73884A_Everette, Edwin & Marlene_20191015

X CAMA / X DREDGE & FILL
GENERAL PERMIT
pNew ❑Modification ❑Complete Reissue ❑Partial Reissue
No. 73884
P_ ✓
As B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality y
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / �� / QL,
X Rules attached.
Applicant Name
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Project Location: County Cc,, , 0 n
Address .1
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Street Address/ State Road/ Lot #(s)
city ai�.`,�G.i
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State
ZIP%
(C) t" t_ '' ac r✓n
Phone # (25 81
3 — C 29(a E-Mail -� t 1­111"� X n Cr-n . rg hc.' j ,
Subdivision
Authorized Agent
Thc'rra
Nixon
City Ldt(Jo f\ ZIP
❑CW
Affected
liiEW RIPTA
®ES
®PTs
Phone# ( ) River Basin
❑ OEA
AEC(s):
❑ HHF ❑ IH
❑ USA
❑ N/A
Adj. Wtr. Body l . �GLyG n �,ye-.r (nat `n�)
❑ PWS:
ORW: yes / no , PNA yes / .no,
Closest Maj. Wtr. Body H I b�E vv<<. , I( -Y -t Y-Cr,
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Agent or Applicant Printed Name
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Signature "Please read compliance statement on back of permit"
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Application Fee(s) Check #
Permit Offic VPrinted Name
`.2
Signatur
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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/ 1-888-4RCOAST 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: olw1�. $ i�1ci r �zr�e, 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.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
IN
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
final
Habitat Name
DISTURB
TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
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)
im act amount).
tem impacts)
amount
h w Dredge [I
Fill ®
Both [I
Other ❑
�)'7rlOs471-
' % I ?06, �- '
Dredge ❑
Fill ❑
Both ®
Other ❑
1 r? ,,,q
% 7 s t 4
IN-Q-
Dredge ❑
Fill ❑
Both ©
Other ❑.5
t F,
5
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge [I Fill [I Both El Other [IN
Dredge El Fill [I Both ❑ Other ❑
Dredge ❑ Fill [I Both ❑ Other El
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.necoastalmanagement.net revised: 02/03/10

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit'.
Mailing address:
Jaz1h.-I
Telephone Number: - /- -,,- -*7- 49�
I certify that I have authorized (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of ,6 4j / k /� eA� -
at my property located at 1-o's
This certification is valid through 0 (date).
(Property Owner Information)
Signature
Print or Type Name
Title, co. owner or trustee for property
/ Q -,� 0 -,t 2 ---
Date
J.0 1;/3 L.9 1!�'
Telephone Number
Email Address

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to Edwin Everette's
(Name of Property Owner)
property located at 203 Rivers Edge Lane
(Project Site: Address, Lot, Block, Road, etc.)
on Chowan River , in Edenton N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Thomas Nixon Mailing Address: 334E River Road, Edenton
Agent's phone #: [phone] Email: tnixonacenturylink. net
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.
---------------------------------------------------------------------------------------------------------------------
27932
(Individual proposing development must fill in description below or attach a site drawing)
See Attached Drawing
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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
(Property Owner Information)
Signature
Edwin Everette
Print or Type Name
4729 Swift Creek School Road
Mailing Address
Whitakers, NC 27891
City/State/Zip
(Adjacent Property Owner Information)
J12 c
Signature
Mike Rammel
Print or Type Name
207 Rivers Edae Lane
Mailing Address
Edenton, NC 27932
City/State/Zip
252-813-6226 EOwf n/ X PC F- twl3 ARON AIL_C.v W, 757-879-0538 IW �--Al'"45L LP
Telephone Number/Email Address Telephone Number/Email Address
Date Date*
*Valid for one calendar year after signature* Revised Jan. 2017

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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to Edwin Everette's
(Name of Property Owner)
property located at 203 Rivers Edge Lane
(Project Site: Address, Lot, Block, Road, etc.)
on Chowan River , in
(Waterbody)
Agent's Name #: Thomas Nixon
Edenton
(City/Town and/or County)
N.C.
Mailing Address: 334E River Road, Edenton
Agent's phone #: [phone] Email: tnixon(a-centurylink.net
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.
---------------------------------------------------------------------------------------------------------------------
27932
(Individual proposing development must fill in description below or attach a site drawing)
See Attached Drawing
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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
(Property Owner Information)
Signature
Edwin Everette
Print or Type Name
4729 Swift Creek School Road
Mailing Address
Whitakers, NC 27891
City/State/Zip
252-813-6226 6Dull n) X P®r:.M6Al2QM/A-�Coal
Telephone Number/Email Address
/ d 3.- j
Date
(Adjacent. Property Owner Information)
Signature*
Print or Type Name
201 Rivers Edge Lane
Mailing Address
Edenton, NC 27932
City/State/Zip
Telephone Number Em' Address'
/C7 --3 - Zel9
Date*
*Valid for one calendar year after signature* Revised Jan. 2017

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