Fox, Tony 80511C

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MA / ❑ DREDGE & FILL No 805 1A B � D
ERAL PERMIT Previous permit#
❑Modification ❑Complete Reissue ❑Partial Reissue Date previo---uss pe/J-m/it Issued
As � thorized 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(/
�\ ❑R Ip es attached.
Applicant Name F--Project Location: County C�
Address j3U/ ZU V e 7 Z r Street Address State Road/ Lot
City L/o/•Jv✓v _State/t'r—ZIPt��l� L iJ �GSJt'�
Phone # ( �" t "_ all Subdivision
Authorized,Ageennt cV � _ City L✓G� ___ ZIP
Affected
LlCW ❑ PTA ElES ❑ PTS Phone # ( ) River Basin'
—
❑OEA ❑HHF ❑IH ❑UBA ❑N/A rJ,.�
AEC(s): ❑ PWS: Adj. Wtr. Body /�" _l_ man unkn)
ORW: yes no / PNA yes Closest MaJ
no. Wtr. Body
Type of Project/Activity C"J G C l� (J r I � 1 �qw,i/'mil
(Scale: )
Pier (dock) length
T —
T
Fixed Platform(s) __ ( I� �.. I I - l� I �-
Floating Platform
(s)
Finger piers)
Groin length �_�I__ t _ i .I _ 1 1 ... L 1 7 _1_ i—_
number
_Bulkhead/ Ripmp length I-
av distance offshore -- — i
g i l _ (_,
max distance offshore _ ) _
Basin channel -i-- - - ——
r
cubic yards.
Boat ramp L _
Boathouse/Boatlift ! i �� T (�—
I
I
Beach Bulldozing
Other
44
Shoreline Length
SAV: not sure yes
Moratorium: nla yes q71 _ I
Photos: ai o I
Waiver Attached: yes no �
A building permit may be required by: C ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions ,% C,.i t�(l' Utz �!-c•.% -
X
read compliance statement on back of permit `s#
Feels) CheckN Issuing

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, 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 El 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 egiona ice (9 10-796-72 15) f6r more information on how to comply Wit!] these buffei i ules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Tony and Stephanie Fox
Mailing Address: 130 Lowery Lane
Swansboro NC 28584
Phone Number: 252-714-4927
Email Address: [e-mail]
I certify that I have authorized Harber Marine INC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Hogslat Dock and BOatllft
at my property located at 130 Lowery Lane
in Carteret County.
I furthermore certify that / 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:
Z,—)_= �� �
nature
Tony Fox
Print or Type Name
Owner
Tine
zg I Zt
Date
This certification is valid through 10 / 5 /2021

AAWA%UH Aar P7_. T'bMi U4 MU
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DEBMWYION ARDOR DMWAI(I OP PROPOSED DBVELOPMEtti
pn"414 "61la4 darw"em mw allln d+ac,**66 LAMW M• #MCh a alb &.wing)
M a Pam'. *DA, "'OW" PIk4y. Not mA .. bre&wvtat, toW4W , SR a p,pn
otk a mlalrman among of IT E"vin mi a Rt V tt6 Yec4co Wn ss W fmd Of
11 tow h*4w 10%,K vW"'tU&,V, YpprcpA WW,,A aWa
do W1tt11D Wi�Jatab 40' CD7�3ttZaUiehs•4'
da not W`M I4 NA4ptiq 46 sq�rar�emgx. _
WOWt< COVAa(MOWA*tOtO

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjpcent to TOnV and StephBnle Fox 's
property located at 130 Lowery Lane (Name of Property Owner)
(Address, Lot, Block, Road, etc,)
on White Oak/Raymonds Gut in Carteret , N.C.
(Waterbody) (Citv/Town and/or Countvi
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 fillin 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 95' setback requirement.
(Property Owner information) \�_ daaop ,ed
I f!!��v�e= OSNd/11 T:A9PM EDT
I�./ 05M WOFPY9'PdM EDT
JYEE
Siisusan Goines
131 Lowery Ln.
Maillna Address
Swansboro, NC 28584
Q y/SlatelzID
Oo.Com 2521290063 [e-mail]
Telephone Number/email address
05/04/2021
Bate Date*
(Revised Auq. 2014)
*Valid for one calendar year after signature*

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