75340_Bobby & Angie Evans_20200309

0 CAMA / DREDGE & FILL Zp A- (05381 No. 75340
GENERAL PERMIT -5 Previous permit# A C D
j4 )C _rNew Modification L-.Complete Reissue HPartial Reissue Date previous permit issued
il As authorized by the State of North Carolina, Department of Environmental Quality
rl and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC - ;. _C t. .
_ gRules attached.
Applicant Name (,� i ' ;i,a,,,, Project Location: County :1,,
Address J/C) c 7,,�,,, (-24,, Street Address/State Road/Lot#(s) _r C( r0, <an
City 1 ,,•.i../I State 1i6" ZIP -.2/ - r;
I Phone# (,1� '3/ - yU(X-E_Mail /• /.Jti cs- ,.fc_ r I •.,, , ,.r, Subdivision ,, /l
l
[ Authorized Agent �,,„u r� City /4 ZIP /S'! �
CW 7 EW PTA L ES ❑PTS Phone # (____,A2V, River Basin / /,
pi
Affected _OEA 17 HHF ❑IH ❑UBA ❑N/A ,�� 2
AEC(s): Adj.Wtr. Body_ ,. .•/t, ,-- y ., 4na5 man /unkn)
__ PWS:
°' Closest Maj.Wtr. Body /2..-4 %J,
ORW: yes / no PNA yes / no
Type of Project/Activity C-;..L/, - C, /( , ... /( f/K `! ,/,i1..,
i / e/ / I/ , (Scale: )
Pier(dock)length zf ,,2' i
Fixed Platform(s) /(L •/G ' L __ I '
Floating Platform(s) 1
I� I
Finger pier(s) � I I /^ 1 � _ � �
Groin length I , ' V`/` (1 1, I,,,�- I
I
number --i I i k
i ,V►)
Bulkhead/Riprap length — }?�' j
avg distance offshore { j
max distance offshore I I I
�/ I 4
Basin,channel ---i �+ + I i '
cubic yards 7� ` + v r .
Boat ramp 111 I i
Boathouse/Boatlift /I/ 'Xf'/' { — I --
11
--✓-_
IL,i____
.-Beach Bulldozing i , , ` I �t'� 1.' f
Other I I f — r 4 f l ,c .. r ,� r d
r ,,
f� r{u oq,Ct�gc1z) ,r7 B Ovz- trit,,er V- -a4C&-t Ggr-.f1( ,..Gty'<-:,G C 6-,cl p chit-R7
L. i— r i + _.- i
7
`! Shoreline Length /L (., I i l I: � , _ i I i f/
,7 '
SAV: not sure yes (no
t J i {.; .-4 _ _ Y _
j 7
ti I I C (� Ja
1
Moratorium: n/a yes o
Photos: yes (io 1
�Q,; 1 i I I !
Waiver Attached: yes V
A building permit may be required by: /re..., 7 -I . 'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
• Notes/Special Conditions _ 71_1rLC C
6 DU )lJ �., r -/,-)/fi r
Agent rApplicandPrinted Nam Permit Officer's P ..
rinted Name
_� AllJ --,./ . ,--
Signature **Ple a read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Datp Exp tion 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 252-946-648 I
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 60.6$1 Arlcilt, �vaNS
Mailing Address: 3►ol Aftzo.-f-\&pp PtALE
F I L UC': i N G 218 Z V
Phone Number: Z5Z• 531 • 'loot)
Email Address: bobby) cdrf:ora►ncsi60 ls.corn
I certify �e.-that I have a e authorized � 5 Quo 5E
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 5 � (A:01 LAN C, - 6aT1{ N C. 21 go g
in $ -Avf-ot�-i 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:
Signature
t3eeRiA faJA,r4`�
Print or Type Name
0V.11-1 e.1Z
Title
It I 21 / tg
Date
This certification is valid through 4 I 3° I 20

c' S>i F D a AO._ • fRE i U`:_c@ .N FCEiPT RESTlE)
OF
+�, p�
coi .r:i'�-•,w t.' 1
F1�JA vE[iI_. PARi?',1+; PROPERTY OWNER M E , O aW s spy FORM
Name of Property Owner: o5 d Aq--1 t6; £1.,041.4 S
Address of Property: f`t t-AriE NC• 6(31%)FT T 1
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
! hereby certify that i own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing jhe development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beina proposed,you must notify the DMSiO?of Coastal Management
(DC ) in writing in.ri Ein 10 days of receipt of this notice. Contact iriicrra ton >o.' rDCitil of ices is
available a . : __.._. of by ceiling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified 3y Certified Mail.
WAVER e4..EC 1 I,ON
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 mustinitiei the appropriate blank below.)
l do wish to waive the 15' setback requirement.
Zti;
do not-wish to waive the 15' setback requirement.
( :op er,.3 Owner 4ofo:rnaL3or) (a:p Y�Gr: Property 41 ka7i r. dm:^^ laio np
:S'igncii ure Signature — -
F. c)C6111 1-.144-45 1
Print or Type Name Print or Type Name
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Mailing Address Mailing Address )))
FAf-YiVtt. k, t Ne. ribZt,
City/State/Zip City/ tate/Zi•
Z52,. 00D bokAa.0 f,tek af-.4 i
Telephone Number/Etlail Address T a`iep. one ivumber l Address
t i (2.1411 I t f
Dole Date
(Revised Aug. 2014)
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant A en %j: c.tr.
Date: is. 4 a-2.0 -o
General Permit#: Zs,t/O IT
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedtiral (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance Disturbance disturbance.
Habitat Name includes any Excludes In total includes Excludes any
Ctioose One
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
/� ,/ temp impacts) impactamcut) temp impacts) amount)
O4G`` ^'fide,' Dredge❑ Fill❑ Both 0 Other I� ere`I' sYtY
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