Davis, Merle 78271C

CAMA /DREDGE &FILL N9 78271 A B C D
NE L PERMIT Previous permit#
New ❑Modification ❑Complete Reissue WPartial Reissue Date previous /permit issued
As authori ed by the State of North Carolina, Department of Environmental Quality
and the Co tal Reso rces Comm,
ion in an area ofenvironmental concern pursuant to I SA NCAC , I
rq Rules attfthed.
Applicant Name Project Location: County
Address pp Street Address/ State Road/ Lot #(s,
City C State A P
Phone # ) E-M it Subdivision
Authorized A ent City ZIP
Affected
AEC(s): �E]W A ES ❑ P Phone # O 'ver Basin
❑ H F ❑ IH BA ❑ N/A Adj. Wtr. Body Xnat an unkn
PWS:
ORW: y s / no PNA yes / n Closest Maj. Wtr. Body p
Type of Project/ Activity /
foivV- j7 (Scale:
Pier (dock) length �, r
Fixed Platform(s) (sJXI7t,1 �r�Vt. - - - �-r_U1111-
Grain length �—
umber
B head 'prap lengtl
avg distance offshore
max distance offshore
Basin, channel
Boat ramp.
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure yes;no
Moratorium: n/a yes Photos: yes WaJ`v�eJrOApt,4taJcfied,
b ilTi ding pe y be req
( Note Local Planning Jurisdictic
N,gtes/ §pecial Conditions. _
Name
See note on back re¢ardine River Basin
*" Plead
Fee(s)
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 I) 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 I
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 RiveriBasin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resourciinat the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead CityHeadquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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 .
127 Cardinal Drive Ext.'
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(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

Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
1 certify that I have authorized
Agent/
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'Re = !!!4
at my property located at
in L a,4t,- c� County. i
I furthermore certify that I am authorized to grant, and do
Division of Coastal Management staff, the Local Permit Offic
on the aforementioned lands in connection with evaluating
permit application.
Property Owner Information:
_ TyNe'r 1t VovJI lj
Print or Type Name
Title
l i / zu w
Date
This certification is valid through _6 /_1l 70ZI
n fact grant permission to
?r and their agents to enter
information related to this
C.".k(

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
Owner)
I
(Address, Lot, Block, Road, etc.)
on Vl�.nmcJt- <cri�J _, in E- N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to cAlk-
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial 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)
gnature SiI
�L�'(' kk ..�(-aN U
Print or Type Name
Mailing
Telephone Number/email address
�- lG- Ze7�
Date
Telepf� e,N r; email address
Date*
"Valid for one calendar year after signature* (Revised Aug. 2014)

I hereby certify that I own property adjacent to
property located at
(Name
A
's
(Address, Lot, Block, Road, etc.)
on... ,In._C4. i4e4,% e-&aniy N.C.
' (Waterbody) (CltylTown andloir 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 Hil In description below or attach a site drawing)
WAIVER SECTION
1 understand that a 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. (If you wish to waive the setback, you must initial 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)
Date
Information)
�7sq 2
'Valid for one calendar year after signature" (Revised Aug. 2014)

BOGUE SOUND
APPROX. 2.4 MILES WIDE
SHORE TO SHORE.
S50' TO I.C.W.
PROPERTY LINE
nAROH
HARSH NEW VINYL
BULKHEAD
EXISTING WOOD
BULKHEAD
rL �ET10VE AND REPLAOE
EXISTING WOOD & WEAD BULKHEAD FOR
OF ON EAST SIDE OF PROPERTY
BARBEL BROOKS MERLE DAVIS
114 PEARSON CIRCLE EXT. 110 PEARSON CIRCLE EXT,
NEWPORT, NG 25510 1NEWPORT, NC 28510
MM
RN mm
SITE PLAN:
I" • 20'
mlv.lxnEmEoaoo I I T pw
vlmsi
PILEWL
PROPERTY OF
DAVID ROSS
106 PEARSON CIRCLE EXT.
NEWPORT, NC 20510
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Carteret County, N.C. *'
December 23, 2020
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l"ar"{e- b. D�--r S 's
(Name of Property Owner)
property located at 110 �e �� 67�c be- k
(Address, Lot, Block, Road, el
on--i , in 6ma=*ry, NG
(Waterbody) (City/Town
.C.
The appli nt has described to me, as shown below, the development proposed at the above
locati
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)
WAIVER SECTION
I understand that a 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
m—e--Jfjy(� wish to waive the setback, you must initial 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)
Signature \
Print or
!!fl (fie., ram.. Type Name
c I elt F
Ma' ing Address
�ra' , il/G aBS�o
City/State/Zip
;sa - 6 -!& 33'Si
Telephone Number/ email address
7//0/� zo
Dare
'Valid for one calendar year after signature'
7(A den / Ownel Information)
/(t7�
Si natutre*
lr'�� �foalLS
Print or Type Name
Mailing Address
City/State/Zip
Te ll 4one umber / email address
IIIIU 12070
Date*
(Revised Aug. 2014)

I hereby certify that l own property adjacent to
Of
property located at_) IU CCCGIe. 7=1*.
(Address, Lot, Block, Road,
on %0St'(— S&C#r A in Garle��� i
(Waterbody) (City/Tov
The applicant has described to me, as shown below, the
loca ion
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
(Individual proposing development must fill in description Gel
WAIVER SECTION
I understand that a pier; dock, mooring pilings, boat ramp, br
must be set back a minimum distance of 15' from my area of
me. (If you wish to waive the setback, you must initial the apF
'� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope Owner Information)
(Adjacent
'As I
rty Owner)
W , N.C.
I/6r County)
proposed at the above
or attach a site drawing)
boathouse, lift, or groin
access unless waived by,
blank below.)
Owner Information)
address
(Revised Aug. 2014)
`Valid for one calendar year after signature`