Name ° 4't/I& Jb JIn4,J KIi z
https:Hmail.google.com/_/scs/mail-static%/j slk=gmail.main.en.iM8e9KV jh8k.Olm=pds,pd... 4/10/2018

Gmail - Dredging doc Page 1 of I
Mj 7mk`1' i I Carol Lunney-Hampson <[e-mail]>
Dredging doc
1 message
Mary Dudman <[e-mail]> Tue, Apr 10, 2018 at 11:21 AM
To: "[e-mail]" <[e-mail]>
Hi Carol and Jim,
I'm attaching here a scanned version of the dredging doc. We changed the email to the
current email address.
Please let us know when you receive this.
Thanks,
Mary and Tom
NW Creek dredging.jpg
199K
https:llmail. google.comlmaillul0/?ui=2&ik=464ac35e93 &j sver=LcPASTiusm8.en.&view... 4/ 10/2018

a
M -: I f i'.
n, 5(0 sn' nf.- k
Ovi Do'! 1611 tro .-41 I81 e �xt�lq
lnirV