Honeycutt, William 78243C

IA / ❑ DREDGE & FILL N9 78243
IERAL ,PERMIT Previous permit#_
❑Modification El Complete Reissue ❑Partial Reissue Date previous permit
As auth rizeul by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area f environmental concern p rsuant to I SA NCAC
Applicant Namc�� 111 � ) + '�ZA IA J Project Location: County
Phone
ZIP
❑CW
Affected
LKW
LXPTA
DOES ❑PTS One # �' v
(�
LJ OEA
AEC(s):
L HHF
filll
❑UBA ❑N/A
Wtr. $o
PWs:
^
Closest Maj. Wtr.
ORW: y /no
PNA
yes /
I^P /
A B (OD
(Scale:
Fixed Platform(s)
Floating Platform( )'-
Finger pier(s)
Groin length
numbers J
Bulkhead/ Rprap length
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Beach Bulldozinc,li. -
Shoreline Length ' I \T I
SAV: notsure yes
Moratorium: n/a yes no
Photos: yes I,_ i
Waiver Attached: es no 111
A building permit may be required by: u A See note on regardi River Basin rules.
( Note Local Planning Jurisdiction) /nn
Notes/ "cipl ConditiAsOAZIff C.�%
Printed
Signa"e **P ad compliance statement on ackofpermit**
Issuing

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, certifythatthis project is consistentwith 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District 1
127 Cardinal Drive Ext. 1
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
htip.-//portal. ncdenr.org/web/cnVdcm-home
Revised 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Az?haa,r u
Mailing Address: _5-412 Maw, aid,
Phone Number: 9ly' 6 2 5 - 1.56 �2—
Email Address: 1-/mho.,,etiCi4f i 5ma / Lvi.x
I certify that I have authorized 9s A le Aj o n kS
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ahl; M b act 4 l i -(4
at my property located at �oZ-/ �i Lie O,'/- Rd.. Net-c,1aa,^-f' A C, ,
in t _ a4e- r c-" �' 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:
Signature
caj i l i 1 0 rl e y c r4-rt—
Print or Type Name
D c) n e. tr
Title
Date
This certification is valid through ' I I

ADJACENT RIPARIAN PROPERTY OWNER STAg9TEMENT
'S
I hereby certify that I own property adjacent to !A i l 1,� .rL `�`
Y . (Name of Prop;
►+ er 1
' property located at '��oZi � r �' �X if?d A%GtJ,oa C
(Addresess, Lof, Block, Road, etc.)
C7Ot>S in
on /1k,S1 r .Lei m N.C.
(Waterbo y) (CityRown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to�------ __
,/ I have no objection to this proposal.
ot�ie&ILo1ls-toshis-Prnpos�--
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
I /'/gt
cased
)A-e
' I WAIVER SECTION . --- -
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
wi to aive the setback, you must iniftil'the appropriate blank below.)
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)
Date
r e �6�✓
Printor Name
„ E O
Mailing Address.,_ .,.
_ 1 it G
rty zip
Telephone Number
Date
(Revised 6/18/P012)

ADJACENT RIPAR...." oonaFJa7y OWNER STATEMENT
i.�l�� � 11 +7 �'� —'S
i that I own Property adjacent to �2 / Owner)
'1 hereby certify (Name of Property
property located at
N.C.
Gpb,yLCree1� in New r r - -
on (Waterbody) (CityRown and/or County)
below, the development proposed at the above
The applicant has described to me, as shown
location.
I have no objection to thin proposal.
DESCRIPTION AND/OR DRAWING OP PROPOSED DEVELOPMENT
*dividual proposing development must fig in description below or attach a site drawfn�
r�aaJr 1- �
P,r,!•Iez (,3
�jeve-
u�
cr•v• -
,. 44
' K; J-4i
.0 rev�o�
WAIVER SECTION,
me. If ou
I understand that a pier, dock, mooring pilings, breakwater, boathouse, s waived
groin must be se
back a minimum distance of 15' from my area of riparian access unless waived by ( Y
wish to waive the setback, yo
he appropriate blank below.)
1 do wish to waive the 15' setback requiit•
I do not wish to waive the 15 setback requirement.
.Cz
Date
.t
infnrrnation)
Jo 14
Prinfor Type Name
93-7 I't;Jjarc Rd.
Mailing Address ��bO
.SCo Dei�'I W.0
City/StafeQi�
Telephone Plumber
(Revised 6/1&2012)