73817A_Ann McDowell_20190813

a CAMA / ❑ DREDGE & FILL No. 73817
-•. � 9�ENERAL PERMIT Previous permit # B C D
A ew ❑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 N. j 1
Rules attached.
Applicant Name A n 0 M L de) w c j 1
Address 1pQA Ro i i • rs lw,., } 12 c4
City x.A} No�.K State tuc ZIP a�g49
Phone # ( )
E-Mail
Authorized Agent U,G h r-�G r „"-k
Affected ❑ Cw ❑ EW [X PTA ❑ ES 1 PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ Pws:
ORW: yes /(I�oPNA <!f;P/ no
Project Location: County bc. � C
Street Address/ State Road/ Lot #(s) (moo IS-
Subdivision tA,, i,,.S Po,l i
ZIP a' 9gLlci
Phone # ( ) River Basin Pe-59yoico k
Adj. Wtr. Body Sec n GJt4- k- (nat /man /unkn)
Closest Maj. Wtr. Body Cyr ✓ }"`-�� 'C'
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Agent or
Signature
Application Fee(s) Check #
Pe t Na
ature
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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 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 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: /�1( �ow<< (1 n ✓�
Date:
Permit #: -T 3e) :TA
Describe belo',�t 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)
S
Dredge ❑ Fill Both ❑ Other ❑
a 0
jho CA- Ir+N.L
Dredge ❑ Fill Both ❑ Other ❑
I7 t 9
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03110

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: .1 C-t v'c t
Mailing Address:
Phone Number:
Email Address: C_,*1nC_A (Z_ 0-0�•
I certify that I have authorized
3" J Agent,' Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: C�_ W CD0A _., u l
)L _ �'. mil, c �r- —4 ti r. -I r, t G x 5`1- ►-�,! iL Itit .
at my property located at
in County.
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 Information:
Signature
Print or Type Name
Title
,r ? / I 6' / , `\
Date
This certification is valid through / 1

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
fM kqM ?Uj
l o--1 mAeoklS ?4.)el
rc t . tic
A. Signature
❑ Agent
❑ Addresse
eived by (Printed blame) 1Q. Date of Deliver
D. Is delivery address different from itenfl? ❑ Yes
If YES, enter delivery address below ❑ No
3. Service Type
❑ Priority Mail Express®El
II
I
I IIII
III
II
I II
I
II
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Adult Signature
0 Registered Mail�
❑ult Signature Restricted Delivery
ElRegiste Registered Mail Restricl
9590 9402 2644 6336 5592 12
ertified MailO
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandbe
�-
7 17
❑Collect on Delivery Restricted Delivery
ElSignature Confirmation'
❑ Signature Confirmation
2400 000 0 18 6 0 793 ]� ail
Restricted Delivery
ail Restricted Delivery
1
PR Fnrm aR1'I .Ir rlv 9(11Fi PRN 7.F,An-n9-nnn-QnS,A
nnmactir Ration Rarain

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 2644 6336 5592 12
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4u in this box*
p� ►� �� wo
y7u,4116 AIc
2_ 79y9

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to &yl Yoc �Owej/ 's
// __ (Name of Property Owner)
property located at l�y Z i r A ✓hm c 301 i14 eaAz
(Project Site: Address, Lot, Block, Road, etc.)
on (9k YVI , L i-k C ✓Le_ I& in x� i ��L N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: U 9/1-n'1 164 Y0A,, ii e 64a. Mailing Address:
Agent's phone #: K2, - Zd 7 --7 -7 t3 klA4 /�c i,U/[ 7 AJ& 2_ 79' 9
He/She has described to me as shown below the development hie/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 i description below r attach a site drawing)
'
j ,•� c l . ..1.�� �s a w c --t, _e SI�- ca cry- v,,
S o� tL
C-rl v ► c) 1W I I 1 O QA-G✓ vn ,-u O tm p�-
�,�. j ��✓ _ -t- +-3 n q �jwl IL G G�'`O� rt O �► e ,
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. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
r1Ylvl JMt � pwr l I
Print or Type PJame
%OZS A1(u-h,AS
Mailing Address
City/State/Zip
Telephoile Number/ -Email Address
Date
(Adjace t Property O ner Information
IV r i a✓s �e
Print or 7ype Name
60Z1 Mar fi hs
Mailing Address
City/Stat /Zip
25- Z -2 c., / ! � - � Z S'/Ax; 4:
Tele o a Num.
ber / E ail Address
(- /
Date
*Valid for one calendar year after signature* Revised Jan.2017

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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
14q t-4itw4 Z��i�j
I IIII I ICI IIIII I II I I I I' II I III I I
A. Signature
x IA
13. Received by
LIn'
❑ Agent
❑ Addresse
C. Date of Deliver
D. Is delivery address different fromPrn i? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
❑ ult Signature Restricted Delivery
eed Mail
9590 9402 2644 6336 5592 29 Crtifiertified Mail Restricted Delivery
❑ Collect on Delivery
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
0000 18 60 7 9 4 8 nsured Mail Restricted Delivery
71117 2400
PS Form 3811, July 20 P
aa;
O Priority Mail Express©
❑ Registered Mail-
0 Registered Mail Restrict
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmations
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receio

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 2644 L33L 5592 29
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4"' in this box*
L4*��,�
P
D Nax `N
1��-I txwV., N- 2�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to l �Yl h /ill \ M�l 's
property located at Z
(Name of Property Owner)
h 4- /2t-,,
(Project Site: Address, Lot, Block, Road, etc.)
on CJ'i�le VCl IL,'— , in KJjl N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: -4 h441 / Mailing Address: / ad f3 x
Agent's phone#: k/ #zl 97� A& 1-7�!YcJ
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Wood bwl ILA( .
C�Yl ►A wi l � 1 cx-a-f-t v►� cl 4-6n � 1-3u�l x ��ii
Sit
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. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail,
(Property Owner Information)
Signature
Print or Type Name
w2,f 11�arfins f - .
Mailing Address
VJ OU tbyNL Nk 222q1
CityiS
dminamcdev 'a bl - teal
Telephor e�Numbe mail Address
Date
(Adjacent Property Owner
V `�it���l
Print or Type Name
kke'hnS f?o1n1-
Mailing Address
I G
CitylStatblZio
2SZ- 3Z7 -�� S S�i^��•��
Telepho e Number / Email ddressC(�
w- n�
,7 /
Date"'
*Valid for one calendar year after signature*
Revised Jan. 2017

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Recommended Cap &
Approximate Grade Trim, Not Required
1
"
c Rods W � \e
Ga\\JarN\ d a� eacr�-
5/a, x 1p Of
4a„ pi
(1) 4 x 6 Wale, may I
stacked or ship lappe
10" Galvanized Nails
NOTES:
Anchors, Piles, Sheathing & Wales
to be pressure treated for Use
Category 4A Ground Contact, Fresh FiltE
Water. Cloi
All bolts rods & nails to he hot
dipped galvanized.
1 x 8 x 8 F-
Sheathing
doubled &
staggered
6x6x Lu, Fiies
Max. Spacing 8'
rox.
Je