73842A_Elliott, Chris_20190903

CAMA / 'L, DREDGE & FILL No. 73842 a B c
GENERAL PERMIT Previous permit #
TNew Modification El 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 I SA NCAC
© Rules attached.
Applicant Name E t! 10
Address I (o E b--JX' r^
Project Location: County C bJuXarZ
Street Address/ State Road/ Lot #(s)
City t r StatetJC
ZIP �,2 -7 R 3 z
Phone # (y5 Z) 2J 3 - (,F, E-Mail
C h r 61E
I t , or 1 t If r `,00,,,,$ubdivision ram----
Authorized Agent a t'
, :R �ity l k rn +Un
ZIP (Ij
❑CW ©EW PTA
®ES
®PTS Phone # ( )
River Basin L �(x,�.�ctY. `vRr
Affected
OEA HHF IH
AEC(s): ElElElElAdj.
❑ UBA
N/A
Wtr. Body �_ ct ,j-, cx
{nat /man �n�6
❑ PWS:
Closest Maj. Wtr. Body __ F� k1
Y' C
Type of Project/ Activity 't Sa U'� r� (oi Nt.'-O u.v, U k IC 1-,4 C1 d
r
(Scale:
Pier (dock) length
Fixe(
Flom
Fingr
Groi
Bulk
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Mor,
Phot
Wah,
■■■number
■■■■■■■■�■■11A�!■■■■■■■!■■■■■■■■l�■■�
ng Platform(s)
NEON
MEN
i length
■■■■■■■■■■■■■■■■■■i■■�ii■■■■■■■■■■■■■■■
avg distance offshore
max distance offshore —
■■■■■■■■■■■■■■■■■■■I�iR1r�■!■■■■!■■■
■■■■■■■■■■■■■■
■■■■■■■�Cyl■■■■■■■■!�!J■■■
■�■■■■■■■■■�■■!■■■R'6i�
■■■■�R�l■
■■■
cubic yards
ramp
■■■■■■■■■■Lei:Yl■■■RI■■■■■■■■�L3'1■■■■■■■■
M
Bulldozing
ME
MOEN
EMEM"
iNEENINEEMMAMIZINNIMMENEEM
0
INEM
[GEN
ME
MEN
i
E3■■.■■■■■■■■■■■■■■■■�■.�illl`��■��■
�.!ir�li.�1�11
iii�>f�F�llic��71�s.�!�:��3i�`�.��■
w���
■
Jine Length
torium: n/4 yes no
■■■■■■■■■�■■■■R��._�■�■■■�■■■■■■■��11/
no
A building permit may be required by: rOWQS'Y\ \ 0k,•. n �j
( Note Local Planning jurisdiction)
Notes/ Special Conditions
L/p"�—
4��Qgen� or Applicant Printed N
Signature ** Please read conlofiance statement on back of permit`
100"--'
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Of er' Printed Name
SignatureV
Issuing Date Expr ion 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/ I-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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq- Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill $f Both f Other ❑
f� 5ao54'-�
� . S 3LG5L4
Sal[OW bot4a
Dredge ❑ Fill ❑ Both J� Other ❑
�e::O sj�
`NP—
Dredge ❑ Fill Both ® Other
�0 �}
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10

Division of coastal management agency form for permit applications
Chris Elliott , owner of the property located at:
(Name of Property Owner)
216E Water St Edenton NC 27932 _
(Property Address)
Hereby authorize Sawyers Residential & Marine Construction, Inc./ Ivan Sawyer
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit, that may be needed for the
proposed development at the above indicated property, which entails:
To Install New Vinyl Bulkhead
(Describe proposed development for which permits are being sought)
This agency is limited to the specific activities described above, and will expire
on:
(Date on which authorizati Tres)
(Signature) (Date)
C/42 /.S P i: Cz. JG1 i 7 p CJ-:4
(Printed name of owner) (Title, if officer of corp. owner or trustee for property)

rAGgNT RIPARIA14 pqqrjalY AT
I hereby certify that f own prop�Y adjar,g N,3 ;
2
property located at`---
z
on �J c Cr (tiVa rbody) v N C.
r #_,Ountyj _...__
The applicant has described to me, oO,r
= POSW at the above
location. I have no objection to tt)ss r
F
I have objections to this pr(jpo,
oEscRtPTION AND/OR UKA -..w
(Individual iroposing development mastR n� FPC`DE IE-Lo' wwr
"Clow or attach a site drawing)
L;, c) AT Al(?c2CN-1 mot✓ 0`�To MST.` ` •.L.v`1 Lnp.
I A it ,44') �iv1,"-. ;�, ,aC
70 fc vC�
WAIVER SECTION
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.
I do not wish to waive the 15' setback requirement.
fproperty Ovienel' 1pfo ation) (Adjacent Property Own r Information)
'fit' ti'1 \r',
S
S L'L c..1 O T r igrra r� i� vl I V h
Print or Type Name Pn' t o V� -
Mailing Address Mailing A D
City/State/Zrp Crty/5tate2rp'�
� - h �
Telephone Nurrrber/email addressbb,Nv r Telephone umber/ems a�ress • tv►!t
Late Date
'Valid for one calendar year after signature` (Revised Aug. 2014)

1 hefeby cedify that I own property adW#,
property I ted at I
,rn
t Asf.~I
(W�tQlbOdy)
The applicatt has described to me. <s:!i Vic-: , :.:., H*4 .h i''',qp go
location.
I have no objection to this piopoi; ill
_._ 1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PRc,r,,C),SED OE--VELOPMENI - (Individual broposing development rnu. t till ira ric <;a rrpri<,rz boldrw err jtt rah a situ draFwrinr4)
t
` ._. i L" ►� t : x- 5 t ' _. A j f c AlJ':)
7-14U 0Ak-VPcr2 `!
WAIVER SECTION
understand at a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set tack a minimum distance of 15' from my area of riparian access unless waived by
me (if you w"Ph to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
i _
'Al ido not wish to waive the 15' setback requirement.
(Property �r%1 tion) (Adjacent Property Owner Information)
'lilts,
Signature
t�2lS Lc.��o T7
Print or Type
Marling
L A/7-
;7--. 4�11�0 GEY�LSCwOFT
Telephone N r/email address
C)l Li
Date i
Sre
Print or Type Name
i (-; . 3'x Li 7 (C
Maifina Address
04vState2ip
i6b-4i;T �1c_5 -)Ql. 1541
Telephone Number/email address
1 0l�
Date* _ _ _
(Revised Aug. 2014)
`Valid fqr one calendar year after signature*

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7 216 E Water St
St George's Orthodox Church
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