Halpern, Art

w
❑ CAMA / ❑ DREDGE & FILL N2 713 89 A B C D
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 E3-Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State
Phone # O E-Mail —
Authorized Agent
ElCW ❑ EW ❑ PTA Li ES ElPTS
AEC(s):
Affected [IOEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore.
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift f j,
Beach Bulldozing; r
z
Other .r !
r
ZIP
Subdivision
City —_ ZIP
Phone # O _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Shoreline Length }
SAV: not sure yes no --
Moratorium: n a yes no
Photos: yes no
I
Waiver Attached: yes no,
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions I
Agent or Applicant P"' n am % Permit(
r �
r
Signature "Please read compliance statement on back of permit** Signatu
Application Fee(s) Check # Issuing
V
(Scale: 1 r )
❑ See note on back regarding River Basin rules.
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 1) 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/ 1-888ARCOAST
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 FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: , r -th 4dl- /o,w ti
Mailing address:
Telephone Number: �? -)'2 — 2 y 5 --?2 2
1
I certify that i have authorized i3 o , � Co -IL;, o -n I _. Y_(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
2S=S r,
This certification is valid through (/— b .- % q (date).
(Property Owner Information)
a
k''
]"L/
Sigtfatuiq
j
Print or Type Nam
Title, co. owner or trustee for property
Date
72
Telephone Number
Email Address

DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property: 3® (p LA tk ,-ff*ok2x P+- Rd (�ri -e*ki J
(Lot or Street #, Street or Road, City & County)
Agents Name #: C,o r Mailing Address: O S-Q.,
Agerfs phone #: _-- �,S a - a Qi -1(01-7 Css�a. s �c A-) C,
i hereby certify that I own properly adjacent to the above referenced property. The individual
appVing for this permit has described to me as shown on the attached drawing. -the development
they are proposing. o sions must t molded with this tatter.
I have no objections to this proposal, /I have objections to this proposal.
if you have objections to wheat is being proposed, you mttsf notW the Division of Coaster Manager»ent
(DCCA9 In wrtf/ng within 10 days of receIpt of this notice. Contact ImfbrnaHon for DCU ofrlcas is
ava1htW9 et l gV;U I' r�,s, c:�:r.92zl ru m,. rt e� .n E;/ccrrls � =11 d , or by calling 1-888-4RCOAST.
Mn are..�...� r� ........e.e....--o �.— ----- -- - - - -- -- -
WAIVER SECMON
i understand that a pier, dock, mooring pilings, boat ramp, breakwater,
ift must
be set back a minimum distance of IV from my area of riparian access unless waivedouse, or by me. (if
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 16' setback requirement.
I do not wish to waive the 1 V setback requirement.
%W- �, pPr'tY O er' nformation) y
tt e 1A fin Pet
6�_�6bbC4� �QY1F'"r
riJ or 7yp Name
Mailing Address
dr; -ems to Cs -7A
Cliy/Ststemp
C:RSa- - Ci-'7Llq�i
Telephone Number/mall
Address
oZ
Date
(Riparlan Properly Owner Information)
S lgnatture
Print or fjpe Name
C,\0
1w iling Access
C/ty/Stat'e�/'11p
Telephone Number/F-mefiAddress
& rn&4err,+.i o6A .
ate
_"! del ?°f e (Revised Aug. 2014)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
Address of Property:
pi-'9A. Ori-ekij
(Lot or Street #, Street or Road, City & County)
7Zc C �
Agent's Name V. C oA f\A- m�, ..Lha Mailing Address: (p0 3
Agent's phone #: a5 -;k - a (, o 1 i $ s c3Y o� A) C c;M$� Q r3
I hereby certify that i own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Dh4slon of Coastal Management
(DCIIQ In writing within 10 days of receipt of this notice. Contact information for DCA# offices is
availabule at 63LcF3 //t 1G" � Tti^6%�;r-_2q7 IDQf/4: E= /'i'.= i ems"', , orli?/calling i'i3�'4RYOAST.
