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AMA / ❑DREDGE &FILL NY 78357 A B (fC D
�. k-AGENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
na,tAs aut ',rued by the State of North Carolina, Department of Environmental Quality rl
and the Coastal Resources Commis on in an area nvironmental concern pursuant to I SA NCAC l l/
I / ❑JR-ule�` attached.
Applicant Name V t l (C� lir re Project Location: County ( C `Ct h
I G
Address Street Address/ State Road/'L%ot #(s)
City t\/ C ✓t J NFL/ State ZIP
Phone # ( — 1 I / _Mail Subdivision
Authorized Agent � �CC City fvC^� u'?' ZIP
Affected ❑CW 1;1C4j 'TA El ES ❑PTS Phone# (_) River Basin n
AEC(s) : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body +y ✓ sty man unkn
El PWS: G
Closest Maj. Wt.. Body f
ORW: yes /��, PNA yes /� '
Type of Project/ Activity l V /t 13 l i 4' T
(Scale:
Pier (dock) length
Fixed Platform(s)��—
FloatingPlatform(s)
Finger piers)
Groin length
number
Bulkhead/Riprap length
avg distance offshore j _14
max distance offshore
Basin, channel
i
cubic yards
Boat ramp - - -
Boathous
( 1_
I _ 4
yy '
Beach Bulldozing - _ �- I cjt f /� 1 ✓� _ 1— i
Other
-- -E -
Shoreline Length
SAV: not sure yes gno
Moratorium: n/a yesPhotos: yesWaiver Attached: yes
A building permit may be required by: G {f'id See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) r /�
Notes/ Special Conditions J I `� t-/ L� `' V- f Z-L'/
Agent or Applicant Printed Name Permit0fficer' ted Nam
Signat Please read compliance statement on backofpermit** Signatur
i tion Fee(s) Check# Issuing ate E piration ate
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
nul I 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 ❑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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
r
Phone Number: t
Email Address: (3e �rUf� Su}�!c� I1n,it? f_
I certify that I have authorized 1 + tSl
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
i
at my property located at
in CW.171 D 0 County.
l 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
Af t f l��l i1t lY9 fps �`. �k r
Print or Type Name
0% 0 N� /<
Title
Date
This certification is valid through
Drawing Prepared By: C3 Scott, Inc / Cody Scott
Date: 2/12/21
Scale: 1": 20'
North
XZ
Proposed New ork:
Install a new 4 pole boat lift
with slings. Boat lift will be 10'
wide x 13' long.
137 White Heron Ln
Property Owner:
Bill Barrett
Property Address:
139 White Heron Ln
Swansboro, NC
Cape Carteret, NC
141 White Heron Ln
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �AL'/&A _._ 's
(Name of Property Owner)
properly iocatea at /`j �lurr i R rJ xr�,N
CAun ,. NJNJ r:' anc krvc& (Address, Lot, Block, Road, etc.)
on q MSz 4 sus1 ::.._� _, in aw V4AA „ , N.U.
lWaterbody) (City/Town andior County)
I ne applicant has described to me, as snown below, the development proposed at the above
iocaitgn.
�_ i have no objection to this proposal.
I have ohiertions to this mmnnsal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing cieveiopmenr must tin to crescripnon oerow or auacn a site drawing)
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)
Print nr Tvnn Name
'Valid for one calendar year after signature'
(Adjamnt Pro �yrnerlymatiaq)
Print nrr�Tv_ne Nrame
�� h/
Mailing Address ,.--
City/State2ip
T alai live Nurm7imr/eraaiiaddloss
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Date
I hereby certify that I own property adjacent to 12, l l uDCG//¢
�i Na(of Property Owner)
property located at V%H tTk' craw +J (_ A t l> '
{�rlrafF ot� 4)/ilTf' {At ±yap (Address, Lot, Block, Road, etc.)
in ScJnurRr a N.C.
(Waterbody) (City/Town and/or County)
The applica t 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)
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.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signa ttr * /
_ t .1 M- S C
Print or Type Names 1 l
Mait g Addre s
t� aZ'4 T�'
Citylstate/Zip
Telephone Numberlem ad ress
Dade* f O•� i
rr,�
(Revised Aug. 2014)
Lo
email
*Valid for one calendar year after signature*
X/G
AD i_A_CENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to __,]a21
(Name of Property Ownerf
property locaied at r,:: t;
(C44?,L dr,- WNf"`. pqs R)Yr& (Address, Lot, Block, Road, etc.)
onr in.—`— .u2•, N.C..
lWaterbody) (CIty/Town andior County)
Ina applicant has described to me, as shown ueiow, the deveiopment proposed at Ine above
' cati n.
i have no objection to this proposal.
1 havn ohientions to fhia rimnosal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing oeveiopmen: must titi in description oeiow or anecri a site drawing/
WAIVER SECTION
I understand that a pier, dock, moorinq 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
e. (If you wish to waive the setback, you must initial the appropriate blank below.(
I do wish to waive the 15' setback requirement.
I clo not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjfoont Prqpertq gwner'lpfefma-ttop
Ci�mnhm�
IA
Print nr Tvne Nnma
�31 I>ir'l%"� ,tird-n, i,/1fJs'
Mnillna Addrncc
City/State/Zip.
¢ u"u !�n1Ar. ✓.J.
13;-S�fi -?l7q
Telepirona iJumieri et �aii urid�ass
bate
'Vaud for one calendar year after signature'
Tare rtv iJurnu pr i emaa way
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 112 o l l Darla -tf 's
(Name of Property Owner)
property located at 00 I. a ni t
I A J
ANA�, r,7an @J t 1'7-r (}at ;.r �'+du,css, Lot, Block, Road, etc.
on t , in
(Waterbody) (City/Town and/or County)
N.C.
The appll a 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)
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 ripaiiar, access unless waived by
me. (l[Nyou 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 Inforr,j tation) (Adjace Proper w, e nformation)
I
Si8natur/1 ��ki1 Sign" t" g
I/ *
vL Lim
Print'or Typel me Print or Type Name / r
i�`T �✓r�trrr lrr"�.[,rl L�rJ� ;�.d.'�1� � a3y �'��✓a �s ty'�f/C
`JMailing
WANda7,ss Q(�' .. c g5fk"�( Mail�Mil/s� Y�l�/vv�
City/State/Zip �y City/Statelzip,i
Telephone N mberlemail address Telephone Numberlem adcjress
Date Date* o,`'{ i
f 2( r.3
(Revised Aug. 2014)
`Valid for one calendar year after signature*