77476_Bill Cary_20201207

Res
‘ARAA/ [7 DREDGE & FILL "_. 753?1-1
U
.
Previous permit# 1�
GENERAL PERMIT 77476
A ®
14
New ❑Modification CJCompiete Reissue ❑Partial Reissue NDate previous permit issued NI
4C D
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 I5A NCAC D 1 N - )ZOO
ules attached.
Applicant Name_13 11_-_CAry -- Project Location: County 13er;k1A -F
Address 3(3 ip 'P0. -o.60x PO;,.N 'p.- Street Address/State Road/Lot#(s)
State }JC. ZIP a1-SC* 301v Pc raboY Poi vnf 1>e
Phone#(3%). Q�-_j 9 I E-Mail
11.6_Cett-4 e- 'yp1efe�s,p•.Subdivision W f�ttV SD
Authorized Agent C ja5-Fai�oAR' V44- y C
--LL-- • - m'— — ZIP—a� S(Z�G
Affected 11 EW gin LIES OPTS Phone# (3 M ) 4�-j 4�— Basin
AEC(s):
nOEA CI NW DIH LJUSA ON/A TAR��A
pyyS. Adj.Wtr.Body + ipbE1 i CY GD/man_[unkn)
ORW: yes /® PNA yes / no Closest Maj.Wtr.Body�r 1i.to 1�i J r
'Pipe of Project/Activity . ( (' 2b r a c Cia.,bw.-d u 1 15 - -
Sy1544 i T .: AGM) Pak 5 / j( 13' tM/ ocf�-I7 4P (Scale: /1/- VC( )
Pier(dock)length
Fixed Platform(s) _ _ � -r---- __ .—.___ __
CA-Yr�t T i --1--' R- i ,
Floating Platform(s) -��• +_I l� i• -° .- I _� • , :
. _�,
Finger Pier(s) , r , .._.. . - _ ( v let '. _f __1 i .1:
::irs \
- -: _•
1. _ !TII1I j i avgdistanceoffsfw _ I } "— ' i... , , LZj - 1•- __ -j i •
max distance offshore I 11 1 i I �-a '` s• , _ !
Basin,channel _I } �_ `1 I-- 7 s _,__ ..a_ _ i
r I j ' I
cubic yards - i ' i , !7f* ' i t -I 1
Boat ram -• I j
P . 1 . f..T- . ,--.—_ ; : I r— F" •-} 1
Boathousgl,�j� /3'x /3' i � j� � h - -{- ;
_i..._ � I i ii-1.
i
,
.
- j - -
Beach Bulldozing , 1 1 ! i + j '
s t
other ...., ...1_ _. 1 1__ . -1 ! —�— ' -;--i _..
i
. 1 i- I r �_ I
Shoreline Length - I'is 'J. .- r'+'�• f -`-- - 1 I -
SAV: not sure yes ! 1-
_
Moratorium: rya yes no i-
A building permit may be required by: it e(t t-(-Qr�' LOLA Vily 1.4e note on back regarding River Basin rules,
(Note Local Planning Jurisdiction) 11 /
Notes/Special Conditions ;S !f'Mlb+ff"�1h6� /or(.�4 Wr/ o f�l-� . 4 ,/14A ,f la
bt usih I oF thc a iioWot5(C Z 5l ids per r)oe. i►, p
1 fe) o f NW. (bib 1 e T over a i 0 c
�. a5f�� w i-lQs ,
Affiarl
or Applicant P e,d �'` �r�
di it BLS _ 11s
P • s Printed N
11:2 ----s•-•''..
Signature "Please readc fence state on back of permit•e Signature
/7 CrW °"OO �= -6 a -Dec 21)7,D -0-- f ., ) •-'2.DZ
l
Application Fee(s) Chedt Issuing Date Expiration Date

