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\I.CAMA / '...' DREDGE & FILL NQ 77020
ENERAL PERMIT Previous permit# A e �D
Wew Modification Complete Reissue GPartial Reissue Daze prev . us permit issued
As authorized by the State of North Carolina, Department o4Em01Fonmental Quality / j'/ )
and the Coastal Resources Commission in an of ironmental concern pursuant to 15A NCAC �y l�
-� Wes anadied.
Applicant a Project Location: County
Address Street Address/ State Road/ Lot #(s)
Cityfk'I I aL State zipa"a"�
Phone # ail —1 Subdivsl /�
Authorized Agent ------- City lyg"''k-IL ➢P
4CW *
*A ❑Fs OPTS
Phone i#;5))
Affected
AEC(s): ❑ OFA ❑ HHF
❑ IH ❑ LMA ❑ WA
Adj. Wtr. Body_
❑ PWS:
®
Closest Maj. Wtr:
ORW: yes / PIVA
ye(•�/22
Type of Pro*V Activity
(�J
0 c�.{.q 4 "�
F
Pier (dock) Wigtfi .J4:_--
.
L )
Fixed Platform(s)
Floating Platform(s)�
Firq- plans) =
!_
Groin length
numb� _
Bulkhead/ Wprap length
a g dstance offshore
C
max distance oesltore —�
Basin, channel
I_L
Scat ranap
r'
Beach BuNdaft
Other
ShorMne
I
.'u�
r g►r a c 1 � '. "
(6 ys'rn� j%baiii�N»I1'� �w� �:(• 'i" t yy � rtIf .
a.
W� Attached: yes
A building permit may be required by:
(Now Local Planxiingjurisdiction)
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iiPcc*:�• OWN _ vim.
pplicaO'm Pees) - Chad(# Issuing Date f- — I Expiadotf Dam I
RECEIVED
I SEP 112020
https:l/mail.google.com/maiVu/O/#inbox[FMfogxwJXpJzQBtHLxFMvggFSwbkPpti3?projector--1&messagePartld=0.1 DCM-MHD CITY 1 1
-. 1
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 ])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 ❑
❑ 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/ 1-888-411COAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.orgtweb/cnVdcm-home
Revised 7/06117
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AUG 10 2020
DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that Icon property adjacent to �/Wltl �. r` lk AINLL . S • &�t S 's
(Name of Property Owner)
property located at �aa �r�c��aa�. / 6
(Address, Lot, Block, Road, etc.)
on 13OGJ6 6wab in AJ4PtU
(Waterbody) (City/ own air
The appl' ant has described to me, as shown below, the development proposed at the above
locatic .
I have no objection to this proposal.
---_--.----16av�ol�lQ�tion�to�his_proRo ------------ ._ -
&-a-l-
DESCRIPTION AND/OR DRAWING
(Individual proposing development must fill in
70'
PROPOSED DEVELOPMENT
>cription below or ttach a site drawing)
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lot •I t I We�.S i
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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
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)
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QChA
Print or Type Name
40a -Som me :i ✓r WA./
Mailin Address
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Ckylstatelpip
Telephone Number
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Date
Information)
i.uyroiae�iup n� .'
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Tel 1 e N tmber
T
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r I hereby certify that I olin property adjacent to ANb/ 11, 's
(Name of Property Owner)
property located at
�\VYM, vaV •�
on a —,in FJd�JOlL7', ZOL2er n- , N.C.
( aterbody) (Cit .11 and/or County)
The has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
--_--_-- --I haye-ohjQctOnsAo_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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I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin
back a minimum distance of 15' from my area of riparian access unless waived by
wish to Waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V I do not 'Nish to waive the 15' setback requirement.
