Scott, Jeff 78370C

4 MA / DREDGE & FILL N� M570 A B C D
4GENERAL PERMIT Previous permit# �_
Kw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environmental Quality -%I f
and the Coastal Resources Commission in anarea o nvlronmental concern pursuant to I SA NCAC,_ ❑ Rufes «ached.
ApplicanLName
1 J" )c Project Location: County (iU
Address c c nc Street Address///State Road/ Lot #(s)
ON ley _ Statei�< ZIP��% C� 1e(rc l-z
Authorized Agent ? CitY {
pcw -gprq /y�ffS ❑PTS Phone #Aff(_.)
AEected OOEA QHHF DIN OUBA ❑N/A Adj. Wtr.Body,
❑ PWS:
Closest Maj. Wtr.
ORW: yes no PNA yes no
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)_
Groin length _
i
avg ffshore_ maxdista�I
n offshore -. 4-
Basin, channel
cubic
Boat ramp
Boathouse/
Beach Bulldozing
Other
Shoreline length _
SAV: not sure
Moratorium: n/a
Photos:
Waiver Attached:
yes
no,
yes
D�
yes
n
yes
no , ---
A building permit may be required by:
( Note Local Planningfurisdictlon)
Notes/ Special Conditions
ZIP.
N� See note on bayys� regarding River Basin rules.
l /1 0 O.,f, s�� G((10,
Agentee��or Applicant Printed Nam�e ))
f"�--
Signa eN *`Please read compliancestatementonback ofpermit
�"*
A Ica Fee(s) CheckB

4 MA / DREDGE & FILL N� M570 A B C D
4GENERAL PERMIT Previous permit# �_
Kw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environmental Quality -%I f
and the Coastal Resources Commission in anarea o nvlronmental concern pursuant to I SA NCAC,_ ❑ Rufes «ached.
ApplicanLName
1 J" )c Project Location: County (iU
Address c c nc Street Address///State Road/ Lot #(s)
ON ley _ Statei�< ZIP��% C� 1e(rc l-z
Authorized Agent ? CitY {
pcw -gprq /y�ffS ❑PTS Phone #Aff(_.)
AEected OOEA QHHF DIN OUBA ❑N/A Adj. Wtr.Body,
❑ PWS:
Closest Maj. Wtr.
ORW: yes no PNA yes no
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)_
Groin length _
i
avg ffshore_ maxdista�I
n offshore -. 4-
Basin, channel
cubic
Boat ramp
Boathouse/
Beach Bulldozing
Other
Shoreline length _
SAV: not sure
Moratorium: n/a
Photos:
Waiver Attached:
yes
no,
yes
D�
yes
n
yes
no , ---
A building permit may be required by:
( Note Local Planningfurisdictlon)
Notes/ Special Conditions
ZIP.
N� See note on bayys� regarding River Basin rules.
l /1 0 O.,f, s�� G((10,
Agentee��or Applicant Printed Nam�e ))
f"�--
Signa eN *`Please read compliancestatementonback ofpermit
�"*
A Ica Fee(s) CheckB

AMA / ❑DREDGE & FILL NQ '7-83'70 A B C D
4,,thG,nz!dwby
NERAL PERMIT Previous permit#
❑Complete Reissue ❑Partial Reissue Date previous permit issued
the State of North Carolina, Department of Environmental Quality%OCR
and the Coastal Resources Commission in area nvlronmental concern pursuant to I SA NCAC / / / Rules ttached.
Applicant Name ,�c Project Location: County iC4
City C l`R✓ State/-
ZIPd
Phone -Mail
Authorized Agent r(J
❑ CW 4p:Wy `VtPTA
El FITS
Affected O OBA D HHF ❑ IH ❑ UBA
❑ N/A
AEC(s):
❑ PWS:
ORW: yes no ) PNA yes ( o�)
Street Address/ State Road/ Lot #(s)
l 6 / Vic. --
Phone # (_)
Adj. Wtr. Body_
Closest Maj. Wtr.
Type of Project/ Activity O 11
luJ� r;�
Pier (dock)length
I
Fixed Platform(s)
Floating Pladorm(s) — '—=—
I
Finger pier(s)
� C
Groin length IF
max
Basin, cha
Boat ramp
Boathouse/
Other
Shoreline Length
SAV: not sure yes�I/.
Moratorium: n/a yes I_,^
Photos: yes
Waiver Attached: yes no
A building permit may be required by: v
( Note Local Planning Jurisdiction)
Notes/ Special Conditions �I'A
Agent or Applicant Printed Name
Signs e� 'r^' Please read compliance statement on backofpermit"
ppp777��� &y/70 4'y40
1A#ca Fee(s) Check#
Date
ZIP
Basin
(Scale: A ,Tf� )
See note on ba regarding River Basin rules.
C

