Salter, Justin 80048C

ICAMA / I DREDGE & FILL
ENER/AL PERMIT
New nModification EComplete Reissue EPartial Reissue
fu authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
Address
State ZIP
Phone # (_)
N980048 A B c D
Previous permit # _
Date previous permit issued
to l5A NCAC
E Ruhs ttachcd.
ProjectLocation:County . ., , r
Street Address/ State Road/ Lot #(s)
Subdivision
zlP
Phone # (_)River Basin
Adl. Wtr.(nat /man /unkn)
Closest Maj. Wtr. Body
Y)
Applicant
'lNtl'l
E-Mail
Affected
AEC(s):
DCW
trOEA
nEw
! HHF
N PTA
ntH
trES
tr UBA
NPTS
trN/A
ORW: yes / no PNA yes / no
(Scale: )
Type of ProjecV Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore_
Basin, channel
cubic yards__.-
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium:
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
nla yes no
yes no
yes no
E S* note on back regarding Rivcr Basin rulcs.
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Notes/ Special Conditions
Agent or Applicant Printed Name Permit Officer's Printed Name
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Signature
Application Fee(s)Check #lssuing Date Expiration Date
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Authorized Agent _ /
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Signature H Please read compliance statement on back of permit #,o/z/tt
Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subiect 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 proiect site and accessible tothe permit oflicer when the proiect is inspected forcompliance. The
applicant certifies by signing this permit that I ) prior to undertaking any activities authorized by this permit, the aPplicant will
confer with appropriate local authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been ob6ined from the adiacent riParian
landowner(s) .
The State of North Carolina and the Division of Coasal Management, in issuing this permit under the best available
information and beliel certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable ToYour Proiect:
f l Tar - PamlicoRiver Basin Buffer Rules
E Neuse River Basin Buffer Rules
E other:
lf indicated on front of permit, your proiect is subiect 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 Olfice (252'946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Of,ices
Morehead City Headquartcrs
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax:,252-247-3330
(Serves: Carteret, Craven, Onslow -
Nofth of New River lnlet- and Pamlico
Counties)
Elizabeth City Djslrlct
401 S. Griflin 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:252-948-M78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
177 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7715
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hrtp://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
Applicant
Address
Name
Ccanaa/ trDREDGE &FILL',
GENERAL PERMIT
ENew EModification f,Complete Reissue EPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
N9 80048 A BCD
Previous permit # _Dateprwiourp"..@
to l5A NCAC
E Rules attached.
Project Location: Count),
Street Address/ State Road/ Lot #(s)
Subdivision
City zlP
Phone # (_)River Basin
Adj. Wtr (nat /man /unkn)
Closest Maj. Wtr. Body
State ztP
Phone # (_)
Authorized Agent
E-Mail
Affected
AEC(s):
DCW
trOEA
! PWS:
trEW
N HHF
N PTA
trlH
nES
tr UBA
! PTS
trN/A
ORW: yes / no PNA yes / no
)c
Type of ProjecU Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)IFloating Platform(s)
Finger pier(s)_
Groin length +t
number
Bulkhead/ Riprap lengh_
avg distance offshore
max distance offshore_
Basin, channel
t
cubic yards _
Boat ramp
Boathousd Boatlift_
Beach Bulldozing
Other
T
Shoreline Length
SAV:not sure yes no
Moratorium: r
Photos:
Waiver Attached:
nla yes no
yes no
yes no
A building permit may be required by, .
( Note Local Planning Jurisdiction)
I S* note on back regarding River Basin rules.
Notes/ Specia! Conditions
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Agent or Applicant Printed Name
Signature H Please read compliance statement on back of permit **
Permit Officer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
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Statement of Compliance and Consistency
This permit is subiect 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 beon the proiect site and accessibletothe permit officer when the project is inspected forcompliance. The
applicant certifies by signing this permit that l) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a wriften statement or certified mail return receipt has been obtained from the adiacent riParian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and beliel certifythatthis project is consistent with the North Carolina Coastal Manatement Prosram.