No response is considered the same as no oblection if you have been notrfled by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must Initial the appropriate blank below.)
r I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(PPronA�
r nformation) L
I.
Print or Typ Name
RIP
MBIIIng Address -
Q r, -ems$ . iu C �t�5.7
Clty/5iafelZip
Ll� 5__a - a y - "7 IA9 9
Telephone Number/Email Address
q - a
Date
(Riparian Property Owner Information)
s
r4
Print or 7)pe4Vame "'—
P 0 13 x 3 �'?
Mailing Address
�rN«I INL
Cltymabw* $.5-9
Telephone Number/Small Address
Date
(Revised Aug. 2014)

ri
W
Q
a
00
ri
O
1n
O
I
W
ao
1�
N
\
N
Q
H
m
m
❑
V)
oornrnrn ri
00000 �o
rioorn
rn
wO
�MNIn 01 O
Oo000
rl) rn
O
OO
O 1� r•I c0 00
�MM100 CD
m N r-I
N U CD
ri H C. O
Q -
>C)
ri r-I rim m
mN0)
mWO O>
V) m z
W
J 0
Q f
O
Q
'IT
O
V1
00
a
Ln
0
J 00 O
dl O
❑ V)
rn
M
❑
❑ F
0 0000
O T W
� z
LLI
I
a ❑
ao W Z r-1 r-I
-1 > W W
NH I-
Z
oN0
2
OQH ❑
0
w1\n H a
F
OH V)N
0
H f
N 0_ 0'
O U
o\ f V O
F- O N
a
� m
r-I � z
I-
Ma.
°° M
a m
w ¢
U\ It1n0
p w
X
W
UO
OfJ
W z
Hri NOH
i r1rNW
d
d 3nQ-W
r4
CO
Y
w
� w
W W 00 'IT
WO
U O
a.coW
W W 2 �
W Q
X
❑ l7O ••O ••
V) QOWOWO
WINDi��•OH
DNa) ilnLnwo
m
1n
SOOW J}Q
H JJ JSQmw
ww
w�-WF w❑
00 V1 mU 0.O mo dz
JNOWO000-0
1n
N
x QQQJ> }
3 >>> Q ❑
V)Q❑ V W
H❑ O H J 2 z
}m m Oz } }
S O O H V F— F F
Q - - - - N
> N l0 V N -
n
> J W OC
Q U w W V1 U
0. F- ❑ m N H
C1
l0 ❑uu QSO
ww ♦-OUH Ww
UzQJl Irm"02
O Z000-FJH
0.0-w0 w z z 0-0z0UH00wOww
l0
M
Q2mH�>0.
QQS❑z 0_LLm CYO
QLLW-jmcoo CC) ❑a
V)
�
W
K
Q
Of
a
p
z
Q
I
w
m
Q
a
LA
O F
0
N
H
C�
OG
0n
00 ri ••
N 00 VI
S w
N W
z
F-I
❑ Z)
Q
F Y
U w••
QH
z QW V)
Q
o0000
F
J p W W
f
O O O O O
z H
w=
Q H ❑ U W
F ZQU
V)
FLn 4NN v4
w3
zri J Q
Un
o
-j�o
He �❑wa
l9
Hrn
OC>❑❑OC D_N
QO
xm
W IC OwQ
On (o❑�
2
FLL<uULL W
0
❑ f f ❑
LL
m N 0 ri r-I r-I
00
}1M 00 ri0 WO
J
W� O O o O Q o0
O
W
w
0 0 0 0 0 o m
❑
F
? O
O O O O O w
w
LL
O
