75343_Amber Hope Baur_20200319

. CAMAJ
!L .pREDGE & FILL �� Vim=�cl/I No. 75343 A B C D
GENERAL PERMIT cl/ , Previous permit# A
�� New L_Modification CiComplete Reissue ❑Partial Reissue Date previous permit issued /,J/A
As authorized by the State of North Carolina,Department of Environmental Quality
I and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0 7 1 i. 1)0° .
I ❑Rules attached.
' Applicant Ni A Name fI. T R i i OP( FAU) `� Project Location: County C,}/ n 1/J(��/) CO G tiTY
1,.)
Address 1 Al Ft '4 A it.I 1 Er A C t I I Y Street Address/State Road/Lot#(s) 1).1) AL l r ri At QL L.
City Ro Pi IZ State nl- ZIP a 79 70 i:-L -1i)1 k1 p r ' A)(. 3),
Phone#(25).) 17-.5- `I 7 E-Mail _ Subdivision A l r r r A t<(`. !C r_ ( ‘)
Authorized Agent EV.IL SL ADF 9 ; - a56II City I\O12 12- ZIP 7q--iv
Affected ]CW C>W 74 PTA 7tS fl �
TS Phone# ( ) River Basin /? ,/oiTA/1I)
il AEC(s): OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /it 1 /MA RI!: <<C LA,i, e/man /unkn)
PWS:
�'''`� Closest Maj.Wtr. Body.,/.�4f&4 1rtq /rlhnl
0
ORW: yes /(no PNA yes no' i }
f r clt . 1. I 4 r Y +,,is .
i Type of Project/Activity ,/II L.1 ; ;i �=?z ifrL u G 9 I?EA P /4 Ay EASE W i 1}l )n
(Scale: I'-. 30` )
Pier(dock)length .IIIIIIII.. - .�... I .�•N..........
Fixed Platform(s) f ■� ■� ■ �■�■■■■■'
Floating Platform(s) ."'— ■���pc ,'A�7ftial:,1 ►�' Jti� �• •�••••••••••
Finger pier(s) ■.V���a � ; �� �m�mm•U�om•��ms
Groin length ' I I I
number �' / i III
,
Bulkhead/ prap ngthip 6
. avg distance offshore /0
_ �■• El r�l� n�=� INN. -
/ i
max distance offshore 16 ir
it 2i�i iIII!' Basin,channel j �� I -
cubic yards — I II • -��• � _.._
Boat ram /f,,t�i/ I,/�I1/;t �
p - iHiiIPx
�.) ,.
Boathouse/Boatlift
•r-- • I
' Beach Bulldozing 'I" .- i. •
, 1 Illir
n ; I:,' i
. I1 ` ' 4—... ' 1 ir ,
■ i J
...._ . _, , P 1 ___. PA Al $ i' 61 ;_
Shoreline Len: h
SAV: d110 yes no I ._.. .._._. t
I
Moratorium: n/a yes �I : iIHiI
fil
Photos: yes ditil
_ MIN ��� ...M • _._
Waiver Attached: yes I I 1 I I 1 I
1 A building permit may be required by: k/t.5.N vi( TON) (o c1Ai T'/ . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions .$L. r ' 7 11. 11o0 Pr )2 M ► I_
c o/ i7)71OA1 Al Ax IYA-5 k 1.d VP/
1 D( C�Art wAlZ i2 /I/lc) 4 .
k c- 1 5 /4zi __,,- *KEY)1N1 dAt(T—
Agent or Applicant Printed Name PermitOfficer's P inted Name
Signature **Please read compliance statement on back of permit** Signature
/1./6006 287Z, / I MA1c i 2 o z 0 (c( 'IL'( 1 a b
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(910-796-7215)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 9I0-796-7215
252-264-390 I 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

