Miles, Christopher

®MCAMA / ❑ DREDGE & FILL No. 75260
A B <Ci IDGENERAL PERMIT Previous permit#
Nev; v❑Modification ❑Complete Reissue ❑Partial 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 15A NCAC '
1 i NRules attached.
Applicant Name l f Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O E-Mail Subdivision
Authorized Agent is CityZIP
Affected O CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin - y
AEC(s): E]OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body ! (nat /man,/unkn)
❑ PWS: ,
ORW: yes/ no PNA yes / (nti Closest Maj. Wtr. Body t '
■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
MENOMINEE
0 NJ
M
■■■■■■N■■■■■■■■■ME■■O■■■■NM■■■■■■MEN
'{
M
CNONE
:::::::
ENNESE::::�
:::IME
■■■■■■■■■■
MM■■MMM■
■■■■■■■■■
■■■■
■■■■
■■■■■■■■■■�■■■■Nw■■�■■■■■■■■■�■■■■�
MEMO
■M■■N■N■■■■M■EEt■�1EEE■MEMw■i1■MOEB■■E■■■■■
■■■■■■M■■M■it■■■■■■■■■■■■Y■■■■■■■■■■M■■■M
■■■■■■■■■■■■■■■■■■■■■■■o■■■■■■■■■■■NONE
■M■■■mu�N�
i
■■■E■■■■■®M■■N■■■■■■■N■■■
M■M■
M01
ii1�.��i■_�i_iniN■�■NE�'r��■Nii■iiii■iiii
MUMMER YO■■■■■■■■
■■MME■■■ ME
ME
■�■■6.1
■■ II ►1.■■0 BEEN ■NONE
■■M■■■■■u■
ONE ■
•■....■N..........■■■■■►I■■■=■■■■MMOMM■■■
iMEN■■MEN■■■EN■■MEMO
ME'MEE Mw���wa�..,■
■■■■■■O%1171E■■N■■■
.
MM
■ENO
Is
.NM®N�NNiN
EMNMw■EwMwM■■�w
.■■
..■■sommom■■■■■ � ,.0
MEI:sC:�
NNN■■■■■■■■■■■■■■■■■■■■■■■■■■■r�■
�.. ::■:::C::=::�
::::::��:�C::::C:::::
■■■■■
Agent or Applicant
Signature **Please read compliance statement on backofpermit**
Application Fee(s)
_ ;�)P /%
Permit Officer's Printed Name
Signature
Check# Issuing Date
x�l '
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 [)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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(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: Ckjrt S,+hQjn,L►' d TI n A M i It S
Mailing Address: 10 LA M t-k k \Olt C+
Pine Knnt1 Slnart.s i nip 2 8 S 12
Phone Number:
Email Address: C,hn-1 18 S O Or [ (d v GLhbo. ( ev,A
1 certify that I have authorized {✓ 2 t>>r.k Wu-hbr\y1P'r-SbzL,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1 b, 0001b bta+ 1 i iA
& M x S p1&I�rvv\
at my property located at 104 VY\LA 1 he rry CA- PK S , N C . i 6 S 12
in CAr 're'k County.
I furthermore certify that l 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:
L Signature
/lIP�
Print or Type Name
CAW( -,ex -
Title
/ 3" / 19
Date
This certification is valid through

1_
�_
i
��
:
I I
i
I
� I__
�`
II
!I
I_
_��� �i lilil,i�
i �_
l 1 � 1 -f
._
_1 �_ -r �._ i i__ I-

CERTIFIED MAIL RETURN___ REST RE U�$TFD
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONM'o
Name of Property Owner
Address of Property.
Malling Address
Agent's Name #
Agent's phone #:
I hereby certify that I own property adjacent to the
applying for this permit has described to me as show
they are proposing. A description or drawtn th
_ % I hove ohjcctiouti h+ uu , p+• +
/ha\-e no objections to th+s proposal. .__ omnut
T _
if you have objections to what is being proposed you must notify the Division of Ce:lvtai M:+n<+ i
caking 1-pyp-Af2CU1tET
(OCM) in writing within 10 days of receipt of this notice. Contract Information for
avallabteathtl//wwsv.n'roastairanaromntJ+of/vst�/crul,tnff•bstln orby •
available
ila Date Is considered the same as no ob e°tian if ou have bee° +otlffa
WAIVER SECTION ur
bTe,tkwater, hoalho,f;, ofl ra
f i+t!+ ,
I understand that a pier, dock' mooring pilings, heat ramp,
be sot back a minimutn distanceof 15' from my area of riparian a! cosy unlor,:a wmvrd by +r++, (11
ou mus lntiiatthra app ihlea bh3bk below
you wish to waive the setbOrk y !M—L1n"""
! do Wish to Waive the 15' setback rcquiremc?rat
,.� i ,� + :. ftn+wish to waive iho 19' setback retjuiremont
�-
(F'rt'pe t Owner Infornea
Signatuve
it
print or f ypo Ntatno
(Riparian Property pWytrr Infortncttiar+i
S•I
(print or 1 ypo Namo
mailing Addrosa
Y
folriph IJufrib f j t ffi!ill i'l ifi.' .
't 7 ,

tf
j -
f�41 4)
T WK A
MY
.
AN p...2 - I ri,,, . .":
Ji-
r
i IT - Il"
r'
Fl
kL

■ Complete items 1, 2, and 3. a $lent e
■ Print your name and address on the reverse Agent
so that we can return the card to you.11).
X
■ Attach this card to the back of the mailplece, Address
B. ec 1 d riot !Name C. ate Defiv,
or on the front if space permits. 8�2' q
1. Article Addressed to: Is delivery address different from item t7 ❑ Yes
C{- t V-LhnS PwW ��V. S t If YES, enter delivery address below: ❑ No
zas 1• tAV(V,(\,& �CA
III'lllllllllllllllll�IIIIIiIIIIIIIIIIIIIIIIII �AdukrvS9naWpra OPAorteredjvallress®
❑ ReglsteredMellTM
Adult S nature Restricted Oeiivery ❑ Registered Mail Redcled 9590 9402 3777 8032 3107 95 m o® Delivery
_. .. ail Restricted Delivery © Return Receiotfor
7018��-P—wheR_. .. _ _ l0 Collect on Delivery Restricted Delivery n
Signature Confirmatio
1830 0001 7702 1639 ;vured Mail Restricted Delivery ReabrUed DeliverynBcn
er $500)
ra rorm 3iS11, July 2015 PSN 7530-02-000-M
.. Domestic Return Receipt I

