75308_Dale & Lynn Davis_20200427

. LAMA/ DREDGE & FILL = # r t�D No. 75308 A C D
- GENERAL • PERMIT �O �j Previous permit# ,/ /l/
lew DModification IlComplete 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 (s' %f/.L200 ) C i/" / 0 •
/ les attached.
Applicant Name LG /' d 4 r,, 0.--✓ Project Location: County 2 e - m. '
Address //fi /C - 7 7,1 e, L%�E Street Address/State Road/Lot#(s) /5- ,' r /<T c.
City /r//%k''4• State /4/t ZIP l /U
Phone#( --2) 9V " - - E-Mail `i , (e1 i"'•7'< Subdivision j J,- • �L J' ` 'ef
Authorized Agent r ( City %/��,, ZIP ��J�/&
Affected ❑CW [1 N IEIPTA [5t5 [aPTS Phone # ( ) River Basin / !,- /��^
AEC(s): El ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 4"N < / (nat a nkn)
❑ PWS: /
r Closest Maj.Wtr. Body `'"J ) L T`€ "
ORW: yes / no PNA yes no ✓ i
Type of Project/Activity `1 is i X L an Cl elle etj,„J / `I e,
,, / / f / /.15 %_. / .. / (4 /'/, 7 — (I Cg'/I/ L (Scale: )
Pier(dock)length G /
1 I j + J
Fixed Platform(s) I C' �' r✓ a lk .
....__�.i .
Floating Platform(s) Y 4� j J i i
Finger pier(s) J7 r" / \`�1
Groin length J
i l 1
number ___II I I --I---- i •
Bulkhead/Riprap length i -- _. 1 14. Lc. 7*'-
avg distance offshore i ±�
I — ' 1
max distance offshore /}'`+7- .
Basin,channel +/.�/.2 _. 4_—` r- '-... I
fi _ ���
`1'L J��Lj I--�=,
cubic yards 940 ; `i _.. 1'` `II -- ! L__ —._
Boat ramp I
Boathouse/Boatlift --1T/
Beach Bulldozing r- -�, 1 /
Other ✓ f 6 _ ,
, / )
1 —
Shoreline Length ��-� J ((r,_ ., ;1,R< +. I> �iI✓/
SAV: not sure yes CD ..._.._—_.- J �.-- _• � I_.
Moratorium: n/a yes elP
Photos: 402i. no
I l J I
Waiver Attached: .no A building permit may be required by: /J •'•s-a 7(' (' tit, ; . •ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions [ i a/'i i- 0%////4/24,c } ;f/. /�'c c
/ -1 e • ; ...--I - 'j ' C /f/!✓L — _5;Ad•7 d•, u�s,ic eyIc,,�1 611
0 4
Agent or Applicant P rdted a Permit Officer's Printed Name
�Y/ ��� '_. f l'
Signature P ease re d compliance statement on back of permit** ignature
Application Fee(s) Check# 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 officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)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 (252-946-648I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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Property Owner: L. Dale Davis,Jr.
Property Address: 16 Port Side Lane, Belhaven, NC 27810
Project Description: Installation of small dock and minor dredging at head of canal
Dredging to be performed by private individual. Spoils will not be disposed of
along field paths, not within 50 feet of waterway.
Attachments: Adjacent Owner Letters(VanGyzen, Hayden, Kuhn)
%(%-:541'/'/-
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q! ZV P

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L• Dat-e ipaA) 5 ; �
Mailing Address: I (9 PO 14 6 ►d e Ln
1: 1 hc u e�n NC- `c .7 I C
Phone Number: a qi47 - 5 8 a 7
JJ �. rn CU_1 . Corn
Email Address: C Q1� bo �q�
I certify that I have authorized se 16
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
d reds', m - a_.QQ doc
at my property located at I'(C Po r+ J i d e. l , ha Ven ,
incr- '_ 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:
Signature
Doti 15, J
Print or Type Name
L ' Title
I
/ , �T I aCa9,C
Date
This certification is valid through I 1

ADJACENT RIPARIAN PROPERTY
OWNER STATEMENT
I hereby certify that I own property adjacent to , ale 4 'Inn V 1 S 's
r� C Name oroperty Owner)
property located at I (0 Po + J ide i i haven
on Cana.1 on-P OCXeek (Address,inLoweBlhnck, e p�
, etc OL rta. , N.C.
(Watert►bdy) (City/Tor/vn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatigrl„
I have no objection to this proposal. tce ci.*acd'�,vKA
Ic-
I have objections to this proposal_ \ocux•deveve2
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�/-�,, r . e_ C cZ.+--)c_a--L,
r0°1
,i),,„„ ,i_.biendo_
P- P'Pe r4Y
».0
C. dock
IC: w/dr•+eci3itc
Day i .
.... GPn (f4t Shirie
��/C�E(^�� /•
� �L-YI(1
J Li, rC p e r k
i
WAIVER SECTIO
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 waive the 15' setback requirement.
(Property ner I ormation) (Adjacent Property Owner formation)
)/w
J. ,
Si atur Si tii•age*
IlD cd e Davis : 274 &i\J - /c1
Print or Type Name Print Type Name
Ito Rsir-t Si d0- Lx1- Zr-17 .5 ,vl ; 14 5 h UYe
Mailing Address Mailing Address
Re1hosen,NcaTE1O "3e.\\(Nav-ev, C Qr15kO
City/State/Zip City/State/Zip
a52-ierg7-seal cak609 .I.eor1 06,1 - ° toil- - 5
Telephone Number/email address Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

