75422_Jack Rowe_20200129

'CAMA /,L�' D
- DREDGE & FILL = 4* (o5039 �S No. 75422 A '`B� CD
GENERAL PERMIT Previous permit# 1\l I
> ='New ❑Modification ❑Complete Reissue LPartial Reissue Date previous permit issued RI I
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 -"14-4 •1 I c5 _Q - ) 4-I • -3 c' .
®Rules attached.
Applicant Name_T-A c.1Li. 1 v Project Location: County 2�F n L,=c.32_T' / .
Address I I -7 S5 G 1-e\J y 3--E. Street Address/State Road/Lot#(s)n r z 6,1 L..t 4'.�
City _).. ,L;:_-,wrhl !-ri StatefJ L ZIP--) -'cI --7 -,a ..-� :1 i_eA .` W 1) 1 :t IA'( L it L A ,j t'
Phone# (=c -) 1110--) 7-32(F E-Mail Subdivision-TA y =.-472-, A i .. i i L t 00r r ,}p lc
Authorized Agent I"-1 A ram)1'_ 7 L.k:---) City�. 4 w""i'-i ZIP 2—"-) 9, I
CW EW )'PTA A ES A PTS Phone# ( ) River BasirrjA(- P\^\V+
Affected _0EA ❑HHF ❑IH ❑UBA ❑N/A �
AEC(s): Adj.Wtr. Body�*`^, i : I u e nat an /unkn)
- PWS:
Closest Maj.Wtr. Body. -).,�-4--0 �'IJ eftORW: yes(/ no PNA yes 67J)
Type of Project/Activity ,o -,, a t L - Qu o 7 �-i P t�4/"' P ' -, AN",z -ft A g..F A Lk Li mil•- A✓i
'
- " -`\-c r*, ,-*--)�1.,., Jr... LA v tv: - (Scale: I = 30 )
Pier(dock)length
Fixed Platform(s) f ��c+ " J
Floating Platform(s) I ---L — N
I I I {
Finger pier(s) I
i
i 1
Groin length di _ .
number J j +'n �
Bulkhead/Riprap length ) --eD -, -► _) ,— 7 n7_) -iT-rr I
avg distance offshore i ,A-1, rim �/4 i ,A. ? 1.-_L...)..: 1t�*._Inys --'1 ^6i ryLv+vi, r
max distance offshore
Basin,channel N P 1 q ,p �r ,�-')-I,�
cubic yards `— . "., ,
Boat rampC-' C4 C., . 4-) -- i� — v ( �� T� �
G
Boathouse/Boatlift �(e ‹,6 1 1- L
I , C-x` r I ' ‘l
Beach Bulldozing --1"4
Other 3—er i Z-r I _
...- .7%........* *''''..."4..._ ,
Shoreline Length c fl ' I---, w= , 1 ti('JJ41.)0-7
SAV: not sur) yes no Ss2 ILL—.__. -t^C-, ( i t F i A�-,
I4 ,,f.
1
Moratorium: n/a yes no , e��, I I� oop -� I
v
Photos: yes p,
�4-1- f l_)- 4-Iy _ ss,,,.o'v -/2'ter;
Waiver Attached: yes no I I
A building permit may be required by: a-.t i'c.. -.t r- C--' . . 2 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions - ‘. a..Y7 cat,---3 , �..-, / �-L-,y v-'4J c-',-- r LJ-E-r1 A-,-.YD
/1111--7wr4r,'1- r, CA= ,H-l-"l c.-.)0vs1 ,,-).�-.-.4-1 -- r 2,,'\ . l'• a W.c-n', A.r10 -71) 1'St Y 1 l.L t r ' .
k k.....lti 1 ks KE4_,__,/ .._.2,i.,e.,-/
Agent or App cant Printe Name Permit Offi is Printed Name
'Signature "Pleas read compliance statement on back of permit** 4t _ure
�J _
;�+ '_ 4.EDb )1 °1 ` a"A.i1 -7,- .v '1'1 / -1 �L)7,C)
Application Fee(s) Check# 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(9 I 0-796-72 15)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/ I-888-4RCOAST 252-946-648 I
Fax; 252-247-3330 Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Berrie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare, Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

