78574A_Berrio, Robert & Cynthia_20200312

4CAMA / El DREDGE &FILL N9 78574 A B C D
GENERAL PERMIT Previous permit #
OQNew ❑Modification ❑Complete Reissue El 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 I SA NCAC
Rules attached.
Applicant Name Project Location: County
Address ,� 6 ` j S" Street Address/ State Road/ Lot #(s)
City EE r Afbr 8 State�3C_ ZIP i q�( c J , f_ L n
Phone # 8PD"� E-Mail 41-3U)D�J E?Y ;n (. CO., Subdivision ``j'x �e 17 CY'C k ahvrE
Authorized Agent j i (X t l' d k'u" A City j i s Y t� n r n1 ZIP
© CW ElEW N PTA ® ES El PTS Phone # ( ) River Basin t-)r. 5 �' h k
Affected ElOEA ❑ HHF ❑ IH ❑ UI&A ❑ WA
AEC(s): Adj. Wtr. Body i "), . (7t-" e.k ,aim)
❑ PWS:
ORW: yes / no PNA yes / no) Closest Maj. Wtr. Body 1',)E.tricir I-( Q"r
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Agent or Applicant Printed );lam
Signature '** Please read compliance statement on back of permit
12m. k.�; I`i"�U
Application Fee(s) Check #
l , , v, + C, �W ,4-rc
PermitOffiger's Printed Name
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Signature
�/1 L /10 7 //7-/ZC3
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 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/ 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
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

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor dames H. Gregson, Director Dee Freeman, Secretary
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Date: �` <q7
Name of Property Owner Applying for Permit: a R T / ' , 4 .��R •b
Mailing address: (Se- e 1/eel /46&e
I certify that 1 have authorized f (agentIcontractor),
to act on my behalf, for the purpose of applying and obtaining
all CAMA permits
necessary for the proposed development of -30 , a Gl "
at my property located at ~ c� Cl '� e //,'e k/ �G X414e�"
This certification is valid through (date).
Property Owner's Signature
Print or Type Name
Telephone Number "
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled 110% Post Consumer Paper

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
l' 3me of Property Owner: Robert and Cynthia Berrio
f ]dress of Property: 284 See View Lane; Hertford, NC '
(Lot or Street #, Street or Road,. City & County)
f tent's Name #: Stokely & Holland Mailing Address: 114 Swan Lane
r 3ent's phone#: [phone] Hertford, NC 27944
I ,ereby certify that I own property adjacent to the above referenced properly. The individual
a plying for this permit has described to me as shown on the attached drawingithe development
tt 3y are proposing. A description or drawing with dimensions must be provid_d with this letter.
-X- 1 have no objections to this proposal. I have objections to this proposal.
It ou have objections to what is being proposed, you must notify the Division of Cotat Management
(t M) in writing within 10 days of receipt of this notice. Contact information r DCM offices is
a ijiable at - ="_ orbycailin 1-888-4RCOAST.
!ti response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I iderstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathou' e, or lift must
b( set back a minimum distance of 15' from my area of riparian access unless *aived by me. (If
y( 3 wish to waive the setback, you must initial the appropriate blank below.)
NIA
I do wish to waive the 15' setback requirement.
NIA
I do not wish to waive the 1'5' setback requirement.
(F operty, Owner Information) (Riparian Property Owner Information)
Si, .ncrluiye SjJ�iat e
R Ebert G. Berrio ( Cynthia K. Berrio Paul Ledoux Jennifer Ledaux
Pi ;t or Type Name Print or Type Name
2t t See View Lane
M< 'ing Address ----
H; tford, NC 27944
C lStatelZip
(T 7) 676-8895 1 bobberrio01 @gmail.com
Te phone Numberl Email Address
IN,
2960 Buccaneer Road
Mailing Address --
Virginia Beach, VA 23451
CitylStatelZip 1,364,
(757) 439: 7piedoux@yat oo.com
Telephone Numberl Email Address
Date
(R vised Aug. 2014)

No design change. Top boards and caps replaced.
No design change. Approximately 50 feet -100%
replacement using pilings.
Robert and Cynthia Berrio
284 See View Lane I Hertford, North Carolina
Dock/Pier and Bulkhead Cap Replacement and/or Repair - 2020

DWISION OF COASTAL MANAGEMENT
ADJACENT pjpAR1AN pROpERTY OWNER NOTiFICA'rIO41WAIVER FORM
Name of Properly Owner
Id,
Address of property: r,��1" Y �J e if vi ecv ^ �a , -_
(Lot or Sheet #, Street or Road CitY 4 CO")
Agent's Name #. S G .c/ Mailing Address:
Agent's phone #:
1 hereby certify that i own property adjacent to the above referenced property, The individual
applying for this permit has described to me as Oown on the attached dr awing the development
they are proposing. A d o " ..tin or dimensions, ust vid vuith this letter.
u4l/"I have no objections to this proposal. I have objections to this propasal-
!f you have obleetions to whot is being proposed, you mast nofify the Division of Caasiat MerWOMent
(DCU).,nw11t,ngWffijnj0 days ofreWpt or this notices Co"wpondence sh0Ujdbe sh i tD i'S67 f!S
97 South, Ellzabefh Cn7,y, NC, 21M. DCUreprasentatives can also be con actedat(.2t 2 901f Na
ews is considwad tte s we as no ®b .ectlon If ou lave bow mAWed b rt ed Mail.
WAIVER sEc"noN
i understand that a pier, dock, mooring pilings, breakwater, boathouse, or rrit must be set rack a
minimum distance of i V from my area of riparian access unless waived by me. (if you wish to .
waive the setback, you i W inili the appropriate blank below.)
i do wish to.�%wve:" '! V 4etback requirement
1 do notwish to waive the 'l 5' setback requirement.
roperty Owner I063543atj ) �
sigmtWe
Print or Type Name
tl Hing Address
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Telephone Nwnber
(Riparian Property Owner Information)
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Telephone Number
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j No design change. Top boards and caps replaced.
No design change. Approximately 50 feet - 100%
replacement using pilings.
Robert and Cynthia Berrio
284 See View Lane I Hertford, North Carolina
Dock/Pier and Bulkhead Cap Replacement and/or Repair - 2020
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