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
❑ 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 howto complywith these buffer rules.
Division of Coastal Management Offices
More___head City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjacent to Jeffery Scott ,s
property located at
165 Azalea Court (Name of Property Owner)
White Oak (Address, Lot, Block, Road, etc.)
on in Swansboro N.C.
(Waterbody) (Cityrrown and/or County)
Th applicant has described to me, as shown below, the development proposed at the above
'Wcado .
c � I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Adding Riprap to seawall
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
mama. (I� i 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
Mailing Address
City/State/Zip
Telephone Number/email address
`Valid for one calendar year after signature`
(Adjacent P party Owner Ior tion)
re
1
9 1 Buckner
Print or Type Name
Telephone Number/ email address
Date+
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to Jeffery Scott ,s
property located at 165 Azalea Court (Name of Property Owner)
White Oak (Address, Lot, Block, Road, etc.)
on , in Swansboro
(Waterbody)
(City/Town
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 fill in description below or attach a site drawing)
Add riprap to seawall
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.
o� iV I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
INM? *
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature*
LaRae Wiggins
Printor
B
r Type Name
reezy Point Rd
(Revised Aug. 2014)
il.Com

JRN-07-2021 16:27 From:UPS STORE DURFAM 9193923028 To:12524240400 Pa�e:1�1
ADJACENT RIPARIAN PRO TY OWNER ST EMENT
I hereby certify that I own property adjacent to Jeffe Sco s
(Name of Property Owner)
property located at 165 Azalea Court
(Address, Lot, Block, Road, etc.)
on White Oak in $W8nsboro , N.C.
(Vllaterbody) (citylTown andior County)
The applicant has described to me, as shown below, the development proposed at the above '
locatlor�.
F t/ 1 have no objection to this proposal.
I have objections to this proposal.
DEVELOPMENT
ow ar attach a slfe drax'ing j
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)
Signature
Print or Type Name
Mailing Address
City/slate lip
telephone Number/email address
------------
Date
(pdjacent property Owner information)
mature*
t3onnie Hamby
or Typo Name
email
(RevisedAug. 2014)
"Valid for one calendar year after signature

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jeff Scott 1t S col'I
Mailing Address: 212 Bluewater Cove
Swansboro NC 28584
Phone Number: 912-977-6968
Email Address: jhscott75 @hotmail.com
I certify that I have authorized Harber Marine Construction
Agent / Contractor
to act -on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: seawall
at my property located at 165 Azalea Court
in Carteret 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 lands in connection with evaluating information related to this
permit application.
Property Owner Information:
49'11� ZA3�=
ig ture
Jeff Scott 4-k Sco li—
PrintorTypeNa e
Owner
Title
�l� r)_f 20 2 u
Date
This certification is valid through l 10I 1 20_ u

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Davenport, Ryan
From:
Nancy Hamilton <[e-mail]>
Sent:
Thursday, December 17, 2020 10:29 AM
To:
Davenport, Ryan
Subject:
Re: [External] Assistance in obtaining permit for boat lift at 153 Jennifer Drive Harkers
Island NC 28531
CAUTION: External email.
Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
-

z

Hers are the Signatures and drawing. If you need a differ diagram please let me know Thank you very much
Mark '
On Thu, Dec 17, 2020 at 8:54 AM Davenport, Ryan<[e-mail]> wrote:
Email me a drawing of what you are proposing to construct along with the signatures from the neighbors.
Ryan
-----Original Message -----
From: Nancy Hamilton [mailto:hnanc 1199 email.com]
Sent: Wednesday, December 16, 2020 5:53 PM
To: Davenport, Ryan <[e-mail]>
Cc: markhaml [e-mail]
Subject: [External] Assistance in obtaining permit for boat lift at 153 Jennifer Drive Harkers Island NC 28531
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to Report Spam.<mailto:report. spam nc.gov>
Ryan this is Mark Hamilton. Could you please contact me by phone (919)- 622-5096 or email at your earliest
convenience. I am trying to get all information together to apply for boat lift permit. I have the adjoining
neighbors signed Adjacent Riparian Property Owners Statement with no objections. I look forward to hearing
from you.
Thank you
Mark
Sent from my iPad

1/12/2021
Dear Amanda,
RECEIVED
JAN 15 2021
DCM-MHD CITY
Please apply the additional 400.00 to CAMA
permit 78370C. A check was sent on 12/3/2020
check number 1470 for $200.00. If you have
any questions, please call me at 252-424-0100.
You can send the permit to
[e-mail]
Thank you,
Teresa Brewer

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