\\It ..'..,. ,. .. . ......
i1H_____=.________
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\ ...-----'----
Beaufort County, NC GPIN:6694.694629 PROP DESC:1 LOT#7 TOWNSHIP:09
GPINLONG:6694-69-4629 RAVENWOOD HARBOR EST SECT MBL:669400157
NAME1:KUHN EUGENE A VND_VAL:67500 PIN_1 :09003549
Ditaciamer: NAME2:KUHN SHIRLEY J BLDG_VAL:107719 DATE:10/25/2017
Beaufort County online map access is provided as a public service,as is,as ADDR1 :307 SMITH SHORE RD TOT VAL:175219 DB PG:1943/00890
available and without warranties,expressed or implied.Content published on
this website is for informational purposes only and is not intended to constitute a TAXABLE VA:175219 STAMPS:328.00
legal record nor should it be substituted for the advice or services of industry CITY:BELHAVEN DEFR VAL:0 SALE PRICE:164000.00
professionals.The County of Beaufort and the Website Provider disclaim all STATE:NC PREV ASSES•195769 REID I :31392
responsibility and legal liability for the content published on this website.The _
user agrees that Beaufort County and its Assigns shall be held harmless from all ADDR2:418 BELTLINE DRIVE ACRES:0.69
0 actions,claims,damages or judgments arising out of the use of County data.
beauformc.agdmaps.com AM 1 PROP_ADDR:307 SMITH SHORE
20 m I Apr/24/2020 ZIP:27810 RD
90 ft I Scale 1:1052

ADJACENT RIPARIAN PROPERTY OWNER STATEMENTi
I hereby certify that I own property adjacent to . ale 4- L nn vl S 's
l . _j_ f _ - _ Name of Property Owner)
property located at 1 to ror- J iUe 1P ) I have fl
can.] i l (Address, Lot Block, Road, etc. r
on on O�'Qek, , in I hD e n Lttor±cb. , N.C.
(Waterbbdy) (City/TovYn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
rCL C axe cx.-L.
ae0
\ c'1�o�'e c Vax)G�'-t
Zf fl
P ` S P-oy
: dock
1'■: u'/dred9 nj
Day'I ■
i�2ne t Shirle
prOrerb hn
praPe 9
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 waive the 15' setback requirement.
(Prope• ier Information) (Adjacent Property Owner Information)
-4,iipA4.44Yam Acir--
Si• *ture Si',i.ture* ,,
sIS ;e Z 14
Print or Toe
Na Print or Type a
((o Por 5ii Ln- 53 e con I-h
Mailing
Yl aU en,l� C?�L Cc 78�C) Mailing A e ss /I J C aZrl�'/ D
a� e pi
City/State/Zip City/State/Zip
qq-7-58a7 da(2bo9 (,coi 15-a-9&tf 3 030 bwe @4v& rs,iei-01-3
Telephone Number/email addrese Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertifythat I own propertyDate 4 L' nn D.v i S adjacent to s
L �,( t _ Name of Property Owner)
property located at I (�c f tr J IC 2.Ltr ., 'be(taVc_'V�;
,_ � ��" (Address, Lot_,Block, Road, etc. 0//��
on t-anai on Ko lC peXe , in - `x'l h'1Q-i -) I "QL.ttor"E"CJ. , N.C.
(Waterbdy) (CityIToWn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
+ ✓ 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)
/�, r e Cc curl p I
\a�y o�c- Vcu G
nzen
di /dretir n .
C�-Prue 4- Shine lu
p r o per �J I � n J
. ` pe ri-t,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.)
qtk -11f"I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro Owner Information) (Adjacent Property ner Information)
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1 lure 1 at e
7� � go add_s Tr.
Print or Type Print or Namp
7cs D u7eaf litCar /VP ' - , o.- ,
Mailing Address Ma► iig4d�ress
fki Lt/POPY; Al C a7$ 70 �� &e//luden , . v, c 2-7 fl
/s�ate/71p City/State/Zip oi 2�Z - 97 s-2 /h6Y j 7(9 , r.'(,u„
Telephone /email address -•�- Telephone Number/email address
S
Dale Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

it
NC Division of Coastal Mgt; Habitat Impact Computer Sheet
/'//� li
Applicant !/ Zroca..
Date: as 7 A,t-,'/ .2020 •
General Permit#: 7S7O,J7 -
Describe below the HABITAT disturbances for-the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft. FINAL Sq, Ft. TOTAL Feet FINAL Feet .
(Applied for. (Anticipatedfiial (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance - Disturbance disturbance.
Habitat Name Choose One includes any Excludes my total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or ern restoration or temp impact
temp impacts) impact am curt) temp impacts) amount)
L44. Dredge lt3" FII El Both ❑ Other ❑ 75 ir7s
—/
p/0Bn vctU Dredge Fill❑ Both 0 Other IB 9°
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Flr❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other 0 -
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Filt 0 Beth ❑ Other ❑
Dredge❑ FA❑ Both ❑ Other 0 •
Dredge❑ Fill 0 Both ❑ Other 0 -