84903_Scott Brown_20211006

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't.I AM AWAitibFSTATUTES;CRC RULES AND toivoinolisiiiieAPPLYTO THIS PROJECT AND.REVIEWED COMPLIANCE STATEN, T (Piease,incti4 .. . ._._ : . ......
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ApplIcetianFedIsi' . 01-4.k tittAineva(dee ,IssPielipatq. -( ito,Ira,t.iOn Date.
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,MICH:A.EL S'...11,EGAN:
jecrerary.'
't CotatAlOnapmero- -'13-RAXTO N:DAV tiST-
1 -SNVIROitMEiii.i4:17thla.lii - .
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Pi Ikffikii AUTHORIZATiONCEitr100k
-FOR PIERANp:DOC.1010:tglliTttkOSAIKW.1'
iOaiiai=i-lipifer-•.api-hoKzatior,),isseqUk an
edlOr facilities. . ...., . .. ..,.. . ......,.
leuse.ft)ver Riparian:buffer'ver.pivNiotiTOf Water Resources, (CANN regulations-1. A•11C,PCC-10-.2t:0233-4.025T.fTife•
pivision of-Coastal:Ma riageinent(PCM).i,'through a Memciran!3ium.or Qnderstandfngwith,OlerD.iyWqn of Water. ... .
Fte-tources D.WFIThaS-revieived‘':irOut prgiest,pruposai-and:has:•,deterrnined_that the.prOjett:Willp-p95e-ci:'0Mp.ife
i- ith the'atore.-r'neritiOnetrregOlations.
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• Ithoesat't,siviti:eS'.cgivered.6-,816.-iirtcital Area:Maria-gement-A.ef,(CAMA)perrn ft have received 8U'f, er-AutliOrfgeliOn;
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<: .;provided.thelpiblea•iS ctinStrUciedin-4friariner that continues in meet all of the egnilitIgns.lfite d below.,Faily,re to
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' PhiPly1;v4h;'.,:flrsi01:iffirAPthprizatirpiyrriay subject the pro,perty.owner and tile pa rty.,(contractor)uerfOrrnihg!the
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;• - :..OnsrUc:tif;M:ancf/.6.!',1?nke-arihg1PLA:,-Clivil.penaity by DWR tit firi.to .7,5;00.0 sir day perVfOlatkih:
1: ErbSsing-i§Pef-perfdiciilar: Pier'a rid'Adtking faeilit‘i:access•way must cross the i.ccift,-ripaiian buffer
peirOehdicUlarlOWhich!is and 10,f'degrees)unless otherWise:?pproved:bibcM.701
41igpm-e-9tsha4,,piiii.irni;e•Pg removal of woody vegetation to the'grgatest-extent•pradfeabiai, '
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- ;'-'2' •Pervious Materials All reasonable measures shall be taken to ensuiè the access ia is'In'add:cif'perViiiii'S
'fnaterialS.'like-cfrieri:Slatted grass the intent Of the,rUlds to the
.',• :tetaxiMurn eitent*actite hie. •
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Acccss :uf-,:the-:Rierprdotkingf*iiityaccesS.way:shalt.hp'..liMite0tO,..sik.10 feet,'
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' .4' •Pilijddt Drawing The drawing on,the,CAMA-Genefal:vailiiie is considered:the project drawing 6f.oue,,
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.,. 00eitty,ritiaieatiiii:iherelaihie,,kicaiidn.of the-ifek..Or-OOtkingf4ility and any.reque*ed access way this
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drawing will be used to aid in einRtiopce,•and'inonitoring_efforts.
