Wagner, Joe 78218C

t evjr / u unmuum m rILL p� V
ENERAL PERMIT Previous permit#
23'ew ❑ilon ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As autho zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/_ es attache
Applicant Nam, , \ ��41 r_ Project Location: County_
Phone #
Authorized
Affected OCW
*W
IXPTA El ES ❑PTS
AEC(s): El0EA
❑ HHF
❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: Vey/ no
PNA
yes' /
Street Address/ /State Road/
/LLot
^ s)
EN
Pier (clock) length
Fixed PI rm s)
Floating Pill o s
ii
��'u
I�INi■■■
Cyrrr
'•,
's Ii
h
:ioi�LH
II�,,,(({;yyjVY
Groin length
number
Bulkhead/ 1(prap length
avg distance offshore
max distance offshom
r�Y■
MEN
Basin, channel
cublcyards
Boat ramp
Beach Build
__ � __u .. �1!rt11�
�.!�
1
�
Nf�ll�■ii>Y�'15ilIN
�'
■■
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■■
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1

AMA / ❑DREDGE & FILL N° 78218 A B
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As autho zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
es attached
Applicant Name Project Location: County J
Addre s Street Address/ tate Road/ Lot s)
City State ZI 7/ 4 V
Phone # t E_ a Subdivi ion
Authorized Agent �_ City
Affected ❑CW *W XIPTA ❑ES ❑PTS Phone#
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body
❑ PWS:
ORW: es / no PNA yes / o Closest Maj. Wtr. Body
VJ
Type of Project/ Activity
Pier (dock) length X
Fixed PlaHorm(s)i�p
Floating Platform(s)
Finger pier(s)�
Groin length
�\ \ y/ppp• ry,I�p.
number
�^
Bulkhead/ Riprap length {
1 3c35� 1
avg distance offshore
max distance offshore _
Basin, channel
cubicyards
Boat ram ,,,ppp A\\fff\If
Boathouse/ o [liftBeach BulldozingShoreline LengthSAV: not sure yesMoratorium: n/a yes no
r—
Photos: yes n
Waiver Attached: es
A building permit may be required by: I ❑ See note on
( Note Local Planning jurisdiction) A A A _ j n _• A A _. X 4— /)1 h a
Age t or Printed fd£me"
7
vSign re • ase read compliance statemen bpckof erm�'
Application Fee(s) IICH95k#
ZIP_
Basin
(Scale:' =�-VU )
U61I
regarding River Basin rules.
Signature I10119 ONO
q OG)M!V'903V
Iss ing ate 1'I �O,f(l.11 Expirat n D

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 ❑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/ 1-888-4RCOAST
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06117

