Casson, Edward 84335C

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000AST [ICAMA ❑ DREDGE & FILL 9 84335 A B C D
Previous
GENERAL PERMIT Date pre vows Ipermit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
SA NCAC l ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.-eov/CAMArules
Applicant Name / i Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
1 � .
Phone # i
Email Subdivision `
City
i
- C: ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body �) !%} ` ' ch •' d11l1! %T �` Oat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body -- A ( <
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length +
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
t
SAV observed: yes no —�
Moratorium: n/a yes no r
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
I
(Scale?
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature/ r f
i^ y Bev
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
F-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

y 1*1CO 41NEICAMA ElDREDGE & FILL N9 84335 A B C D
3 Previous permit
i 3 GENERAL PERMIT Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # (_ )
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
State
❑EW ❑PTA
❑ IHA ❑ UW
PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes no
Moratorium: n/a
yes no
Site Photos:
yes no
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be rf
Permit Conditions
Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot #(s)
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
(Scale:` )
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature }
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the pprmit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOA5T Fax: [phone]
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Styron, Heather M.
From: David Anderson <[e-mail]>
Sent: Friday, November 5, 2021 10:11 AM
To: Styron, Heather M.
Subject: [External] 1600 River Bluff Rd., MHC
Attachments: 2021-11-05_094928.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good morning, Heather.
Application for a boat lift is attached. Proposed install location is on the left of the
platform.
Let me know if you need anything else.
Have a great weekend!
Ashley
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www.ezdocksolutions.com
www.nautimetal.com

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property owner Requesting Permit: aa—)A/mil A , (fAe6ojA)
Mailing Address:
Phone Number: ql ,? — q c?_ / 7® 4
Email Address:_a+assn��^�,
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6A7_
at my property located at _ Z��Q
County.
1 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.
Property Owner Information:
l
Signature
w 1 l L
Print or Type Name
Title
Date
This certification is valid through _/ /

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED E____ IE RF�TFD or HAND QP1 1\1;=Dv
(Top Portion to be completed by owner or their agent)
Name of Property Owner: "' -V��
Address of Property- I Mv,\ 0-
Mailing Address of Owner;
Owner's email, -
Owner's PhonG#:
Agent's Name: T-11,
Agent Phone#: I
Agent's Email -
,,ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(
ottor"W12OW—cprn —t—ed! the; Ad scent em2ady--owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
Permit has described to me, as shown on the attached drawing, the development they d9scription or drawing wok sm, qst b1pr �ov are Proposing.
I DO NOT have objections to this proposal, I DO have objections to this proposal.
Flyou Fhave o—bi—ec�tionsto what is bein-a Proposed, you must notify —the N.'C: �Dpvlslon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection If YOU have been notified by
Certified Mail.
WAIVER SECTION
I understand that any Proposed pier, dock, mooring pilings. boat ramp, breakwater, boathouse, lift, or
groin must beset back a minimum distance off15'from my area of riparian access unless w
(this does not apply waived by me
to bulkheads or riprap revetments). (if you wish to waive the setback, you MRglio the appropriate blank below,)
I DO wish to waive some/all of the 15'setback
Signature OfAdjacent 4Ripaar r�p—r
-OR- i Property C
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: icyi- D o'
Date: 3 *waiver is valid for up to one year from ARPO's Signature*
Revised may 2021

4 1

GompwtoVellis 1, 2, and 3.
Print youri�name and address on the reverse
so that (fie can return the card to you.
Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
9590 9402 3756 8032 2275 71
A. Signature
❑ Agent
�X RrAddress8e
B.` e-c o' 6ed 6 f(-Printed Yame) I C. Date of Delivery
<'tr-r'S li� ) r,,(" I t-/ 1 1`5 11 2-t
D. Isis delivery address different from item t? 'El Yes
If YES, enter, delivery address below: JQ'No
3. Service Type p Priority Mall Express®
* Adult Signature ❑ Registered Mail'"
G Adult Signature Restricted Delivery El Regpistered Mall Restricted
E7 Certified MallO Delivery
* Certified Mail Restr[cted Delivery 0 Return Recelpt for
i"L. Collect on Delivery Merchandise
C II t Delive Restricted Delivery U Signature Confirrnation"A
2. Article Number (Transfer from service /abaft ._.. r _a ac on ry
Signature Confirmation
7 0 2 0 1810 0000 6872 7450 teetrleted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000.9053 Domestic Return Receipt

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