75461_Lora Setliff_20200319

�'CAMA/ DREDGE & FILL Iil #60 R1 No. 75461
A B) C D
GENERAL PERMIT (f QSt, Previous permit# ` {A..>Z 5iNew ❑Modification LIComplete 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 15A NCAC C-1 ''' / ` "`)
❑Rules attached.
Applicant Name i--v —A S t 1 L.t F Project Location: County 'fin,-i ri,
Address t'' n Vs1-44giiglitailnerailmilereet Address/State Road/Lot#(s)
h Y a ar -2.Sir t
City Stated G ZIP-PlImbiamibr 10 I itA,tc•/a i1 C}z F f p.. O t .
Phone# (25 2) r'14 -o3S 5 E-Mail Subdivision cI nn^ F t✓ER--e.- 1 er-- -i A- t5
Authorized Agent P�✓tz,.a'r am I�-4-' ?Q'z 1--- City t„ice+--*4-1 c- - �) ZIP '2 `S5 45 `j
Affected "Cw I1EW p.PTA NOES \ff PTS Phone # ( ) _ River Basin.?Art • PA kit t--,e-'
AEC(s): OEA HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body ?EA (-`('-) 1.7?-r c (nat 7 nan /unkn)
11 PWS: 7A'-‘L' c-U �IZi
ORW: yes / no PNA yes / no� Closest Maj.Wtr. Body 1
Type of Project/Activity i ►-1 s' t z. ,. -'_ 1 --, ) ' o'r '2 r+'' -i-2 Mr tL O l r1 GAS^ A
•• /
_2T P e-t_-4) R-t.-it-.-1*1t i-,.r, (Scale: 1 ' � )
Pier(dock)length
i I I
Fixed Platform(s) I I 1 � I "
--I—
Floating I I . I
Platform(s)
Finger pier(s) i
Groin length I 1 1
number
I
Bulkh�d/Riprap length !'3V' �'A M C. /cf.) U CY\ I I
avg distance offshore c . i i l
max distance offshore C ' t I
Basin,channel \ --
cubic yards
) : ,
Boat ramp r '') r-15� R,: t 1 a OF'
Boathouse/Boatlift 1
/ '
Beach Bulldozing 4 A Nlra
51cr 1 /A�
Other_ �� �`
\ IlL35------i
V.� I
_ L-t�z. -1-
Shoreline Length '3 ,r I-ti 1 I r __ a
SAV: not sure yes nO — G I� —L I ( — —
' k- I i t1Lirf c,�P I
Moratorium: n/a yes �nol
Photos: yes - ne�
I I ,
Waiver Attached: yes no ' I I i
A building permit may be required by: -GeA-1..F r- czZ . . [ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions _ ›-r ''' /..' A.-7 4-Ni R, r�eY, \/'-- \ W / �'-'^-'\ c 4:1(c --1.;
>(--±rG )---\
-- !`i ' 17,A-.//cam-- ",,-- E±—u-`t `�'49'L't'—')
Agent or Ap
Printed Name Permit'Officer's Printed Name
l —
Si nature **Please read compliance statement on back of permit** Signature C
g P P
N 1I
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.
t
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 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: Lv rc& -6
Mailing Address: v cicl, w0()A Y
\ N C a $5)
1
Phone
o e Number: o {7 ' s
Email Address: 1 nnse-+ c tt C:v rr,
I certify that I have authorized D (4); )-\ .4 or.1 Yen d< 9-1 ^ Go�
.Q
Agent/Contractor'
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ( t ( c& r
at my property located at 0 l i\ick_agrci Cree ORS J n5 Tvn
in a A-f lk \ County. C
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 O cer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Lora . M . 5e 1 'c
Print or Type Name
Title
I c JI ovoC.)
Date
This certification is valid through I I

r
I�
-I-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Lo r \1' 's
(Na a of Property Owner)
property located at 1 l0\ AAA.IIji C\fep y
(Address, Lot, Block, Road etc.)
on PC�m 't(.,d \J e Y' , in ?ct,u-&-4- CaccrA\ , N.C.
(Waterbody) (City/Town and/or Count�i)
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
•
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.
(Prop rty Owner Infor tion) (Adj c nt Pro erty Owner Information)
VMA/IA"
at re Si urg� )avv
e*' I
m Print or Type Nae 1 Print or Type_Name
l �1P J1)D6 0r I D 5 G z C rr,etCV Y
Maili Aydress �� ' Mai!- irtg I �1 n n - y
Ph ` .0 laQ
City/StaW/Zi City/State/cZ2 �-R4 3--�4 ( 5 2
� � I (� Des 3
Telephone N mber/e aL address Telephone u ber/e ail address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L0 re. S..- \,'CC 's
(Name
property located at 10) !,I6(id C r„ L of Property Owner)
(Address, Lot, Block, Road, etc.)
on Pam 1 v R1JPr- , in ecoA.c.of4 Co,„ #yy , N.C.
(Waterbody) (City/Town and/or Coulnty)
The applicant has described to me, as shown below, the development proposed at the above
location.
x X I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
1 M , 4 r Rif 4', .
/ee1 /e7/7
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.)
x >< X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner nformation) (Adjac/ ,�ent� /Pro perty Owner Information)
1....4)-r-75 04(4177. tit
Si mature I Signature*
Se4 � Cf `� y�1-1ON31 Mx �r R,2CANSslictUc CAM? LIZ AC"
Print or Type Name R Print or Type Name e s-[a-r c 6 K o M�O‘13 N' Cis.
td c)-O Cc16\eu1 ) ( lOA K Pa- Lfle2 GRr✓I;1_DA\W LiNss°cRA'7`ot`I
Mailin A dress Mailing Address
6.P n N`C g5 13 0) R 5 t-L 1 ry G"ro A.) N\L VI 46.5
City/State/Zip City/State/Zip
(a5a cote 1)3 -3 a.sa- s 1- a-4a0
Telephone umber/ mail address Telephone Number/email address
A a� ,9-Qa- 3- i4 -L
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant •
S l L f
Date: 1 R M na..c 14 2 ,Y20
General Permit#:
Describe below the HABITAT disturbances for the application. All values should match be 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 5nal
Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Choose One includes any Excludes any total includes Excludes any
anticipated restoraticn any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact ancurttL temp impacts) amount)
14E-
Dredge❑ Fill❑ Both ❑ Other ❑ - ? , 13
9jD Dredge El Fill❑ Both ❑ Other ❑ ts,s—v
416h1 2 Z j
Dredge❑ Fill❑ Both 0 Other 0 2 es,O zc' D
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both 0 Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill.❑ Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge El Fill❑ Both ❑ Other 0