River Basin Rules Applicable To Your Proiect:
E Tar - PamlicoRiver Basin Buffer Rules
! Neuse River Basin BufferRules
f l other:
lf indicated on front of permit, your proiect is subiect 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 RegionalOffice (910-796-7215) for more information on howtocomplywith these buffer rules.
Division of Coastal Management Ofiices
Morehead Ciry Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fzx:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washingon, NC 27889
2s2-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and washington Counties)
Wilmin6on District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-721s
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hft p:.//portal.ncdenr.orglweb/cm/dcm-home
Revised 206117
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adj acent to Justin and Shannon Salter
(Name of Property Owner)
property located at 357 Salter Ln
(Address, Lot, Block, Road, etc.)
on Clubfoot Creek in Havelock, Craven Countv
,S
N.C
(Waterbody)(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.lV I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or attach a site drawing)
Floating dock to be installed
in yellow rectangle so that
it does not cross property
Iine.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15'from my area of riparian access unless waived by me. (lf you
wish to waive the setback, you must initial the appropriate blank below.)
n(I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner I nformation)(Adjacent Property Owner I nformation)
Rebecca Patton Shepard
Signature
Rebecca P Shepard
Print or Type Name
540 Jockey Hollow Rd
Mailing Address
Morristown NJ 07960
City/StateZip
973-539-505 1
Telephone Number Jun22,2021
Mailing Address
Havelock NC 28532
City/StateZip
252-327-4849
Telephone Number
A.ZZ.LI
Date Date
(Revised 6/18/2012)
\
.,,I
{gnature 2
Justin Salter
Print or Type Name
357 Salter Ln
:.
Signature:W
Emait: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adj acent to , \.r>\.-.. i >t^-,,^
3t'1 5-\L r-,^.
(Name of Property Owner)
"-S.\!.S
property located at
"" C\"Ut!(r",-\--(Address, Lo
. in
t- Block. Road. etc.llL.\'-.\,--' /c*wq{ .Nc
(Waterbody)@tynownGnolorcounty;
The applicant has described to me, as shown below, the development proposed at the above
locat
I have no objection to this proposal
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or attach a site drawing)
Fr"..\;s .t.L i-.t\-\L{ ,- ^pg'r.I. s,r-- I p-e^" \l
Y.-p.,J.',)-
f l.')-, Y'
t---ll__l- J,,!^. { iL--
1 o^r"\
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minrmum distance of 15'from my area of riparian access unless waived by me. (lf you
wish to waive the setback, you must initial the appropriate blank below.)
I do wlsh to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
(Property Owner_ation)
0lure
(Adj ent Pro perty Owner lnformation)
s ture
Print or TvDe Namei51 *,\\rL^Print
ba
or
)
Tvoe,Name
6o\L. L,"
Mailino ,Address
lM't+\0,,V Nu ?,I53?-
Mailing Addtpss
Ih^,ttln)-NO ,DSZL
City/State/Zip
25'.?,, 3'11
cititsiatrizio' ,?4L 3q2 n$6.\il''{1
Telephone Number
b'ad'd\
Telephone Number
Dqte
22. L
(Revised 6n 8/2012)
WAIVER SECTION
Dqte
Adjacent Riparian Property Owners Statment
rev June 2012
FinalAudit Report 2021-06-22
"Adjacent Riparian Property Owners Statment rev June 2012 Ha
story
* Document created by Justin Salter ([e-mail])
2021-06-21 - 8'.23:25 PtU GIVT- lP address: 70.63.125.54
[.1 Document emailed to Rebecca Patton Shepard ([e-mail]) for signature
2021-06-21 - 8:29:59 PM GMT
* Emailviewed by Rebecca Patton Shepard ([e-mail])
2021-06-22 - 3:5"1 :00 PM GMT- lP address: 209.73.183.23
ds Document e-signed by Rebecca Patton Shepard ([e-mail])
Signature Dale:2021-06-22 - 4:01:15 PM GMT - Time Source: server- lP address: 71.251.211.50
$ Agreement completed
2021-06-22 - 4:0"1 :15 PIV GMT
Created:
By:
Status:
Transaction lD:
2021-06-21
Justin Salter fi [e-mail])
Signed
CBJCH BCAABAAMyeM i9zz6X3k88xO RtSSzG GqCtAAn ETx
I noon" sign