75506A_McThorn LLC_20200131

'�CAMA / DREDGE &FILL
GENERAL PERMIT
❑New -''Modification ❑Complete Reissue ❑Partial Reissue
No. 75506
O B C D
Previous permit #
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 10 UL'
® Rules attached.
Applicant Name tMC Thorn , LAC
Address ), O 1901,09
CityN() t �o State v C� ZIP ( 518
Phone # (31 2 37 - 12E-Mail ioc t •C (o qcY�orn
Authorized Agent NI C, r Cc � a r I p
Affected ❑ CW ® EW © PTA 0 ES Z PTS
AEC(s): ElOEA ElHHF ElIH ❑ USA ElN/A
❑ PWs:
ORW: yes / no.. PNA yes / no,i
Project Location: County�e r 4 j.A, m (a n S
Street Address/ State Road/ Lot #(s) Lob (o - S
1 I `1 (�Jc \bb ) .)1
Subdivision hh C\ A � � CJGA •A
City rIfoc C) ZIP a -I i NCj
Phone # ( ) River Basin I)c, �q L, !J O A K
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Agent or Applicant Print
Signature* Please read compliance statement on back of permit
$ you. =>' - - -S. 3
Application Fee(s) Check #
Permit Off is P 'ntedName
�
Signature
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 - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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 PERMt l APPLI :A t ION
1
Name of Property Owner Requesting Permit: /�- Th, or r-,
Mailing Address:
Phone Number:
Email Address: D ,4 fi,'24t : ( cod-6
I certify that I have authorized Vance Searle
Agent / Contractor !~
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -4 =' '1 '' F�
at my property located at / '3 t ,
in County.
I 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:
a, , "", " _�
p Signature
Print or Type Name
6 �a) rt --
Title
Date
This certification is valid through / /

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CP
"o o,\o '
1 V, rc A p
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: AA c_ A o « C
Address of Property: 6M l ,L) C b b)
(Lot or Street #, Street or Road, City & County)
'"Al wv LJ\\.At ice.+
Agent's Name #�
Agent's phone #: 252_340-5111
RAnilinn Afifirmco• " ' '' —, —' ' .
Eli,'ahpth City NC 270_ -.f
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
ffyou have objections to what is being proposed; you must notify the Division of Coastal Management
(DCh9 in writing within 10 days of receipt of this notirp rnntart intnrn»atPnn tnr ,„ -not .,,....n
available at htip://www,nccoastaimanaaement.netAuphirmictaff ►i-ctinn nr h►r rain.,., 4_A00_A00�nAoT
No response is considered the same as no objection if you have been notified by Ce,iXict iriaii
WAIVER Stc; ► wlv
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 reyuii t�i, tv, ►i.
(Property Owner Information) (Riparian Property Owner Information)
Signature
1 r
Print or Type Name
7e x H bu C�
Mailing Address
__ky
City/ tatelZip
7S7 , k*T -7 -i 9,77
Telephone Number / Email Address
Date
,Vgnamre j
Print or Type Name
Mailing Address
City/State/Zip
.i
yo 89 - �/03Z-
Telephone Number / Email Address
�J 4i✓f �� .,20 �C�
Date
(Revised Aug. 2014)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: 19(�
{cfr
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Vance Searle
Agent's phone #- 252 :;4•0-15111
Mailing Address: 221 Small Drive
—FIlzabeth Clt,i NC 271gig
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawino with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCIVIJ in writing within 10 days of receipt of this notice. Contact information fora M offices is
available at htto;//www nccoastalmanagement net/web/cm/staff listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified bv Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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)
z'A -
Sign Lure
Print or Type Name
Mailing Address FI
City/State/Zrp
Telephone Number Email Address
Dare
(Riparian Property Owner Information)
i
Si`gnahtre
Print or Type Name
Mailing Address
City/State/Zip
nr-
Telephone Number / Email Address
IC/ J
Date
(Revised Aug. 2014)

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