(Property Owner Information)
AfoC fQ9JrNQ- �,SS70
citylst�izio
a5'2-X7-///�
Telephone Number
P- / l - 7�r07/O
Date
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must bset
me. to you
Owner Information)
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City/Statd/Zip
Sol locllo zz�9?'g
Telephone Number
Date
CJC;ST
h
(Revised 611812012)
Tax Parcel Information: I Carteret County, N . C . + f
Owner: ELLIS,JOHNWEfUXELVASMITH
Current PIN: 633604721384000
Site Address:
122 DOGWOOD LN
NEWPORT
Mailing Address:
402 SOMERSET WAY
NEWPORTNC 28570 6524
Legal Description:
L3 BF FLORIDA PARK
Prior PIN: 13o23Bo110
City Limits:
Rescue District: BR/GALES CK RESCUE
Fire District: BROAD/GALES CK FIRE
Tax District: 1013
Township: MOREHEAD
Use: RESIDENTIAL
Iand Value: $375,705
NBHD: 130021
Bldg Htd Sq Ft: 1374
B1dgValue: $89,324
Bldg Tot SgFt: 1978
Other Value: $663
Year Built: 1968
Total Value: $465,692
Noise Level•
Sale Price: $477S00
AICUZ Zone:
1
Deeded Acres: 0.663
GIS Acres: 0.634
Plat Ref: 3 {157
Roll Type: R
Deed Ref: 1647 / 220
Deed Date: 20190826
Bedrooms: 2
Bathrooms: L5
4b
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Printed August 28, 2020
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F ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertify ?_/ i.lt SIl � Anb�
� S 811f2 's
rtify that I own property adjacent to (Name of Property Owner)
EAST
property located at %ai o2
(Address, Lot, lock, Road, etc.)
on j�Oq✓Si �pUn� In YSJD4� L°ACTE�ETctIJ. N.C.
— (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lacat.
V I have no abjection to this proposal.
I 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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APpaoX 140
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.
t/ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adj cent Property OwnerInformation)
. e-11"s
Telephone Number/emad address
'Valid for one calendar year stW signature'
;Ok-d
Dare,*
(Revised Aug. 2014)
A,g'C
I hereby certify that I own property adjacent to ) d FUIS ALAI" S rs's
J� _ (Name of Property Owner)
property located at �o?a " 6,/"Od nib
( ddress, Lo lock, Roa ,etc.) Un N.C.
(Waterbody) ( ityfTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location].
P.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indiv ual proposing development must fill in description below ora(Lch a site drawing)
aor lo'c��de. j
q0r � t
l.on B
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a
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J 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.
V— I do not wish to waive the 15' setback requirement.
(prouertv Owner Information) (Adj!1;ent Property Owner Information)
ow".
CJJ
(Revised Aug. 2014)
'Valid for one calendar year after wpnature'
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RECEIVED
AUG 2 0 ZON
DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to j5k/l M,3A 's
(Name of Property Owner)
property located at 11Qo� J�UGGJM, 6
(Address, Lot, Block, Road, etc.)
on 406l16 6W,14 in A1eJJ CAlerl eE7— 'N`�'�%
(Waterbody) (City/Town al/or County)
The appt ant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposin development must fill in description below orattach a site drawing)
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6io4wo1"-`%
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
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)
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MailingAddress F�
NaM0 J2r I
city/stag
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Telephone Number
8-/(- 2.07,0
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-7r
Tel e N tuber '
Date
(Revised 6/18/2012)
i
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ry}sr
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to U010 A). &0 B,v b Lu, S. /t'r5 's
(Name of Property Owner)
property located at a LOWA)Wh tHn&
Address, Lot Block, Road, etc.) n_,
on � S in N?.rdi Z;, &2TFJLCr Ceuil ,V , N.C.
( aterbody) (City/Town and/or County)
The has described to me, as shown below, the development proposed at the above
locabo
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a si a drawing)
lot
,7m r
5r
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin
back a minimum distance of 15' from my area of riparian access unless waived by
wish to vipive the setback, you must initial the appropriate blank below.)
or
I do wish to waive the 15' setback requirement.
V I do not wish to waive the 15' setback requirement.
(Property Owner Information)
lu'-&w K&T r AJ 0-CSg!; 7 0
CityiSt-
AU -.24-7 - /
Telephone Number
Date
x
must b� set
me. tiT you
Owner Information)
City/Statd/Zip --�
? . �a011O 514-8-
Telephone Number
9/1 ZQ Z'a
Date
f.JLST
(Revised 611812012)