75439_Frederick F. Brooks_20200304

CAMA / DREDGE & FILL p 5-1 fl‘n5 No. 75439
er A
GENERAL PERMIT Previous permit# / C °
A
)C New Modification CiComplete Reissue Partial Reissue Date previous permit issued ,J /A
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 tD 0-i ' `") ° ‘--) 2 / o
IYI Rules attached.
Applicant Name r��Dt-2,dK �, Zj.00 i« Project Location: County Be' c,- 'vim: C o.
Address 2.O• .3D x 3 aQ Street Address/State Road/Lot#(s) ai-f 3 2 / I b 4,
1 City Gi-roCaw,�ir State,/L ZIP 2-,4.,(v 4,, L✓ ` ' 4-V F z.,a y 'iDc` D2 .
Phone#(2s2)c".4. -/ f y E-Mail Subdivision 3/1 y s ./ F .5'#4,,,z a"3
Authorized Agent /-lov,--'ma's _i'-1 ,,-.4•C City G N.Jcaw •.-i .1' '-j _ ZIP 'Z-Sr )(,
Affected ❑CW ' EW 514ITA II-ES PTS Phone# ( ) River Basin-VA .-AniLc .b
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA III N/A Adj.Wtr. Body v,1,4--0 - '--,4 r (nat m /unkn)
❑ PWS:
ORW: yes ! no PNA yes ! no; Closest Maj.Wtr. Body PA"‘"-c"� '! J 'tlb-1t
i
Type of Project/Activity_ ,,a _, 7d d t 13'Nc-,Grit 4/, - Gt.-AA-T wehn )1 - ,; , :z. .
3 r -1. y; r-r , 3 Y 3, fib -rt r''t s . (Scale: / -'20 )
Pier(dock)length -.7
Fixed Platform(s) II
Floating Platform(s)
Finger pier(s),7 pc 3-7 ' II ;1,
Ill I I oliiiiiii
liGroin length `
number II
'Bulkhead/Riprap length '—)�' ■ ■ ■ 1 4.-i `�' �ez.,•, rmi■ps■■■■■■■■■■ ■■■■
avg distance offshore 2 ' ■�■■■ ■1■■■■■■■■■■■■■■■■■■■■■■■■■■■
max distance offshore "Z ' !iiH!.
-. ■ IlIllIllIHIllhllIN
■ U. ■■■■■■■■■IA■■■1�■■■■■■
cubic yards ■■■■■
Mil■■ 3Mr
.r•l'4+ 7,. ■■■■■■■■1E E 2�■■■
Boat ramp G ■■■■■■■■FrU■■■■■■■■
Boathouse/Boatliftl /3 c/3 ■■■■ - —ENE 1.11111111111111.1.111111111.1.1.111.....
■ �■■■■■■111■■■■■■■■■■■■■
'� ■ iltup ■■■■�■■■■■■■■■■■
Beach Bulldozing �� •• ■� ��■ ■■■ ■
Other -- 1111 t IIIiUIiiiiiii1IIEL!IIIIHUHI
■■■■■■■ ■■■■®1■ ■■■■■■
■ ■y P E■■■■iCirillSlgY■Yt\tlEM■■■■■■ E,a�t___ _ ■■o�t■�uEMNIM�,:■I�■■■■■■
Shoreline Length .t� migpilulluilikiiiraiiiiii
S or notsur yes no h'4'
1, ` - • '2 ■■■■■■■■ ■■■ ■■
Moratorium: n/a yes �> i f • H II IH1HHhUUIIIIIII
Photos: yes
Waiver Attached: yes no ---- ' - ! � 1 I I
it .
A building permit may be required by: Bz-iy,.,i n-r id. • . • 52 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 'S A 1AJ'7 -,•1- .') /!4 w'••/. A PP'-'cc-4,4T Pas r 3 # /1 1
'P'/ 7 z7'9 1, A-,a F -r c u w c-,-7 11 if J J C7-'.
1 . ,:-.. k'ei S Pf titer
` e Perm fficer's Printed Name
g/i / / t- /
Signature **Please read compliance statement on back of permit* Signature
k a to o 0
�Lt 'kb e 4 r'/a.t..,,1 -D 2 0 4 .5 �� Z ')- O
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 I 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 0-796-7215)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 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 PROPERTYOWNER STATEMENT
rw /
I hereby certify that I own property adjacent to A �r,.,% 's
//(i _ /� , (Name of Property Owner)
property located at / / ysi �.
(Address, Lot, B ock, Road, 9jtc.)
on Ceha/ lays�G�eSAare, -14S�+�s, , in ty , N.C.
(W�terbody) (City/ToWn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
XI 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)
j— hA-1/ ')E" ' 2c..41,a,a./ oh, ,-t 5/ye l3a .S�ole Dc
1 !Vc_ a2s/17 ar.i //pUi, w f-Avaikway
for Elf
fIL,0111 ? „,
6:
a
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.)
.r 4?)+1' I 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)
-/yam-/) / `� 124
ej
Signature Signature,*
Pint gr Type Name Print or Type Narhe
iiL 0X 344 1 N (4e1;t
Mailing Address,/ ,/ Mailing Address
/(/L �7��, ) .1' 275”
City/State/Zip yr City/State/Zip
Telephone Num er/email address / Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTYRT OWNER STATEMENT
I hereby certify that I own property adjacent to /'rr1,.;c A F 8rvci t 's
U�) O (Name of Property Owner)
property located at 1 7 O £' a�s 1A. ix
(Address, Lot, Block, Road, etc.)
on Cud/ , yri -54on1 Sul,, „,;•, , in C 44, , N.C.
(Waterbody) (City/To(vn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc�atjon.
1�( 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)
3
�A06.0 �• /1,� a���) . ate,/ y fOiL Baa f1,4- w.��� ,j�,�:�,Av4�kway
AcAIkX e_a l
n � ^ � fr o / I
a Iw4Ifr- vn/
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.)
►.� * ,, I 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)
Sig ture Sign re
Print or Type Ngme Print or Ty Name
Pa Req. 36's p o JL ,.`f l
Mailing Address A / Mailin�Address
4re.ow /1 L- t� /(��� W Its i'list;1 ,"G. 2/7 1
aft_City y 7g City/State/Zip
Telephone Number/email address Telephone Numb r/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1c.�-,L�
Mailing Address: i?cy JC&
Phone Number: . - .SYY /S'1S-
Email Address: 7irJt• ZO
I certify that I have authorized �Z
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMApermits
necessary for the following proposed development: /3 /k /e 4 /1/
at my property located at V e. Ea/rile- p,.
in /2e.a(kg,--tom County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
.?/c,,,04
J 7
//.
Signature
Irehr,,..4 11,0dt
Print or Type Name
Title
I .,l C/ / lO c
Date
This certification is valid through / /

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant S 2-/GL' 13;200,�5
Date: 4/ M(12c/.I 2024.7
General Permit#: 3
-
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. TOTAL Feet FINAL Feet
(Applied for. (Anticipated Final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes my total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impactamcuet) temp impacts) amount)
Dredge❑ Fill❑ Both ❑ Other I -2$p 2g'v
TrvM Dredge❑ Fill(ca Both ❑ Other ❑ /S b /ce
Si��e2 r r74- Dredge❑ Fill❑ Both ❑ Other,® `"?g
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