Milton, Jerry 79614C

DGE & FILL N9 79614
PERMIT Previous permit#_on❑Complete Reissue ❑Partial Reissue D///aatt���e pr(((e(((vious permitOffrth Carolina, Department of Enviroflmental Quality �!� I V-
and the Coastal Resources Co�m-myiissiion� in anareaof environmental concern pursuant to 15A NCAC
Applicant e � /YyNU ltil I 1` 1,1 I I(�/ L 11 Project Location: Count),
nrlrlracc 11 e k 7� j n V _ f Street Addresal &ate'goad/ Lot
Phone #
yl�
Authorized Agent
❑CW ❑EW
❑PTA DES
❑PTS
Affected
❑ OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
AEC(s):
❑ PWS:
ORW: yes / no PNA+�
yes no
Type of Project/ Activity
,`/
� Y L
rAc
I( 1
L
T
Pier (dock) length �—
FixedPlat(orm(s)
Floating Platform s)^_
1
Finger piers)
Groin length'—
number� -
Bulkhead/ Riprap length ~�
avg distance offshore
max distance offshore __ _ P
Basin, channel
cubic yards,-- —1 `
Boat ramp
Boathous
Beach Bulldozing nn
Other ilu ..IJ�y.WA 1 ..
1
Shoreline Length
SAV: notsure yes no
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes no
A building permit may be required
( Note Local Planning jurisdiction)
Phone # T7
Adj. Wtr. Body_
Closest Maj. Wtr.
i
A B 0 D
(Scale: I �r )
t 411 n
See note on back reg�'ding River Basin rules.
s..
Date

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, certifythatthis project is consistentwith 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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/I7

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jerry D. Milton
Mailing Address: 2860 Lennoxville Rd
Beaufort, NC 28516
Phone Number: 919-427-8965
Email Address: [e-mail]
I certify that I have authorized �iM l9Y cne'D
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: InStnil n nPuy Rnatlift
beside my existing dock and the seawall.
at my property located at 2860 1 annnyvilla Rd ,
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:
lYOnnL 0. N LV/)
Signature
k22v �•��iI�W C(m L
—� Print or Type Name
Title
_I 0,5' t Zo21
Date
This certification is valid through

dodoop signaNre vedficadon: 611p.us,L33M-SaaX�55 L
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at 2680 Lennoxville Rd.
on Taylor"s Creek (Addre
(Waterbody)
y & Beth Milton 's
(Name of Property Owner)
as, Lot, Block, Road, etc.)
in Carteret County N.C.
(Clty/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)
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 Information)
Print or Type Name
2680 Lennoxville Rd.
Mailing Address
Beaufort, NC 28516
City/StatelZip
65
919-427-89/ [e-mail]
Telephone Number/email address
3/05/2021
Date
*Valid for one calendar year after signature*
z a«iooy em
03/09R13A PMFST
SWIW-TNOCiRI-0ZNT
Signature
Ronald E. Lovings
Print or Type Name
P 0 Box 2322
Mailino Address
Beaufort, NC 28516
City/Statelzip
[phone]/[e-mail]
Telephone Number/email address
03/09/2021
Dale*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jerry & Beth Milton 's
property located at
2860 Lennoxville Rd. (Name of Property Owner)
Taylor"s Creek (Address, Lot, Block, Road, etc.)
on , in Carteret County N.C.
(Waterbody) (City/Town and/or County)
The appl'cant has described to me, as shown below, the development proposed at the above
locatiory
✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill 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.
Owner Information)
Print or Ty#e Name
2860 Lennoxville Rd.
Mailing Address
Beaufort, NC 28516
City/state2ip
919-427-8965 / [e-mail]
Telephone Number/email address
3/05/2021
Date
(Adjacent Property
Date
(Revised Aug. 2014)
"Valid for one calendar year after signature*

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