Moffat, Jeffrey - 88958C

COAST41 ❑ CAMA ❑ DREDGE & FILL O 958 A B c D
Previous permit
z GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial 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:
5A NCAC - �.�'` ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length`'
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: oy.
Permit Conditions ��' r.•./
I AM AWARE OF ST,
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Check #/Money Order
Signature
Issuing Date
Expiration Date

`o�pFCOASTq� � ❑CAMA ❑ DREDGE & FILL. 9 88958 A B c D
.' 9e
Previous permit
GENERAL PERMIT
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial 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 +� �'` �' ❑ Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State t�. ZIP s l�
Phone # ( )
Email A,
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ," t �'�" " TF f" (nat/man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ^�` 4 '�^+ ` - `j
ORW: yes/no PNA: yes/no
Type of Project/ Activity I r
(Scale: ....
Shoreline Length
Access Length
Pier (dock) length
1
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: Cx 4Y Vr—C
Permit Conditions �" `; t� ;r,r� ('t� i 4 L4`._Z1
. 9 r
. / F crE � i� i'i ...i IP� {'��1 1 � f C{ �• { i (',-Ir- ti-1, { ( ;
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

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l o - DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL,, RETURN RECEIPT REQUESTED or HAND DELIVERED
01 1,av g:1
Date
Nance of Adjacent Riparian Property Owner
'oZ&o Lo
Address
(Yea. r..f, /1/C `agSE�r
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as ariparian property owner that I am applying; for a CAMA Minor permit to
AST,4 �ii . AGj< j/
i /104f `;7 p
on my property at _ ? S 6 L a h J; a l
in Gi r%,er` - County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have .no objections to the proposed activity, please marl- the appropriate statement below and retuum to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL: GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my addressl'number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NC.�i` BER), or by email at: (LPO EMAIL).
Sincerely,
-J #V /- /--6 1 A fAk
Property 0 ner's Name
Address
City
?;Fr1=IVP
Telephone Number
State
i have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent riparian Signattire
Print or Type Name
Date
Telephone Number
Address City State
Zip
Zip

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
pq/ol /go a 3
-iA l,fs iy r; s � � „ik L A 1vre nt4f Date
Name of Adjacent Riparian Property Owner
09 30 Lit P. A
Address �+
City, State Zip '—_---�----_--
To Whom It May Concern:
This correspondence is to notify you as a ripa ian prope l'y owner that I am applying for a CAMA Minor permit to
on my properly at o'� � l< L a sd ; » m „00 a J
in 6 A r �e ire County, which is adjacent to your property. A copy of the appai-ati€ n and project
dra-4�ing, is attached/enclosed for your review.
If you have no objections to the proposed acti4ity, please mark thv t�ppropri.atc strterrrent below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAN-M- OF LOCAL GOVFRNMENT, MAILING ADDRESS CITY, STATE,, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHOINTE NUMBER), or by email at: (LPO EMAIL),
Sincerely,
Propef-ty Owner's Name Telephone Number
-�----�` --—`---- ��— ��--`- u:��...��:ic:^���isari_Y-x'k..zk-.�,�zi'a+•rcm�'st'ea�ec _., .- ,j ` ��°9yt
Address Cu State Zip �A j
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Type Name
Date
Telephone Number
Address city State Z.ip

