Crumpler, Christine 80446C

Oautho
CAMA / DREDGE & FILL 980446 A B C D
ENE L PERMIT Previous permit #N w ❑M dification ❑Complete Reissue, ❑Partial Reissue Date pre iou ermitissued
ized by the St to of North Carolina, Department of Environmental Quality/ /I
and the Coastal R o s ComT/3
in an are f environmental concern pursuant to 15A NCAC
�les atta ed.
Applicant NameLW—kv� Project Location: County
Address-, i AN---.,( P — f Street Address/ State Road/ Lot #(s) i
City
Phone A
P
Affected ❑ CW W ElES OPTS
AEC(s): ❑ OEA PTA HHF ❑ UBA ❑ N/A
ORW: ( }es /)ho PNA yes /
Type of Project/ Activity = 4
Pier (dock) length
Fixed Platform(sj�--�
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length —
avg distance offshor-ems—'
max distance ooffshhor
Win, hannel
cubic yards►►► """��` [
Boat ramp
Boathouse/ BoatliR
Beach Bulldozing -L
Other
Shoreline Length
SAV: not sure yes
o
-...- .....
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be re
fired by:
( Note Local Planning jurisdiction)
Notes/ becial Coadit�ions
Y
Cq
Phone # C )��',,�
Adj. Wtr. Body�K
Closest Maj. Wtr. Body
❑ See note on back
ZIP
Basin
r
(Scale:
River Basin
Si re **PI CeNead compliance statement on back of permit ** Si atu e V
Apf lication Fee(s) Check# Issuing Date VExpira ion ate

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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (/= r ', n It 7' e'uvy-LPbr
Mailing Address:
Rhone Number:
Email Address:
I certify that I have authorized
C
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located ate ` �%,� r
in L� r`-(-e'I 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:
`J Signature f
Print or Type Name
�. el
Title
14 -1 ) 1 --� 1-
Date
This certification is valid through / - __/ _ _

It.

ADJACENT RIPARIAN PROPE//I���U QWNER S� IEMENT
i hereby certify that I own property adjacent to—(i�r-(541/ t ' C rr ,"L;' _c s
(Name of Property Owner)
property located at
1.
(Address, Lot, Block, R9;d, etc.)
on ;,� r 1, �!� 7rr'�� I� , in �' f , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lo;ation 7
Ev ' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must flit In deseflption below or attach a site drawing)
V-0'Ay- ') 3A
k' l
2
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.)
Y1 &--I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner in/formation)
Signature i
Print or Type Name
1081�ng Addrt ss c
city/State/Z p / �)
i z� r rx i„!' 11, r f^ 1r r/ /%i i• c y ,.
Telephone Number/email address
Date
ity/Stat&Zip
Telepho N mber / emall address
1` i'
Dote*
(Revised Aug. 2014)
+�t /..Ii.d 6.,r ��n ..nl..e..dn.. rn�� ..K�.• nin�r.ni....�*
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.)
Y1 &--I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner in/formation)
Signature i
Print or Type Name
1081�ng Addrt ss c
city/State/Z p / �)
i z� r rx i„!' 11, r f^ 1r r/ /%i i• c y ,.
Telephone Number/email address
Date
ity/Stat&Zip
Telepho N mber / emall address
1` i'
Dote*
(Revised Aug. 2014)
+�t /..Ii.d 6.,r ��n ..nl..e..dn.. rn�� ..K�.• nin�r.ni....�*

Al JA&g IP RqN PROPERTY "
Eg SIATEMENT
I hereby certify that I own property adjacent to / _j�� % �f �t c M P 11 �` s
(Name of Property Owner)
property located at "1 /0' / n ¢ 1),� (� f, e
1 .1 0 (Afdrsss, Lot,Plock, oats,
on ,� .��� ����. , in (/"e �-` rr N.C.
(Waterwo) (City/Town 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 flit in 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 15' setback requirement.
(Pro Owner Information) (Adjacent Property Owner Information)
Suture _2 / Signature*
!Tl iT i'7
Mailing Address
A) 2
G �
Telephone Number/email address
Date
Telephone Number/ email address
Date
(Revised Aug. 2014)

E2
Clt ..•g --.1 - - �
• ' ❑ _
r�
o�
O NU
f-
anti � w
`mom
,o m
o .s
U_
2 i n 8j
o
rr r o.
0
a
Cd a
U os
E
2 m
3t $
E 0
r �
o
l
_ nU E
�U c
Lr) �Nw
N ce)
•• co Off') �o
L� co o = m
U
r Zi 2 e
va °' o v ti o
b^C � •0 U "�" G � � ��a
a °o°
O O $�o
�
co 00 N O
cq W W Z d ° U w a � o 0 o ON
�° fNU �0 °
G� M `t n
V H 67 z H Z H v U '~ V) .Vi C�7 f� Gi V `OJb
o
c� e� .. w
'g
a ai ti Z W Z W c a A A q 'd d `"
°a, Pv. by .o € soa N[—, 8 vi, E
�

'n's m +-! ! rQ L n Y j��Y ,�•� tr, N .fit ..
y' 1F
1'�
"Am
• :. _ r � � r i - �y� r 1 .,t �� �k a: f -111h , I `��iR 1 I � n �j•� �S d � I �F: e ri
�xaF �9
RX r Yin
SM - nS rL rf A ;
lb
L
a '�IFL,r Fir s�rlr �4s
a� i e , }� • s1C d, W I I `l F 1
w-�Mu [;... 1tiv;i r-;':} .' lips
+=,b
' 1r� , i � ,t� i �f rii �� � a f r•: } ,s f r, � �! S� S � ' '' ' x f � ?; � E w
• Ig
w yam• 7 xrs ?. i� s r
.XF, e y •r 1, I _ 'ir k a how
i.. j.
1Omit
�. �. 1, �- +.r- 1., �f } � � _ _ 1��,_ �n :• � 3i fr • ,4 i� �H'ItF
_ y�: r �-, '� u. ` 1i� �I `4 fl �f�' ;�,�, n E i t �' r,� ? -' rq¢•.w, rd TyL _ mjS1 "L I � ILL �^
- �' *V.' i ii a - � � ��r"� to '6:.��Ir •_ i� .{ �- � e
- - J� � �{fj t ����� �� �� ••{ ' I;��IJ� ��.rra °�� Y tr�lf« "i". ry� !
02
Alto
lit-
M
: