Turner, Cliff

CAMA / 7 DREDGE & FILL NO. 74971
A B C D
GENERAL PERMIT '"' "" Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authfrzed 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 _ Project Location: County_ T.
Address
City State ZIP f
Phone # ( '� ' / E-Mail
Authorized Agent 1 C.1, ,..x' VIL
Affected CW EW pT\A El ES ❑PTS
AEC(s): OUEA ❑ HHF ❑ IH ❑ UBA ❑ WA
PWS:
n
ORW: yes. / no PNA yes / no
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
(" ( I
Application Feels) Check#
Street Address/ Sate Road/ Lot #(s)
Subdivision /�' % ll
i
City/(i / ; ZIP
Phone # !' 1XI1) .. r) /;( r,,// River Basin
Adj. Wtr. Body.- (oat Jman /unkn)
Closest Maj. Wtr. Body
PermitOfficer's PrigtedName
Signature
Issuing Date
Expiration Date

IIIII
w m
0
O
7�
•mV✓
IIIIII
pOp
N
'�S
V
�
�
A7
O N
CO
IIIIII
IIIIII
3
�-
IIIIII
^�
J
IIIII
N
�
O G
IIIIII
N �
_�
`°
IIIIII
N o
co_
O �
--_-
IIIIII
III
III
IIIIII
IIIIII _
UM
l
f

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Cliff Turner 's
property located at 401 Pearson Circle (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on BO ue , in New Port N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
II I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
proposing devOopment must fill in description below or attach a: site drawing)
WAIVER SECTION
I undersi and 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 yc u wish to waive the setback, you must initial the appropriate blank below.)
or
Date
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
Owner Information)
Number/email address
(Adjacent Property Owner Information)
(Revised Aug. 2014)
for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Cliff Turner ,s
(Name of Property Owner)
property located at 401 Pearson Circle
(Address, Lot, Block, Road, etc.)
on Boque in New Port N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to do .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DtvtLUFMtry t
(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. (If you wish to waive the setback, you must initial the appropriate blank below.)
\ / I do wish to waive the 15' setback requirement.
x I do not wish to waive the 15' setback requirement. KOL,
(Property Owner Information)
Property Owner Information)
'�finf°Oher
SiAg,�zaitrPjure dqL
GI'�1
Print or Type Name
Printsr ar n
``77 f
Mailing Address
M i�ddre
n�c- a
City/statelzip,
919-818-6064
y� t ip �� 06
Telephone Number/email address
Telephone Nu er/email address
�'�-3�
Date
Date
(Revised Aug. 2014)
"Valid for one calendar year after signature` ,

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Cliff Turner
401 Pearson Circle
[e-mail]
I certify that I have authorized Harber Contracting Inc
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: Dock and Boat Lift
at my property located at 401 Pearson Circle ,
in rartaret 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:
S (_
// ASignature
Cliff Turner
Print or Type Name
Owner
Title
04 Date
1 201
This certification is valid through 12 1 31 1 19