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0—
1�; IMPROVEMENT PERMIT
Carteret County Health Department
Environmental Health Division
41 3820 Bridges St. Suite A
Morehead City, NC 28557
Phone: [phone] Fax: [phone]
1�tv t V II�E.7TC�r 1 llvivo 111Y1.71VI.4. oueunly rfs
Applicant:
Jeffrey Moffat
Address:
461 Hwy 70 Bettie
City:
Beaufort
State/Zip:
NC 28516
Phone #:
cell :[phone]
Address/Road #: 256 Landing rd Beaufort, NC
28516
Structure: SINGLE FAMILY
# of Bedrooms: 2
# of People: 4
"Water Supply: NEW WELL
For Office Use Only
*CDP File Number 373366 - 1
County ID Number: 733601451759000
Evaluated For: NEW
PERMIT VALID UNTIL: 04/20/2027
nub cannot ue lssueu w1[n erns improvement rernnn.
Property Owner:
Preston Davis
Address:
110 Hudson Hills Rd
City:
Pittsboro
State/Zip:
NC.27312
Phone #:
home: (919) 2594135
Subdivision:
Directions
na
Initial System
*Site Classification: PS Shallow Placement
Design Flow: 240
Soil Application Rate: 0.4000
*System Classification/Description:
TYPE II C. CONY. SYSTEM WITH SHALLOW PLACEMENT
*Proposed System:
CONVENTIONAL
Phase: NEW Lot: 2
Minimum Trench Depth: 12 Inches
Maximum Trench Depth
18 Inches
Septic Tank:
1000 Gallons
1-Piece:
Oyes
ONo
Pump Required:
O Yes
ONo O May Be Required
Pump Tank:
Gallons
1-Piece
Oyes
0 %
J
Repair System Required: Yes 0 No C) No, but has Available Space
Repair System
*Site Classification: PS Shallow Placement
Soil Application Rate: 0.400
*System Classification/Description:
TYPE If C. CONV. SYSTEM WITH SF
*Proposed System:
CONVENTIONAL
Minimum Trench Depth: 12 inches
Maximum Trench Depth 18 inches
Pump Required: Oyes ONO O May Be Required
c,V- a\I `�- E
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Page. 1. of 2

CDC' File Number: 373366 County ID Number: 733601451759000
*Site Modifications
No grading or construction activity is atiowed in areas designated for System and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate ctovernln i bodies in meetire., their rectliremerits.
' Prior to issuance of Construction Authorization:
- Apply for and receive a Private Drinking water Well Permit from this office
' A Preconstruction Conference is required
' Do not park, pave, or drive over any part of the septic system or repair area
* No part of the septic system or repair area shall be located within an easement without legal permission
Site Plan The sOr with rr pin, (anaans a -drawing not naacessarity drawn to
scale that shows the existing and proposed property fines with dimensions, the location of the facility and appurtenances, the
+� site fflr tho q mPe-r&td #'cast&w?'.er syfit$n., and the lacatlon of water supplies and surface waters).
Plat The Improvament Permit shall he valid without expiration with plat (means a property surveyed propered by a registered
land surveyor, drawn to a scale of one inch equals no mona than 00 feet, that Includes: the specific location of the
proposed facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and
surface waters. Plat also means, for subdivtsron lots approved by lire local planning authority and recorded with the
county roglster of deeds, a copy of the recardod subdrvislo o pl,t that is actosnrrnlod by a site plan that Is drawn to
The Departrasnt tired Local Health Oapartment may knposs conditions on the Issu,anco and may revoke the permits for failure
of the system to satisfy the auditions, the rules, or this article. TMs permit is subject to revocation if the silo plan, plat, or
Intended use changes (M S 130a-335M), The person owning or Controlling the system shall be responsible for assuring
compliance with the tams, ralas, and permit conditions regarding system location, Installation, operation,
rs alntsnanae,irson taring,rep zrttng, and repair (.1938(b)).
Applicarit/Legal Resps. Signature Requited ? 0 yes 0 No
Applicant/Legal Reps. Signature:
"Issued By: Chris, Barfield
Authorized State Agent:
L-7�
Date:
Date of Issue: 04/20/2022
0 Valid without Expiration?
0 Hand Drawing 0 Import Drawing
**Site Plan/Drawing attached."
Page 2 of 2
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IMPROVEMENT PERMIT
CDP File Number: 31-3 310 G -I
County File Number:--33 kza1g5 V+5C
Date: ,�. / 2 Z D 2
Click below to import an image from an external location: Drawing Type:
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