Authorized Agent Consent Agreement
I " -a� d W , hereby authorize N a1 lC E I g s to act on
(Property Owner) (Authorized Agent)
my behalf in obtaining CAMA permits for the location listed below. This agency
authorization is limited to the specific activities described above.
Property Address:
3I Ty10 Ln
B I o ut ird-s C e k , C A 711 y
Property Owner's Mailing Address:
r { oW-
jr
SEE.,
ClioeaWln; 4 NC- a7'l-7
Property Owner's Signature: (2?-`
P-) ....0...e..e.-)-e..._
Authorized Agent Signature: Novide_ effd)..„
Date: t' - 1 3 " r1 O
Form:Authorized Agent Agreement as developed by NCDCM revised 9/25/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to G�(�k I\ o w& 's
q l (Name of Property Owner)
property located at f b r l CT T �' icy t--t
(Address, Lo ,Block, Road, etc.)
on IS/
b(nrr- 1� Gy , in 11 A c`k , N.C.
(Waterbody) ; (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location. %
1 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)
Rti31 -2ct, ne Cc{ IUe,----+ b& We6,A We,rnp -anal
r` v e-r vd- I I i (cl -a Cor) Ore- od rec k
b 2 S' r e v- o a 1° f rbl 2-ne‘V-1--)Y 530 0 cA r 'P t-nt j
S � ose, . I`Ye, 215t7
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
'J/ I do not wish to waive the 15' setback requirement.
(Property..Owner Inf 'on) (Adjacent Property Owner Information)
M\16t/l .
Signatur Signature (�
c.,\ ; �� n1\ ) ,,,
Print or Type Name Print or T pe Name
Mailing Address Mailing Address
City/State/Zip City/S ate/Zip
911 (9 7 a' D( 3�L �� CI-
Telephone Number Teleph e Nu ber
Date Date
(Revised 6/18/2012)

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I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -- --2C-K l<OwO— 's
i
II Name of Property Owner)
property located at (4- l$ ~ 3 ��t My 1 0 („r.-r,
b� - (Address,'Lo block Road, etc.)
on , in l (c C S Cc`Lct , N.C.
(Waterbody) (City/Town and/or County)
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)
le_16D) v_ce, -he_ Cal \7n_c- ba t&{. ko__ Swa d -Fnd
`the, ��ve_r 2 Y1
Ii(A I8- -e co�,c-Mie- 72 Ya rcx�c
r )\0 (-c-2 VV.?a+ ly cgo
ix r\_ ,() i-0-6eVecl k c,1-6._ \ i/16.___ --c_70& -El 1 , 10(-0 /J
\P \ c° ,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
y.i .
I do not wish to waive the 15' setback requirement.
(Pro erty Owner Info ation) (Adj,Sentyroperty Owner Information)
Y\ (
/1 _ .61.E-e ''//jt - ,,„ig.d�u c
Signa ems- S' II/
Print or Type Name Print or Type Name n�
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Mailing Address \ M din ddress 4 J
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City/State/Zip qq (0 .�3 ' /_ City/ ate 1p y
Telephone Number V Telephone Numt3er
Date r ' &_a b Datey` / 1/ /
15,,,/ aka
(Revised 6/18/2012)

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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant
Date:2
General Permit#: 5 `r 2213
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq_Ft FINAL Sq Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfinal (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 amcuntL temp impacts) amount)
sr ,„4 Dredge❑ Fill❑ Both ❑ Other Gv
5N A•t..LO :,) 2
Dredge❑ Fill oth 0 Other CI400 4t-od •
4 Dredge❑ Fill 0 Both 0 Other ❑ /
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
. Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
" I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
•it
Dredge❑ Fill❑ Both ❑ Other ❑
III
•