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: � o e wg a n er-
MailingAddress: _2-1\ iivB oak road
nevi 9c)t-ri nn 2'65 b4
Phone Number: q\q-9\2 -plZ,2
Email Address: �WAanexCI anrn0.rr Gore
I certify that I have authorized J uCoAnrgY\
Agent r Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: n Si-ra 11 c� 1 i Or, of o
new cor)rY et e dock
at my property located at--1 11 I \ Ve oQ?, road
in Go Y i E Y 1^ County.
1 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:
or Tide Name
nw r'ie Y
Title
Date
This certification 19 valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to oP, wac�n2r 's
� {N of Property Owner)
property located at 2-ll live, OqK road
on (Address, Lot, Block, Road, etc.)
(Waterbody) , in �Y 1 4 �rC1 , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locp#Rg�
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
3' 2) —I"—
W Y 1 1'
— 100'
E'1 qi--Form-
a ,
xu'p a�rorm +0Y
IJe�- SK% 1 k
3`6W x '
wC�\r,"
1�ileY P-i;or,S -Fnr
fUt LAre 9q'Zeb0
2k03 I\ve oak "—
WA ER SECTION 2-1 9 five
I understand that pier, dock, mooring pilings, boat ramp, breakwater, boathous , 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)
ure
Print or Type Name %--
2-Il \'ye 00K roQ,d
Marling Address oo
ri2wihOY-i� Yl(^ �c��F��
City/Statelzip '
Glq-gl'L-Q12"2./wa�jc rq r, rr.GnM
Telephone Number/ i§finaff address
Date
Pnnt or Type Name ' `
Z�03 CwP oar, read
Marling Address
43L2 S 2, 4
City/St terLipL(?4Y�fn G `a
Tele ho a Nu ber/email address
r
(Revised Aug. 2014)
`Valid for one calendar year after signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
is
property locatdat�_1 1'kvP. nn? �,,,,,� (Nam ofPropertyOwner)
on (Andress, Lot, Block, Road, etc.)
(Waterbody) '"-�dCor+ / ra r N.C.
(Cftlf own and/or County)
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
3,below or attach a site drawing)
8..
21 K
(/ ��ler Pylons £or
e 2 plq{form j I future ggz2bo
e'X I I "ploltfof-rrn -For- °
I yr _jet s<; 11f{
1003 8 L\
2e3 I'�ve oq< Vq( Wa.(
I understand that a pier, dock, moorinWAI ER SECTION akwatr I2--Iq live oqk
must be set back a minimum distance e, lift, or goin
of 115' fromboat
my area of riparian cress unless waivedr by
me. (if you wish to we 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 Owner Information)
ure
Orin F or type Name
2-II 1'�vP OG�Y inn I
Maihng Address
-Newnnr } r r P�S�L+
City/State2ip
g12-o12_ Zrerq(a7� •rr.com
Telephone Number/ em�a I 'e-ddress
Da!¢
"Valid for one calendar year after signature -
(Adjacent Property Owner Information)
Sign tyre*
Print or Type Name 2 e I 1
2-1
Mailing AddreI'rve ssoaK rna_ri
�w�nr+
City/State2/p
Te%phone Number/email address
Date•
(Revised Aug. 2014)

a yo'.L"..ice a
_ W
1 li' i�i
- -- d , xs '3c1 ri �L)'�Ei9'i � e^'.1 �Mit�rr 5ii .N%iS�.ir t. • i• I`' " '
5.:;It�'a�.t�,
1- ?J 1 i-
1
-
f'a t�nJ 1 r . ri
, .�•rL.� �i,r Y b fir h.'r�h\ er7 fr n. � t ji Y V9 Iti .,•_ ..ry
i'•, ,I- + - .r: "ui : •p a �1L. '. 1:.ti
lciCilil?1F 111 t iM1r#lii'i
w1j. 4---' h
fr::lri1'911 Ti 7tieb.:
Y ! ,zo•; nritfahi
ji
4

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: , oT ti�g Q n e,r
Mailing Address: _2-11 live ore rood
newnort.�,c,
Phone Number: q l q - 912
Email Address: �vvgc,r g/1r g r G. r r non
I certify that I have authorized jtj�- V'\ C�e✓� Pe�� �'oc�rAn
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: of- cl
new roncr e-t c dock
at my property located at�'I 1 11Ve oo K road
in Go r i erf t County.
! 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:
Signa
Print or T e Name
Title
Date
This certification is valid through ! /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at 21 I live oqk r oc id (Name of Property Owner)
on
(Address, Lot, Block, Road, etc.)
Y) , in N.C. nt ory /nar I �rC i
(Waterbod R (Cittk/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
7�Ioc
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing developmentmust rill in description below oraftach a site drawing)
p1(>i-forn-- ,
4 a
o 3et- SK:,
312) W x Uo
��tle1- �''llc�r,S fer
fU�-ire c�cfzebo
I v4c�lKV40,�
2�3 I'we oqK ---
WA ER SECTION �2-Icl live 0 t`
I understand that pier, dock, mooring pilings, boat ramp, breakwater, boathous , 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)
me
Print or Type Name
2-'t t',ve, QQ' road
Mailing Address
`aLl
City/Sta'te/Zip
91q q1-2- 2..2./in0,�r,cor
Telephone Number/ email address
Date
or
hty/So�tlrl0 2852 �4
Ci�te2ip
con
Telepho a Nu/ nber/email address
eo 7' ze-vz,c�
Date
"Valid for one calendar year after signature' (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at � 1', � oc,k rr,r,rl (Nam of Property Owner) s
on (Address, Lot, Block, Road, etc.)
(Waterbody) '"dPor+/rQr+PVe+
(Cit]y own and/or Co-�—' N.C.
The applicant has described to me, as shown below, the development proposed at the above
locations
I have no objection to this proposal.
I have objections to this proposal.
----mgr• I lun ANO/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
I 21 X,
a
<iet sr-\ 11f jr
-alter pylons for
fUt\-,re go,zebo
13b`i D'
2Lo3 1 ve aclK vvgllcviq
I understand that a pier, dock, moorinWAI E— R SECT 0 2-Iq iive °o'k
must be set back a minimum distance of 15' fromomy area of riparian at ramp eaccess unless waivedr, boathou e, lift, or 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.
(ProPeOwner Information)
e'Y
mre
1-7 Print or Type Name
a Addre t rpq�_
roraamg Address
-C
CdylState/Zip
1 wepho 2 0 12Z com
/ r as er 9 (5� r
Telephone Number/emdiiaddress
Dote
(Adjacent Property Owner Information)
Si. lure*
Print or Type Name a (1
q I�ve oak triad
Madmg Address
�i to r+ Cify/State/Zip
Telephone Number/email address
"Valid for one calendar year after signature- (Revised Aug. 2014)

