73837A_Rhodes, Karen_20190820

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CAMA / DREDGE & FILL
GENERAL PERMIT
New ❑Modification uComplete Reissue El Partial Reissue
No. 73837 (k) B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1 ^ �1--
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ��� �S'&�i - %- k,f ��, c e
ules attached.
Applicant Name 1`% f ��.� ~t'E �'� S Project Location: County�E'!�
Address
CityState AL ZIP fl C C
Phone # (') c C-�� E-Mail
Authorized Agent i t j'` Ht ch- m /yA&/ ; n
Affected ❑ CW U4 V4;TA ❑ ES p PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
ORW: yes /`n 1 PNA yes o
Street Address/ State Road/ Lot #(s) L4,
Subdivision t J; �b61f h
City ZIP��`
Phone # River Basin T �L-
Adj. Wtr. Body(n t /man /unkn)
Closest Maj. Wtr. Body�t-
.• .
-��■�■■■■i
iMau■►.�irwomm�i■■■■c ��
MEMEMEMMIMIN ■ ■E ■ ■■ ■■■■■■■■■ ONE 0
MMMrl
No
Ag nt Oplicant Printed Na
i
Sign Lure * Please read fiance state erit on bac(c of permit
Application Fee(s) Check #
12C�1pf �k cc,,r he lh-
Permit,Officer's Printed Name
r4e,
Signature
g-
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 I) 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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

DIVISION OF COASTAL MANAGEMENT
AGENCY FORM FOR PERMIT APPLICATIONS
I V ovs-ner of the property located at:
(properly vner) _
(nrone>-::c:— -I
do herebv authorize
act,,ng as agent)
to act as my agent for the purpose of obtaining an ._: e R d ,; cas:al Area Management Act and/or
Dredge and Fill Act permits, that may be_cr -he -.c 3csed development at the above -
indicated property, which entails:
4
(describe proposed development,, -or .: rch permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
I - 7 A _7 < --) - i
(date n whic ency authorization expires )
I
t (signature)
(printed name of owner)
za)19
(date)
(title, if officer of Corp. owner or trustee for property)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
nty)
Mailing Address: K' 4o 115 62LI1 (CL
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City &
Agent's Name #: tiL � Auj5,r, V Y f+t1' - e,
Agent's phone #:%S% -�333 — d 3C22-
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 pies ort or drama, w>� d >
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 Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athdio:!/w vw.nccoasta rr=anaoemen !79tlA+eblcrr:/s:afi- istin_q orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
h 0 L a n4 ai,
I Signature
Qfi i� n wca4e�
Print or Type Name
Mailing Address
6h '� lri. �-7g 7 LI
Q/Stata0p
7"elephone Number/Email Address
-1 ,q
Date
(Riparian Property Owner Information)
ity/State2ip
phone Number/Email Address
e
(Revised Aug. 2014)
A

From: Kevin Baughan [e-mail]
Subject: CAMA form dock repair
Date: Jul 27, 2019 at 1:33:45 PM
To: Karen Rhodes mtkarenwrCci)yahoo.com
n
DIVISION or ^GASTA; MANAGEMENT
jkO-ACENT RIPARIAN PROPERTY C>WNE-R N01"FIC ATIONMAWER v;() RM
C
A;o- a 4.V
'W*CY " wt,4y ?'A! :W-
MI
L•�Od "I.
WAIVER SECT;ON
a OW. P., , S b,.8' Arlp
"C'r. n� 111169 :0 ripanak- A'-C'MS Lt. ass We'.'W 'v neY&W -Wto kaw tin sethwe P)MMLIVA118001zrl Me bivnK b&-,* i do not ovi%!, t,. 4,afve t,*
I",upwrty Owner !-Iftrmalton)
L411
OWMW In"aban)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner:
Address of Property: -(�� on Lece E Tre6 f) r - tl-\'i rnk 1
CR
(Lot or Street #, Street or Road, City & Co 11 ty)
Agent's Name #: / n1al1lailing Address:
Agent's phone #: 2 7_-33 i 03 lQ !►' 1� r. 2 `�
I hereby certify that 1 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.Aescn or drawing with moons, must be oranded
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 Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
('Property Owner Information)
Signature
Print or Type Name
Mailing Address
-*'I Lk. UL a197�
�City/State/Zip
�e_�
telephone Number/Email Address
Z�
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelZip
Telephone Number/Email Address
Date
(Revised Aug. 2014)

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August 19, 2019 KC1r2n 1�i�1 CC ��' K r�GGiQS
Streets f Addresses Re,vC cGt.hl� +� TYuS�
Streets � Parcels , t J
Main Roads Q County Boundary C .A;n2r acid
1:1,979
0 0.015 0.03 0.06 mi
0 0.025 0.05 0.1 km
Esn, HERE, Garmn, (c) OpenStree Nap contributors, and the GIS User
community
Source: Esrt DigitalGbbe, GeoEye, Eadhstar Geographics, CNES/Airbus DS,
US D4, USG S, AeroGRID, IGN, and the GIS User CormKrrty

July 29, 2019
Streets Addresses
Streets Parcels
o Main Roads 13 County Boundary
206 3eec,j., Tree bv-
sw' I oln
1:2, 932
0 0.025 0.05 0.1 mi
0 0.0375 0.075 0.15 km
Esr4 HERE, Garmn, (c) Open StreetMap contributors, and the GIS user
commurrty
Sou ice: Esr4 DigtalGbbe, GeoEye, Earthsta GeoprapHcs, CNE&Airbus DS,
US D4, USGS, AemGRID, IG K and the GIS User Conm my
2019

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