Cates, Claude 79678C

V CAMA / [-]DREDGE & FILL
A B �C D
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality, I C�►�/L/
and the Coastal Reso rces Corn issio in an area of env' nmeptall concern pursuant to 15A NCAC
Rules att�.
Applicant Name Project Location: County (Q '
Addr Street A dress/ Sta a Road/ Lot #(
City tare ZIP
Phone # i ' — Subdivi 'on
Authorized Agent City*gnat
Affected ❑ CW EW PTA ❑ ES ❑ PTS Phone # )
AEC(s): ❑ OEA ❑ HHF L IH ❑ UBA ❑ N/A Adj. Wtr. Body /unknPWS:ORW: es / no PNA yes / Closest Maj. Wtr. Bo

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 I) 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 (252-946-648 I) or the
Wilmington Regional Office (910-796-72 15) 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/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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: �! auc!( G�
Mailing Address;
Phone Number:
Email Address: -a(\I"'}a (' 'a�E�­]�
I certify that I have authorized C3 Scott, 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:
at my property located at
County.
l 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:
t
( Signature
Gal
Print or Type Name
(, Title
Date
This certification is valid through

16
Initial
Here on
one of
these
lines
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1. :� G� . C't' c%��� ('— I1�e s
. me of Property caner}
property located at e �. n
(Addy ss,
on e.Y-4n
(Waterbody)
Block, Road, etc)
N.C.
City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
c n.
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)
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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on l do wish to waive the 15' setback requirement.
one of
these I do not wish to waive the 15' setback requirement.
lines
(Property Owner In ormation) (Adjacent Property Owner Information)
Quire 'i J .Slgnal 1'e>;: / J
i
Print or Type �me Print or Type Name
ailing Addross p Mailing Address } s
C,._ )Y✓:Q 11 IL
ity/S te{/Z' . t :. y 1 City/St tee /Zip
Teleph neNumber/emar{ address cVC—\M-Z"A -LGrI elephone umber/emaila fires /
Date Date'`
(Revised Aug. 2094)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ltCk
Property located at ���`'1�����, \N�i me f pe Tner)
J
,� (Address, Lot, Block, Road, etc.)
one lct�(1R t'�c �r��(�in c'� Dr�.� �3y� -�.-�" N.C.
(UVaterbody) -� (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on location,
one of __ �11_,_ I have no obiection to this proposal
these
lines 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)
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 16 from my area of riparian access unless waived by
nitiRl me. (if you wish to waive the setback, you must initial the appropriate blank b`e(ow-�-
-lere on �J C- I do wish to waive the 15'-etback requirement.
here I do not wish to waive the 15' setback requirement.
nes
(Property Owner Information) (Adjacent Property Owner Information)
�9UiUi'L' .Signature'
i ( ),f
P h o ype a e Print or Type Name
ailing AddreA Mailing Address
City/S /Zip ii City/statelzip
! phon Num er/email addresmaC{YA� ' l-UrMephone Number/email address
c.?
Date Date'`
*Valid for one calendar year after signature" (Revised Aug. 2014)

didwilly rlupodluu Dy.'..-3'Duuu' Eric
)ate: 4/13/21
I q-, 1 2 0'
Canal off Deer Creek
Proposed New Work:
Install a 4 pole boat lift
North
Deer Creek
Hwm
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CD
m
r
219 Cha 1215 Channel View Ct
Property Address:
213 Channel View Ct
Cape Carteret, NC 28584
Property Owner:
Gerald and Dana Cates

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