0 VCAMA / DREDGE & FILL N° 77476 A ® C D
NERAL PERMIT Previous permit# ). 1�
> `=.New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued t,-) /1'.�
1
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 0114 , j Zoo
Mules attached.
Applicant Name t 1 11 CO,"y Project Location: County Fjeo.0 4t r k
Address 3 O(Q 'P0.ra 60x -Poi vs. 'r Street Address/State Road/Lot#(s)
City AV1V'O`(A State /4C ZIP al-$1>(0 301v ?araboy ?oiv-'C -Der
Phone#(3) °7OB- 199 I E-Mail6ceery & 6rooKspleice c ubdivision WI A sori5
Authorized Agent Cpo Fill ?cal1 W' 4" Repine' City A kx(-0re". ZIP '4•Sv(o
Affected ❑CW ❑EW VPTA ❑ES ❑PTS Phone # (3''(o) 1C1t-1(4 9 j River Basin 7f)Z I'PArr)
AEC(s): ❑O� ❑HHF ❑IH ❑UfBA ❑N/A Adj. Wtr. Body ego,y pbel I Creek
❑ PWS. 6a:1lman /unkn)
Closest Maj.Wtr. Body PC'a ,1 to t 1 C
ORW: yes /� PNA yes / no
Cern warii•-ty /
Type of Project/
l 7Activity �1'1 11 I & X 20 a t c ej -5 y'a y Ltic I kka y -/a ex)317 h j'k - �/
T/154411 41CW POk5 ) ?X I7✓- ' rr t '1, e, -f-1;-C+ (Scale: /ii— 9O' )
Pier(dock)length •
I I ii III
Fixed Platform(s) i!k' -- \ CAYv)'PI, L t✓�
i li`p fv^
Floating Platform(s) { . 5�� �lw �`
Finger pier(s) 1 -, 1 r j I El- N,
Groin length j ` -- ! / 11711 --t_ 0-
number
-1 ,'22i' 401 L.. _I
Bulkhead/Riprap length 1 T { 1 Lv /17P
1 — S
avg distance offshore ^fir ' lk
max distance offshore I j�y S
Basin,channel l--- I — ��
•
cubic yards hi�„ '� i
Boat ramp I
Boathouse/1Y11 . /VX i&i ( I --
—.�.. _
I I
Beach Bulldozing j ' r 1
I
Other 1
I 1
I I 11i
- wL _ a
Shoreline Length — j
SAV: not sure yes no l.� —T_j i j
^ �� l o J
Moratorium: n/a yes 4 -j- 0'1 n, �-Cons-freiG 7 L X 7A'
Photos: yes 1 . (. `O ,_ . . , /4((E - E4� 7b , it, '
6 , ;
Waiver Attached: all el.— __- E-z 5T i 1 ��; i i
IZ L p
A building permit may be required by: Bep0A-e-or 1L
CO Yl+/ . lee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions L.071 i s m41iA1 ,keO /4CAA - a 4w fy S, 4pyl!caAi iv 1
; LA5.1 I o - Mc antwPb(e Z 51;�s p¢r o ;�, luc-l «ss
�<
{aryl is )Anhwart) of- Nw!- 0).1 �07 over any coa5•6) wci-lan s .
Agent or Applicant Printed Name Pe ' Off e s Printed Nam
Signature Please read compliance statement on back of permit** Signature
�� ‘4' -4.0 •= 5(.0. 4- -Dec - zozo - 7 - 4pr;i - 207-1
Application Fee(s) Check# Issuing Date Expiration Date

_. .,. . _. ... �, r.
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,certifythatproject
a this p olect is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L I ar-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(9 I 0-796-72 1 5)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

