85464D - Lanier

I?GENEL
CAMA ❑ DREDGE & FILL N��U 8S��C�� A B
PERMIT
Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As author ed by the Star: f North Car na.Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC it . r
❑Rules attached. PE, General Permit Rules available at the following link:www.dea.ncsgov/CAMArules Name APri I ' / .��� /
Address �+�i;/ 4 J j Authorized Agent [.�—
s , "1- Project Location(County):
City .. - ZIP Y
Phone# .; 0) � _ Street Address/state Road/ #(s)
Entail /ter
Subdivision y
❑ City /5 . ZIP ee/ -
Affected Cyy ❑EWEi _r/
PTA ES ❑PTS Adj.Wtr.Body_ /
AEC(s): ❑DEA ❑IHA ❑UW �SPIMA ❑PWS Closest Maj. ••4��1 n/unk)
ORW: Wtr.Body Ty,- ` ��
y \
Type of Project/Activity (`
Shoreline Length i(/ � (Stalest )r
Access ngth �jf /j_ tJ
Pier(dock) th _ A
Fixed Platform(s) Ai
Floating Platform(s)
Finger pier(s) Cy O f
"t i,_, rtt •
Total Platform area
Groin(en h/Jt W O ! w / 1 L
ulkhead prap lengtht© _ e' W+ 1/ ^/r('�tJ•*�t�t
Avg distance offshore
Brea ter/Sill
Nil 1fr
Max dista e/length N.Y
Basin,chann V
Cubic yards �it
Ii.Boat ramp
Boathouse/BoatliR �./ ` ei ttild
Beach Bulldozing • •f" o f' • K '� `--
« 1
Other \/VS(L6 1 • '�j,+ If-
5AV observed: ( -'-� I / 1t..G/ter'
Yes �tT, i f i, -r/r,
Moratorium: n/a yes 4114
Site Photos:
Riparian Waiver Attached: A o � �/� 141111
f
A building �f" �^'s
permit/zonin it may be required by:Permit Conditions �\ t4 Q ©te____ ❑TAR/PAM/NEUSE/BUFFER(circle one)
` � ElSee note on back regarding River Basin rules
❑See additional notes/conditions on back
I AM AWA• •F STAT ,S,CRC RULES • D CO J, ONS THAT APPLY TO THIS PROJECT AND RE �,; D COMM. _NCE STATEMENT. (Please •
e �4.nt PRIN ED Name ! I 2 Z
�--' Perm" • ,TED Name
�' 5'1(-22
Sign r • Poe read compliance ment on back of permits' ./ 'A
� � ( � Sign �Check 0/Money Order Issuing Date // /*

3e�° OASi�'Y I ICAMA DREDGE & FILL No 85464 A B
1 1 GENERAL PERMIT Previous permit
Date previous permit issued ^�
0 New Modification n Complete Reissue ElPartial 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:
•
15A NCAC j I 1 • ` J ❑Rules attached. L-=J General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name i C- 'L I / r% ! / - -�- Authorized Agent
J
Address ,' 77-1"y -- C --.' //Ply _. Project Location(County): 11
City 1.f" t-"� /F. to l`�C /,` ZIP r'f 1 r C Street Address/State Road/L t#(s)
Phone#(-" r2) / /r7 if ' r7 i c_. 6.1(111/1,ntic?
-e"--
Email Subdivision �J
City /<C-U • ZIP r'r, f /7
Affected CW EW PTA ES 0 PTS Adj.Wtr.Body /(c (-. -C f//? �niman/unk)
AEC(s): l IDEA IHA ❑UW SPIMA ❑PWS Closest Maj.Wtr.Body /0 !7 4-,-LA-J'' :.--%iC,-..�
ORW:yes/no PNA:yesoj +,
'ype of Project/Activity (M:7‘ ({f t (?1 ry If /f h U 0 {t-� ."
r / ( (Scale:'(/�of)
Shoreline Length r to k
Access Length d 1:!,�i,(e�..Ar CIA�_ �� ` \
I
Pier(dock)length j * .
Fixed Plattorm(sr • i ! I
< j
Floating Platform(s) .
Finger pier(s) I .1. -..-- - ,t.
Total Platform area i
3roin length/it 1 I
i /
1.t,,d.A-1,4 ,
Bulkhead/Riprap length l -- L_._._._� ....-_ __ _ i I
4vg distance offshore
Breakwater/Sill I Ni.'
/
Vlax distance/length 1 Ni - �I
3asin,channel. ) i�.
EEBoatlift
• ..r.. -47
'k--- ,-V -l7
3each Bulldozing rt t r
Dther • \i ii- t,t 0 "Vi--,i
i
;AV observed: yesi '
vloratorium: n/a yes 4.CP I 1 i
iite Photos: yes, no)
tiparian Waiver Attached: ,yes: no i `f4 ry+-jet is _
\building permit/zoning permit may be required by:
'ermit Conditions {^ -. t( � 4,1)'' C ///?/„ 5.t ( ()f:(1Z ❑TAR/PAM/NEUSE/BUFFER(circle one)
v ' i ``. G.i-��T 60\._ 6✓ T"/7/ , ❑ See note on back regarding River Basin rules
I I 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)
gent or Applicant PRINTED Name Permit Officer's- TED Nam ..---"---
anti **Plaaca rand rmmnlianra cfafamant nn I.erl...f..e rm if**: c:......a .,.

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:
Tar- Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t//c //iti/e.fr
Mailing Address:
/54, /
Phone Number:
Email Address: d( ',i-/vrev 4460 y 4-LD , CGvti�•
I certify that I have authorized 1'/l/Z// „97,9/7 i
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
r
necessary for the following proposed development: �...." r/7/
'4 G//wi
at my property located at .' 2//J1 C /./1:, ti
in Pi ''dv- County.
I furthermore certify 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:
ViCX,11°:-
Signature
tAkiefr
Print or Type Name
(/1/6- (U
Title
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at J . / (N me of Property Owner)
�
onhJ � (Address, Lot, Bloc Road, etc.)
(Waterbody) in,� C; 1 / l d�
( ty/Town and/or County)
The applicant has described to me, as shown below, the evelopment proposed at
location. j � the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROpOSED DEVELOPMENT
(Individual proposing development must fill in descript4on below or attach a site dra
wing)
-c174- 71 c7. '/ 1 4 11
I understand that a pier, WAIVER SECTION
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 b
me. (If you wish to waive the setback, you must initial the appropriate blank below.) y
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property O, er Information)
"/ (Adjacent Property Owner Information)
SI flit
Si at
rrnt o Typ Name
c not yoe Name
aum Addre s
M g ddress�
�ry/ te2rp
City/State2"
�
Telephone Number/email address Telephone Number/email address
Date
Date*
*Valid for one calendar year after sinnati iro* (Revised Auq. 2014)

ADJACENT R I
T
I hereby certify that I own property adjacent to J:
kl rr
property located at 7 ,n . 9 (Name of Property Owner 5
on (�jrN (Address,Lot, Bieck, oad, etc.)
(Waterbody) in •
, N.C.
(City/Town an or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
/44-14i ( 1 )iz (firer-14 )
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me, (If you wish to waive
the setback, you must initial the appropriate blank below.)
PO' li I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
.Signature `Z((.t✓L�
Signature '
Print Typegame 4 H4K iu51\i -- 114(:L-9 YtAS(e-i`.
E`f Print or Type Name
Mailing A ress
Mailing Address
City/State/Zip '• 1 Ll.� � j
City/State2ip
Telephone Number 'i`i
Telephone Number
J ' -1 - ;d;l
Dale
Date
(Revised 6/18i2012)