Houghton, Raymond - 88988C

A00OUt" DCAMA ❑ DREDGE f, FILL N9 88988 A B C ' D
GENERAL PERMIT Previous 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 goy/CAMArules
Applicant Name
Address
City i ` A State rJ (, ZIP
Phone#(_)
Email ("hciy�o )
Authorized Agent '
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City i
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body .I t 1 `% ` i I (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Y/•.r 'i
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:
G
(Scale: )
Permit Conditions 1 ❑TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
IAM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial) ;`�,' It
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature'*Please read compliance statement on back of permit"
i
Application Fee(s) Check #/Money Order
Signature
Issuing Date
Expiration Date

�° °"" ❑CAMA ❑ DREDGE & FILL NQ 88988 A B C C
GENERAL PERMIT Previous permit
a 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 ' i ❑ Rules attached. E General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
I
Authorized Agent
Address
Project Location (County):
City State
ZIP
fit-
Street Address/State Road/Lot#(s) •-r.(
Phone # (_ )
Email
Subdivision
City ZIP
Affected ❑ CW ❑ E W ❑ PTA
❑ ES
❑ pTS
Adj. Wtr. Body -, ( i <-. (nat/r
AEC(s): ❑ OEA ❑ IHA ❑ UW
❑ SPIMA
❑ PWS
Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
I%
(Scale:
Shoreline Length
Access Length
Pier (dock) length f
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/M
Bulkhead/ Riprap length . -
Avgdistanceoffshore
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 ma be re uired
jS
y q
Permit Conditions ❑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 Officers PRINTED Name
Signature "Please read compliance statement on back of permit-* Signature
ii
Application Fee(s) Check p%Money Order Issuing Date Expiration

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: h0Aj I fyEn CL C0I5(1h6
IL
Mailing Address: �- L y- T c5-rl 5k-
�Iorelne xd Ci (I M557
Phone Number:rj�� .,�3-
Email Address: �04d @) II 3CLOVY,
certify that I have authorized ) >>(Tk
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �kpomuu ) (y
SySiw .
at my property located at O'i � act\) �)) ULA
in _C1A2� County.
/ 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
In Q� r�(k\0.
Print or Type Name
bvJ�F� PnN
Title
° t,)-2>
Date
This certification is valid through
RECEIVED
MAY 3 0 2023
0CM44H0 CITY

Eli & Diane Blanchard
223 Landing Rd.
Beaufort, NC 28516
Existing
Boat
Liftr,;
�,,�; fromfrom Adia�P�nt�y
Property Line
Proposed
5' x 30'
r-- -� Floating Dock
4' x 16'
Gangway
Existing Existing
9' x 13' . 5' x 115'
Platform - Walkway
a —
Property Line

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CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Raymond Houghton
Address of Property: 223 Landing Rd. BeaufortNC 28516
Mailing Address of Owner: 1600 Four Iron St .Morehead City NC 28557
Owner's email: diane.h blanchard(o)gmail com Owner's Phone#:
Agent's Name: EZ Dock Solutions Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (0CM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
n
Signature of Adjacent Riparian
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's emaill�7�jt%�jC/[/ ffa6w ARRPffO's Phone#:
Date: ocj —2 3 *waiver is valid for up to one year from ARPO's Signature*
Revised MafZJDEIVED
MAY 3 0 2023
DCM-MHD CITY

n
■ Complete ItemaA., 2; and 3.
"' ."
Cl Agent,
■ Print your nameand address on the reverse
X
mass
so so that we can return the Card to you.
B. Received 7 ( Med e)
C.; Qf�9livory
■ Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to.
D. Is dellvery ress differentfrom item 1? Oyw
IfyES, rdeliveryaddress below. ❑No
'Q-Ali\�a\� fNC 2'ilDO�b
3. Service -pipe
❑ Pfel�gMily Mail Express®
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rated Delivery
istered Mall�
moll et;ed Mail ReaV eted
9590940264980346697095
tl MaI®Rea
O�Asignature
CertlAed Mell Restricted Delivery
❑ signature Conflnnaam^'
❑ Slgnalure Confirmation
❑ Collecton Delivery
0Collect on Delivery Restricted Delivery
Resldded Delivery
2.. w .�.,�m. kmn nervlce le6e0. _
7021 0350 0001 4910
0610
Reenceaoenay
Dpm"Uc Return Receipt I
Ps Form 3811, July 2020 PSN 7530-02-000-9053
RECEIVED
MAY 3 0 2023
DCM-MHD CITY