Rayner, William 80428C

AMA DREDGE & FILL N9 804:28 A B C D
ENERAL PERMIT Previous permit #
-] ew I Modif ication O'Complete Relwi�1-7 artiat Reissue Date previous permit issued
s Aauth. As aut�o fixed by the State of North Carolina, Department of Environmental Quality t
and the Coastal Resources Commission In an ar&t.of environmental concern pursuant to I $A NCAC
Applicant Nam -'x Project Locationr County_
Add
C, . . ....... ....
Street A dr ssl Stat Road/ Lot #(s)
T
Phone'4 all M11--c -j .1 Subdivision
0
Authorized Agent city--- Zip -
Basin -'PTA )(IS r:PTS P I er
Affected A-CW w
AEC(s� �OEA HHF '.. IH USA WA Adj. Wtr. Sod
PwS-.-
Closest Mal, Wm Sod . . ........
clos
no
ORW. yes PNA
Type of Project/ Activity 77 t -T(Scale:
iA. (S cale.-
Pier (daca) lengtf
yn ....... . ........
Fixed Platform(s)
Floating Platform(s) . .. ....
Pinter
Grain length
he
wprap
14(
avg durance offshore ;rj
max distance offshore, f- I C
Basin, .1 chuinel. . ..................
6
float ramv----
Boathausof; tli
................. ...
Beach Buildozing_
O,ne Mtj--
Shoreline Length
J,
SAV: not sureye .. . .. ....... ... n
Moratorium: n1a -yes , 1,
Photos: yes
Waiver Attached; yes
. fyl� I F-1
A building permit may be required by: See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
,'k �,NAikJ�-
Nate 5 cial Conditions 3 1L1, N3
,U-p7� "4"r (atniro/lin A) wrV.--)
iA " I fel: 111T 1-� (7 A Z
A F�ennitoffl P
Fee(s) Chet " Issuing Date( I txpirafnan Date

��AMA I � DREDGE & FILL
ENERAL PERMIT
� ew ElModification —'Complete Reisw��'Parcial Reissue
As autho ized by the State of North Carolina, Department of Environmental Quality
0.
and the Coaster! Resources Commission in an err'" of environmental concern pursuant to 15A NCAC
A � � : Y _ is • �. . h 7i ♦ �_
N 0 xy�r
* 8n428 A B C D
Previous permit #. ( C_.)
Date previous permit issued
ri use#- .
"--i'---� # i----- 1 �l i\ i t 1 I lIY 1 -"!�, /li 1 I f �f ! Z E],...:....f [ ...,.,..;...,. r`..���«., i 1 A
\pp3�canE iNamE
i
Address r
'hone 4
Authorized Agent
Affected
OEA
AEC(s).- wP
ICYW: yes
Agent or
Application Fee(s)
PNA
4PTA
0 EH
OPM
Er PTS
N/A
rI UjCL.L uUaLEVH. L,uui oLy—\, -I-�'—�
Street Address/ State Road/ Lot #
Subdivision
Phone
Adj. Wtr. Body
lulfj "U
Lfi Cate

CAMA / ❑ DREDGE & FILL TO 80428 q g C ) D
ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑'rlartial Reissue Date previous permit issued
As autho ized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an are of environmental concern pursuant to 15A NCAC f, '
rNflules ttac d.
Applicant Nam Project Location: County
Address Street Address/ Statjp Road/ Lot #(s)
Cityi, V
S teP�
Phone #
ail
Authorized Agent
Affected CW EW
AEC(s): NEA NHF
❑ PWS:
PEl )(ES PTS
❑ IH ❑ UBA ❑ N/A
ORW: yes / o PNA
nesno
Type of Project/ Activity
l
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) --
Groin length
tuber _
'ulkhea / Riprap length
avg distance offshore
max distance offshore n,-
Basin, channel
cubic yards `
Boat ramp
Boathouse/ atlif) J1% 1 V
Beach Bulldozing �l0 JY( W Other &
Shoreline Length
SAV: not sure ye
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes o
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Prihthd Name
e
Subdivision A
City
Phone # L
Adj. Wtr. Body
Closest Maj. Wtr. Body
Permit
0
ZIP
Basin
(Scale:
❑ See note on back regarding River Basin rules.
e --� I ..1 ry
read compliance
Fee(s) Check# IssuingDateG / PlExpirafionDate