oOlri
❑
FLL
00
f-�
z
Q m
r-I
2 C'
H 00 N 1.0 ri
H
0
w
ri N
U O
z- F
❑ r1
d
2 3 F
N ri
W W
0-
d w
1n 00
00 N
w
1Y
K Z)tY
N
w❑U
W
Lu
Y
LLJ
HY
w
U*k
z 0
OOa'J
Q
<
Q
J H }
H
m z ❑
H W V1 W
H
Z
m
� c H�
t7 }
J } Q 2
Q 0 f- 3 In
F
O
S
3
w 3
0_
z v � 1
W L. Q
z m
H Z
dt z w N
H W 0_ 0
\
7i
�
0
-I Jl0
H L •• LL }
•• w O
F x 0. Co W J
Q V) 0 ❑ H
ri
O W
0
M
Q O
V S m
m 7(V F••
O V -0 W H
V) W V)
s W Q
W OC �❑ F-
r-I X F
d ri Q
N
U 0 Q
M W V
F f-
O r-I V)
F
z M
C H O'
m> } H
F R' w
J Q H
Q m V)
m X
N r4 F l7
0_
O V)
NY W JY O F-
w-1 O W
ri r-i O
rn
•r O ❑
\U 0.} U f- U
F- W LL O_ J
X O z J
W Ln
}1 1-1 V) 0
H H QC Z H V) W J z Z J 2 m
U Ln X� m
w I
O. Ow0
W<HW JH WQQOQ
00 z10 1
H N F
>- Y Ln
E r4 W U
m U> m r-I W 0 U 0- S U U'
X� LL
Z IQ- m
X N
O N O
Q Q H U O
2�
W
\ �r,
mN
Ln
W 2HmJ wLL
J 3❑
r,
1l N ri 1 0) 0)
N ri N OC R
C' N r-I ri
U> Y K W F p 3
OC
1�riO mri-4
OOO mri w 01-10 NOO
r
WC❑HQO
I�
J NF
❑❑m O. ucc
1
J F a
..
L y •• }+ L
.. .. .. .. Z V)
VI m w O W
Q'x LL W
H V) W W
W l0
O
OK
• 0)4J U m}
V) EJ W W HU
QHo>0-
❑ Wri
M
Q JW
d Y
Il O Uf (d V)
00 Z— 0 OJ L 4-1
V) E OJ>>1-Q
01 O O Q O O Q J
zz0}
ca H H U F
O V)
U 1n 00 N M fl 0 LL
M
I
❑Q
0 (C ❑ W} U
— V) O i-3UU❑d
LL CO
ri N"riN JLL
N
F
YH
0 ✓ALL '0 yLELs
r-I "0 O.O.O.M4J4-00-0i-+Faa2a
zW JJF gLL LL
W W QF J00
l7
❑r•iN m �ln Uri
00
O
J2
o r QO.E L U4-4J
0 Q) MX J J0HO❑
W ZJ00
JOoOOO W
n
m 3
O m Q Q H u Q W V) w m m W LL LL LL LL LL LL 2 H 0_ m m
m ri r-I r-1 ri ri W

N
W
a
a
x
U
O
ma
0 LL
w
Q
K
Q
t rltn V + •• •• ••M
O •• •• •• +
l7
1 I
i I
I
Z
In Ln
1
H
r I ri
I
LL
I I
I I
I
I
LU
I I
I
w
+rid +....Nr-I....�++..HL"+
+..m+....NLn....+
Ud
1 I
M+
I I
I
Q O
I I
I
I I
I
< LA
I
Q V1
N N
N
l.n Lf)r1i
I I
I
I N
r-4
N
I 1
I I
I
I
I I
I I
I
I
00
i I
I
1 I
I
O r-I
I LL
W
I I
I
H ri
+-I+••••N'7
••••••+r-I Ln .-+
+ MO) +U ••N to
.. ••+
UU
I
I
a a
�
I
r-I
I
II II
I
I
W U
I
Q
0
X
a
U
O
lY
O
U
W
!Y
WIr
LU
a0.
