Hardin, John 79536C

AMA / 0 DREDGE & FILL N,�7 9
�- f,V 79536 A B C,' D
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit Issued
Asa thot•ized by the State of North Carolina, Department of Environmental Quality /`
and the Coastal Resources Commi Sion in an rea of environmental concern pursuant to I SA NCAC (/
,^ ❑Rule at; tached.
Applicant Name
�7 JU ^ Cr f ` Project Location: County
Address 7 �i t E�l 1 r / t`t < )— Street Address/
�State , Road/I Lot #(s)
City f�V�uvr� State/�C ZIP_ _ �/ ✓ (�oeti!tC C /
Phone # -Mail( Subdivision
Authorized Agent c✓•J Tr Ciry_jC 1 tl ✓ ZIP_
Affected O CW (i r �,4aPTA 4�}ES ❑ PTS Phone # (_) River Basin
AEC(s): Adj. Wtr. Body q IL
❑OEA ❑HHF ❑IH ❑UBA ON/A J
nat man unkn)
Cl PWS:
ORW: yes / no/ PNA yes no Closest Maj. Wtr. Body
Type of Project/ Acti�vfity,
7 X
Pier (dock)length �
Fixed Platform(s) J
Floating Platform(s)
Finger pier(s)_
Groin length
number
avg mxann
max distan<
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatl
Beach Bulldozing
Other__—_____
SAV: not sure yes Fq I—
(k7yoJ_ I j
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes & -- -.
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions _
Sip to *n Please read compliancestatementon back of permit**
on icadon Fee(s) Check #
G
(Scale: „ rjT )
❑ See note on back regarding Rtver Basin rules.
C l,� wal,rz>✓
PermitOflicer' Pi r d Na e
SigYID
q
e Z �xpl ation Date

Z AMA / ❑ O
N . DREDGE & FILL 79536 A B CCD
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As thorizedrby the State of North Carolina, Department of Environmental Quality /2 G
and the Coastal Resources Commi sion in an ea of environmental concern pursuant to 15A NCAC
"'Li Rule attached.
Applicant Name vU ^ Cr�f Project Location: County
Address�3� S ` J l c t I� Street Address/�Sttate Road/ Lot #(s)
City y eie— V--✓ State /�C ZIP�i 0 �/ ✓ %lr t�
�J
Phone # in s �% ) Mail(( Subdivision
Authorized Agent ��J t✓ City i T/ ZIP
71 CW
r?IrW — TA '@£S
Affected
/
AEC(s): OEA
❑ HHF ❑ IH ❑ UBA
❑ PWS:
ORW: yes 60
no!
PNA yes no
Type of Project/ Activity
.
13 x
I.
946
Pier (dock) length_
Fixed Platform(s) I
Floating Platform(s)
Finger pier(s)
Groin length
number _
Bulkhead/ Riprap le
avg distance o
max distance
Basin, channel
cubic yards
Boat ramp .
Beach Bulldozing
Other
Shoreline Length
SAV: notsure yes q
Moratorium: n/a yes o'
Photos: yes ��'
Waiver Attached: yes h9
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
❑PTS Phone # (_) River Basin t /�
El N/A Adj. Wtr. Body 4 'TOIC nat man unkn
Closest Maj. Wtr. Body
0 r 4 er✓A
Si a ** Please read compliance statement on back of permit**
q- v 1510
cation Fee(s) Check #
(Scale:
❑ See note on back regarding River Basin rules
p
7PermitOfficelpPrd e
u
� 3
dration 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
Iandowner(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 INC 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
MQrehead 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, INC 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:
Mailing Address:
Phone Number:
Email Address:
John Hardin
334 Shoreside Drive
757-288-5078
[e-mail]
I certify that I have authorized Harbor 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: Install a hogslat dock
at my property located at 334 Shoreside Drive
Carteret
in 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
John Hardin
Print or Type Name
Owner
Title
a`{ I DLL I Goat
Date
This certification is valid through 10 1 51 _1 2—,202

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Hardin 's
h id Dinve (Name of Property Owner)
334 S ores e
property located at
(Address,
on White Oak River in _
(Waterbody)
(CityrTown and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
to
have no objection to this proposal.
UP 1
I have objections to this proposal.
oesr.RiPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
WAIVER SECTION
I understand thaYa 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
mey 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.
(Prope Own
Sier Information)
a re
John Hardin
Print or Type Name
334 Shoreside Drive
Mailing Address
Swansboro NC 28584
C!t /State/Zip
7v 7-288-5078
Telephone Number email address
G'n kor opal ---
Dale
"Valid for one calendar year after signature"
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjacent to John Hardin 's
334 Shoreside Drive (Name of Property Owner)
property located at
Block, Road,
on White Oak River , in Carteret , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
I have objections to this proposal.
AND/OR DRAWING OF PROPOSED
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 u wish to waive the setback, you must Initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Props caner Information)
Sign dare
John Hardin
Print or Type Name
334 Shoreside Drive
Mailing Address
Swansboro NC 28584
Cit /State/Zip
77-288-5078
Telephone Number/ email address
010 Apt aoa+
Date
(Adjacent Property Owner Information)
J_
SS
np an Harlacher
P95hWoeSa�aDrive
Men
lling Address
Swashoro NC 28584
City/State2ip
252-393-6002
Telephone Number / email address
(Revised Aug. 2014)
"Valid for one calendar year after signature"

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