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
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat 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, INC 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: William Rayner
Mailing Address:
Phone Number:
Email Address:
2220 Country Club Road
Morehead City, NC 28557
919-247-7104
[e-mail]
I certify that I have authorized Carteret Marine Services
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
4�;( '-, Cl/ %.
at my property located at 2220 Country Club Road
in Carteret
County.
I 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:
Signature
William Rayner
Print or Type Name
b t-D 0--✓
Title
q
Date
This certification is valid through /)- I
?j � '-/Cc
CA-* 531 �
RECEIVED
mAY 2 6 2021
DCM-MHD CITY

on Newport River
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William Rayner
(Name of Property Owner)
property located at 2200 Country Club Road
(Address, Lot, Block, Road, etc.)
In Morehead City N C
(City/Town and/or County)
(Waterbody)
I
The applicant has described to me, as shown below, the development proposed at the above
loc ti
Tn
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
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 rty Owner Informs 'on)
Signature
William Rayner
Print or Type Name
2200 Country Club Road
Mailing Address
Morehead City. NC 28557
6ty/State2ip
919-247-7104 [e-mail]
Telephone Number / emal address
tm
*Valid for one calendar year after signature*
n)
rTuture* c4
C
Print ) pe72 P /
0 C
M ng Add e s s , V—
�) C > (LJt� C t ci'3� Sx�
Cit /S e/Zip
Telephone Number/ email address
J� l t),,Z I
DECEIVED
Date*
(Revised Aug&4,1 6 2021
DCM-MHD CITY

on Newport River
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William Rayner
(Name of Property Owner)
property located at 2200 Country Club Road
(Address, Lot, Block, Road, etc.)
in Morehead City
(City/Town and/or County)
(Waterbody)
I
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
-/ 1 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
1 understand that pier dock, mooring pilings, boat ramp,
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 rty Owner Inform a 'on)
Signature
William Rayner
Print or Type Name
2200 Country Club Road
Mailing Address
Morehead City, NC 28557
City/State2ip
919-247-7104 [e-mail]
Telephone Number / emai address
` /;_ - 12117-
Date
(Adjacent Property Owner Information)
Lyf ,4 /)
Signature* ,
Print or Type Name
3 , 36 Cc yi .h^,J
Mailin Add TIV 3
City/StatelZip
G.�s"--5,/l��.37y �Iari�a. • -' �E}-o�� coM
Telephone Number/email address
Date*�f / - / - RECEIVED
(Revised Aug. 2014)
'Valid for one calendar year after signature* MAY 2 6 2021
DCM-MHD CITY

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: William Rayner
Mailing Address:
Phone Number:
Email Address:
2220 Country Club Road
Morehead City, NC 28557
919-247-7104
[e-mail]
I certify that I have authorized Carteret Marine Services
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
C/' I �OL/: �.
at my property located at 2220 Country Club Road
in Carteret
County.
I 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:
Signature
William Rayner
Print or Type Name
bL-0 0 --,,--
Title
g / /'. I mar
Date
This certification is valid through Id- 1 ✓ ( ! �)-Od,/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William Rayner s
(Name of Property Owner)
property located at 2200 Country Club Road
(Address, Lot, Block, Road, etc.)
on Newport River in Morehead City N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc It
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
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�rxy Owner Informs on)
Signalure
William Rayner
Print or Type Name
2200 Country Club Road
Mailing Address
Morehead City. NC 28557
City/State2ip
919.247-7104 WilhamRayner@hotmatl corn
Telephone Number/email address
Darr
'Valid for one calendar year after signature'
Proper" Owner'Infprpation)
id, ire
.�Q
Print o Type�rame/ )
M ng Add ess
/ `I e/I C-6 p , %, /vc— s s�
Cit /S le2ip
Telephone Number/email address
Darr'
(Revised Aug 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William Rayner s
(Name of Property Owner)
property located at 2200 Country Club Road
(Address, Lot, Block, Road, etc.)
on Newport River in Morehead City N.C.
(Waterbody) (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 fill in description below or attach a site drawing)
Le c�S� S-esZ ey\ CtoC.Cck
WAIVER SECTION
I understand that 89Ddock, mooring pilings, boat ramp, reakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area o ri arlan 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.
(Property Ow�neer� Informa 'on)
Signature
William Rayner
Print or Type Name
2200 Country Club Road
Mailing Address
Morehead City, NC 28557
City/State/Zip
919-247-7104 [e-mail]
Telephone Number/email address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature* �{--
Print or Type Name
3 5 3,5 Ce—,A -> -rcJ
Mailin Address
City/State/Zip
-sf1,-32 n-2 co14
Telephone Number/email address
,Z/C�c
Date* / /
(Revised Aug. 2014)

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