74106_Chris & Kim Herman_20190815

er 1 AMA/ ❑DREDGE & FILL No. 74106
ENERAL PERMIT lD 4�110 Previous permit# !v A C D
I
�� 'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,J/A
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 070.000
F 0-7 0.. I Z O O
` ❑Rules attached.
Applicant Name C FII?I S 4 Aej�/1 gp�L 11P^Aid Project Location: County 12A L)( D c DI�i✓
lI
Address c' CA Pi flA j !/[ A 5,r Street Address/State Road/Lot#(s) ./ (APE
City OZI FATAL State NC ZIP A I/ /)ATTVA
Phone# ( ) E-Mail - Subdivision DAILSQJ Clef.)' /�n
Authorized Agent g. r/1 f$( o Tf /'�A/1/n/k City 002 I rA))A L ZIP o� ti$-}
CW 1% YPTA 1XES YPTS Phone# ( ) River Basin NC U S
Affected `OEA ❑HHF ❑IH ❑URA ❑N/A
AEC(s): _ Adj.Wtr. Body f)A,.J.So,J C R (J' man /unkn)
PWS: /
ORW: yes /�� PNA yes / no Closest Maj.Wtr. Body QA -SON C nCr e
Type of Project/Activity AIn TN oi2I F n �77 /x ( ' P/d' ti I 1, Kf / pL A Jc0/1/""i! 13's 1>
1i4iCr'vkfitt ' t if /�
(Scale:i ;3 / )
Pier(dock)length 3,7'Xr' '
Fixed Platform(s)_II X 12, — - i j
Floating Platform(s) I1 1
Finger pier(s) 1 i i L_
Groin length I ,
( Bulkhead/ 'prap length )0 Ot
vg distance offshore 9 1 1
max distance offshore D/ I /} �yl b R/Z '
/AO, ��
Basin,channel V 1 i v Rd p O/R ,
j i r~
cubic yards ' —
{ Boat ramp ' I • Q 1 `►
Boathouse/Boatlift I / /
� ''3ik9A'13 I
Beach Bulldozing I ! - t
Other I i I i 1 {
vAAPbhfgi• I ' 1 --_.____--1
i r I 3? (-4 144
Shoreline Length /O U y, I 1 I
SAV: 411010 yes no —'—J-T -...._-I-.� i -- + I--- - -
Moratorium: n/a yes no I GSr 0 cp
Photos: yes dap
Waiver Attached: yes `� I i ' i
A building permit may be required by: + Am L f(p coy A}7`j� El See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
. 33,04,,i_Q4.0.,„
Notes/Special Conditions S f 6' ©'P. I IOD izt 0-7 II. 12 G2a e%N L%/T ON S •
a r\CQ • b tion
VE 0 i A) 14/V7--
n o Appficanf Printed a Permit Officer' rinted Name
Si nature *Please read compliance statement on back of permit Signature
1Z06.06 /S AUK Zo,9 rS l:`C e.6/ °(
k
Application Fee(s) Check# 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 I 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(9 I 0-796-7215)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 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven, Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 9I0-796-72I5
252-264-390 I Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

From: Barbara Teets [e-mail]
Subject: Re:Herman Project x*. ,
Date: August 13,2019 at 3:14 PM rf'
To: Brandi Robertson [e-mail]
Cc: Greg Teets [e-mail]
Hi Brandi,
You have our permission to act as our Authorized Agent to obtain the permit on the property owners behalf.
Thank you,
Barbara
CAROLINA DESIGN BUILD LLC.
N.C.General Contractor#70076
Custom Homes*Additions
Garages*Site Development
252-571-9860
www.carolinadesignbui ld.corn
follow us on Facebook @CarolinaDesignBuild
Post Office Box 1116
Oriental, N.C. 28571
On Tue,Aug 13,2019 at 2:58 PM Brandi Robertson<[e-mail]>wrote:
Dear Barbara&Greg,
I have received the necessary paperwork back for the Permit for Herman. Please respond to this email granting me permission to
act as the Authorized Agent. This will allow me to obtain the permit on the property owner's behalf.
I will let you know when I have the site visit scheduled with CAMA.
Thank you,
Brandi Prescott Robertson
B Prescott Marine Construction, LLC
252.249.0149
[e-mail]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby ct!'.ify ttta'. 1 c,wr ^e-ry adjacent;C. V lrlS+ iIA k Meal I(a VA J)eSSh 's
4 '(Name of Property Owner) lJ
property located a: Cape J�
tt (Address,Lo/t Block_Road, )
on
(Weterbody) (City,Tiown and/or County)
Tnc applicant has ceszribec to ne, as shown oeltrv. the Jcv loprm;rt propose at the above
locaton.
i have no obicoton tc this cropc:sal.
'.nave objections to this pmposei.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
proposing devo1opme it insist t in description below or attach a site drawing)
fo(krN
,_�1 hie Rae Noy c� QOr€'-(
s
D°1Vi.)5" . 6eift+I A A� CC(IYVa-1(\ PC-TI4V
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WAIVER-SECTION
I understand that a per. dock. :rooting pdmgs, brut ramp. breakwater. bo house. lift, or groin
must 3e set back a n-ari:-nurr distance o` 15' from my area cf riparian ss unless Wee by
me.{If yoc:wish to waive the setback you must initial the appropriate blank aelow.)
_. I ,dc wish to waive the 15'setback equirer rtert.
• I do not v:teri to waive the 15'setback requirerrent.
(Property Owner Information) (Adjacent Property Owner Information)
/ a,
Signanire L7ruG, A. A/v C4/1
282 lb 15 /Lez4-/ t,
mr.,47:1l Atk*esj !'AvPi acdo .ss
�.,.. .co Oak Iy r V� ZC7/7/
C1t�i3rv.N.L'1�1M7�Bf�9tltE�t address703.79b,/20/ hm 9rf�7 i3 e ,'a Ajps..L o.+.
C. S. Jne,'4:.^7.'ae7Jr Ismail dd.
- - - - 34LIG 2U/9
•-.ni e1,-,u- fiyjJ.Z r-r;
":lad for brie,aercar year after sigruri.,e•

