75654A_Elliott, Chris_20191029

ZCAMA / ❑ DREDGE & FILL
i- GENERAL PERMIT
New Modification ❑Complete Reissue CPartial Reissue
No. 75654 v
® B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality '7r ' /.) �G
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1
[Y] Rules attached.
Applicant Name C)l\ r, t Cl j o N
Address l (o E.
City C'r1 F nAon State M C ZIP Q_Jq U
Project Location: County C kowa"
Street Address/ State Road/ Lot #(s)
�I(n lLVc (r
Phone # (25Z) 333 ' bP,$fo E-Mail C'h �'I! ,c h l',gro: Subdivision
Authorized Agent rz �es��lcr����># Iliac ,or3�luel�c;�ity Lc. (r,,d
Affected ❑ CW O EW ® PTA ❑ ES ❑ FITS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / fio ; PNA yes
Phone #
ZIP 9qq 3 Z
River Basin Ck-)WC h
Adj. Wtr. Body C a ,•CAI (nat /man nkn
Closest Maj. Wtr. Body /4110(mc" Sc",
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Agent or Applicant Printed Name
Signature Please read compl' nce statement on back of permit *•
Application Fee(s) Check #
Permit is Printed Name
Signatufe
Iiir,q/l9 Z9
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/ 1-888ARCOAST 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: C h r I JFI k `.4 Permit #: 7 5 C 5 y o
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
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated 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
impact amount)
teMD impacts)
amount
Dredge ❑
Fill ❑
Both ❑
Other ®
I I ".k
q l S c�
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 Lj Fill l_.l 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: 02/03/10

CAMA / DREDGE & FILL
�. GENERAL PERMIT
New -Modification ❑Complete Reissue ❑Partial Reissue
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
No. 75654
Previous permit #
Date previous permit issued
O Rules attached.
Applicant Name C_ h r 1" C11 o W Project Location: County
Address j (o E_ l �k,�cr s� . Street Address/ State Road/ Lot #(s)
Ci—State _t Q ZIP Q-Tq 32 � 1(o F WcA V .
Phone # (25Z) 333 " 668(o E-Mail ` 'r ..ail a w cl,ac — . Subdivision
Authorized Agent wTerS Kc,,�Ic.� ��� 4 Agacin� Vic'-_ h"Pty Ld(r%i-d!N ZIP ,211-1 �Z
Affected ❑ Cw R1 EW ® PTA ❑ ES ❑ PTS Phone # ( ) River Basin tr' j7 f )WC I
ElOEA ElHHF ElIH ❑ URA El WA nkn
AEC(s): Adj. Wtr. Body & r CA nat /man
❑ PWS:
ORW: yes / tfio PNA yes / (no) Closest Maj. Wtr. Bodyr1'G
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Agent or Applicant Printed Name
Signature* Please read complii(nce statement on back of permit
Application Fee(s) Check #
Permit Off gr's Printed Name
Signatu6e
G/►`j 2/29/19
Issuing Date Expiration Date
a

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

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Lhrt j
Date: lu/Iq <<y
Permit #: 7 5(.5 c/ i4
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 5q- Ft. FINAL Sq. Ft.
(Applied for. (Anticipated final
Disturbance total disturbance.
includes any Excludes any
anticipated restoration
restoration or and/or temp
tern acts imUact amount
TOTAL Feet FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
tem im acts amount
Dredge ❑
Fill ❑ Both ❑ Other
iim
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 ❑
Dredge ❑
Fill ❑ Both ❑
Other ❑
7--r-
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)
216 E. Water St Edenton, NC 27932
(Property Address)
Hereby authorize Sawyers Residential & Marine Construction. IncJ Ivan Saws
(Name of person or company acting as agent)
To act as my agent for the ptnpose 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 and New Pier Platform plus two finger piers
(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 i noes) —CA- pi
c�
(Sigriature) (Date)
C/4r' /.s Rs
O%obod name of owner) Mae. Wofficer of onrp_ owner or mme for PMPCM)

ADJACENT RIPARIAN PRQPER7YOINNHRSTATHB11
I hereby ca ify that I own property adjacent to C A9 s+ MN2-i L L-/ D T t
property at 2 16 E. WA s: _ (Name of Owr
Wd
Lot, lock, Road, �) - -
on 0 C2Lral< n G0C=11 rQA! t4(WaftwbodyC
4 ) (city[T andlor County)
i
The has described to me. as shown below. the development proposed at tt
i I have no objection to this proposal_
i I have objections to this proposal.
ESCRIP770N ANDIOR DRAWING OF PROPOSED DEVELOPMENT
i=� L7 i Rnd t. Q L
Of-- Tv� &a- ::n_
-nd'i't.-Gal,
,Isa
�c I 0 o
+ � i HL /'Qo Po-sc ;� P1-A,14 1 S To A40 Tc T'H
To A2Crvowr /-rU; V-Z'L rc-ec"11141t— c I NL= P).
! Tu ?�IS4-4it 4 PA�-��r� c Two FM7.- S
' WAIVER SECTION
I understand J a pier, dock, mooring prliings, boat ramp, breakwater, boathouse,
rrurst be a minimum distance of 16 from my area of riparian access unles
Ime- (if you to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement
do not wish to waive the 15 setback requirement_
LL(_!e i 7
Kemal address
©19 -
*Valid 4r one calendar year after signature*
(Ad}acent PtoPertY-�J
& #
Print or Type Name 1
P
T "g+-
Teleptlone Numberlemara addre
1�r I�si�1
ram•
(Rev

ATB TENT
trere that I own property adjacent to "��%`iN AK) MM'/ CLL& 7 's
Fib d at
t i . _• : y !
(Name of Properti Owner)
(Address, Lot, Block, Road etc.)
/
y) (City/Town and/or County)
The app#cakt has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
I bESCRIPTION ANDIOR D OPOSED DEVELOPMENT
&dbWWW( deveh*wm d n7 {�;� below or attach a site drawing)
q�iIN 3t37 i , f fy'� -= -ro
R rv2`� -,,-roc
007o M--6-t ` �
ry- /0 1
Aq .Z /✓! 41 F,'.,
4-)
.� I�IG�[..S TU l�`LLr/lsdi �'Viu?L ��LanGj/�l�
fJ� ! /1t= p2Of L2 i�
WAIVER ECiION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
.must be sex 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_)
! do wish to waive the 15 setback requirement_
C do not wish to waive the 15' setback requirement
(A nt ProRerty Own
l
C-Lk_ I o T' rt rue ct i 1
Z
O,Mjb A4G7
i
`lf id for one calendar year after signature`
(Revised Aug- 2014)

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