74141_Daniel Lynch_20200204

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OF'_'CAMA / DREDGE & FILL I �505( V No. 74141 A OP C D
GENERAL PERMIT j Previous permit# A)/A
) New Modification Complete Reissue Partial Reissue Date previous permit issued Iti1/j
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 C 7 i I , j,,'_U U
❑Rules attached.
Applicant Name iitVj 1 a(_ L/,JC 1 i Project Location: County PA./'1LLL_0 c 00/4J 1`/
Address_ C I I A U 0 d g D Street Address/State Road/Lot#(s) /\J f
City G. A1T5 OI2O State N C ZIP 2 R CD -
Phone# ( )D i l-„27'4. E-Mail Subdivision
Authorized Agent . r jr s C p77 City (.,I2At j$ I0/Z 0 ZIP B5 2 .
Affected ❑Cw PTA ❑ES ❑PTS Phone # ( ) River Basin Air us(
AEC(s): ❑OEA ❑NW IH ❑UBA ❑WA Adj.Wtr. Body L7rA R OO ( Rf t )4" IV an /unkn)
PWS:
ORW: yes / � PNA yes / no Closest Maj.Wtr. Body �? 1?9 (/lI-0c 1�
Type of Project/Activity nNS?IOKf?g ,( 1'1( L/0 ' Plcft
I
(Scale: / . I/ 'O )
Pier(dock)length 'skip j
Fixed Platform(s) tII —1� I I I I
Floating Platform(s) !!!"' _ �9 I i (
Fingerpier(s) Y} 5 ( I A rki���/r
Groin length I -. ,�)) i , j Av / i ,
number — i j —� INNh
Bulkhead/Riprap length i
avg distance offshore
max distance offshore i I I /'� {
Basin,channel i - - l 4
j cl. V
— A 101 /*((
f i
cubic yards — 0 P/fP '
� `�Boat amp j V 0 AI^iY '1
Boathouse/Boatlift 3 Z 'All
:1' -wBeach Bulldozing
—
Ini
Other I I
— j .1 j ,
Shoreline Lengthy- 0 0 I
I
SAV: 4:50yes no ! A
Moratorium: n/a yes no ,''— `,S
Photos: yes 1 I V I W.
I
i
Waiver Attached: yes o I - -
A building permit may be required by: P,i M( if O C 0LAAil" . C See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions S r ( 0 7)•J,)7 00 f.1 I,�
e r. I,I A) 1- 1 A )Z•1
Agent or Applicant Printed Name/j' ' PermitOffi r s inted Name
/— ,tom /�j )41. __ /l-=ram. -r --1 --
Signature Pliase read compliance statement on back of permit** Signature
4100- O'er `j f r L Q O L �Ac 70za
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 (252-946-648 I) 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 252-946-6481
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 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tam t e- l— rr.
(Name of Property Owner)
property located at ' I VarSc,4
(Address, L t, Block, Road, etc.)
3ti4
on cc Cret,�-- , in �'r'U-.NtS bor0 , 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)
c,) dd kD - -F. 1-v ext5+?n5
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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.
I do not wish to waive the 15' setback requirement.
(Property Owner nformation) (Adjacent Property Owner Information)
Cta,,vjAA
nature Signature !
av) i � v`c. , vS ti ->11 K SAG f-1v r�
Print j�r Type Nara Printor Type Name
cit
tlmg Ad s Mailing Address
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City/St to City/State/Zip
c),E3 �o air r C_
Telephone Number Telephone Number
Date Date I / u2 �
0 (Revised 6/1812012)

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•
• Complete items 1,2,and 3. A. Sig Lure
■ Print your name and address on the reverse 0 Agent
so that we can return the card to you. 0 Addressee
■ Attach this card to the back of the mailpiece, B. eived by(Printed Name) C. Date of Delivery
or on the front if space permits. /.—,/.Av Ae,.,clr Ilv,rr //1
D. IS delivery add =r�)I item 1 �Ye5
t, Article Addressed to: ,,y
If YES,enter•_ _.��_ •w: ❑No
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I III ❑Adult Signature Restricted I:►'v'very
•Registered Mail"'
❑Registered Mail Restrictedl
9590 9403 0514 5173 3461 10 Re❑Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
(Transfer 1 ct on Delivery Restricted Delivery p❑Signature Confirmation"'
2. Article Number(f I ii��c limp p 4171i,-1 i s n Rbs7riclt�YDt��er��1 '�`7 ature Confirmryation
U Restricted Delivery
ca O S 6 S E S 0 0 I lover$soo)
000 9053 Domestic Return Receipt

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No.G-10
I • Sender: Please print your name, address, and ZIP+4®in this box•
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S I POkrS 6 Y? a
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USPS TRACKING#
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9590 9403 0514 5173 3461 10 Illlllllillllllllll
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ta\ e-, L v�c)'` 's
n (Name of Property Owner)
property located at COY I Y GxrSc
(Address, LQt, Block, Road, etc.)
on 3 O d c C re ik- , in f'c..v.k3 b Ord , 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)
61 d d 'a n5 c
--
et.) Ct( (it+UH
90/00
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.
I do not wish to waive the 15' setback requirement.
(Property Owner nformation) (Adjacent Property Owner Information)
OaA,Wi
nature .Signature
Qvl I �rL
Print r Type Narrh Print or Type Name
51 Vok.v-Sov I�
rling r s Mailing Address
Ad
rp,v\fSe,ue, A cL4
)5 te/ziR 6Y-1G .�t City/State/Zip
Telephone Number Telephone Number
Date Date
(Revised 6/18/2012)

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson, Director Dee Freeman,Secretary
Date I - 1 - 07'3
Name of Property Owner Applying for Permit:
Mailing Address:
n n�
at 'S(3v►
ra.+pi-S CO o 1r1) C-
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) s t -} I — I L( He
at(my property located at) 5 ; l- e S p n R6( G,rn,,,v-t'S n✓'d /) G c:,) J5
This certification is valid thru (date)
c2.y- �,
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone]\Internet: www_nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer-50%Recycled 110%Post Consumer Paper

Applicant:110 I E(- t!1A)c l
Date: LI F- 43 202 v
-General Permit#: q
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose Oneincludes any Excludes any total indudes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp anpact
�} otemp macs) impact amount) temp impacts) amount)
®PF./� o r ff Dredge❑ Fill 0 Both CI 2C7Q F 2 200 F T 2"
Dredge❑ Fin 0 Both ❑ Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fig 0 Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fib❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ FiN❑ Both ❑ Other ❑