74151_Dane Campbell_20191122

4 CAMA/ ❑DREDGE & FILL II1-t-{� /„1igOoR No. 74151
ENERAL PERMIT ��f' l(/ Previous ermit# 7&I,� -‘) c °
>� p
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 27 SLIn 70t 4J
As aut orized by the State of North Carolina,Department of Environmental Quality //
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0 7 II/• 2 OCt) .
+ �� � A A M ❑Rules attached.
Applicant Name '�it( Project Location: County PA ML I( O
Address 6,0) SC 0 iT A LIE Street Address/State Road/Lot#(s) //Ot rO X K
City G vF-r1Vs a0ko Statet&. ZIP ;7 1-/0 3 Ford Ki> ,
Phone#(�3i) pot" O(13 E-Mail Subdivision
Authorized Agent 1<)LK y Sa'k dv 51 City OK/N/A( ZIP 2 Ys 7/
Affected ❑CW VE .TA ❑ES ❑PTS Phone# ( ) River Basin Nr U st:
❑OEA LIMP ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body .1.?hOA? Ci(F C IC Oman /unkn)
❑ PWS: A'C_
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body A U Si re 1 ✓r it
Type of Project/Activity Awit�oi 17(p 13 1X/3' g0 An i ( T (t t,I ot(I(r,7 /N sl1t
n As 0,i GP. 7(1166-C Is sufj' 2? srf'r told (Scale: )
Pier(dock)length —
Fixed Platform(s) I
Floating Platform(s)
Finger pier(s) i
1
Groin length i I
number I I
Bulkhead/Riprap length I
S E E
I� C/
avg distance offshore I i I I
max distance offshore
I l
Basin,channel _ I ss C t n.
i
cubic yards — S iy zO/ - f
Boat ramp { -
Boathouse/Boatlift 13 'v i 3 { «
a
Beach Bulldozing
IEL . . , -r
Other I I
_..
I I
Shoreline Length /;Li/ f j ( J
I
SAV: of sure yes no _ a................_.
i,
Moratorium: n/a yes Ijil
Photos: yes no �'
l Waiver Attached: yes no E i
A building permit may be required by: t2A/11 C I C 0 . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions .St. t CS I.I.7 ZOOa
R
go yL 4 J ,a 4~ ''` > Vr d id 1 f4jz I I
Agent or pplicant Printed NaKle PermitOffi is Printed ame
f
Signature Please rea compliance ement on back of permit** Signature
* 200.00 ?1 Vol) Z°l 1 ?L M/ae(t l zv z o
Application Fee(s) Check# Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc tion.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I 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.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature*
Print or Type Name Print or Type Name
"1oE
Mailing Address Mailing Address
City/State/Zip City/State/Zip Q` 3 6
Telephone Number/email address Telephone Number/email address
2-0
Date Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature*

i►, AMA f. ❑,DREDGE & FILL I C ' Ai( No. 74166 ENERAL PERMIT ' . Previous permit# ss/A '�' C
D
> 4
.New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit ued AyA
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 5A NCAC (` ':I/ i ,,('C
❑Rules attached.
Applicant Name `','-/ %',La Y 1 k L Project Location: County •'� f'' ' '
Address 6.('' '/ • . ,77 A ,,,, ' Street Address/State Road/Lot#(s) //( i. : /
City < 1, State/VC. ZIP 10 7. f A./ .
Phone#( - ) , i` & E-Mail Subdivision C" `J
Authorized Agent j0 ` t'. ! .. ', f ; City ?•. 1 u \ L ZIP '- 'r 7
❑CW 'EW XI PTA ❑ES ❑PTS Phone# ( ) _ River Basin f
Affected
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body I. '.. ,,' `c `(nat/man /unkn)
❑ PWS:
r:6., Closest Maj.Wtr. Body , L `'
o
ORW: yes / PNA yes , no
-
Type of Project/Activity El `� I/r..�1{ j 1 ?'_ ,< ,' ,: x, ,;/t ,. :vl f /4
' C.;' /
(Scale: ' ' ) )
Pier(dock)length ' -'." Y
Fixed Platform(s) 1 + } }
I.
<i r• I
Floating Platforms) +t �/a /, 1
Finger pier(s)# / __ 1 1 ,
Tr
Groin length
number , ` 1 r#
f
Bulkhead/Riprap length -- _, �_ ' o- .
avg distance offshore L } . ___
max distance offshore —
Basin,channel I
cubic yards ,�r- 1 . '"i r7 F-- 4. 4-",
Boat ramp �""
t
Boathouse/Boatlift
, s
Beach Bulldozing +f _ f ._ I
________n_ -_- ,r✓ _ __ .._
Other r --
I
Shoreline Length /_`CV f f
�_
SAV: of sure ., yes no
Moratorium: n/a yes no
st
L .
Photos: yes o 1
Waiver Attached: yes , __e__J
A building permit may be required by: '--' 1.1 / ` ! k_ ( r., " / . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ? ( '/1 , "n
{{
jf�.'i) �/)
Agent or Applicant Printed Name PermittOfficer's P inted Name
lf. t`� s
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date
i
grin,

Gan Campbe'I Ercinecrinc7 336-370-4980 p 1
AGEtd ,1.".i..}igRf.'.o,(•It r N F APPLICATION
Name of Property Owner Requesting ae� }a. , �r. 1
Mailing Andress: Q ,' Scot Avenue
_..._ ei iSD)O, C ''-3
Phone Number: r333)706-01 3
Email AddreEsI
certify that l tave aLa ?orizeat ;, k4 St)ro sel ra.15, Marne Construction')' —
.Pocntl Contractor
to act on my behalf, 'cr the purpose cf apoly ni .,,r,-tt;d obtaining all CAtvMA permits
necessary for the foi•ov/r g proposeci development' iRepair;Reelacernert of Jock facilities
at my property lor.atc:ca at t.�'r) '�'�:� +��� f3 ,d it N la' NJ 2. 8,571
in Pamlico
I furthermore .:t:'l1i1v 9";&t a' r o .{C .-i 1c do in fact graJ'lt permission to
Division of Coast?!Mara9_.ir, 'ni st::ff, th. Loch) Pf,'7r•'t Officer and thei.y agents to enter
on the aforernenti !?`;( +71'C7. ^r.)nn ecron ^i c , ;�t.1'ting intrmatThh related to this
permit appl:catiott.
Property Owner Inforr ation;
.•. tit:t'C. 4
+i
Dan O. C?c pbc_I .i
Prins or i y':ie P. 1n
Owner
09 t 26 20Th
Di
This certification is •,:-•Iir:l

[e-mail]
From: [e-mail]
Sent: Wednesday, November 13, 2019 2:08 PM
To: [e-mail]
Subject: Boat Lift
Good Afternoon Dan,
It was nice talking with you the other day. Per our telephone conversation I am writing this email to you. We have no
objection to an addition of a 14'x14' boat lift located on the left side of your dock facing the water from your house, the
location you and I discussed during our telephone conversation.
Have a nice day!
Nancy Chappell
410-353-7693
1