Pivers Island Marina

L CAMA / ❑ DREDGE & FILL N9 78457 A B C D
1NERAL PERMIT Previous permit#
v ❑Modification []Complete Reissue ❑Partial Reissue Date previous, permit issued
As authed bythe State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
I ` J � ,,,,,,,, � Rules attached.
Applicant Name i i kl( I' proj ct Location: County_ _
Address % J ") l ) /n 1 \ J' _ 1 C" i - / / Street Address/ State Road/ Lot #(s)
City_ k't -'1 State L 1 /(
Phone #
ZIP i
Authorized Agent .
j (' - j'Y Liu
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❑PTS
Affected
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❑HHF ❑IH ❑UBA
❑N/A
❑ PWS:
\
ORW: yes / no
PNA yes / no '
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Phone # (��/ ' River Basin
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Agent or Applicant Printed Name
Signature " Please read compliance statement on back of permit
Application Feels) Check #
PermitOffiters Printed Nam
Signature f`J
Issuing Date Expiration Date

St ron, Heather M.
From: David Anderson <[e-mail]>
Sent: Wednesday, January 22, 2020 11:44 AM �AN
To: Styron, Heather M.
Subject: [External] CAMA Docs for John Banks DIt().'
'
Attachments: scan0167.pdf
Hey, Heather!
Hope you're well.
Attached are the documents for John Banks, slip #2 at 156 Radio Island Rd. in Beaufort.
Need anything else, let me know.
Thanks!
- Ashley
_. a
RECEIVED
JAN'23 2020
DCM-MHD CITY
EZDock Solutions / Nauti Metal
5568 HWY 70W, Suite C
Newport, NC 28570
Office: 252-773-0793
Cell: 252-764-1234
Fax: [phone]
f • •

Asa- we-vzb cl�-
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit -
Mailing Address: J7 17ro'L �t .
Phone Number:
Email Address: vial, t` 9� etit rr{
I certify that I have authorized
Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: W, LX �_ 2V F7i u 1J C,
4-ZC1C�T 1 1G
c
at my property located at I AD Q Dbb 6 1` U3 j i� �aCj K OCR
in EAA�rt C F a County.
I 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 lends in connection with evaluating information related to this
permit application. RECEIVED
Property Owner Information:
Signature
(A
Print or Type Name
Title
Z
Date
This certification is valid through
JAN, 2 3 2020
DCRRa.,i,"W) CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF •+
^ • • • . - • - 1 . is i► 7 �� \.
Address of Property: Ie C�',�A:E v 1� i�--.iA 1-:e-'2x, C4��c4� c QED
(lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address: 2020
Agent's phone #:
DCM-MHD CIT
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 reposing. A description or drawino with dimensions mug be provided with this letter.
1 I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of CoastatManagement
1 (DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at orbycalling l^888^4RCOAST. 111
No response is considered the same as no objection If You have been notified by Certified Mail. }
WAIVER SECTION i
al I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must I ((
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If j 6
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 waive the 15' setback requirement.
r-
(Property Owner Information)
Signature
�1in11 at l,ll( � \)Lc-�TC
Print or Type Name
32�
Mailing Address
g Q-T3 \�
CitylStateMp
Telephone Number! Email dress W
Date
(Rigarlan PAperly Owner Information)
Signature
Print or Type Name
f � e '
Mailing Address
CitylStateOp
Telephoon¢-Aiuumbbar Email Address
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Date jll
(Revised Aug. 2014)

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RECEIVED
JAN 2 3 2020
DCM-MHD CITY

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