River Oak Marina

^ L)CAMA / ❑ DREDGE & FILL No. 75762 A B C D
L�JI14ENERAL PERMIT Previous permit#
MNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is's ed
As authorized by the State of North Carolina, Department of Environmental Quality ��/
and the Coastal Resource/Commission in an area of environmental concern pursuant to 15A NCAC '
❑Rule9 attached.
Applicant Name I ` I i` �x ` I("A' •1 r Project Location: County
Address I 1
Phone #)f,
Authorized Agent
Affected El CW
AEC(s): EJOEA
❑ PWS
ORW: yes / no
State i✓< ZIP ) 1 (_
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MEW ❑PT%1 ❑ES ❑PTS
❑HHF ❑IH ❑UBA ❑N/A
PNA yes / no
Street Address/ State Road Lot #(s),
Subdivision ,
CiZIP ��'1 J, �.
Phone# O Rver Bin
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Adj. Wtr. Body 1.. 0/I rfat man unkn
Closest Maj. Wtr. Body v� '1
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Agent or Applicant Printed Name
PermitO ficer's Printed Name
Signature ** Please read compliance statementon backofpermit** Signature
Application Fee(s) Check# Issuing Date
T
xpiratiojEh Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: River Oaks Marina HOA Ronnie Jones
Mailing Address: 139 Deep Water Drive
Stella NC 2802
Phone Number: 2`2_�58.2185
Email Address: _ rionesrO)rowmark com
I certify that I have authorized Harber Marine Construction 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: install boat lifts
at my property located at River Oaks Plantation
in Carteret County.
I furthermore certify that I 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:
n 1
Signature!
Print or Type Name
h1_.... Ills �) _
Title
�J—
Date
This certification is valid through 12 /

Install a boat lilt and tingorpier
',QrAIVF-R SECTION
1 understand that poi, dock, mooring pilings. boef ramp, breakwater, poathmise, tilt. or grain:
must be set back minimum distance of 13 .from my area 61 sipatlan access unless waived by
mefhf you wish to waive the Selpack you fgp6,'ts�l•Ihe appropriate blank below,)
I do wish to waive. the 15'setback: requirement.
....::..Kto I do not wish to waive the 1F setback rego temeat.
rProbertv.Owner lntermationl rAdiocant Prdnafty nwnar lnfnr�:dons

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