Dudley, Al 73330

CAMA / _- DREDGE & FILL
�. GENERAL PERMIT
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
No. 73330 A
Previous permit #
Date previous permit issued
Rules attached.
B C D
Applicant Name—
-
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Project Location: County_
Address '}
Street Address/ State Road/ Lot #(s)
City J (�i
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State __
ZIP I 7 '
Phone # ( ` '
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Mai —_—_
Subdivision
Authorized Agent
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City a, "0" ZIP
CW
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PTA ❑ ES
El� PTS
Phone # (i i er Basin, i f
( )
-
Affected
--1-L.m�
❑ OEA
AEC(s):
H,F
H ❑ USA
❑ N/A
�''` '
Adj. Wtr. Body_ ,� / , t at an Junkin
❑ PWS:
) f
ORW: / i
PNA
/ no
Closest Maj. Wtr. Body _ - ---
yes rho
yes j
Type of Project/ Activity
Pier (dock) length ! !rx�
Fixed Platform(s)
FloatingPlatform(s) lA, Y
Finger pier(s) -•�-*�
Groin length
number
Bulkhead/ Riprap length " w
avg distance offshore
max distance offshore -
Basin, channel -
cubic yards
Boat ramp 77F •
Boathouse/ Boatlift s_ t-- -
Beach Bulldozing-
i
Other p ..Si
—
Shoreline Length i
SAV: not sure yes no
Moratorium: n/a yes not
Photos: yes + o
C .. • S
Waiver Attached: y� es no; l`
A building permit may ybbe'required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions T AJ I
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Agent or Applicant Printed Name /
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
( t
(Scale: )
D See note on back regarding River Basin rules.
J % .
f i
1
Permit Officers Printed Name
Signature
Issuing Date Expiration 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 [)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
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/ 1-888-4RCOAST
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 137
Phone Number:
Email Address:
Re-(--4� N c - - � S
-22-3 0V'3(,7
i certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and
necessary for the follow
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proposed development:
0-
at my property located at
in County.
�tai ing all CAMA permits
f /l /--1 dac-k
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l furthermore certify that l 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 Infonnation:
Signature
�P���yp
Name
0Wil'pr
Title
----I--=—I—-1L
Date
RECEIVED
This certification is valid through/A I / DEC 0 7 2018
_�j-'--7
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DCM-MHD CITY

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAiL - RETURN RECEIPT REQUESTED
1 hereby certify that l own property adjacent to .4/ '6 110 4e % 's
// (�' me of Pr erty O
property located at /-3 7 Zzlzi,7 '� `G f-lyl �
q / (Address, Lot, 3iock, Road, etc.)
on Pc' (- 4C �/ in rs 4e - AC.
Ottfaterbody) (City1T wn and/or County)
Agent's Name #: 7/'r/` �r'� Mailing Address:
Agent's phone #: -7 d 7 �/- 5�
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------------------------------------------------------------------------------
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
3 74-
If you have objections to ghat is being proposed, you must notify the Division or Coastal Management
(DCJW) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
a+iailable at httpJ/w,-nv.nccoastalmanaoement netlweb/cm/stafi`-listing o; by calling l-888-4RCOAST.
No response is considered the same as no objection if, you have been notified by Certified Mail.
(Property Owner Information j
Signature
fi—I{r.�h' ��cf-/uf p �
Print or Type Name
i b � L-r-PA) Pt P-W
Mailing Address
eta , cat t r &
City/State/Zip
25,R— 7 2-1 -y (A 3 L
Telephone Number/Email Address
,Cate
(Riparian O er Information)
r
Signature ') —
Print or Type Name
Mailing Address
City/State/Zip
0110-6-71- 259q
Telephone Number/Email Address
1 ;7- 5-19
Date DCM-MHD CITY
(Revised: Aug. 2014)
RECEIVED
DEC 07 2018

�37 Ltrna�v;lk rit RaiA) C -
gvvlo\to-A
RECEIVED
DEC 07 2018
DCM-MHD CITY

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
1 hereby certify that I own property adjacent to
(Name of
property located
Owner)
/ (Address, Lot, Bio , Road, etc.)
1 t �y
On �G 1/ �b� in v :�,.. �sG,irzA hl 0
(Waterbody) (City/Town and/or Counbj)
Agent's Name#: ��'�'✓h ; Mailing Address:_ 111 I LA►%✓I`�'`�
Agent's phone #: 7 2-'S'— 0 %,Q E4, m H L
He/She has described to me as shown below the developmer(t he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
-P (/) dock G Zo
RECEIVED
w C� /X � �' �Jf�✓ /- �� DEC 0 7 20
18
OCM-MHp Ci7-V
liyou have objections to what is being pr oposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:llwwbv nccoastaimanagement nettweblcmistaff-lisiircr o; by calling 9-888-4RCOAST
No response is considered the same as ,no objection if you have been notified by Certified Mail
(Property Owner Information)
,r
Signature
.Pr1tok)�✓ r, t� �'f �J j ivri
Print or Type Name
t nuy 04V
Mailing Address
�-J�--k-L) i c)r���,�C�
CitylStatemp
25z- 71 --3-- O 43 L
Telephone Numberl Email Address
It - �s= :�-01 I
Date
(Riparian Proyerty Owner Information)
Signature /
Print or Type Name
I S 1il���� ZA��
Mailing Address
Be Au cxz; NG 23S 1(o
CitylStatelzip
25 2 . -7 Z O 1310 6bp \-1
Telephone Numberl Email Address 'E[)D`I M eR5 CO�
2-
Date
(Revised: Aug. 2014)

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(37 L-eonoxv) c
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RECEIVED
DEC 0 7 ma
DCM-MHD CITY