ENEgREDGE & FILLit;i1
No. 75343
Previous permit# /11'/�
L PERMIT A C D
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /,Ili
As authorized by the State of North Carolina,Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 0 t 11 i 11Do
O Rules attached.
Applicant }Name A berg H�(- JAuR Project Location: County it/ASP t/Vt—3/) COUITY
Address r/1l t /\I FCMAl?t E, 1.,/ ACtI iZP Street Address/State Road/Lot#(s) I JI AL1?1-'MAs&j
City__ o PCR. State Ak- ZIP a 79 70 .R 4C 11_ i2p O F 1 A)t 3
Phone#(15 .) i7—DI 7 E-Mail Subdivision gCA AR LE- 'aEAC q Q
Authorized Agent_-rg I.. ,SAL 1 y-23-6 6 City RO Paf l ZIP R ?7 7D
Affected 0 cw ow PTA p4s '((PTS Phone# ( ) _ River Basin i7n f 01/o 2v104
AEC s ; O OEA 0 HHF 0 IH D UBA ❑N/A n I ��,y
( ) ❑Pws: Adj.Wtr. Body!'IS�.t]w t/}Ri'I,. JO IAtg) 0 /man /unkn)
ORW: yes / no PNA yes no Closest Maj.Wtr. Body�E� ( sOI1AfO
Type of Project/Activity A1'n)0R) w 6of e ?gAPP MAY IA,( trio) lot
. :
i
...
(Scale: I1.30t )
Pier(dock)length
i !
Platforms) - ._. ..._ . . . I 1 _ 1 -4- — _-- --
Floating Platform(s) j f-
Fixed --.._ ..
Finger piers) - .- - _..._
Groin length 0'" - — -
number +'" r I •
Bulkhead/ . .. _.._.. . ____ _ ___..
it p
r ._..# .. '_ .
avg distance offshore ♦7 `?
max distance offshore + .... .. ___ __ — .... .. t_.� t_.; �. f 2\(I L r� �l . -—•---•---
Basin.channel ... .. i. I V` _ I 4_
cubic yards ' .l .. J J. _ '/...._-- _ _ —_ —
Boat
p
74
.__ "" - ..��-. r-
Boathouse/Boatkft _ `� 1 __._... ___..—_...
. .i .T -IA & 4F!A9
Beach Buildozin — — ,L——_"...,
Other
r T44_ ,.
z/ P __.._
Shoreline Len th i
SAV: not sur yes no 1
Moratorium: n/a yes no . —^ ` --`1— ._—_.._... .__.. . ._.
Photos: yes iif*\ • i
Waiver Attached: yes Ji i •
---- — — —
A building permit may be required by: 1)..k$'/)c1/G i�9 C o N/J r/ . ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions S,J 0 71I,110() I??izM 1 r ecl/oi iiivJ -
. � nm iYA),. W I pn/
I o( JATTjL WNW A/14)4.7
L r , c- T. S /(-1 F <K
LU )fv 1-IAKI-
Agent or r Applicant Ppktted Name Permit,ffcerr'ss Inted Name
1,GL
ii ture **Please read compliance statement on back of permit's* Signature
/CSC 0.0 0 .-g
I� MAeC,i Zozra 11 JtiIcY 76Le.
kppilcationFee(s) Check# Issuing Date Expiration Date

s
a
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
BRAXTON C.DAVIS
Director
19 March 2020
Alta Harrison Allen
1227 Albemarle Beach Rd.
Roper,NC 27970
RE: Amber Hope Baur
1211 Albemarle Beach Rd
Roper,NC 27970
Rip Rap General Permit
Dear Mrs. Allen:
The Division of Coastal Management has reviewed your 20 January 2020 and 2 March
2020 correspondence objecting to the above referenced project. The rip rap as proposed is
consistent with North Carolina Administrative Code 07H.1100. (See Attached) The project as
proposed is consistent with the appropriate rules and regulations of this Division. Therefore, on
19 March 2020, Kevin Hart of my staff issued CAMA General Permit No. 75343B for the
aforementioned rip rap located at 1211 Albemarle Beach Rd,Roper,NC 27970 (See Attached).
If you wish to appeal this permit decision, you may file a request with the Director of the
Division of Coastal Management, Department of Environmental Quality within 20 days of the
permit decision. I have enclosed a copy of the permit and the applicable rules. Please contact me
for the applicable forms. If you have any questions regarding this matter,please do not hesitate to
contact me at(252)-946-6481.
Sin rely,
-4- eL ---
KellySpivey
P Y
District Manager
Division of Coastal Management
Washington Regional Office
Enclosures
LD_E Q1
�NO�R.�D,�CAROM
.1-b ,t of...l.___.LJ U�YI, `/
North Carolina Department of Environmental Quality I Division of Coastal Management
Washington Office 1943 Washington Square Mall I Washington,North Carolina 27889
252.946.6481