'IV

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: z� o e ygc� a r, er
Mailing Address: 211 i%ye oaK road
Phone Number: g 1 q- 9\ 2- O 1 L z
Email Address: �waaner q an nr. r .Gorr?
I certify that I have authorized sjusAl h Oey�-- / Pe e- Coc6of\
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: n Si ra I la t i Or of- a
rneW conGY e-t"e dOGk
at my property located at -111 1 \Ve ooiK road ,
in Col r-t-e�-f- - County.
1 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:
cvc—
or TWe Name
ow rye r
Title
9,23/Z<S�
Date
This certification is valid through I /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that l own property adjacent to t o e. w a Qn P r s
property located at 231 t;ve oat rya me f Property Owner)
(Address, Lot, Block, Road, etc.)
on in nr.vr�v--�-1 olr+-e-'ret N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, .the development proposed at the above
loca
I have no objection to this proposal.
1 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)
31617-
roller �-ilonS for
fut-�re c�c�Zeb
0 _3e1- S',-%
oo' 3B`4 ;t �D
2ta3 I' /e oaf
WA ER SECTION �2 I g i v e oq K
I understand that pier, dock, mooring pilings, boat ramp, breakwater, boathous , 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.
��z f 1 do not wish to waive the 15' setback requirement.
(Prope Owner Information)
mature
of V (✓mac�r r 6l
Print or Type Name
2'11 C\V2, ocK road
Mailing Address
Cit1/State2ip
g1q-6112 o122Awaanerq@r,o•rr.com
Telephone Number/email address
Date
Print or Type Name ' '
2�o3 1\ye- ogr, rnad
Mailing Address
= p�c2aS2)4
City/S�te21p
Telepho a NuJnber/email address
Date
(Revised Aug. 2014)
`Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I, hereby certify that I own property adjacent to Ee s
property located at 2'I 1 1'%v P. m n v �, A (Nam of Property Owner)
on (Address, Lot, Block, Road, etc.)
(Waterbody) in ra r 4 PYp+ N.C.
(City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locations
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fly in description below or attach a site drawing)
3,8..
0
2X"
21' K
-a
p�q f or M
I i00'
>Jet SKi 1\Fk'
3bLi`x\o,
-railer pytor,5 for
, u1t,Are gazebo
Z_- 3 e oqK I I wq\1�wq�
WAI ERSECTIpN
must be set back a mi2�"1 five nqk
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathoule, lift, or groin
nimum 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.
(Prope Owner Information)
Lure
Print or Type Name
MaI dr oqk rOQC_�_
Marling Address
.n�wnorh- nr � S�SP,�-I
City/StatelZip '
3erq(6)nc•rr.com
Telephone Number/ ema l address
Date
(Adjacent Property Owner Information)
Sign ture*
bras�n�en
Print or Type Name
22q I' VP. Oa1� rnad
Mailing Address
i�1— DTr t lam— S_ ate_
Crty/State/ZIp
Telephone Number/email address
`Valid for one calendar year after signature- (Revised Aug. 2014)