75442_Sid M. Cayton_20200304

4111 CAMA/ J DREDGE & FILL ID AT &5I r� No. 75442
II A ' B C D
GENERAL PERMIT 2K-5 Previous permit# N I ),
> ) New (Modification ❑Complete Reissue Partial Reissue Date previous permit issued ,.1 I .,
{ 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 5A NCAC ?i-' i I no, D 7 -/ • i 2 OL) .
©Rules attached.
Applicant Name ' r" fA . C A `/-r-za NI _ Project Location: County 84,4 4" t J72- .
Address Lc- 2 DA tL a'- - d . Street Address/State Road/Lot#(s) o r r _5 i2 ,. o-pi-
City 4 L4 .A. State t-I cL.. ZIP Z") 'O / ' v ,.J,_i y i.. '_ - J .
Phone#('• ') 3'2 Z- ,134 i E-Mail Subdivision
Authorized Agent "h0- _.'n=L.,-/L t City Al.-,1R 0 ZIP 2--' v
Affected _ACW X EW ) PTA 7ES %PTS Phone# ( ) River Basin-7 -GALA L r O
AEC s : oEA ElHHF ❑IN CIUBA ❑WA Adj.Wtr. Body T,I G f=c c:-K na /man /unkn)
PWS: _
ORW: yes / no PNA yes �7 Closest Maj.Wtr. Body ��'^`'' �' !_ '
Type of Project/Activity V 1'= 0,4 4 t-,o•- . .. , , (4-,' r. <<, ,Ix ,
'T F v 11 s (Scale: I -se, ' )
Pier(dock)length / .
I
Fixed Platform(s) , "' / I I I t '
Floating Platform(s) j i • +
Finger pier(s) �� — 1 . Lr-r-- .'jµ fIc►= --I I
Groin length j I. i 1
number
1
Bulkhead/Riprap length_ ?2 ± I
avg distance offshore '9 O a 1--
max distance offshore ? / .
j 1•
h u u + !kgBasin,channel I ' I
1 Y Ito' T-r1etiJ 'y.
cubic yards Al r...__
y
I i
Boat ramp
Boathouse/Boatlift —I
IC
I
±� ,x t' c 1- 1-- " 2
Beach Bulldozing / / I
Other_
l ,
i 7 r 4 ni tom- "_L 2S1- .. ...�...... - .._.._..... .._..--
i 1 ,
Shoreline Length ov 04�� P
SAV: not sure, yes no �--J-_
Moratorium: n/a yes ; o n t I • A t I
Photos: yes o -Tr-' /->:::, rf4`J'i .!-- A —_ _,I U F [ a.r
Waiver Attached: (--.),7es ; .7 X a F'
A building permit may be required by: "'E,e,,��---r %,-> • . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions t A , a, try `a. .1 Air ,,hl 1 _ _ r, �'r
pi-A-rfoYs,1/4 .
ea.3...), 5Pf t)L. '-/
Agent or lira. Pr' 41, ac: Permjt'Officer's Printed Name
LYN
Signature **Please read compliance statement on back of permit** Signat ---
e i L 11 1G. li i a J - :SS-4 _- A,(A2.,41 2)..D 4 --i a zy 202-b
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 (252-946-6481) 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 C ity_ 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 51 Cl 1 , Ca th(1 's
Name of Prop rty Owner)
property located at 1 q SO 11 +' C rl Or-L van+ r)ad�
(Address, Lot, Bock, Road, etc.)
onJO(a��'1C�Q.�.r.( Pamlico. River , in �UCD(0. , N.C.
(Wate�rbody) (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)
6E ►( rcp)ccce t)L&I hi) no(
CofC(.,(C+ picf-
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.V,r7/
(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) (Ad' cent Property Owner Information)
Signngf/re� Si Va afo
J►J 1 ' i • Coy+ ,,h: re /"[C6!05.
Print or Type Name ,rw Print or Type Name
1QZS (Oak ( PC.cAd1/4 -260.2 :(k-cry Rd
Matting Address Mailing_Address
taro 1 J.1 L 21$U(D cer�,-c i ./VC .Z 76-0 6
City/State/Zip City/State/Zip
2 5 2 - 322 - 3-?..2 - 05-i4
Telephone Number/email address Telephone Number/email address
312 � z � 3 /'>/-u � �
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
i 3:✓e, A.- W-iI IN',r":65'0,4 T b e:ft t uP <.,_>f 4 C 4

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S►CA m . C0 1/4_1-F0 n 's
!�
(Name of Property Owner)
property located at 1rj 3) f-} 1v Kc r L` Poi rViP cJ
(Address, Lot, Block, Road, etc.)
on oc.A4hC(etk f�m I1(o �V� , in PLArD(Cx , N.C.
(Wat body) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc��ion.
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)
Ase--(X6r rep lace ht.tl khYOd.
Cons+(cAc.:1 per
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.)
XI 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)
PcS piloSl°k}A-fs 'LyenPAn►Y LNG.
Signature Signature*
SDt , CA Joi+o 8. P,czsc
Print or Type Name Print or Type Name
[02 COL k & IbcCI Po. Box % 2
Mailim Address Mailing Address
icoro NC 2-1 8p(o fiagove44 , iv 27tot
City/State/Zip City/State/Zip
52 322 - 43V) ,2s-A-3.i:1-gm)
Telephone Number/email address Telephone Number/email address
3 12 12p 03 - 0 - 20..0
Date Date*
�- • I I Pc r r` SS o�� f •o P eh: UP Per ,,�; 4, (Revised Aug. 2014)
5 L "Valid for one calendar year after signature*
44/ a )

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: 6.p G A'c-
Date:4- 1-1A0-414 202 •
General Permit#: —7 S 4..4.. .
Describe below the HABITAT disturbances for the application. Ail values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. I TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfinal ' (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any •
anticipated restoration i any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impactamcunt) _ temp impacts) amount)
Lijo 62464 Dredge❑ Fill❑ Both ❑ Other ( —dSte) 4 , .
4.4P-av Qs, Dredge❑ Fill❑ Both ❑ Other$ Is?pO 43,4)p e..
15.94-1-co Dredge El Fill Both ❑ Other ❑ 14;:ip {� /41)0 fi}
O PO J ,Z •a.
ifrikTf7t._ Dredge❑ Fill❑ Both ❑ Other,® +S'p$ Setted el.
Dredge El Filt❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill El Both ❑ Other ❑
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