Rankin, James Jr.

CAMA / C DREDGE & FILL
No. 75918
,.
A g /C D
GENERAL PERMIT
Previous permit # -77% /l•%{.
El New ❑Modification ClComplete Reissue
.I�Partial Reissue
.,.
Date previous permit issued i `
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
-
-_�.--
Rulesattached.
Applicant Name ( X M 'zd' ^— f /
, Project Location:
County V '
Address �(,
l Street Address/ State Road/ Lot #(s) / f'
City C I � State P/ i ZIP
Phone # ( �) V !/) E-Mail
Subdivision
Authorized Agent ' /V I nd r f' (fir' City
ZIP
LlCW _©EW -OPTA El ES ❑PTS
Phone# ( )
River Basin
Affected
AEC(s): 00EA E1HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
4nat /man /unkn)
❑ PWS:
Closest Mal. Wtr.
L
Body / /' -` 1 `yr, ,'6
ORW: yes / no PNA yes / no
I r r :- N F'1 ,A.f I I
Agent or Applicant Printed Name PermitOffcer's Printed Name -
Signature ** Please read compliance statementonbackofpermit
**
Application Fee(s) Check#
Signatur /
Issuing Date ' Expiration Date

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 officerwhen 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

DAMA / ❑ DREDGE & FILL N0 71924 A B D
'GENERAL PERMIT Previous permit#
New ❑Modification [--]Complete Reissue El 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 NCACHs i j---
Rules attached.
Applicant Name 1 Project Location: County W-4 F
Address %�� �,(�d1 1 t+VCit"aYJ 5 Street Address/ State Road/ Lot #(s) j9�%i31
Phone #
Authorized Agent
Affected ❑ cw
AEC(s): 0Ows
❑ PWS
E-Mail
-N -. PTA ,'ES knli
❑HHF ❑IH ❑UBA ON/A
ORW: yes( n) PNA
a
Type of Project/ Activity _
Pier (dock) length
Fixed Platform(s) ✓"1J4
Floating Platform(s)
Finger Pieria)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathou Boatll J3,YL13,
Beach Bull ozing
Other
Shoreline Length
I � -
Subdivision
City / ZIP
Phone # ( ) River Basin U'GC'5--e-
Adj. Wtr. Body �- Ve n man unkn
Closest Maj. Wtr. Body �C�C `( V°�J` -
I
i -
SAV, not sure yes
Moratorium: n/a yes nod "I i /�+IGI �� l-7-
Photos: ���y���es _ +l _ 1-
Waiver Attached: no I� --- --�-- —�- -
t , i
A building permit may be required by: C��Y.
( Note Local Planning jurisdiction)�
Notes/ Special Conditions
Age rApplicant Printed Name
Si are a se read compliance statement on back of permit
Aoolication FeefO Check #
19 See note on back regarding River Basin rules.
T A
t� let,
PermitOfilcer's Prl t Name
Signatu
101Y11 '7 o
Issuin a ly iration Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Lo or Street #, Street or Road, City & County)
LUr2 AVW
Agent's Name #: � C j,�� { tp� I A Q, Mailing Address: a. Jia t o M
Agent's phone #: -` 1 Z,R 419 a,
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided wfth this letter.
✓ I have no objections to this ptoposal. I have objections to this proposal.
if you have objections to what Is beingproposed, you mustnotifythe Division Of Coastal Management
(DCM) In Writing within 90 days of receipt of this not/ce. Contact information for DCM offlces Is
avallableath/ y.nccoastar,•��a�dment �.,ar+/cm/stafflistnn
No response is oonarderad the VAM. A! . ,_u._ _ ._ orby calling 9-888-4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring
be set back a minimum distance of 15 pilings, frrommy areaat ramp,
riparian access unless waived breakwater, boathouse, or lift
met (If
yojwish to waive the setback, you must initial the appropriate blank below.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Information) Affln Property Owner Information)
tune �� t/
or type Name
K111
uLA",►w� Ca �0
City/StatelLip
7 Z -73y - t9 l
Teiephone NumberlEmeli Address
1 Date
4.:Yakn es 8.r ye �rj T!1 tx d K ri sh B .13��e
Pnnt or Type Name
5.24i 17 i^e -k4 Woeds -A4 ✓'2
Malling Address
✓vent W oots ffc $56A
Chll/ tate(. ip
asa &10-a/ra-is-hn@bey�fhe.c
i elapnona Numbarl Emailf Address
Date I '119
(Revised Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: James Rankin, Jr.
Mailing Address: 5195 Trent Woods Dr.
Trent Woods, NC 28562
Phone Number: 252-514-8727
Email Address: [e-mail]
I certify that I have authorized TD Eure Marine Construction, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Concrete Dock, Platform, Boat Lift
at my property located at 5195 Trent Woods Dr.
in Craven 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:
S u
S a ure
Print or Type Name I1r
Qto ��- n 01 #,o,o,9
Title Li
/ Z / Zot-I
Date
This certification is valid through �I / Z I %bZO

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent toyi?t ms (� AA!tJn � if.!- 's
(Name of Property Owner)
property located at 1 C� iYP.Yk i1�r'tC `)��
y (Address, Lot, Bloc Road, etc.)
in (�ti ITN.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loP�on.
" t 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)
i a
r. Z✓
&" tI Ur
l I�
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� 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)
Signature
Signature*
Print or Type Name
�
Print or Type Name
Mailing Address
— /
Mai9g Address
it--'> •v c` 1�
City/State/Zlpcws
tate2ip
Telephone Number/email address
Telephone Number/email address
Dare
'= ry / `Jti 97/5;
Date
*Valid for one calendar year after signature` (Revised Aug. 2014)