Piner, James Jr. 76776C

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CAMA /- DREDGE & FILL 9-"✓ NO 76776 A B � D
6JIGENERAL PERMIT Previous permit#
New ❑Modification ❑Complete 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 I SA NCAC 0
Rules att hed.
Applicant Name �1 + Project Location: County_ �_ P�
Address / 4�� J QI GA—ho`_ Street Address/ State Road/ Lot #(s)
Cityy9 ui P( State�CZIP_
Subdivision
Authorized Agent N City ZIP
Affected ❑ CW K-EW PTA .NCS ❑ PTS /�� Phone # ( ) River Basin %
AEC s : ❑ OEA ❑ HHF ❑ IH ❑ j
UBA ❑ N/A Ad. Wtr. Bod
y J7pc _ (Z j A (nat a
,o/unkn)
❑ PWS: n
ORW: yes / > PNA yes / no Closest Maj. Wtr. Body �Zf�' (�r��-K
�)Rn n 'I k F I
or pplicant Printed Name Permit Officer's Printed Namqf
ire ** PIread compliance statement on back of permit Signat re
ation Fee(s) Check # Iss ing D e pirati n 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 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 ❑ 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 (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith 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/ 1-888-4RCOAST 252-946-6481
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
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)
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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 3a41 e-3 7:-r I/®n, U ,y ey, 31 ;
Mailing Address: 6 % / secv-oeA—e- � 1�
Phone Number:
Email Address:
j/01l1eN Ca'; 4c , r(. Cony
I certify that I have authorized DENNIS & SONS 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: '-74` ok� ,� i1-0� ►" I (�-k��=1
lt/�Vyv
at my property located at (oqq JC
In CARTERET County.
1 furthermore certify that / 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 ` �?
Print or Type Name �-
Title
�t / 'Z.0 / 'tC>L�
Date
RECEIVED
This certification is valid through 12 / 31 / 2020 JUN 10 2020
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to , a r'/\'N `5 ► ev � . _'s
Name of Property Owner)
property located at (A q ` )f-, , �) I-,—
on icW
(Address, Lot, Block, Road, etc.)
in NEWPORTICARTERET
(Waterbody) (City/Town and/or County)
N.C.
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 rill in description below or attach a site drawing)
-1 q
-INSTALLATION OF'PW OF VINYL BULKHEAD
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. elf ou,sh 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 Owner Information)
Signature
Print or Type Name_
� e a. � .i _ �`k►'
Mailing Address
CitylStatellip
Telephone Number/email address
is �/_) f 7i)
Date
nformation)
Print or Type Name
Mailin Address
City/State/Zip
Telephone Number/email address
=,:'5=,� —CJ oenEIVED
Date *
(Revised 6UN 4004�020
*Valid for one calendar year after signature*
DCM-MHD CITY

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1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ILD
I hereby certify that I own property adjacent to a vim, c� S � �� � � s
(Name of Property Owner)
property located at lv �1 'A ca O, C�--{ -e I-) r \ v' e
c (Addr ss, Lot, Block, Road, etc.)
on JPo�caCz MGM �x nc� , in � A ew Qb r i G � r �2re -�
(Waterbody) (City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location 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)
0
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Pro rty Owner Information)
Anature 1
Print or Type Name
�qC1 C ec�'_U(a- �t Y
Mailin� Address
�► Q -A) oo\ A NC 9,%a-7®
City/State/Zip
-tea
Telephone Number
�-\ ZO - ZO 20 --
Date
(Adjacent Property Owner Information)�L,
Si ature
rint or T pe Name
---)l `,
M ifing dress A- f ��
City/State ip
2<.2 -ZZj—Gf0`��
Telephone Number RECEIVED
Date
JUN 10 2020
(Revised 611812012)
DCM-MHD CITY