0 CAMA/ ❑DREDGE & FILL N° 77476 A ,B? C D
NERAL PERMIT Previous permit# ',1 i'A
Y a New El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued 1•)/A
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 ISA NCAC 71E` , i 2-CDC),, .
II Rules attached.
Applicant Name 3 I 1 ! Lc ( Project Location: County 5 k).419 r*
Address 3 0(v 110..<-a 6ox i. c)` ,-,T 1:)<c" Street Address/State Road/Lot#(s)
City Ati'(O.(0' State 'WC. ZIP ralS010 SD& t a - c rc.") n' �e
Phone# (33b) 1OS• I 9 9 I E-Mail b c c-Ce &" 6,c,0rsp,c icr a,nSubdivision W I ,n.,,S o r 5
Authorized Agent Coca S�k I rl `
Dat- '1-1- iLeci l t City A L\ .co C CA. ZIP 1¶v Lo
Affected ❑CW ❑EW R'PTA ❑ES ❑PTS Phone# ( .353t::) `)CXS• I LI c/I River Basin -TA R / PAvY)
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body �.:,,vy,Abe I I C i Ce i a)/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body PG v--,-\, 1 (o I Je
VGA
Type of Project/Activity t (- , (. • , ,�,'' Et) /kt a - ` 5 h,.-, ni C✓
r1 5f.4 "I `1 P1l%� , /(-S 'X I� � 17c' _/ i � (Scale: ill-- yO, )
Pier(dock)length
Fixed Platform(s) .-.���A Y�`°'P �� f�T� f IHO
Floating Platform(s) ,i
c «'( t
Finger pier(s) .._...__ - V..
Groin length ..� J t �Z, `,0number } �j
Bulkhead/Riprap length _ _—_ :; ; ; 1
..__.—._ _ ._.... 1- ' 1
avg distance offshore } ` 1 ( i
max distance offshore i( 4 f"�i j
Basin,channel 1 I
cubic yards 4 r
Boat ramp / ;
Boathouse/+ lift i; A i3 —
Beach Bulldozing — - -
i 1
Other
1UL - l'I*)n; ; I '''' ' -
Shoreline Length 1. / Y j y�
SAV: not sure yes no ,--�-__.. .. __ ._..._ i i lv
Moratorium: n/a yes no 1 ; p 0 dr Lo/ � e,,l t... _^
AC(- Eam is
Photos: yes no s,�......_.i.
Lx' 5r r•G; . R.
Waiver Attached: yes, � ----
R L ;� 1
A building permit may be required by: 7 t'' I,fair f L(j(.1 i'!I . I YI See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions _ 1 1a/.f rvN) /G - I.-# -iti <- 44..., fires..reS,
;C w,hle, Z 5143 j;Qt J(:ckl1, t( ;"
._s
Nwle a lib Nc7 ve ( -; -1,) C c-v G I )- s
A/7/e (...Q► a)1 )-
Agent or Applicant Printed Name Perm4 Off cer s Printed Name,
Signature **Please read compliance statement on back of permit** Signature (
Cfr -fr2O •� 5(r.. . 4 -Dec - Zczc0 — - dp,,) - 207-I
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 (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)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

