Krautheim, Dan 79674C

CAMA /�''D ADREDGE & FILL N9 79674 A B C
jENERAL PERMIT Previous permit# ,r.
❑M Air.�Com lete❑Partial Reissue Date previous permit issued
New o catlon p .<
As = rrzed bythe State of North Carolina, Department of Environmental Quality <
and the Coastal Reso Commission n a area of envi onmental concern pursuant to I SA NCAC
Applicant �Nam e ` 1 _ Y ._ 1 Project Location: County
,ta.r..,... '/ ��_Y - _... c %�..-r i Street Addre.State RokdAcit #(sk ,
Phone # b
Authorized
Affected
WHiHHF
A
❑ES ❑PTA
A 6A
eJ
❑ i'H
❑ tlBA ❑ N/A
ABC(s):
ORW:
1 PWS
yes I ' /
PNA
yes; /
..
Type of Projectl Acthdty
Fiier(dock) kngth_ty ArML,4N-VYt-t.rJ{
;qrq
Fined Platforms)
—_
Flouting Pladcrm(s;
Finger pier(5)
—"
i
Groin length *--
number
Bwkheadl Ripnp length^�--^
aVQ °istance offthore
m,, dl50nieofbhore—�-..
Basin, channel
`J-
Boatramp_-----
Phone #w
Adj. Wtr. Body,
Closest Mal. Wtr.
ZIP
Boathouse/BoaJih'`•—..•-^
Beach Bulldozing
Other
j/{V: not sure yes
f
Y
Moratorium: n(a Yes
Photos:
A building perrtrh'm uii tYC u .t A Sae now on back regarding River Basin rules.
( Note Local Planning jurisdiction) r �-,
fr /
Not
'r��j Apecial Con tons '+' '&�C�"'� /
afi

CAMA ! ❑DREDGE & FILL N9 79674 A B C
ENERAL PERMIT Previous permit#
Omt
ew ❑Modif cation ❑Complete,Reissue ❑Partial Reissue Date previousi
repermtisssued
ed by the State of North Carolina, Department of Environmental Quality'��
and the Coastal Reso s Commission 'n a area of env' onmental concern pursuant to I SA NCAC (�
L] R s attached.
Applicant Nam�e--( Project Location: County
Address I I /� ` c n (,L f ! Street Addresa,(State Road -Lot #(s)i
LGUA
Phone # V
Authorized ent
Affected CW EW TA
AEC(s): ❑ EA HHF ❑ I
❑ PWS
ORW: yes / PNA yes /
Type of Project/ Activity
Pier (dock) length Vp
Fixed Platform(s)
Floating Platform(s) OIYqV
.
Finger piers) !!L _
Groin length
number `---�
Bulkhead/Ripmp length
avg distance offshore
max distance offshore �-
Basin, channel - �—
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes o
Photos: y
Waiver Attached: a no
A building per, u r
( Note Local Planning Jurisdiction)
Printed
ZIP
❑ ES ❑ PTS
❑ UBA ❑ N/A
Phone # rG01
Adj. Wtr. Body_
Closest Maj. Wtr.
Wil
(Scale: /
❑ See note on back regarding River Basin rules.
VJ
SignktYre eread compliance statemento ck riW
I ICU
�ication Fee(s)Fee(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, 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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: P'-f y A 'q
Mailing Address:
,�rM
Phone Number:
Email Address:
I certify that I have authorized twy\ t;1\,\�Y���L tax
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: Fi\\ �`i Y `LSirrh� •i
at my property located at �� 1 %1T. 4R.���LT
in 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:
Signature
Print or Type Name
t. ou—
Title
Date
This certification is valid through
Im

'� x

U
04
cq
m
!
� G�•!
,min
, |\!\,!./ qI�/a
[
\) §\)
kk 2,�

C6 r

� 2
�
!|
»
�
/
Q
�
�
kE
�
,
�
q
»
w
!■
!i
©
9
g
|!
�
&
$�
|
�
1/
\
�v
/|
!\.
qi
!||
/§
|
-
!!|
&
�|
;
7|�

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 1 J\ Ai,X]
Address of Property: b 1 1 t 1Ll l) _,, V;:A1N X" Xz t
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
bVIPIZ I have no objections to this proposal. _ I have objections to this proposal.
J] If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is
available at httpY/www.nccoastalmanagementnet/web/cmlstaff-listing or by calling 1-888.4RCOAS7.
No response Is considered the some as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
J 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.)
\j �, � I do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property Owner Information)
Signature
i fl�1 CAI IT�A02
Print or Type Neme
(Riparia Prope nor Information)
SfgnaE re �/1
�N `Tir�t1�'`7(Di� lan-i
Print or Type Narrfe
sy
Mailing Address Ma' 'ng Address
vm- Niwj-t.�(`. 1�651�D_ i 2 6a9
CitylStatemp City/Stet 'p
r tj52� i2`� `�Iis . rrn[ Ifii t,.Cw Telephone Qf9 -1&-2�v'
Telephone Numberll EE7 ail Address Uj hone Number/Email Address
<J(itY1_� q 2'
(Revised Aug. 2014)

a

r Complete Items 1, 2, and 3.
■ Print your name and address on tho reverse X
so that we can return the card to you. D
■ Attach this card to the back of the mailplece,
or on the front if space permits. _
(LlCtti�i2� HIILL
QLRUF�f `iiK, I,w lly
II I �III'I I'll l�l l ll Il � llll�l III III II III'lll ���
9590 9402 3756 8032 2201 21
NfidaN.&Wi an fmmfmms@lylo91eka1J.__.—
17019 0160 0000 3107 7383
PS Form 3S1 i , July 2016 PSN 7530-02-000-0053
D. IS delivery address omerenr as
II YES, ant" delivery address
❑ Agent
Date
❑ No
type
0 Pr«ity Mail aW,mo
dare
❑ linivered Mail
acre Restricted Defivvry
0 Ra4ktered Mail Readri
De"1s'erY
❑RnMn�Ra ifor
Mernandlso
Dd",ykted
Daive7 ❑SI CanRmotbn"
Dopvay Rostriclad OeMay
❑ 3Ip not Cenfumrilon
.u. o...,.o-w n.n,o,,,
MSMctad Ceivery
Donasac Return Rocelpt