Huber, Paul 76332C

11 AMA /.-DREDGE & FILL No. 76.332 A B OD \
6GENERAL PERMIT Previous permit#
XIGNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ©� //�-Y�((::..//CC//
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC , I
Rules attache .
Applicant Name p6a,ti Project Location: County_-�P�P.
Address_P D Street Address/ State Road/ Lot #(s)C W�
City StateY�IP I,� C-
Phone # ( -Mail Subdivision _ l
Authorized Agent f%s StZ4ity �l°�i-1 M ©n ZIP
Affected ❑ CWTA SS ❑ PTS Phone # ( ) River Basin
AEC(s): ElOEA ElHHF ❑ IH E UBA ❑ N/A Adj. Wtr. Body—C�l a na /man /unl<n
❑ PWS: �
ORW: yes no PNA ye / no Closest Maj. Wtr. Body ✓�
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) y�
Finger pier(s)
Groin length
BulkheA prap length
avg distance offshore
max distance offshore
Basin, channel
F
cubic yards
Boat ramp �1^
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length on
SAV: not sure yes no
Moratorium: n/a yes no
Waiver Attached: yes I nq� --
A building permit may be required by:
( Note Local Planning Jurisdiction)(
Notes/ Special Conditions r r
wT- N
_ -le
5
6.r Applicant Printed Name
S' ature ** Please read compliance statement on back of permit
o05,-�J V)
Application Fee(s) Check #
o►�
(Scale: / -5�0)
i
❑ See note on back regarding River Basin rules.
"01 Xw- e
Permit Officer's
a re
ao a_
ng Dat Expir ion Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ave
Mailing Address: �' o t3oX s"'? c
�2o✓��«T�/ /.�/JDi2cf5S /�,
�OO C,,4,eg*r/�% 114, 40TV�Z�r G.r.Ut� �ctJ'✓IlJ�//11� �i
2�"IC
Phone Number: 7
Email Address: a; v w���s GG (0 li"'e , ca—
I certify that I have authorized DENNIS & SONS MARINE CONST. LLC ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 4'x is>14'e 4r,0AA,' 'y"-q
/�U(c ✓� /l�Csv St��l �/ycc P�/IUti1 Sovr� Etia 6J` Rr� A,4A Srav l %�i4GP��w1 L�u�
at my property located at 3-o o 1"714 e 44�G 41)27- XM 73s/G
in CARTERET County.
l furthermore certify that 1 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
IVE� t
Title
11 / d2 l !Q
Date
12 31 20�9
This certification is valid through / / ��,
RECEIVED
MAR 2 0 2020
F-,d.'o- HD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1�eeece,4 I—lu`h s
Ci,gR,+wAy (Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on /M fZ:'1tCo.a-s,—.se- �� r� in /U 040-iz�-R e r CO., N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X 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)
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse��1'$ fri gyg"
must be set back a minimum distance of 15' from my area of riparian access unle alve by
me. (If you wish to waive the setback, you must initial the appropriate blank below.) �II-I® CITY
j)CM�
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
PA vt- M, /�v 3c� ,,,J
Print or Type Name s— PAa QA—JA`1
PO 25GX s� 3�a�Fa� , N C, z2.5-16
Mailing Address
City/State/Zip
,75.) s-o q ,:7/ 3 -7
Telephone Number/email address
/e //U /;4GI `P
Date
n)
Signature *
Print or Type Name
215 ,51OL)-r4 /I C.Ad t-�N SY
Mailing Address
/Llaonseyr���, /U�' a�'itS
City/StatwZip
7 o t/ S'7y /3 ;73
Telephone Number/email address
169 -- /y - W- /9
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pr101- -(- l'4v13eh 's
CA,eRow AV (Name of Property Owner)
property located at 3100 MC_/A,1 rYk� Z,t v,,'-
(Address, Lot, Block, Road, etc.)
on 10Vz'/tCoA-3T-A4 �.s-rc-AVAV in ��.���� N e(IrTia r �y,, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
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btt-u� L`Xr� Y��
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/ C3u�AJeD )TV V L�gap��v� + 01 P 6 Rr�A r
L/rNr� L� I uJAtc Gi2o'7
P (ZAP 'Ta 50,rH PRovEaTy � eve
3" eA/l M-u/ +i L4,
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. RECEIVED
C LV/ I do not wish to waive the 15' setback requirement. MAR 2 O 2020
(Property Owner Information)
Signature
Print or Type Name 3� PA�aA�hy urv��
/ 9 -8 3�auFa�, NC z2SIG
Mailing Address
1-22-,-r-) Fon r� ,U e 2PS l G
City/State/Zip
Telephone Number/email address
Date
(Adjacent Property
Signature
Print or Type Name
Mailing Address
City/State/Zip
Te/ep�one Number/email address
1T ;&llC-t
Date'
t POITY
*Valid for one calendar year after signature*
(Revised Aug. 2014)

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