Fulcher, Lura 79692C

i-: llo ll iN / YRCiJIaC Q 1'/LL e„j 7969.)
GENERAL PERMIT Previous permit #
[..'.'New OModification CC_1Complete Reissue ❑Partial Reissue Date previ us permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in an area of enviro mental concern pursuant to 15A NCAC
•— les attachApplicant Name ram, Project Location: County -
Ad
Cit s -. .. Street Add ss/Mate Road/ Lot
--
Crt ate __ IP_
Phone #_�. -.: i 11% IE-Mail _- ..._.._ _ Subdi i
Authorized Agent„ ! t��t(d/j,f=.Q City ZIP
Affected -'CW ❑EW ❑PTA it ;:I PTS Phone # `. ) ..... - River Basir
AEC(s): OEA ❑HHF L IH f..;UBA ❑N/A Adj. Wtr. Body_-- -
Ill
ORW: yes / no PNA yes / no Closest Mal. Wtr. Body
Type of Project/ Activity
- (Scale: -" )
Pier (dock) length _____
Fixed Platforms) _ ._... ._..... _.. :.. , -
Floating Platform[ •"— -- - - -
Finger pier(s) ._
Grolnlength .----_...� ..-... __._ _ ,�_ft - -
'..
number
Bulkhead/ Mprap length
avg distance offshore
max distance offshore'
Basin, channel r15 - �`-',•
s
cubic yardsl. j !
Boat ramp -... -._
Boathousel Boatlift—
Beach Bulldozing
Other _ V .,_-. - .- .... .. _
/ --
Shoreline Length �
SAV: not sure yes .. -_.. .... ... -_. (�
Moratorium: n/a yes o
Photos: yes no
Waiver Attached`. -yes no __.� -._ / _..... -. .-_.
A building permit may be required by:(� r�fi f/.f-Y"riApLLl See note on 6ack�egarding Rive as rules.
( Note Local Planning Jurisdiction) C�'f�; ,�� �(} /� ,(} '
Notes/xSpecial Conditions �h(C11 UAW �1N1rCJi.KX U 1>t"�•V a(( (f t � aa ( " 1
compliance statement
Application Fee(s)

❑CAMA / ❑ DREDGE & FILL N9 79692 A B
GENERAL PERMIT. Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previ us permit issued
As authorized by the State of North Carolina, Department of Environmental Quality <
and the Coastal Resources Commission in an area of enviro mental concern pursuant to 15A NCAC
Mies attach
Applicant Name h—Wi Project Location: County
Addr s Street Add sss// tate Road/ Lot #(s)
Ci ate IP �V r van
Phone # E-Mail Subdi ion VV
Authorized Agent �[�� /1%Q Q City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES El PITS Phone # ) ` River Basin
AEC(s): 00EA ❑ HHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body nat an unkn
❑ PWS:
ORW: yes / no PNA yes / no Closest Mal. Wtr. Body
Type of Project/ Activity i A
(Scale:
Pier (dock) length _ -
T
Fixed Platform(s)
Floating Platform s' 7 _
T
Finger pier(s)
Groin length -
- number
Bulkhead/ Nprap length
avg distance offshore t
max distance offshore'' - 11
Basin, channel � �X t4 -'I T—° - _ L-- p iT s� �,. - -'�
Boat ramp
Boathouse/ Boatlift `— ��. -- -- _ �..
Beach Bulldozing—
i
Other
Shoreline Length
SAV: not sure yes
+IF I \
Moratorium: n/a yes o
Photos: yes no
Waiver Attached: ,dyes no
A building permit may be required by: t ❑ See note on back-regarding
Rive asm rules.
( Note Local Planning jurisdiction) �/!j
Notes/ Special Conditions ��(�� /(.e,�1 13f be-T-x-r L/ 1�11�Y 'r/X. l.i ,�,%il
--��t
e t or A plicant ri ted Name Perm Officers rin N
SSiiignatuurre—©'/P4ease read compliance statement on ackof permit" Signatu
IrA
Application Fee(s) 1 check# ISSU440aidTI Expiration 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
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City _Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
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, INC 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

Eddie & Lura Fulcher
521 Neptune Dr.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requuest� Permit: 4 1VV r t
Mailing Address: %�
Phone Number: II L4— — I I b I
Email Address: 1 i✓ e i r i t G ljJ
I certify that I have authorized TD Eure Marine Construction, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following
at my property located at
in Carteret County.
/ 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.
Pro y Owner Inform
r
� J �CSignature
Print or Type Name
'Z�f� Imo. /`-�
Tit e
04 /12 /21
Date
This certification is valid through 09 /30 /2021

I hereby certify that I own property 10jacent {lhC-t'f,!{��(f/(/Jtl� 's
(Name of Pro rty Owner)
at
9
( Waterbody)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
I do .
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
0"dilvidu81proposing development must fill in description below or attach a site drawing)
13'x30'x2.5'
f -- --.
Not to exceed the depth
of the adjacent creek -4.5'
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 15' setback requirement.
(Adjacent Property Qwner Information)
IRT,4
'Valid for one calendar year after signature' (Revised Aug. 2014)

a R

The applicant has described to me, as shown below, the development proposed at the above
location,
_41/_ 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)
13'x30'x2.5'
Not to exceed the depth
c� c of the adjacent creek -4.5'
WAIVER SECTION
I understand that a pier, dock, moonng 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. (It 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.
(Adjacentproperty Owner I ffoor'm�atiioon)
Signaln e • - /
�1ukRcl_ < K r,t/ G
Print or Type Norm
5_17 NABuivE ?
Mading A
c4y1S1am,z� 52
Tolophone NUTDO,/email addrass
__ !E <t 2Gr
[Hire•
-Valid for one calendar year after signature'
(Rovised Auq. 2014)