.P
CD
rn
W
CD
O
^J
O
O
O
O
O
O
O
O
O
O
O
CD
O
Q
='
p
O
CD
CD
cm)
O
Crff
N
CDCD
°)
�"
r'
N
rn
N
a,
N
rn
o
m N p
R
O
O O
,p
,p,
N
N
N
N
N
N W
ai
of
a,
rn
rn
rn
rn
a m
o
0
0
oco
cc,
mS
3'
R

.a
r
0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (I ( lz'n —'a 11 I-R P1 I I F-s 's
, „ „ _ (Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in `PILIE la") ll ;1-1'O�F> , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X 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
0..1-1211'10PHFI' M II (S
Print r Type Name
Mailin Address -
MSL te/Zip
") �2"3 Rrtilfes uc.af'rr.
Telephone Nu ber/email address
Z--11M
Date
*Valid for one calendar year after signature'
Rick Saunders
Si nahrre*
Dick Saunders
Pr�''�A 0910 rd
Mailing Address
Southern pines
Uty/State/Zip
Telephone Number/email address
[e-mail]
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C 14 M I I P's s
(Name of Property Owner)
property located at VA p-it lj<,Q)�Q'a C� i �}
(Address, Lot, Block, Road, etc.)
on
(Waterbody)
In
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
xr :; I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing developmentmust fill In description below or pftach 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.
€ x. l do not wish to waive the 16' setback requirement.
(Property Owner Information) (Adjacent
(Revised Aug. 2014)
"Valid for one calendar year after signature'

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
�iAi= iLs•or»t �t-tl?CZ4 C �],� '?2,�i'Z
Phone Number:
Email Address: �.�1�f <; Lnc
!,certify that I have authorized -,j
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �aCr�+
at my property located at _10/-1 MUl t',S 2Q�i f j I y.S
in County.
/ furthermore certify that l 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:
•
�� i..� �•c CAL_.
Signature* ,
Print or Type Name
Title
Oi l• L t l i ��
Date
This certification is valid through / / RECEIVED
OCT 2 9 W9
DCM-MHD CITY

AOJA(N RIPARIAN PROP TY OWN,. '}_TC`T. �M�t+I,...
I herabY CVraTy iha[l awn propom adjacant to: t:Ny\'.c(y'o' CL X�\.
pro an 1 csiod ar I (Name or Propony owner)
(Address, Lot, Block, Road,, etato.)
)
(Warb.dY) , In. Cayrrown antl o! County) N.C.
b- -
TTher9yo�p�pil nt has described to me, as shown below, the development proposed at the above
-1.T �1 hevn no oynetWn to ass proposal, -
I have objection, to this proposal. - -
DESCRIPTIONANDM.ORAmn F. PROPOSED DEVELOPMENT
PadVrd✓alprcposing allotdevd/47Jr1MM$Wht d0sr4*11cal ehat, or attach a site (1rewhall)
d`,
y
WAIVER SECTION
-
I understand that a pier, dock, mpodn g pilings, boat ramp, breakwater, boathouse, II(t, Of groin
must be set back a minimum distance Of 15- from my area of riparian access unless waived by d - meou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'6etback requirement.
I do not wish to. Waive the 16 setback requirement.
(Property owner Information) (q Je ant r a O er to ation)
L•rl t?6TrN%41 FP-t •Il G•-
- PMt or` Type Name F
J I rttat A ,2..i fi {
44WAngAddress - A
GA'ISfi MP r•.tt cic pr:• \C Pa
''^iel l2 - i 771
Jfl� tJ
bLAN4
�. Ptn�S 7830�
3�tPL
gr/amalladd ss
(Ret' dAug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Property located at r (Name of Pro s
'%Z;v'n Property
on (Address, Lot, Block 5
Road, etc.)
(Waterbody) in VD_
(City/Town and/or County) N.C.
Iota '
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF P11 ROPOSED11 D
/ (/ndividual proposing development must till in description below oEafta& a'site
d)awing)
I understand that a Pier, dock, moorinWAIVR SECTION
Must be set back a minimum distance o1 Pilings, fro frat om rare amp, breakwater, boathouse, lift, or groin
me. (If you wish to waive the setback, you must initial the appropriate
riparian access unless waived by
blank below.)
Id
o wish to waive the 15' setback requirement.
I do not wish to waive the
(Property Owner Information)
15' setback requirement.
Signature
Ct-ItztS�P1�Fe t'tt s
Pnnt or Type Name
104 N u Lag ; c
Marling Address
City/st;a e2ip �2
Telephone Number/email address r (LT-A
I �1G
Uate
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature* i
Print or Type Name
Marlrng Address
Crtylstate/Zip
Telephone Numberl email address
Date* RECEIVED
(Revised Aug. 2o14) OCT 2 9 2019
DCM-MHD CITY

J
d
wkv
o.
X�0
E
y
a
W
i
i
4
I
a
j