0
a
4

M
00
rH
O
O
W
H
F
ao
I�
N
\
N
j
d'
Q
1
1~n
oommm
00000 �0
rH000)
am
W
�MN1n Q1 O
��^
MM H
O
N W
Z:)
O 1� ri a0 00
q'M M100 O
MNr-I
M�U
J
>
rH ri H M M
N
0-
r-I
V) z
w Z)
J O
Q f
0
V1 Q
0
V)
0
a
o
�
00 O
Q m O
LA
z
M
❑
❑
W
W
1
CC ❑
00 LLI> Z `--I
Z
00 N
uj w
ON
W Q
O
CD
zw
d K 0
❑
H
H
— 0 U m
Lo
o
a
d
It z d
W
Q
J
❑
U\ Cln0
W
x
W
UO
0C J
W z
H -I N O H
rH rHN
d
W
C'O
Y W�
O_W
HOC
>-W
W W
U
a0000
H www m m
f- p❑ p W J} Q
WQ
Ce W X
❑ QwwO
LA
�o
H
H JJJSQmW
W H WH W ❑
In In vim Ua a az
Jil
Q
0-
1n
2 Q Q Q J> }
U) Q❑ U W
z
} m m o Z }}
2O0 H 1-HF-
>
N
I�
3 >>>Q ❑
>JW C'
H❑OH J2
Q uw W V) U
(_ �-O H
m
l0 ❑UU QZ)O
cew �-❑UH Ww
UzQJY❑❑m:
'T
0 z o❑ m�- J H
a a W O S W z Z 0-
❑ Z O U H O W W W
lD
M
O
JHmDowww
HF>0_
QQS❑za-LL Wcyo<LL
WJmm❑❑0_
V)
W
w
Q
w
�
Lil
~
❑
Q w
m
a
LU
F
0_
Vi N
I..,I
w
00 �•-I • •
❑
Z
OC
"00 N
❑
z
2 W
N W
Q
0C Q
Q
Z U V) "
Q LLJ V)
00000
J❑ W W
0 0 0
0 0
ZH
QH ❑UK
f N
w3
zrH ?QQ
a
=
-j-10
He
Ewa
>
a
Qo
celu Z)wQ
Srn
O n VI ❑
❑ <
❑
1
} rH
W
W 0
u
N
F
z
} m
m w
O
o
O
❑
LL
`n rn
z
¢�
z�
o
D 3 H
n N-I
0
a
o
0e 1L
In 00
w
m
W w
00 N
W
1 ❑ W
fV
W
W
Q
d'Q
z❑
Z
H
H
H
zH
Q4- JO
}
2
3
w 3
z(V z ri
11
W L Q
W
J lD
H L. .. LL}
d
O
QO
m :3 H
�
SM
OU-0 WH
t
a
v 0a
m
X
zD
m
a
M
o In
N ❑
N
\
w
W Ln
4-+ O V1 0
.--I
l7
Q
W I
O. NWO
Y YLA
E r-iwU
O
U
2 Hf
W rH ONNO^MO
I
Ln
W
0 2
\ rH 1� n
rH N
U❑
❑
U 3❑
N0rH 1 Ola)
a'
nNO m-1 -1
0
U ^ r
❑ V)
1�
I
J � 0_
L 41 .. .. � L' ,
.. .. l/1
W
❑
W
o
M
g 0w
OJ 4+U m}
vl E
OU
M
Q JW
1, O VI f00
V1 EO
(A
O_ Y
00 Z•r❑ W L}+0)
00
L
61
J
( V
❑ Q
O ❑ 0J } U-
"0
0 O
L. L.
0 p1L L 01
"O
E
pip
U
O
Y00
H
rI 0.Q O. tC �4-
L
00-0+j
JO
W
n
J2
O r0. 0_E U4-4-+00)M
mr
m3
o mQQHl7QWV14mm
4

r
m
c�
t
n
06
4
°
e-
rA
m
•
O
O
oOD
h
v
r
y
O
o i
a .+
r ,
NO
F+
T ~
r N o
m
.M C
m
P"1
Fyn Yri
,
� m
Q O
m �
4 m
ti n rj
qlp o
N W" .
a
r
w
a
r
O
CD
r
O
�
v'
fV
W
A
r
r r.a
T CO
CO
r
O
