Davis, Billy 80475C

CAMA / ❑DREDGE &FILL 9 80475 A B � D
EN ERAL PERMIT Previous permit #
New ❑Modification [--]Complete Reissue ❑Partial Reissue Date previous per 't issued
As auth izecl by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources CommissiorOr an ar a of environmental concern pursuant to 15A NCAC
u s a ac d.
Applicant Name �• �f Project Location: County
Addre Street Address/ State ad/ Lot #
Cit PA t e,ZIP
Authorized Agent
❑CW
XEW
[OTA
❑ES ❑PTS
Affected
AEC(s): ElOEA
ElHHF
❑ 1H
❑ UBA ElN/A
❑ PWS:
ORW: /lno
P s
PNA
yes /
KO 0
Type of Project/ Activity
.r
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) •�
Groin length
number
Bulkhead/ Riprap length."
avg distance offshore.-----
max distance offshore=---�
Basin, channel
cubic yards
Boat ramp I
Boathouse/ atlift `�
Beach Bulldozing°
i -
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: y , no
Waiver Attached: no
A building permit may be required by:
( Note Local Planning jurisdiction) ,
Notes/ Special Conditions
Agents or App/licant-Printed FTamb
S AU-4 ture ** Ple4glGreacl compliance statement on back of permit
Application Fee(s) eck #
.7
s
(Scale:
L
See note on back regarding River Basin rules.
.,/) ,1 �d_. i
Permit
Signature I '
�T 1A
Issue g IJ a e xpir ion 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, 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 comply with 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/ I-888-4RCOAST
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

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: b\, ��l.t 12 DQtv�/1S
Mailing Address: (laorfi Dr
Phone Number: D-) 305Z -49acl q
Email Address: .U�nC?a.�
I certify that I have authorized C3 Scott, Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Q
at my property located at `L11 Chaoott Dr. ,
in (��ORF& County.
l furthermore certify that l 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. 03
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through /� /_

r .

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to h1 ���\!1S s
Name of Property Owner)
property located at a l l MC f4)-e b l r.
(Address, Lot, Block Road, etc.)
on CLVoy l aT beer Cue in f Q.U---Nrlcfe_ - N.C.
(Waterbody) (City/Town and/or County)
initial The applicant has described to me, as shown below, the development proposed at the above
Iocati , .
-sere on '�. I have no objection to this proposal.
ane of
these _ I have objections to this proposal.
ines
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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on I do wish to waive the 15' setback requirement.
one of
these I do not wish to waive the 15' setback requirement.
lines
(Property Owner Information) (Adjacent Property Owner Information)
Sig/ titre sign tur1e`�
U�dIpPrT'
P i t y e Name
0Print or Type Na
t'lopiling reds Maili Address-s ,A r
i�tCi"e+ C -
Cit I' tate/Zip City/S to i
-qa 114 brd viS091 c: N ii1,(M �U,�� ._ <30
Telephone Number / email address Telephone Number / email address
(Revised Aug. 2014)
*Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to r>` \kA pa6 S 's
property located at
t��(ame of Property Owner)
��� ���L(-� for
(Address, Lot, Block, Road, etc.)
CC� on W o CC tw.er � k- in -ape- %x- �e �- N.C.
(Waterbody) (City/Town and/or County)
nitial The ap ► t has described to me, as shown below, the development proposed at the above
-lere on ►oc '
-i e of I have no objection to this proposal.
:hese I have objections to this proposal.
ines
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
Initial me. (If wish to waive the setback, you must initial the appropriate blank below.)
Here on I do wish to waive the 15' setback requirement.
one of
these I do not wish to waive the 15' setback requirement.
lines
(Property Owner Information) (Adjacent Property Owner,lnfWmation) `
or Typ_e.Name
Alin Addr
Cit—y/�Sfate/Zip
aae'Ll bMa6s0q%x�1vY-,i ►.
Telephone Number / email address 0oty,
I-5-0-1
rim
*Valid for one calendar year after signature*
�nnt-or / e ry
Vl ing A des;
y/S, lZip
Tele oneNun
Dafe`1
It 0 ,
address
(Revised Aug. 2014)

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.i(awifig rlepaluu Dy. �O C)L;L)kl, !;it:
1/ 14, _1P w
)ate:.7/8/21
3 tcle: 1 n,301 14/w y-41
14/ 14/
Al
_41 w w 41
41
Proposed Work: 41
Demo existing boat lift and docks
Install new 4' wide x 30' long dock along existing sea
wall per as shown below.
Install a new 4 pole boat lift within a 13'x1Tfoot print
as shown below.
W
Man Made Channel off Deer
Creek 'gel,
AA
g
0",
Q
DeerCreek
KRA
ul
ead
il 1,
w -4, 41 a line k" _41
f. -4/ 4- 4,
, i, i' 1 .1, .,V 'A
41 4
il
.41
'j/
215 Channel Drive 41 A/ 219 Channel Drive
11 41 y w 1!, .41
4/
lie y y w v '4'
14/ -

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C3 SCOTT INC
318 BONITA ST
CAPE CARTERET, NC 28584
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BRANCH BANIQNG AND TRUST COMPANY
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