3NI10311O01V 01O4'SS3a00V Ntln13a 3H1 d0
1HOIH 3H1013d01311N3 d0 dOl 1V 113N0113 30V1d
.ENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
A. Signature ❑Agent
■ Complete items 1,2,and 3.
■ Print your name and address on the reverse x -6 4 � /� ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of De very
■ Attach this card to the back of the mailpiece, �f� �/ ZS /7
or on the front if space permits. h r v G 4
1. Article Addressed to: D. Is delivery address different from item 1? ❑Ye
M M Aq
If YES,enter delivery address below: 0 No
b�I M�,pu,�o��,
0-6(6-ctovN)11-A c9on 1
II I III 1 IIII IIIII I I I I I IIII i 11111111111111111 Service Type 0 Priority Mail Express®
ri •. it Signature ❑Registered Mad''
❑Adult Signature Restricted Delivery 0 Registered Mail Restricte
9590 9403 0514 5173 3451 99 ❑Certified Mail® Delivery
Certified Mail Restricted Delivery 0
Return
Receipt
7 Artirla Ni imhar?ranefar from ceniiro 1nholl for
e
❑Collect on Delivery ❑Merchandise
Confirmation'',Confirmation'',i
ail
El Collect on Delivery Restricted Delivery 0 Signature Confirmation
Restricted Delivery
7 019 0160 0000 7850 0264 ail Restricted Delivery icted
,.r,.4 ,,,,,., nn., nn nnn_onc3 14e"on to/turf Domestic Return Receipt

nEMEME1111,—
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP-i-4®in this box•
B PRESCOTT MARINE CONSTRUCTION,LLC
PO BOX 874
ORIENTAL,NC 28571
USPS TRACKING#
959D 9403 0514 5173 3451 99

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse X 0 Agent
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
„n If YES,enter delivery address below: ❑ No
CpS� r - tV .
in
iii-1 -t) - jr/fdJ
II 111111111111111111111111111111111111111111 C du et ree 0 Priority❑RegisteredlMaress®
A Rdu Ignature Restricted Delivery 0 Registered Mail Restricted
9590 9403 0514 5173 3451 82 ❑Certified Mall® Delivery
0 Certified Mall Restdcted Delivery 0 Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number(Transfer from cwrvir. !alum ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM
7019 0160 0000 7850 0257 Mail 0 Signature Confirmation
RestrictedDeivery
Mail Restricted Delivery
1 kVroi 4N00)
LPS Form 3811,April 2015 PSN 7530-02-000-9053 Herinall I Teems' Domestic Return Receipt

UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+42' in this box*
B PRESCOTT MARINE CONSTRUCTION,LLC
PO BOX 874
ORIENTAL,NC 28571
USPS TRACKING#
'i=Ii (li;;f;i::: ..:lt'f: i ;;' lIhJ'iIi'U'l'�tit'�Ii1 itfJff
9590 9 403 0514 'S173 3.t1' 1 82

i
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN-r
hereby certify that t own property a ijac ent to C ir64kim(ey mem IG di N/A,VP (‘Sh
V 1_ n amv of Property Owner)
ptoaetiy located att'y'A`/,fib �A � �u'
(Address,Lo Block,Road, .)
cn , W O1 S Cfro*. . :n Y►et1-goy 1 \itO Ca, t�.
(Waterbody) (City; own ardtor County)
l Flu nnpltart has cescribed to rrse, as shawl oeiow. tt'c devi:lopr eut aTopcsec at the above
ICJ . , ..,
IG px
l'have no ebjcc!.on to t:`is pxoposal.
have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Incfrvidual proposing development must iii in descr bon below or attach a she drawing)
,-�l gip �L� CY14r�t l
t c(i -4 4 A°
?k0)1f1
�/C/ as
+I �� �;%' ,carte PCIVKI
4 /; Pro pa ect
too git,-i1 6uk k..ifkot
11 Y 13-C rru-1 _ ---
p(a-t--f it m 4)rCIX-111-
•• FCEC
... WAIVER SECTION
t understand i13t a prey_ stock. tr.GOtirg pdmg5, nor.: ramp. breakwater. t..432thOuse. lift; or grcin
must to set aaCk a trortmur distance of 1 r from my area Of riparian au,.. ss unless watvec by
me. if you wish to waive the.setback you must initial the appropriate blank below.)
WI to wish to waive the 15'sottradc:.quirernent.
• i do root wisn to vraive the 15-setback requireirent
(P •petty 0 Information) (Adjacent Property Owner Information)
LI '
—
-::-. 0 GA 1?- ,......,....2..,„
rv., r I t•l7 a rest i Cfectrace Number:ernaii afi r R
.9ev4.0 .4uv.2:3 tor•
':'ad for one ca rdar year after s,gna_n....e•

Applicant: C H RI S d-
Date: ( Au ZGl 9
General Permit#: 7 Li j DG _'J
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet ANAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
$140 RE I-Id e. Dredge❑ Fill r-Both 0 Other ❑ 10 0 it l0 D F 1
II M G(ZvunM Dredge❑ Fill 0 Both 0 Other /0b FT
Q P L/f T(L .. Dredge❑ Fill❑ Both ❑ Other 0 5 O�( f, SO (f 7 2
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other D
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0

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