Gull Harbor Maina 84307C

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'1*ajcoasra1 � j CAMA ❑ DREDGE & FILL N9 84307 A B CCD
i 3 Previous permit ---
Date previous permit issued GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the tate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC � <�� CrO ❑ Rules attached. �[❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name i A Authorized Agent �-
Address!
WProject Location (County):
City i Oc - State ZIP � � Street AddresMs/St/a�tee Road/Lot # �
Phone #(�� ) IIb7�tT"J`�'� i� 41 )INwJ L"v` Ll�j- r
I
Email ' Subdivision
� L
City W 'c"Qk k ZIP
ti
Affected ❑ CW MEW PTA ❑ ES ❑ PTS Adj. Wtr. Body. A i,p ) wlJ �� (na n/ k)
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length 6
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/ lengtK-----
Basin, channel
Cubic yards
Boat ramp
Boathouse/ o tli d
Beach Bulldozing
Other +�GI/A A
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
A building permit/zoning
Permit
yes
yes
ys
Y5
0
0
no
Ole
v
❑ 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 REVIEVI(ED COMPLI4NCE STATEMENT.\ ; (I ase Initial)
Agent or Applicant PRINTED Name Permit PRIN ED Name '
Si nature **"se read compliance statement on back of rmit** Signatu �P
0DC2��- Ax
Application Fee(s) Check #/Money Order issuing Date Expiration Da

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 F] 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

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Ckaylc s
Aia
i &t—sok-"
Mailing Address: j65 cicte v
Lh titvlipork
1
1�'I G M570
Phone Number:
336 - 757- 2565
Email Address: abcewp'll3C &,�I,Cam
1 certify that I have authorized Fr C. E l ! i s ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: d k k
bao-k t4k
at my property located at Cod MO-Y-inA. aA 660 katbOr- 51(� "I 2? ,
in Urkty-4
County.
I 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:
C� " 01 C-- '6 J-0,-
Signature
a ar it's A 16 v1 66-e Svh
Print or Type Name
t4-
Title
Q� 1-4 ozl
Date
This certification is valid through I l

s

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. aLt•rlts A6,1 Ott -son
' rJ�f t LJI 4ofbor, 4yJPOl C, 29S70 Slip 44 Z7
t
Address of Property_ Ji _
1 rn Lw t�r� G 2857D
Mailing Address of Owner: 1bl
Owner's email: Owner's Phone#:6' 7Jr7- �6
Agent's Name: EYt L � I 1 I S Agent Phoneti: 25Z " 3 ` - Z - 61 Z5
Agent's Emaik ,,.,kill � e-1 t t s l � r+a ct l . ct7 kv
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Progarty 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 are proposing.
A description or drawino with dimensions must be provided with this leifer.
i DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to what is being proposed, you must notify the N.C. Division 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 N 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 be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprep revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 16 setback
Sfgnature of Adjacent ipa " property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial tt)e blank)
Signature of Adjacent Riparian PropertX Owner. -
Typed/Printed name of ARPO: I
Mailing Address of ARPO:
ARPO's small: _ t Eiji �L.p (�!%, C N, , ARPO's Phone#:4 rah _�,� _j �
Date: fi -2 _"waiver is valid for up to one year from ARPO's Signature

(Top portion to be completed by owner or their agent)
Name of Property Owner. _
O41artes Mo-n d2Qso►�
,( %� ur( v 2 S70
Address of Property: � � `�.._ r `lt.,Y;i t'l. it-..r,�� �� 1) , �t+.Y b o r � N +4�� [
a w O C.k 28570
Mailing Address of Owner. �
{ tt
Owner's email• trb}t1n Owner's Phone#: 3 36 " 157- 25 GS
%�t�sOh I � 3a R Yalta 1,
Agents Name:
(,Yj L t I i Agentphone*. 7r� Z, 34 Z- 6 y?S
Agent's Email:`��� ! �t15 luJ_rY►_sxl l3ri�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
bottom portion to be cam leted b the Adjacent Pro2grty 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 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 (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 be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15, setback requirement (initial the blank)
z� 'r
Signature of Adjacent Riparian Property Owner:
TypediPrinted name of ARPO:�
t 1 ,
Mailing Address of ARPO:
ARPO's Phone#.
ARPO's email '
ti
Date: ' _`waiver is valid for up to one year from ARPO's Signature
Sl, p l 2-7

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: %-Y �trS � 13" 5o n
AddressofProperty: �t7`r iYLA 0-, �t�d 4afbor Jf&i orY I�lr✓✓ ��70 `'s'�r��l Z7
r
Mailing Address of (?caner:
I6� caLy �t Por4 �► � 2$57Q
Owner's email: tG�©h f ( (j R �, (t7YN owner's Phone#: 3 3b - 757- 2-.` 6 5
Agent's Name: L Y t Cw ► Agent Phone#: � 2- 3 4 2- 6 7 7S
Agents Email:„ hGi'y � < , I� I s C IA
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
( Bottom portion to be com fep led by the Adjacent Proger#y 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 are proposing.
A description or drawing with d,_____yn_i ensions rr ust be provided with this letter.
r,.
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 (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 be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
l DO wish to waive sometall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the IS' setback requirement (initial the blank} r
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
r 11
ARPO s email ARPO s Phone#: !.
Date: -'J f i� -waiver 1s valid for up to one year from ARPO's Signature"

Ile a�
200 dolly r�5 Q�t � be, 17 l

Eric Ellis
Marine Construction
DOCKS • SEAWALLS • BOAT LIFTS
DECKS & REPAIRS
P s
Cell: 252.342.6775 01
295
Morehead City, NC 28557