Boyette, Brant 79636C

AMA / ❑ DREDGE & FILL N9 79636 A B 1 c. 1 D
NERAL PERMIT Previous permit# \j
ew ❑Modification FComplete Reissue El Partial Reissue Date revio s permit issued
As author ed by the State of North Carolina, Department of Environmental Quality 19
and the C stal Resources Commission in an area of environmental concern pursuant to 15A NCAC
`` 11 '' les attach
Applicant Name W Project Location: County
Address ' I Y Street Address/ tate Road/ Lot # s)
t
City State ZIP I'7l / " )� .f% 1 L1 �I
Phone # Mail Subdivision
Authorized Agent �VnCity ZIP
❑ CW EW PTA ❑ ES ❑ PITS Phone # (_) er Basin
Affected LJ OEA ❑ HHF ❑ H ❑ UBA ❑ N/A Wk
AEC(s): Adj. Wtr. Body (nat Iman unkn
El Pw D
ORW: yes / PNA yes / r1 / Closest Maj. W.r. Body
./ r A I
Type of Project/ Ac 'vity Y
QJ
Pier (dock) length /. .n�,,^_.I/f.
Fixed Platforms) ID1(1ID1(1`"{'rtlJi
Floating Platfor (s
Finger pier(s) s ®�—Y—
Groin length �-� '�'r< I LV la,�✓ �v
number
Bulkhead/ Mpmp length-
avg distance offshore �..�� - �- Iy. Tl L/ • — -
max distance offshore_-
Bazin, channe�
cubic yardstl--i i
Boat ramp - A'1
ri I —
Boathouse/
i
Beach Bulldozing
Other
Ti I
Shoreline Length-
-1
SAV: not sure ., yes onol—
� q
Moratorium: n/a yes as i
Photos: yes — /0,,
\Maiver Attached: yes A�1 (I /^ W N -
A building permit may be required by: It naaymiE& e ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/iecial Condns
Signature "Please read compliance statement onb cotp rmn"^
Application Fee(s) Check
Issuing
M

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 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 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: gyoz' �1W I
Mailing Address:
Phone Number:
Email Address: �lt� }�"� 0,)G
I certify that I have authorized �, ._7
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ��� JI s'�V 4l —,lid
at may property located at 4
in 6V1ff0?0T County.
1 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.
Proper er I Ntnafiee;
Signature` (�
�j re .A- eo', C'
Print or Type Name
Title
ZiflZ1
Date
This certification is valid throughe_—� I 3 aci�
RECEIVED
MAR 0 8 2021
DCM-MHD CITY

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;.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Vgoi/l
Mailing Address: ,.��� 0.1 41k�
Phone Number:
Email Address: A)�}}�/�-r�7
I certify that I have authorized
T Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �G �f s'�ti ���
at may property located at Z4
in L—f MOT County.
ff
1 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.
Proper ner I fe+atieH;�
Signature
Print or Type Name
Title
Date
Tnis certification is valid throught9-1 t 3 RECEIVED
MAR 0 8 2021
DCM-MHD CITY

CAMA GENERAL NOTIFICATION
PROPOSED CONSTRUCTION ON THE PROPERTY OF BRENT AND WRAY
BOYETTE TO BE LOCATED AT 1503.5 SHACKLEFORD ST.
LIFT AND FINGER PIER TO BE ADDED TO THE EAST SIDE OF THE
EXISTING DOCK AND LIFT
N© C�eck fl
L.o.rDe, P6vis
(n+ pr';ce)
RECEIVED
MAR 0 S 2021
DCM-MHD CITY

I hereby certify that I own property adjacent to t —A% , Wort
property located at
(Address, Lot,
onU in
Waterbody) (C
N.C.
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)
'F-5 �a-oAz-� o J
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.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelLip
Telephone Number/email address
Dare
*Valid for one calendar year after signature'
(Adjacent Property owner mrorrnaoont
Signature*
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date* ECEIVED
(Revised Aug Vffl
8 2021
DCM-MHD CITY

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RECEIVED
MAR 0 9 Z021
DCM.MHD CITY

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I hereby certify that I own property adjacent to
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property located at U)I--I ""—' '
�<\/Au (Address, Lot, Block etc.)
on i-i in . N.C.
Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
8P)— 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.
(Property Owner Information) (Adjacent Property uwner imormaxwn)
c
Signature
Print or Type Name
Mailing Address
City/state2ip
Telephone Number/email address
Dale*
(Revised Aug. 2014)
`Valid for one calendar year after signature*

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