75507A_Norfleet, Norman_20200130

F,
r. ® CAMA / _K, DREDGE & FILL NO. 75507 B C D
GENERAL PERMIT Previous permit#
INNew -]Modification OComplete Reissue LJPartial 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 I SA NCAC 7 H - Iwo
G
© Rules attached.
Applicant Name Nor -man No rN e V
Address 1401 rams Ii-i Dr.
City zabe.4 �^
C, } ,
State N e
zip o(Wo`+
Phone # (ZSZ )333 -03Z
E-Mail
Authorized Agent
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Affected El Cw
(MEW
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M PTS
AEC(s): L1 OEA
❑ HHF
❑ IH ❑ UBA
❑ N/A
C PWS:
ORW: yes / no, PNA yes /
Type of Project/ Activity
Pier
Fixe(
Float
Fingr
Groi
Bulk'
Basir
Boat
Boat
Beat
Othr
Shor
SAV
Mor
Phot
Wain
Project Location: County ?c 54 vOtG E it
Street Address/ State Road/ Lot #(s) Ld /.2S
Subdivision rrJq 15/" J
City 6`/ � Zo 6i CJ,11 zip a 7 S C`%
Phone # ( ) River Basin PC 5 J o%" n L
Adj. Wtr. Body (a r,.a1 (nat
Closest Maj. Wtr. Body0 1 &it
(Scale: 1 r = 3d' )
■■■■■■■■■■■number
■■■■■■■■■■■■■■H■■■■■■■■■
i length
i�■■■■■■i■■■�■■■■��w■■■■�■�■■i■■■■■■■■
avg distance offshore
max distance offshore 3'
■■■■■N■■■■■■■■�■■■■■■■■■!!.y■■■■■■■■■
cubic yards
■®■■■■■■■■N■■■■■■■■SiIF■■■■■■■■■�l!'t■■
ramp
■■■■■■■■■■■■■■■■■■■■■■E:!■■■■■■■■■■!■■,��■■■
,ouse/ Boatlift -imp
■■■■1■■■■■■■■■■■■■q■t1■■■■■a■■■■■■L■M■
-line Length
not sure no
r�l■■■■■■■■■■■■■■_■■■■N■■■■■■\■l1/J■■■■■
rium: yes no
•Fs:
Wr
no
■■■■■■ME
■■■■RM■■■■M■N■■��■■■■
A building permit may be required by: ✓^ 6fco i ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions ,r + 6:(Lei rro4 C' IJ
Agent or Applicant Printed Narfie
Signature
* ease read compliance
statement on back of permit
Application Fee(s)
Check #
(2t% t\4 , G
C< ou rk ��- e
Permit Officer' Printed Name
'
L
Signatur
'/ C'/2U
Si3a
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 71 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. LEE NORFLEET
Mailing Address: 125 PINE SHORE RD
ELIZ. CITY, N.0 27909
Phone Number: 252 333 0321
Email Address:
NIA
I certify that I have authorized LAYDEN MARINE, INC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
182/FT REPLACEMENT BULKHEAD
at my property located at
in Pasquotank
125 PINE SHORE RD
County.
1 furthermore certify that I 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:
�t
Signat e
LEE NORFLEET
Print or Type Name
OWNER
Title
08 l06 12019
Date
a 0,
This certification is valid through 12 t 31 02& J
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LEE NORFLEET
(Name of Property Owner)
I
property located at 125 PINE SHORE RD
(Address, Lot, Block, Road, etc.)
on PASQUOTANK RIVER , in ELIZ. CITY, N.0 27909 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_4 1 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)
TO CONSTRUCT 182IFT REPLACEMENT BULKHEAD
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)
-?� � i ad" Q- .'S., 11n..�L
Signature Signature *
LEE NORFLEET h -t k Vk A 4 S -/I &
Print or Type Name Print or Type Name
125 PINE SHORE RD J A �- hit .SQ�
Mailing Address
ELIZ. CITY, N.0 27909
City/State/Zip
252 333 0321
Telephon N. u/ er / email address
Date
Mailing Address J �]
City/State/Zip
Telephone Niumber/email address
.2 /.,2 4 4� C , '')
Dale*
(Revised Aug. 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
on PASQUOTANK RIVER
I hereby certify that I own property adjacent to LEE NORFLEET
(Name of Property Owner)
property located at 125 PINE SHORE RD
(Address, Lot, Block, Road, etc.)
, in ELIZ. CITY, N.0 27909
(Waterbody) (City/Town and/or County)
I
N.C.
The applicant 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
TO CONSTRUCT 182/FT REPLACEMENT BULKHEAD
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) (Adjacen Owner InforrAat4on)
Signature Si��re
LEE NORFLEET I d IA--P-G,
Print or Type Name
125 PINE SHORE RD
Mailing Address
ELIZ. CITY, N.0 27909
City/State/Zip
252 333 0321
Telephone Number/email address
Date
Telephon um er/email address
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature'

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