McLean, John 79687C

CAMA / REDGE & FILL N9 79687 A B (C
ENE L PERMIT Previous permit #
Wew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previousp
ermitissued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environment I concern pursuant to 15A NCAC attached.
Applicant Name « Project Location: County
Addre a r Street Address/ State „ oad/ Lot #
City State IP
Phone -Mail Subdivis'
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
EW TA ❑ ES ❑ PTS
HHF ❑ I ❑ UBA ElN/A
ORW: ye / o PNA yes /
Type of Project/ Activity
Pier (dock) length 6�
Fixed Platform(s)
Floating Platform(s)��
Finger pier(s)
Groin length
number"" ~�
Bulkhead/ Riprap length
avg distance offshore —
max distance offshore -
B sin, annel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure I
Moratorium: n/a
Photos: Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction) Alotes/ Soecial Conditions Al
GZZME
IA
a
/ l i
Closest Maj. W ody
t
(Scale:
❑ See note on back regarding River Basin rules.
Signaturelease read compliance statement on, cl of eW
Application Feels) Check #
Iss�jir& Date I I - - - I . [ ` 1 Expiration

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 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

Bubba McCLean
507 Deer Creek Dr.
V

k

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t �
Mailing Address: J-O? )fir nleele
t1-able Car{ Al(- 2s5'�`/
Phone Number: 2 2- 22 - 9j-78j t
Email Address: J�O� Y-0 C �, q ✓h C� C CSYt�
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 proposed development:
at my property located at 5' �e-% `'+ e4
T—
in Carteret
County.
I 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.
Property Owner Informs ' n:
Signature
,/'t //� G'L--Pawl
Print or Type Name
00) 4-0-r
Title
(Z / �02(
Date
This certification is valid through 09 130 12021

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to t/ 0 u( 0 / l'( eLp aw I
property located at__ 5�7 ,®C'�/� C✓�,�� Game of PU Qea,- )
(Address, Lot, Block,
Road, etc [�.
on Deer creek North Extension in Cape Carteret, NC N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
l have no objection to this proposal.
c
I have objections to this proposal. /
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indivitlual proposing development, must fill in;_description below. or afach__asite drawing)
Maintenace Dredging of < 100 Cubic Yards
WAIVER SECTION
l 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.
Owner Inf9fmation)
atgnptre
//!ky Pk176Z-Pa,4
Print-7 v eee - C1 eC
ca State/Zfp —'
Z5-Z. 4a2.879( 5ozirn C -gA74
Telephone Number/email address
Y / / 3 /zoo ¢
Date ' (-
*Valid for one calendar year after signature*
(Adjja(cent Pr erty Omer Information)
W_ a
Signaat,Iturg SS
II�h
Print or T e Na e
Ty
.�f2 ,e
Mail" g Address
city/stafN2�-
d� f LF
Telephone
e Number / email address
4�tG- JJ
Date* � �, �
�,
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0vf 4 ff 64'ea'vl _'s
dame $ Prcapy Owner)
property located at C
(Address, Lot, Block, Road, etc.)
on Deer Creek North Extension in Cape Carteret, NC N.c.
(Waterbody) (City/Town and/or County)
The aL101icant has described to me, as shown below, the development proposed at the above
locat' `n
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Incllv►cival;proposing cleyeloptten>rit�r�st,ll in;description be/ow,oratfach a ite drawing}.
Maintenace Dredging of < 100 Cubic Yards
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.
Owner
'g'4'241 0 / , GL^"e Q�
C �A0 //l
Print or Typ Name
5"0 7 ,L-'ef
M ili do AS
Cit State/Ziip'
ZS2, �(Z2,&?c� � S6� /✓n C�c �'mYtr-e.r f, L_e-v�
Teleph ne Number/email ao'&ress—�
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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