78520A_Waters, Lori_20200228

®CAMA / 0 DREDGE &FILL N9 78520 OA B C D
GENERAL PERMIT Previous permit#
❑New ❑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 / % ! I CiU
® Rules attached.
Applicant Name Lo r , (..JC11_t_1cr j
Address i , Wt y; t-) S .
City s 40c cJ State '; ZIP
Phone # (9 by) Z l rl - _3 ? j E-Mail
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA 0 ES LS} PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / 9Do
Project Location: County ' , - q t, , r, cA
Street Address/ State Road/ Lot #(s)
Subdivision r cz A CC) k lbr A
City l a'rr 4f,fzip i C/ Y61
Phone # ( ) River Basin cA S c
Adj. Wtr. Body ( kc trG r (F �o u r. t (aImc ate)
Closest Maj. Win Body () ( Ilk %`G r (f Sc"I'd
Type of Project/ Activity '1JPw e"cb G�. 4y
(Scale:
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead )Riprap length i� `}
avg distance offshore
max distance offshore Z i
Basin, channel
cubic yards
Boat ramp `
Boathouse/ Boatlift
Beach Bulldozing
Other
�
Shoreline Length . i - I �7
SAV: not sure yes no
Moratorium: es no
L/Y^�
Photos: t vesl no
Waiver Attached: yes (_no_)
i
A building permit may be required by: T (o��rt 4 �t
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name {�
it
Signature * PleaPleas6 read compliance statement on back of permit
q _ 91 �'Z
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
PermitOffi er's Printed Name
J
SignattA
Z/z812v 26/'w)
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/ I-888-4RCOAST 252-946-6481
Fax: [phone] 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)
(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

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to r1 - L%,,,-4Cvi 's
(Name of Property Owner)
property located at 3 14P-6 ST ,
(Project Site: Address, Lot, Block, Road, etc.)
on 4th60-C1,le- -4ro,,, ,d in N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Jc c yG4en fi / Ae- J,4C— Mailing Address: 80
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
I U CvA54rkot
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909, DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner (nformation)
SV ature - - - --i
L & k I w
Print or Type Name
IN 3 w6b 4
Mailin Address
t7qq�
City/State/Zip
rlbu-Z(q-35(3
Telephone Numb r/Email Address
(Ad' cent Pr Zpe wn r Information)
Sig ature*
T7f
urn,
Print or Type Name _
C f 4L,
MailingkAddress
City/State/Zip
?^
Telephon Numbe / Email Address
Date IDate*
*Valid for one calendar year after signature*

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to _kf %, "_,ct_4&1 f 's
—�` (Name of Property Owner)
property located at 0-3 L'�e6 .S J ,
(Project Site: Address, Lot, Block, Road, etc.)
onS&[, ,gd in e.4 i Cl , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: k cci(Ar,n f4q JIV— L Mailing Address: D
Agent's phone#:()5) %%t_ [O�
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
-To coixs4rcq,� 1)--51714 r1Y4dav4!-/ 1?4(1X11ea,,1
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Inforration)
SWatbre " -
Log
Print or Type Name
Z3 1466 3�
Mailing Address
.gkj,,�k L2 7 1
City/State/Zip -7p q -- ? 0 -- 3 �_ 13
Telephone Number/Email Address
a 1
Date
(Adjacent Property Owner Information)
Signature*
W J5-
Print or Type Name
I a S' �o C= 6Y 13 S r
Mailing Address
City/StatelZip
Telephone Number/Email Address
Date*
*Valid for one calendar year after signature*

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QA" % ❑ DREDGE & FILL ' No. 73763 j
GENERAL PERMIT Previous permit # B C D
VNew ❑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 I SA NCAC
�--- C Rules attached.
Applicant Name �} 1514 Vl,li F�GI el,�} „Y+C/t�Project Location: County�i�i4 42LI I>'11
Address_
City /r[ v f I State ZIP C/ Z
Phone # ) ?7Z- , 2,6 E-Mail
Authorized Agent
Affected ❑ CW
` I* PTA CRIES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / fo
PNA yes /'-9
Street Address/ State Road/ Lot #(s)
Subdivision AIAL ,--TZ
�r<JdL In t ZIP ---if Z?
Phone # () River Basin iU U j t9
Adj. Wtr. Body 4AALVILNii Lk- na /man /unkn)
Closest Maj. Wtr. Body !ZIA�iuy'i
Type of Project/ Activity ai.A K f F— 4 10 j N X ( 27 1I > J CC
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Ikhead/ Ripiap length
vg distance offshore Z tr
max distance offshore 7 ,s%
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length I L4 ,
SAV: not sure 61 no
Moratorium: Wa- yes no
Photos: �& no
(Scale:
Waiver Attached: yes r
A building permit may be required by: K,l,%tl I owl r# Al S (2nUti ❑S
I V ` I See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special
Agent or,Applicant Prini_ed� j�Jame
Signatyre Please read compliance statement on back of permit e
Application Fee(s) Check #
i
Permit011icer's Printed Name
Signature
Issuing Date i Expiration Date