75459_Greg Respess_20200316

0 - cAmA Pc DREDGE & FILL �D cosa�i No. 75459 A B C D
ENERAL PERMIT Previous permit#
Y� = ew JModification Complete Reissue iiPartial 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
._„_;Rules attached.
Applicant Name ; iL-3 i'z--.2, 2 - Project Location: County v•
Address 'P. 0. 302, Z y-f 1 i Street Address/State Road/Lot#(s)
1i'i � n i k L. „„
City VC-+54L-17,iz, .-c,-.1 State ZIP SS sS 7 e 4 c.,y Pc-,--,-r 7r1" > .�c S 1-4arc t s
Phone#(Z(:) )46 - 21 a E-Mail Subdivision i-?A L, `, , v,T S L�„1; -7
Authorized Agent --a-,..0<i n,, G p e , ,-k 7 City _.,-1z>t w1i,1 "1 ZIP ---)c< ,__) ,,,
Affected -Cw MEW ❑,PTA CUES *IPTS Phone# ( ) . - River Basin T Ncz-- PAS�. <
_OEA 0 HHF ❑IH 0 USA ❑WA
AEC(s): Adj.Wtr. Body ,. , r^70, A a>h i (nat /man lunkn)
PWS: .�
ORW: yes / no PNA yes / no) Closest Maj.Wtr. Body e,`1 i `. ' ' u l2i 4 CY',
Type of Project/Activity Zc cc.., z�-)J. ; � . i4r� ri; 41 y
(Scale: ) .- -2z '
Pier(dock)length I I !
Fixed Platform(s) \ j
Floating Platforms) { I f { {
Finger pier(s) / i
Groin length . b_ j I ffffj
number /` I .i� t i‘i- 44
Bulkhead/Riprap length--)..C. --
avg distance offshore 2 '
max distance offshore 2_' Y. f !
.• )Basin,channel i L '»1-+I �J ��'+�N _
cubic yards___ _ •
Boat ramp
Boathouse/Boatlift ---y 2! ! _ . -_ ,G
Beach Bulldozing f
Other '
- `` .
41 tr . .dam:} ,,.
Shoreline Length C ri¢oo t� P • _ A
SAV: not sure yes no ? -'-J . t� .mac ��
Moratorium: n/a yes po rj 1 t !
Photos: yesr i ,
Waiver Attached: yes now I
A building permit may be required by: -A..4.11rpF-t-r CO • . ]See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions \ o T ),=. ,v"Ai .--'7 c- n, L A—v.f,'-.1.
t 6ic' 1,:e .(iC - tr 1'L•, '7 �7, J r.,,,,,
Agent or pl)cant Printed Name PermitOfficer's Printed Name
-A--S
Sin ure **Please read compliance statement on back of ermit** Sina re �,
g -'� p p
•j:_J
5 _. .,�` k 1 L�-`�C� '� t..o<o'l I In I, �/�-a.-, �r.�2.0 /C-�,-�i•1,,, "Z o2 D
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(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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Grey 4- 604 esioess
Mailing Address: P 0 80). a +J J
L,J A3 ; ni tor) JJ C 21881
Phone Number: t aSP 1 ?TS-3O Y9
Email Address: rej E? GOVe r;n,.c by d e.c:jt).c Sri,
I certify that I have authorized Robb:e nopk:e)S
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Can,. I lg(AlicAed rep lacemend`
at my property located at y-MM- Aaly,c:dc, nk;Ve_f GI,nLnw;n:ly J11 )7, I-1,
in Reawfor County.
I furthermore certify that / 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
CS re q A Ales
�J Prirff or Type Name
Title
3 /aoa�
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6req T�2 eSs 's
o `Name of Property Owner)
property located at 40 *East AayS;de_ pr;ve. C Ch()Co(,);n;h rV L
(Address, Lot, Block, Road, etc.)
on CAococi;i q fg , in J3e0.0 for , N.C.
(Waterb'ody) / (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca io .
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)
Rep/ace ex;s1in,1 Gan, I buikilea .
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)
AZerw`'' `—
Sig Lure Signaytpre*/
e Ss / r (n4
Print or pe Name Print or fype Dame /5,40412,4e 'of
ife
Mailing Address
n Mailing Address
jJ C., A7g SA
4'G or),117
4it /Stateip 1 / City/State/Zip
S-aa►�19r�, eCouecij.sbyl�e)t0f1. LOH} trYy-/ 'fr1
Tel9phpne Number/email address Telephone Number/email 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 're/ Respe.,53 s
(Warne of Property Owner)
property located at qf. e rde.51tt 8 Dr. 0-060 u)i 41 AZ- � 0 7
(Address, Lot, Block, Road, etc.)
C
on hOCOOLNV 13cct.1 , in 13e orf' , N.C.
(Waterbo y) (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)
-p/a.c e. e_Ac i t f 3-h g 10 LA4 } he .
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 Prope wner Information)
SigGree Resees� Stgnl ,lt/ j04fh44 s
Prypt or e Name Print or e am
ND bX `ti 1 ��piip.
Mailing Add ss �t q Mailing r s
�A,Sh;nS1an r rr �.78g I f,nJ�'
tlity/State�Yip City/St
H'S-$)lo 1 J rc,q C.Gc)Ue�.nj4 iyde3;,5640" '
Telephone Num erPemail address Telephop� r/ rail address
3Is 1 a.-o J L
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant 412G, 3 96-4�
Date:!le ✓)Alzi.4 20
General Permit#:
4-s4=1 5
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. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total I disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated i restoration any anticipated restoration and/or
. restoration or and/or emp restoration or temp impact
temp impacts) impact am cunt) iemp impacts) amount)
4,..4Z. Dredge Cl Fill❑ Both ❑ Other 0 ��"� f:I ^715 3—
It4-t b 14
lLowJO Dredge❑ Fill❑ Both ❑ Other El l 2qn ek72" t, pit?"
4li11ww
'PSP Pro M Dredge El Fill se Both El Other ❑ ? ce %S d
•
Dredge❑ Fill❑ Both ❑ Other ❑ 1
Dredge 0 Fill❑ Both ❑ Other ❑ .
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both ❑ Other 0 •
Dredge❑ Fill❑ Both El Other 0 •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill El Both El Other ❑
Dredge❑ Fill❑ Both Cl Other El