75460_Harry L. Smith_20200317

CAMA/ L DREDGE & FILL T 1)4t LQ 5 3 ?�' No. 75460 A B C D
GENERAL PERMIT Previous permit# -
).--% :New ❑Modification 1Complete Reissue ❑Partial Reissue Date previous permit issued ,••�; I .cj
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 ISA NCAC ? f l .-07'-''
k1 Rules attached.
Applicant Name 14 A-P 12-y L . w, i-r r-J Project Location: County •ran&, ' i
1
Address .4- 1 1 1•.�• $A n, h-1 —,-;_1 . Street Address/State Road/Lot#(s)
City in/.A 7+1„J t.,t-e,t: State~! G ZIP -Z--7‘•381 i 1 •�-1.71_ 1 xl
Phone#(mac-L) i) 1 —90 1 4 E-mail Subdivision i'i I ',-
Authorized Agent 5(o q I % e 3 c,', 1 • e o,-n City WA si-t,rs.1 4-r-aN ZIP 2 �3`"
Affected 1 Cw ❑EW 1 PTA ❑ES ❑PTS Phone # ( ) --- River Basin—T'"a�-( a cv
AEC(s): oEA ❑HHF ❑IH ❑ -^
UBA ❑N/A Adj.Wtr. Body v. r 1.)c o . (<=1 ✓t:1(.. (naj/man /unkn)
I ej PWS:
ORW: yes / no '' PNA yes / no j Closest Maj.Wtr. Body "^1-1'' 0 k-' vc-� —
T e of Pro'ec ActiviI,'-''.---. .1 ti r t� ,-1
Type 1 t/Activity1 aZA�� �.i 3 Gv v,sy( r-r) 1
- .. ' 1 V t> l'>t 1 ti 1 h W X-1- S Z , P S . C.4-1/v tr J s 14.3,1 ry Q f •~rsitn r l A) ((Scale: sisal' )
Pier(dock)length _-
1 1 i I I 1
Fixed Platform(s) 4- - 3 Tr +6 �1 ",1 4`"-' I i I 1 1 '
—..__.._. I ,
Floating Platforms) t--._.. —.---.__......-- I - --�---
Finger pier(s) I I I
Groin length I 1 i ..
number I 11 ' I I I
_� ' I I I l .
Bulkhead/Riprap length , D- �`
11 � S'e 1,- y7IT,..L. i U 1[c 4.kx,3t I 3i k ("'
avg distance offshore i I rn�
max distance offsho I
Basin,channel i I (
i. i - l ,,
yi�;ems • �.__..__-...__...— `► *'�c +�t�, )
cubic yards ]r i #
V 1 "� O i- E"Sr-.1
Boat ramp T ( I j i S 1....‘ ICIW v
Boathous Boatli 11 I , F I r
iirrCU✓—cyt c� ,'. -. , -- —
_
l
Beach Bulldozing •
-
1.-J S'1 n2 ... ' TMJriytn r T c
Other -- i •-•— , 'I • _)!-a L`K,y T r,Liiti- ._._.—
I
.j_ . y i _ ._ _ i _.
Shoreline Length T 1 3' i is I 1
SAV: not sure yes no _ ( -- _.. -- --__.._--
Moratorium: n/a yes _ - _', �.
Photos: yes ® _4 -.___...._-.._._._._ I
Waiver Attached: yes no i 1 1 , - i i i
A building permit may be required by: G,-•r b or- �-,A•..,r 1,,-1 r1T-0,J V See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions C IT H pF ►. . 4,. J G-,t 111 1-.1 �'c -)-r-*-k� L cD-' \p-r--t-z., 1'7TA-c 1- 'D.
p•T 14, 4V'L'•1 Dt710t1-ilPt-'(,. I3OA•T-L'1--rS -Sr Kix - '7).a,' J -' ry-rlr-1'--) o74>tc ''.11—
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,r �`-i it : >)
'. .,, i b‘ I 6' )40-c v Kt C. ' ;
Agent AP Painted h PemiitOffrcer's Printed Name
•
rv ' . /..�� C._.
Signature **Please . compliance statement on back of permit** Signattlr(-- f -J ,1►
i
PU L 1-114-. Z >a 3 )6.. I '1 fr1A2,(.r1 2v2-0 1_-) S Z --«2 J
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(910-796-72 15)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 9I0-796-7215
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: tl co) L .
Mailing Address: H 11 W itv , S .e.e.-1—
Phone Number:
Email Address: V1 5 (04S\ I® . \. r a\,,,,._
I certify that I have authorized -F rob
Agen l Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: LAw et-) (,Ul,.d/ -t-
at my property located at `10'1 9 l 1 L-, A v 5\--a c)f ��,�•. )J 11\1L.
in -3e N County.
l 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:
t
Signature
Print or Type Name
Cj�,-✓
Title
.3 / 12 I Z c7 Zc�
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LIL.vv) l , S,,^ 's
CC (Name of Property Owner)
property located at 404f) L{ \ \ t Vlic 1.1 J
(Address, Lot, Block, Road, etc.)
on al.. ; c , in 1.,1.,. �- N.C.
(Waterbody) (CitylTdwn 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)
AcW1v)( 11-o 00A- 1-\...4Jcv)
L .
WAIV SECTION
I understand that a pier, dock, moeri g 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 P pe Owner Informa ion)
S
iae.aoe . L . � 1_ Stgna G D CT `/l rr/
Print or Tyee Name Print or Type Name
She ) `-t(q w. /00,:^ Sf �/1 '! 3c3
Mailing Address Mailing Addrgss I e ^ 2
Ci /State/Zip City/State/Zip J
Telephone Number/email address Telephone Number/email address
D
Date -- Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature*

