78552A_Wood, Andrew & Stephanie_20200228

KCAMA / DREDGE & FILL N9 78552 O B C D
GENERAL PERMIT Previous permit # 4
El New ❑Modification 1 Complete Reissue El Partial Reissue Date previous permit issued (fp/(p5/ZU o
As authorized by the State of North Carolina, Department of Environmental Quality I ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0-3 I u ' -
Rules attached.
Applicant Name rtln/ S� P17, N Le Wnci4
Address A Laorea L4 w p
City_L A4 E+/V State 1� ZIP 2 j
Phone # (LtW) 2c05 - V31 E-Mail
Authorized Agent
Affected ❑ CW Z EW f ig PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / na PNA yes / q6
Type of Project/ Activity �s .`� , f i
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) ---
Groin length --
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards --�^
Boat ramp
Boathouse/ EEfl�i t2 IX?.� 1
Beach Bulldozing
Other---'--- —.
Shoreline Length f '3 8
SAV: not sure yes
Moratorium: n/a yes no
Photos: no
Waiver Attached: ipli
A building permit may be required
( Note Local Planning jurisdiction)
Notes/ Special Conditions _
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
IM
Project Location: County Cu rle&
Street Address/ State Road/ Lot #(s) SK t l-+,
` d 1-4 u rtty Lqn/
Subdivision
City CAA4 CI PnV ZIP Z 13 Z I
Phone # ( ) River Basin N
Adj. Wtr. Body Pri ism r Ffiat /m /unkn)
Closest Maj. Wtr. Body
(Scale: I i% qO )
❑ See note on back regarding River Basin rules.
Permit icer's Printed Name
Si atur
"0 g j z�4 O�12 Z/ epe e_k:�
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/ 1-888-4RCOAST 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

CAMA / ❑DREDGE & FILL NO. 73764
ENERAL B C °
PERMIT Previous permit#
Clew ❑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 t/ �J� W 7�
Z'Rules attached.
Applicant Name
Address / 2 V
City ,!�,A✓L d tti State Ali' zip 27�zj
Phone # (&) A65 =d$3/ E-Mail
Authorized Agent
Affected ❑ CW � AJ i PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes / & PNA yes /t6
Project Location: County
Street Address/ State Road/ Lot #(s) S I? I
/ 3 j;i . 4dAZ6
Subdivision_
City��� Sl f ? �L!/' zip
Phone # River Basin _ j J/� afrGl_dV 4&
Adj. Wtr. Body nat man /unkn)
Closest Maj. Wtr. Body �r�z
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
PermitC er's Printed Name
Signature
Issuing Die Expiration Dite

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /-Yvan R-,w V, U't ubp s
(Name of Property Applicant)
property located at L"�NE
(Applicant's Address, Lot, Block, Road, etc.)
on Ea5 QUT1weuK It( y-)2 in ! cd of PFV N.C.
(Adjacent Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
1ac�tI n
1 have no objection to this proposal.
I have objections to this proposal.
You can mail any objections to 401 S. Griffin St., Suite 300 Elizabeth City, NC 27909
If you have any questions you can call: 252-264-3901
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.)
QVI do wish to waive the 15' setback requirement. (MUST INITIAL)
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
E! t,A ZVy)
Signature
(Adjacent Prone rtyvner Information)
11,,�� i
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Print or Type Name Print r TyQ - Name
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Mailing Address M ing Address
City/State/Zip Cit /StBto tp
s-0R 3 i A-6vyor)'l- d) HOTInI911- ban. Y ;� �_% 1-
Telephone Number/email address Teleph ne umber/email address
Sf SIZ ( 12L ic�
Date Date* T
(Revised Feb 2017)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ato a2,yf,660 's
(Name of Property Applicant)
property located at � A Q E
(Applicant's Address Lot, Block, Road, etc.)
on 'PAS Qui0I:AtJ If -It l %&V- , in C:F D W , N.C.
(Adjacent Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location/
I/ I have no objection to this proposal.
I have objections to this proposal.
You can mail any objections to 401 S. Griffin St., Suite 300 Elizabeth City, NC 27909
If you have any questions you can call: 252-264-3901
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
(Property Owner Information) (Adjacent Prop rty Owner Information)
. d=,�A Aiv-6y )411U,1
Signature ignature * j 1
AwQfrQ.a P. WOi64 L- t , ►1
Print or Type Name Print or Type Name
l 7$ " u 1Ltt4 c-ow if t L L 40 "-W> LA V�i
Mailing Address Mailing Address
CA4" P eN NC 2Z 4 2 c Ca4P% D e t4 NC,
City/State/Zip City/State/Zip
8* S ,- O 8?/ APv�N�O �.tir�Mto. -L5 Z- 33I'. - Z 3 V D
Telephone Number/email address Telephone Number/email address
©y2,2,11 !1 2
Date Date
(Revised Feb 2017) *Form is valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ANoQ.r',/ P. wo©0 s
(Name of Property Applicant)
property located at t 7: L fou l2_ Y t_A c
(Applicant's Address, Lot, Block, Road, etc.)
on oo C�T► -/K RlVclg , in _ CAi-,NI) aJ N.C.
(Adjacent Waterbody) (City/Town and/or County)
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.
You can mail any objections to 401 S. Griffin St., Suite 300 Elizabeth City, NC 27909
If you have any questions you can call: 252-264-3901
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
(Property Owner Information)
Signature
Print or Type Name
t ; Q, t-40 ' ') 1AN
Mailing Address
(Adjacent Property Owner Information)
Si
u(2N &k)�)
Print ; �6 Le me L�
Mailing(Akd�dr ss 2 L
, %�C ` I
City/State/Zip Ci 1, t t i
i 1 9)u, _-083k/,-W"00[):1R I OP L- ryI M 1R
2,1 Telephone Number Number/email address Teleph a umbe /email address
057 � � , °� z t W
Date Date *T —
(Revised Feb 2017) *Form is valid for one calendar year after signature*