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BY:yolitsiipailiedbel6W 01.r.-lakee*be.held fe'spOntibl&f&Lineetihg-all Of,therOndi-tiOS.Itstett,aboyetan d-verify
. .. ..... •that altinformatiorrp.roVitiedis..corrOekoo accurate
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Agent.°rAprilicant F.iiin dName: ;,Pentit OffitefS-S!griature-
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Agent or AN*: ntSi -atq0-- ' Issue Date
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, CAMA GENERALPERMInft In Ku-1-3,, _
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Sia•,ie-of NOrtfiCapEqq'I EiivijNx(rflattai,QzOrcty 1 cOsta,1114thi4Orriiti;
Wi3hAisipi.1,360,14,3,±114sitiiit9risclioiN4*asIlinmon.NC#4a,11 524§.44-481
•,i - ralniii-,00.9t*ei:.47careraiial.Drj,:iEict.in,IIiiiinOcn.NC28.405-'305,1'0:1496-72.15.
'Nfprefi.rad atiCiff.de j 400 Carnmerce Averare'Nforebead Oty.7:4C 2£1,5-.0,1: 2-80fit2acki
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AGENT AUTHORIZATION FOR CAMA PERMITAPPLICATION
Scott S.BrOWLI
Name of Property Owner Requesting Permit:
106 Windlass Way
Mailing Address:
Aurora,NC 27806
H(252) 322-2287 C(252)229-9600
Phone Number:
[e-mail]
Email Address:
David Anderson AKA EZ Dock Solutions/Nauti Metal
I certify that 1 have.authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all AMA permits
Add S'x-80"wide floating length
necessary for the following proposed development:
dock section and 5000#Boat floating boat lift to etisting'floating clock
106 Windlass Way,Aurora NC 27806
at my property located at
BEAUFORT
in County.
I furthermore cisdify 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
Scott S.Brown
Print or Type Name
Title
-03
20 2021
Date
This certification is valid through
•
•

DivitsioN OF COASTAL.MANAGEMENT
-ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL• RETURN RECEIPT REQUESTED or HAND DELIVERY
•
(Top portion:to:be completed by owner or their agpM)
Name-Of PrOperty.Oer: 11,(35,1- '-"VOLC.LaN . .
Address of Property: °1:1) (-13tA rrtc6O
1)
Mailing Address of Owner:
Owner's email: -\')•••-f.,MCA'C .--N-:(6s,41,-kakI_Owner's Phone#:
Agent's Name:a Iscu_ etilT\C*1 Agent Phone#:_(.:(2. 3.) 1LVir,-214
Agents Email t.Pr(NC.J4DCAk.AVNT-ZN: ( C )0-0-a-k
• . . _
ADJACENT RIPARIAN PROPERTrOWNEWSCERTIFICATIQN
(Bottom'portion to be completed by the.Adiacerit•Pioportyr Owner')
thereby Certify that I own property adjacent to the abovereferenceP property.The Individual applying forthis'
permit has described-to me, as shown on the attached drawing,the development they are proposing.A
description or drawing.with.dimensions.Must be provided with this letter.
I DO NOT have objections to this proposal. I.DO have objections to this proposal.
. .
If you have objections-to what is'being proposed,you must notify the N.C. Division'of'Coastal
Management(DC111)in Writing Within 10 days Of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave.Morehead City,NC 28557.Da i representatives can also be contacted
at(252)808-2808.*response Is considered the same as no objection ff you have been notified by-
:Certiffecf MaiL
WAIVER SECTION
understand that any proposed pier.dock,mooring pilings,boat ramp,preakwater,boathouse i or
groin must besot beak-a minimum diStance of 15'from my area,cir riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments).(it you wish to waive the setback you must sign,
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
. .
• •
• Signature Of Adjacent P'‘ibariostn:Property Owner
-OR-
4.41
I do not wish to waive,the 15'setback-requirement"(initial the blank)
•
Signature of Adjacent Riparian Property Owner: ".
Ae.