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W6vv) (, , Sv..- 's
[[J (Name of Property Owner)
property located at 4c i \ W Y‘"6 "H 41Vr-e<-4-
, (Address, Lot, Block, Road, etc.)
on c .-I: c J yR:.-3.e/ , in LI c,Oftlin.Or-�-. , N.C.
(Waterbody) (City/Tdwn and/or County)
The ap•licant has described to me, as shown below, the development proposed at the above
locati.
I have no objection to this proposal.
-141 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)
y, Illillill_____
AckIlv)( D _)\1$ oca.4- t . 3— 4--v ki.,,,c....,) U...s1......."-I-
FTXX'� . \..\
Q , WAIV SECTION
a pier, ock, mo ng pilings, boat ramp, breakwater b tle- lift, or groin
must be set back a mini ' from m uaa-of' part n access unless waived by
me. (If you wish to waive the setbackaou-nta> i e appropriate blank below.)
I • to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace)t Pro.-rty Owner Information)
` I. ' 1 -
Si$natu e a re
l
Print or Tye Name r 1 Pnnt yoe Name 2 ,f „_
411 �rJ 1Mc.., ,Z1r (�,) . f (,4(ty S7..
_ _e
ailing Address Mailing ddre s
G ,�.. �'�,). Nc )86 r 1,�As f-r(IA:6 TcJeA, e ilk ,22R5
Cites/State/Zip Ci rState�/Zi��-� /�.��/
tes).- —))-)-qc1` ' ry �i`�s _ L�S 47C� 07
Telephone Nuirit2er/email address Telephone Num r/em i!address
- It- ZD -..1�h,2— /c7of0
Date Date*
(Revised Aug. 2014)
''Valid for one calendar year after signature*

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NC Dliv'isiiasa of Coastal Mgt. Habitat Impact Computer Sheet
Applicant L- Srvt ,"t_t,-1
Date: Ir? Nl/V7 e Zv z v
General Permit#:
Describe below the HABITAT disturbances for the application. All 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. (Anticipatednoal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name a Choose One includes any Excludes y total includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impactamcuntL temp impacts) amount)
CePtV
Dredge❑ Fill El Both ❑ Other 1 U
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other El
Dredge El Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both El Other ❑ •
Dredge❑ Fill❑ Both ❑ Other El
Dredge El Fill❑ Both El Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