Howard, Larry 75989C

Z§NMA / ❑ DREDGE & FILL (..� y (G'. No. 75989 g
FA NERAL PERMIT Previous permit 0 D
N w 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 are 'of environmental concern pursuant to 15A NCAC t,.•'�
/ _�/' -� Rules attached.
Applicant Name r <' Project Location: County ( � ✓1 JI/�)
Address f ` ` Street Address/ State Road/ Lot #(s)
City_ _ State -°' ZIP
Phone # ( )
Authorized Agent
Affected ,&6w
AEC(s): oOEA
n owc
ORW: yes / no
E-Mail -
PNA yes / no
Type of Project/ Activity
Pier
Fix¢c
Float
Finge
Groh
Build
Basin
Boat
Boatl
Beac
othe
Shor
SAV,
Mor:
Phot
Waiv
Subdivision_
City IV., _
/rv.- _,., i ZIP T ;
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Abu ing permit ma a regwre y:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent of Applicant Printed Name
Sign 4rre ra Please read compliance statement on back of permit.. Sig
nature re -
'Z 1 `u
Application Fee(s) Check# Issuing Date E piation 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
it matiorrandt>etief; cei t"atthi"Mectis-consistent with the-NorthrCarolina Coasta[ManagemencProgr-am.
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/ 1-888-41RCOAST
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: `-✓-t lmy -J N Ow M2
Mailing Address: 3c) 03 14 ASiZ I MAN Ecl,
l u ✓L H A M IN C- 2-7 70 S
Phone Number: 0-3505
Email Address: Ho\N �jL, (9 M
I certify that I have authorized Sc o t-T- G-" K-T-o \\,l
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: `-mot= V \A/ 14L( ._ -Rey I VqW
Y47,1 D p 41 rZ
at my property located at
2-11 s,Wk-F-ET-2, s
in ()NFL-OV\J 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:
Signature
Limy Z-
Print or Type Name
Title
! 5 /19
D ate
RECEIVED
This certification is valid through I ,L 19 ( /2©2-,0 DFC 0 5 2010
DCN1 AHL) CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LA'RR`f BOWLS D s
(Name of Property Owner)
property located at 211 S W AT E K ST } S W NW9- 0W j NC
(Address, Lot, Block, Road, etc.)
on W 14 ETF- OM"- R\\IER, in AN S-ZoAt5 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati n
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)
lZ kA
" vocx\
\N 'Rtz Zvi( -tom
S
REiaRDE.CI< of
1 Hbs*\
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.)
WEC'EIVED
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. DES. O 5 2019
(Property Owner Information (Adjacent Property Owner Infor MM
D CITY
Sig ature 0 re* i I j �0►-(
Print or Type Name Print or Type Name
3c0 '-Z' \� >k'wR\ M N. N ZI (/�> i ll t % LmL
Mailing Address Mailing Address
�UyKA� �j�j•G. 'z7ZO5 Li -6
City/State/Zi City/State/zip
Telephone Number/ email address Telephone Number/email address (t II-tx, I, ccy'n
10-I8--20\'� I?�) crr
Date Date *
(Revised Aug. 2014)
*Valid for one calendar year after signature*

.. i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LAIV RY HOW AR D 's
(Name of Property Owner)
property located at 211 S- VJA re R s , 3WP;N5S3oyo > NC
(Address, Lot, Block, Road, etc.)
on uiI'rtT C R\VFa in 5WAl1$$Ca N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
DOCK
�1
a
F�iE V>Ull. CJ
5�
F-RIZA-RDECK otr
Hbl��
AZ
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 1.5' setback requirement. RECEIVED
I do not wish to waive the 15' setback requiremen& DEC 0 5 Z019
Owner Information (Adjacent Property Owper Informabt'di—NIHD CITY
Sigliature 0 Sig ature*
L A NY V�0W f�
Print or Tvoe Name PriJ7t pr Tyyq Name
_.....,..__.___ �Iac kso \yd
���KAt� 11JG z�ZOS
City/state/Zip City/S to/dig
`i IcJ -'7Y0-3SC�% L }iow� b�i> N� _ RR.cch / D 3416
Telephone Number/email address Telep on Numb r/
to—u�-20✓'y Q oC /e
Date Date"
(Revised Aug. 2014)
'Valid for one calendar year after signature`

GoMaps
December 10, 2019 1:1,128
0 0.0075 0.015 0.03 mi
0 0.015 0.03 0.06 km
US. Fish an Wfdlife Service, Nffiloa Sfandwdsa &pFWT�,

AMA / ❑ DREDGE & FILL UC) C*✓I No. 75989 A B C D
GENERAL PERMIT Previous perm it# G
w []Modificationn[-]Complete Reissue ❑Partial Reissue Date previous pe mit issued
As author; d by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an are of environmental concern pursuant to I SA NCAC >
Rules a ached.
Applicant Name Y 1 G V �V � Project Location: County�� O
Address
Phone #
Authorized Agent
�W
Affected
AEC(s):
[-10EA
❑ PWS:
ORW:
yes / no
Crrl
9EW ❑PTA
❑ HHF ❑ IH
PNA yes / no
cI r�
ZIP�2=L�.
LIES F11 PTS
❑UBA ❑N/A
Street Address/ State Road/ Lot #(s)
'i 1 I S
Subdivisions _
City �� t le-v ' / ZIP v/ /
Phone # O /R/iver Basin U
Adj. Wtr. Body t n man unkn
Closest Mal. Wr. Body `� t
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Agent o'r Applicant Printed Name
Sig t re ""'Pleazeread compliance statement on backo�f p�erm�iit"
Appicatio ee(s) Check#

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
❑ 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 how to 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/I-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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