Typed/Printed name Of ARP0i
Mailing Address Of ARPO:' ik-j,.,A44.p.-1•04•••=‘;.,-,..‘i 2.7 6 6
ARPO's emaikbc.nr 1 4,V-a a ceaARPO's Phone#: 115 60.;-,
a j Jen
Date:Al-4 rif 2:64 .*waiver is Valid for up to one year from ARPO's Signature*
Revised May 2021
•

DIVISION OF,COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED:MAIL •':RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top Portion to be completed by owner ortheir agent)
Name plPrdperty Owner: S WV1,1110
Address of Property; lai) LOW% I
manind Mdtess of Owner: Vit•-*1_1'
OWner'S email:c) -*)•.\(‘VACilreek<arlilk.Owner's Phone#: tint fan
Agent's Nettie:a bcm'sou I k\6‘1\r- Agent Phone#: I/StjUç-034
Agent's i6(50\VAVrfs @,,NAtheo_C(XJ1/4 _
•
ADJACENT RIPARIAN PROPERTY:01NNER'SZERTIFICATION
(Bottom portion to be:completed by the Adiaderit Property Owner)
I herebydertify that I Own property adjacent to the above referenced prciperty.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are prOpOsing.A
description Or drawinig,With dirnensions,must be provided with this letter_
I DO NOT have objections to this prdposal. I DO;have'objections to this proposal.
if you have objections to What la being proposed, inirgt4rotify the NC Division'of Coastal
Management(DCM)in writing within10 days of receipt of this notice. Correspondence should be
mailed to 400 ComMerce Ave.,Morehead City,NC28557:DCMEepresenteitives can also be contacted
at(252)808-28014 No response is considered the same as no objection If you have been notified by
CertifiedMall.
WAIVER SECTION
I understand that any proposed'Pier;dock,mooring pilings,boat rampjareakwater,boathouse,lift,or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to or riptap revetments).(If you wish to waive the setback,you must-skin;
the appropriate blarikAielow.)
I DO wish-to waive some/all of the 15'setback :
if.f/YO
Si _ cent- ipariao property Owner
I'd°notwish to waive'lhe 15'setback iVquirernent-(initiaf the blank)
‘ `
Signature of Adjacent Riparian Property Owner: ,0 % dA
Typed/Printed name of ARPO: e..—.--teR / (
Mailing Address of ARPOi' ife
3496-7
ARPO'seMall:7ZieOrbd>17/Wirs OAARPO's-Phone#: 416- lag /74,?
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

....
, .
777
Dock Live Load of 61.1 liosiiqft- . _. __.. . .
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MADE IN
-
low Prolile Dock.Livo.Lpt.139 lbskift USN -
47' 10" - 2Dock' .
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Project Name:
. ,
- • - ,?,-Cc,U.-=:•: ‘, -,NC
-.„. , Distributor Name:
EZ Pock Sohittifiis
-, (252)77'34793
•Drawn by:-DavidAndason
Date:24,2921
• ' - DWG Rme:000_43556550116
F2 DODKUID
. ' ,878:Easfllighway-60
4., ',,--y,', •MoACtfrMISsogri 65708
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Phone:I(800)654.8168
417/25-223,2. '
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i
.General Notes:
• -"'st
...." E. Ille drawled doers not reflect anandring.Once sunklent iillbmwation fc,
•cmapleted Proposal Ragout Penn concerning water and bottom=Adore
fa mech.!.aailsorlop,roily be&mile&
2. ,goiw it Is the dock nerneitopenauid icsponsit4ty to.rca:Clialirl illiiCoMily
with all applicable Pcdcria,Stab,and loop!laws;Ordinaiicca hid'
:rotations;as"di as all inioccilen.paiinlitina mai liCensbtiretpikimenki
pertalninatto the installation,applkation mad no of F.2 Dtick pindiicti an •
'the corneitOperatOfb papa beS.•Pg Dick.Inc.aiiumes no ditty Of
reiporiaibilifymith respect to tlio ligalky or conMllancy or flio.•
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Nalleg I lead EZ Dock Limitcd.WO-isity carefulbi,Among othir things,El Docic discs not warrant damagss; --S'`
faflutes or defects caused by unauthadmil otodificadot of EZ Dock Prodlict, nd/ar uniiiitilimitiedStidchmciit to/of
HZ Dock i,rciduct.(
. ,awaeriap7a.toc's:chinam.fasitillation,application or use id"E2 Dock
mroduets,
\.3...., Retbreace b.Z,Dock()Mar MiLnUla RR addidomdrictills. „.
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