Patterson, Timothy 79688C

CAMA / REDGE & FILL N9 719699 A B D
ENE L PERMIT Previous permit #
0autho
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ed by the State of North Carolina, Department of Environmental Quality l
and the Coastal Resources Commission in an are envir mental concern pursuant to 15A NCAC
ules attac d.
Applicant Name Project Location: County
Addre Street Address/ S ate Road/ Lot.#(s
City State IP
Phone ) -Mail Subdi ' ion
Authorized Agent City ZIP
Affected ❑ cWEtW PTA ElES ❑ n PTS Phone # )' / River Basin
AEC s : ❑ OEA `J HHF EJ IH ❑ UBA ❑ N/A Adj. Wtr. Body nat man /unkn
ORW: kKs
)/ no PNA yes / no
Type of Project/ Activity Coo Ix
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length —�
number ^� ---
Bulkhead/ Riprap length
avg distance offshore
max distance offsh e
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatliit
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Ctonditions
Closest Maj. Wtr. Body
❑ See note on
(Scale: //s A) I
River
read compliance statement on
plication Fee(s) ' Check #
Signature

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
Iandowner(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/ 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

Tim Patterson
221 Bayside Dr.

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AGENT ATHORIZA` I IUN rVm %-tA1v1#A < <- 1 NIVIS .
Name of Property Owner Requesting Permit:
XQ
Mailing Address:
2. 2- f LY-6 -4c ;
Phone Number: �_-
Email Address:
J
I certify that I have authorized TD Eure Marine Construction, LLC
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:
Maintenance Dredging
at my property located at
221 Bayside Dr. '
in Carteret County.
l furthermore Certify that / am authorized to grant, and doin fact Cer and grant air age permission
ante©
Division of Coastal Manage sen�oa�ectionff, the owitical �ev Permitofficer,
information related to this
nn the aforementioned land
pertnit application.
Property Owner Information:
Owner
Signature
Print or Type Name
Date
Title
t 312a21
This certification is valid through Op : -�

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I hereby certify that I own property adjacent to S
(N ee- oiProppirty Owner)
property located at —2 Jb2
—4-14Road,- —
(Address, Lot, lock etc.
on (N_pr 'Creek Northf.-,xtension
in Cape Carlorel, N-C.
(Waterbody) (City/Town and/or County)
The applicant,, has described to me. as shown below, the development proposed at the above
location,
z - —,
I have no objection to this p-----
I have objections to th
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site 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
rne. (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,
(Property Owner Information) (Adjacent Property Owner Information)
Sl-�Cf /I(,/� '
sigti��
- 7f-410'�41 /4' #, /-J 0 .1-7 e-
Print or Typ(AlVamp Print Or Type Name S 4-
ilia A,, �Jres'Mailing 6 ddress
/70 -ai"' -7z bL'(C1 14 Z <
2citylstc1telZip
?IV
T II I oil, NII)h0t, / en?('Jil address Ivie1711n Numb e Nut ei oad sae dross
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(Revised Atig. 2014)
'Valid for one calendar year after signature''

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I T UVVNtR STATEMENT
I hereby certify that I own property adjacent tf.,
{Narnfe of Property Owner)
WOPerty loca-ted at 2-
Or! GTreek Witt,, �xterjrp(qj )�(ZdLdClss �L-o�t,B-Ioclk, Road, etc.)
in Cap O CLIFtelet. NC
(Waterbody) N,
(City/Town and/or County)
The aWicant has described to me. as shown below, the de
1 have w.) ohjectior, to this proposaj
1 have Objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual Proposing development rnust fill in description below or affaich a site drawing)
Maintenace Dredging of < 100 Cubic Yards
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimurn distance of 15' from my area of riparian access unless waived b-
Irre. Ot you wish to waive the setback, you must initial the appropriate blank below.) v
I do wish to waive the 15'setback requirement,..
I do not wish to, waive the 15'setback requirern
(Property Owner InAfrmation) (Adjacent Property Owner Information)
....... ....
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(Pi e v is e d A u
'Valid for one calendar year after signature'

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