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AMA / ❑ DREDr'aE & FILL NI? 83814 A B G
D
ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous er p issued
As autho 'zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Re Fources Commission in an area of environmental concer pursuant to 15A NCAC
1 Ru s attached
Applicant Nja�me� I Project Location: County— (
Address I _ l� ,f �1 i A �t l �/i PStreet Address/ State Road/ Lot # s
Ciry\
Phone #
Authorized Agent
q State ZIP
1 -Mail
❑ CW EW
)JTA ❑ ES . ❑ PTS
Affected
❑ OEAH
AEC(s): HF
❑ I�\H ElUBA ❑ N/A
❑ PWS:
ORW: yes / (np) PNA
yes / r o )
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) I
Floating Platform(s) /Oipo-
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore`------
Basin, channel --
cubic yards ---�"�
Boat ramp '
Boathouse/ Boatlift
Beach Bulldozing_--1 --
Other ' , Q
Shoreline Length PV U `
SAV: not sure yes orium: n/a yes no
Photos: yes no
Waiver Attached: yes Co
A building permit may be required by:
( Note Local Planning jurisdiction
Notes/ Special Conditions
l .
1¢ent or ADDIIcanf'PFint-dtiName
** Ply, a read compliance statement on back of permit **
Check #
Subdivision
City 0 ;asin*
IP
Phone # River
Adj. Wtr. Body nat man /unkn
Closest Maj. Wtr. Body
note on back regarding River Basin rules.
Z-
SigIurb V
)A/4)
Issui g ira 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 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, 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/ 1-888ARCOAST
252-946-6481
Fax: 252-247-3330
Fax: 252-948-0478
(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: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(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
8/29/2021
Ms. Stryon
Here is the information for the floating dock permit at my property - 777 Country Club Road, Morehead
City.
Attached is one of my neighbor's signed notification form and as expected, the other neighbor
"Audubon Society NC" did not return the notification form. However, I did send it via certified mail and
received the green card back on 8/25/21 along with the tracking information.
I have also enclosed a check for $200 and a proposed diagram of the floating dock.
Please let me know if you need any additional information.
Thank you,
Bill Demarest
336.971.2518
777 Country Club Road
Morehead City, NC 28557
1p goo
c* i a69
RECEIVED
SEE 0 1 202I
OCM-MHD CITY
N.C. 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 or their agent)
Name of Property Owner: t r [Q Get cL i t it 1 K Y�`1 t►_ ,
Address of Property (-�
Mailing Address of Owner:
'iK (A1Cnc
Owners email s [utae wer�s-) Phone#:J�'
Agent's Name: Agent Phone#:�
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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
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 (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Malt.
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.)
I DO wish to waive some/all of the 15' setbackzn�
Signati r of Adjacent Riparian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:P
Mailing Address of ARPO: �,4 1 C�� `)1 Y, Yl� , �J� 1 bt�< t 4-
ARPO's email: ``( (d? % S ARPO's Phone#:
Date: K - 2--1 *waiver is valid for up to one year from ARPO's Signature*
j01t.iJ Revised May 2021
,m-MHD CITY
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SEP 0 12021
DCM-MHD CITY
U NIC 275
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9590 9402 5576 9274 8775 17
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9590 9402 5576 9274 8775 17 ❑ Certified Mail Restricted Dalivery Merchandise
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hell C7 Collect on Delivery Restricted Delivery ❑Signature Confirmation
tail Restricted Delivery
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Domestic Return Receipt
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MOREHEAD CITY
3500 BRIDGES ST
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08/20/2021 08:57 AM
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