Bartus, Shane 77119C

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®^' )�CAMA / DREDGE & FILL NO 77119 ,p D
GENERAL P RMIT Previous permit# OZi
❑New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued / (J
As authorized by the State of North Carolina, Department of Environmental Quality Qo`Y.C/
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 Ho lo`(•C/
n6KUies attached.
Applicant Name Project Location: County A S10 [ ✓
Address / Street Address/ State Road/ Lot #(s) $ iP I LX
f - __ AV ... lSlUrzxz
Phone #kQ9)7J6k /Dq( TE-Mail /� Subdivision (/.'
Authorized Agent gy'a�A C7r, I fji City_ _NT
Affected XCW _EW —kPTA �`"1 ❑ PTS Phone #
Affecte ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body_
❑ PWS:
OItW: ye / no PNA e / no Closest Maj. Wtr.
Type of Project/ Activity V-O � (�yy ^ CLC I
Pier (dock) length to K (O V
Fixed Platform(s) /n
Floating Platform(s) _-I-�—
Finger pier(s) ^
Groin length
number
Bulkhead/ Riprap length
avg distance offshore 'r
max distance offshore
Basin, channel
cubic yards I� _ r�, �) (A%— C
Boat ramp
Boathouse
Beach Bu ozing—
Other
—
,
Shoreline Length N
SAV: not sure yes --
Moratorium: n/a yesUno
Photos: yes
Waiver Attached: yes �
A building permit maybe required by: ✓' a(
( Note Local Planning jurisdiction
Notes/ Special Conditions
e r Applicant Prim NamG1 j ME-5
ig ure **Please read compliance statement on backof permit*'
Application Fee(s) Check #
River
i
�,I9
(Scale: N/A )
❑ See note on back regarding River Basin rules.
Name
11101.10

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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑Tar- Pamlico River Basin Buffer Rules El 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
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

T�� e ids
91 �� r 771� 0 ��! J/ Aa ' 1 9
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6W I161
RECEIVED
JUL 27 2020
DCM-MHD CITY

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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �i%� 2y
Name of Property Owner Applying for Permit:
v
Mailing Address:
I certify that I have authorized (agent) I//Q/ GtO �` ^ �1 elf to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Ack P P eq r I I
at (my property located at) I/ i b //f$(
This certification is valid thru (date)
Property Owner Signature
Date
RECEIVED
JUL 21 M21'
DCM-MHD CITY

7/23/2020
Adjacet property owners statement_ Frank.jpg
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM \
Name of Property Owner. syplm -- V S,£�sRE,v l �1 AtZMM� 1
Address of Property' ©SPlt��r 'J��-r�NOSITrI 10t�5f31L llef{CI-1
(Lot or Street #, Street or Road, City B -J(,4-64 b
Agent's. Name If.
Al phone #:
Agent's email:
MailingAddreas:
I hereby cergfy 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.
I have no objcctiuns to this proposal. I have objections to this proposal.
tfly the Divislon of Coastal Management (DCM) in
se should be malted to 197 Cardinal Drive F ,
be contacted at (910) 796771a. No response !s
dby Cerp'fied Mail
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 WWI the appropriate blank below.)
wish to waive the 15' setback requirement.
do not wish to waive the 16 setback requirement.
S►�A�F
Print or Type Name
Mad Address
-2k�jtL6
Total) a umber Dare ,_5V-440-L-
(Adjacent rty O/nD) '
Sign—atururree)•tm-
Pn�jnf' �or T�yp]e Namee a
Revised 061,2012
RECEIVED
JUL f "
®CM-MHL 1
https://mai l.google.com/mail/u/2/#search/sbartu s%40 mv2l lc. com? projector=l

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AMA / ❑ DREDGE & FILL NQ 70855 A g c Cp--)
GENERAL
PERMIT Previous permit#
ew UModification ❑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 p Rules attached.
Applicant Name, I�—i I' � __ Project Location: County �V —
All..... Gii�7 W D Die , Street Address/ State Road/ Lot #(s)
State- ZIP 9-74— 13 Ovge �
Phone #W067
Authorized Agent !cam c-c P
❑CW W A
AffAEected ❑ OEA o HHF ❑ IH
❑ PWS:
ORW: eey
no PNAe�/ no
Type of Project/ Activity
hrr/.L-
h / 411JIS airy (v o /5A ll f'aCWAL ZIP
River BasinIN II-7�
LIES ❑ PTS Phone # (_'-�'_�
❑ UBA ❑ WA Adj. Wtr. Body As f 1 L./{TI.�O� ./A net /man /unkn)
Closest Mal. Wtr. Body "Tt/04-n 5i0I 1J�
a
(Scale: �� Q.Qf )
Pier (dock) length
Fixed flatform
FloatingPlatform(s)
Finger pl r(s)
Groin len
numbe
)_
j
r - -
I I
N
--
1 ,
-1
—j-1
_
Bulkhead/ Ripra length
avg distance ffshore
maxdistanceo shore-1-
I
Basin, channel
.,
j _
V
cubic yards —
Boat ramp_—_—_�—-
Boathous oatli
_
Beach Bulldozing
Other
j:
$LL
I
1
i
Jul
DbMs
Shoreline Lengt
SAV: notsure / yes no
Moratorium: da yes
__YYY)))
Photos: yes .
Waiver Attached. yes o - --- -
A building permit maybe required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
f' ` �r_%�fbIM�S
Signature **PI a read compliance statementon back of permit**
Application Fee(s) • Check#
ITY
❑ See note on back regarding River Basin rules.
vd d NsPrinteame
Signal
U
_
Issuing Date Expiration Date

U, 1111 dt),-) s

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to w e
Name
property located at 117'1"i�� Zw/v (' N C�
/� _ [', y 1 N.C.
on /Mlle . �fc �� Qy n 7Y7 L75 / C�N,C orc, C��
(Waterbod (city/Town and/or Coun )
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 PROPObtu utvcLvrmEN i
(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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
1:5114"
Signature
Shane Bartus
Print or Type Name
13 Osprey Dr.
Mailin Addr
Nort�i Topsaessil Beach, NC 28460
City/State2ip
205-492-7264/shane.bartus(cDQmail.com
Telephone Number/email address
7/10/2020
Date
*Valid for one calendar year after signature*
x
(Adjacent Property Owner Information)
Signature 4: -T4
Print or Type Name
16� 2 �y/,1'e/,2/l Cr
Ma nl Ad ess �
/y�' �r)iJ�
City/StatelZip ✓) y
/ � Y/- .5� -�
Telephone Number/email address
sC
Date TlErMEIVED
(Revised Aug. 2014)
JUL 27 2020
DCM-MHD CITY

� � �,, J � I M "Vil .,I

RECEIVED
JUL 2 7 M !
DCM-MHD CITY

or ti