toCAMA / ❑DREDGE & FILL No 77476 A B C D
GENERAL PERMIT Previous permit#
)C Li New El Modification III 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 5A NCAC
Rules attached.
Applicant Name Project Location: County
Address L- -, Dr Street Address/State Road/Lot#(s)
City State NI{.., ZIP �� CI: ,
Phone# ( ) ,`C-S- !`/l i E-Mail r; 4( ./ !�' }^, sr--; Subdivision '.' _:.-------
Authorized Agent T 4 i -�t.�i ' City ZIP .• -7 (..,,,0 L
Affected ❑CW E EW ❑'PTA ❑ES ❑PTS Phone# ( ) River Basin T i;Z. /f'FI'rl
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA CI WA Adj.Wtr. Body r (nat /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body
ORW: yes / no PNA yes / no
Type of Project/Activity 7 S 1 I y i i ' /
(ScIe: r— etc" )
Pier(dock)length
Fixed Platform(s) 1,,;p t ,t L L 2. L:
Floating Platforms) 1 I t
Finger pier(s) _ '
Groin length \ } 1
number ! ._ ,
Bulkhead/Riprap length _t— 1 —. _-__.� 1 —}---- J-- t }:,. ----_-
avg distance offshore ! t At ,i `�� I
max distance offshore p
Basin,channel ' i I I
t
cubic yards4.
ni j —
I i
Boat ramp
Boathouse/ _-tlift 1" , r 2, _ ... ,
1 _—. Y —
t _r
i
Beach Bulldozing - I I ,, — .---.- y —.- —
Other ± I
I- • r t ` !iv. C I i '
G�'-In I
Shoreline Length_. -
r ± T
SAV: not sure yes no ! T.._..- — — t �y1�
Moratorium: n/a yes no 1 �,. `c rlt/ e ±z 7L
Photos: yes no ...... ,.._.. �_� _..-..[..-_...— A t i_`->S / ;it'? r, —._.
Waiver Attached: yes no ' ` ' `�.I ri
A building permit may be required by: . I ✓1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions . - ,
i t,(-
Agent or Applicant Printed Name PermitOff)celr s Printed.
Signature **Please read compliance statement on back of permit e< Signature
i--c1 Q.!-,l' .,' 2Lo -- 5(.f.7'?, 7 --De( - zczC — i - AT,,,) - ? C}Z 1
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 Ru).es 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(9 I 0-796-72 I 5)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 252-946-6481
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 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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259.The
Division of Coastal Management(DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts. /avn
• Pre-project site conditions: .e /5 Ta1he tv/71-Z
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Clei—orub'
Agent or Applicant Printed Name Permit O icer's Signature
"Dec "7-/ 2-O Za
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: 7 c/ Tr/ !J
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Bill Cary
Mailing Address: 306 Paradox Point Dr
Aurora, NC 27806
Phone Number: 336-908-1491
Email Address: [e-mail]
I certify that I have authorized Coastal Boat Lift Repair, 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:
Installation of 4 pilings, boat lift and ramp
at my property located at 306 Paradox Point Dr, Aurora, NC 27806
in Beaufort 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:
• /I
ignature/
r".J / /"'v �/
Print or TypAName
Title
/ I -2/, I old fJ
Date
This certification is valid through • / / 2 0 /

ADJACENT RIPAWAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Bill Cary 'a
property located at 306 Paradox Point Dr a of Property owner)
on Campbell Creek/Pamlico River ,in' Lot,
q Aurora,BlocNC Road,8 etc.) , N.C.
(Waterbody) (Clty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
IOCabio
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)
Replace existing pilings with bigger
poles and install new 10k boat lift.
tiiAtli
Build ramp at beginning of dock to land.
. •
1 •
....--...-.......• Ie .......
rk‘r 1 P
5 xe
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.)
-7 I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Prwkrqf Owner ) (Adjacent P Owner Information)
l G,('
Si_gnaC.�tY L re
BM VrteNa.26,16.:d
tp�7ere e1yax At. e./k
�,4ddresa Mai , �� v
, 'VC .27 6 Al* - k M. .
W9908-1491 ciz Z W--47/S f i..�,A0/4, s'06
Telephone Number/email address Telephoneacldlesa ✓ 4,1"i/C
/0--�7, e'�.�v /07mberr
♦2 .0
D Date* i
(Revised Aug. 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Bill Cary ,8
property loomed at 306 Paradox Point Dr a of Property Owner)
(Address, Lot, Block. Road,etc.)
on Campbell Creek/Pamlico River , in Aurora, NC 27806 , N.C.
(Waterbody) (City!Town and/or County)
The applican described to me, as shown below, the development proposes 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)
Replace existing pilings with bigger
-------� poles and install new 10k boat lift.
Build ramp at beginning of dock to land.
. •
• •
tiflt:41"4:1
5" XIS'
WAIVER SECTION
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. Of you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
iy `," I do not wish to waive the 15'setback requirement.
(ProPift Owner ) ( cents `Owner Information)
i cv anew sip* o,) i� I/TN w.Iros� 16'
Cary
o NamePa; 74r, iPrint
s
' 0N6y"t,
" /11r "a g el9 NC 17806
tetesiZt06- 491 cifyistatempolija_/66s
Telephone Number/email address Telephone /.met address
/0 e14).2-e) A Yy'r <-V-2C
Dale Dale*
(Revised .2014)
*Valid for one calendar year after signature` 'n fts is eti/440s4 ,/V/6
CO/V/'1 o'1/ /M't-7-4

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