I
LAMA/ REDGE & FILLi;;;I
No. 75343
GENERAL PERMIT 'l A B C D
Previous permit# N
Flew ❑Modifrcation ❑Complete Reissue ['Partial Reissue Date
previouspermit'issued /i/4
As authorized by the State of North Carolina,Department of Environmental Quality 1
and the Coastal Resources Commission In an area of environmental concern pursuant to I SA NCAC 070�� )00
0 Rules attached.Applicant Name AMUCK 110PC i?AAR Project Location: County IffASNI/'c,i i Cou1ry
Address 1,Z)) /\I BE 14 t?/1.- 3EAC{J Rp Street Address/State Road/Lot#(s) 1111 AL }_/''A ?
aty__go Pm State Al .:- ZIP a 79 70 ,g14e>.J 12P OFF NG 33
Phone#(15 ) 117- I7 E-Mail Subdivision ALg EAARtC • 6051c 1-)
Authorized Agent J:g I L St.A DE 9 R3•-25t L City RD Pi}2-
ZiP ?g 7a
Affected ocw w PTA XES PTS Phone# ( ) River Basin '7/1f(l)o'rm1x
0 SEA O HI-IF ❑IH p URA ❑N/A Adj.Wtr.Body 41 11A RL JO LI +U
0 PWS: (na /man /unkn)
Closest Maj.Wtr.Body AEU'?M A R Le Samd0
ORW: yes /D PNA yes
Type of Project/Activity AUThORi o 691 iYPAP /SAY gASE W11)flij )V
f
Pier(dock)length '` (Scale: ,,''30 t )
Fixed Platform(s) - --. .._.._. _ _ i i T -._.._____--.---,-- I (�
Floating Platform(s) I I .. ..i. _ :.5,)_..._.... - - -...
= - �t�I.:;;c_7u,�) -
1 Finger pler(s) �r "1 77
y i ._......
Groin length - •
number . �. ._
i Bulkhead/=:. :th fD S . J... _. - - -- ...._. i i - - ..
avg distance offshore Q f f ` r1 —
max distance offshore 16 I I L 1. _._.f --1-3Y. - -. . ‘-\c�� ,-I.
Basin,channel r __ �" -_ -j2 O - 1 •
—
cubic yards 1.
j . .. l ! _ _ ---1-
.�._-- I
y I i -.1 .
r "'
____17
Boat ramp — — — _-_�
Boathouse/Boatlift r • T--..... _ _... — _
1
—..._. r _ N _ 1—
c
Beach Bulldozing _ ;_.... It:I--- i.,� V • C) Elks�c d9'i 7 y— �? j
•
•
--i .N1 01Z -` — 1 -
-Cflj , - .
..-- . 1-i nof,m 131A,..,(4-1 F ----)g 011 .•
•
•
Shoreline Len h • / - -- --
SAV: not su yes no ._.. _.__ I 1
11-
Moratorium: n/a yes no I i--`�— I
.
Photos: _ _. - -
Waiver Attached: yes _-I I i - ! - - _ - l
I
A building permit may be required by: 11).Ajl)Pi(y-ad C p f f4 1'/ ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes//pecial Conditions Sep 0 711.1100 PE(z/h l Cvylf'�i7o,J /9Ax GYVE W1Pn/ -
ID ttiArr1zwn(z0 A/A)17
e r , T- ,9 /A a ery rd i_IAIK--
Agent or Applicant Pr� Name d
_YLv / Permit Officer's Intel Name
I
Si ture **Please read compliance statement on back of permit** Signature j
1%0'00 •j 97Z J� filAeCli 202 D 15
z4LY 26 Z A
application Fee(s) Check# Issuing Date Expiration Date 1
i

SECTION.1100-GENERAL PERMIT FOR CONSTRUCTION OF BULKHEADS AND R[RAP
REVETMENTS FOR SHORELINE PROTECTION IN ESTUARINE AND PUBLIC TRUST WATERS AND
OCEAN HAZARD AREAS
15A NCAC 07H.1101 PURPOSE
A permit under this Section shall allow the construction of bulkheads and riprap revetments for shoreline protection in
the public trust waters and estuarine waters AECs according to authority provided in Subchapter 07J.1100 and according
to the Rules in this Section. This permit shall not apply to shoreline protection along the oceanfront or to waters and
shorelines adjacent to the Ocean Hazard AEC with the exception of those shorelines that feature characteristics of the
Estuarine Shoreline AEC. Such features include the presence of wetland vegetation, lower wave energy and lower
erosion rates than the adjoining Ocean Erodible Area.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1;113A-124;
Eff March 1, 1984;
Amended Eff July 1,2009;April 1, 2003.
15A NCAC 07H.1102 APPROVAL PROCEDURES
(a) An applicant for a General Permit under this Subchapter shall contact the Division of Coastal Management and
request approval for development. The applicant shall provide information on site location, dimensions of the project
area,and the applicant's name and address.
(b) The applicant shall provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian
property owners indicating that they have no objections to the proposed work;or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of
the proposed work. The notice shall instruct adjacent property owners to provide written
comments on the proposed development to the Division of Coastal Management within 10
days of receipt of the notice, and, indicate that no response shall be interpreted as no
objection. The Division of Coastal Management shall review all comments and determine,
based on their relevance to the potential impacts of the proposed project, if the proposed
project can be approved by a General Permit. If the Division of Coastal Management
determines that the project exceeds the guidelines established by the General Permit Process,
DCM Mall notify the applicant that an application for a major development permit shall be
required.
(c) No work shall begin until an on-site meeting is held with the applicant and a Division of Coastal Management
representative so that the proposed alignment may be marked. Written authorization to proceed with the proposed
development shall be issued if the Division representative fords that the application meets all the requirements of this
Subchapter. Construction of the bulkhead or riprap revetment shall be completed within 120 days of the issuance of the
general authorization or the authorization shall expire and it shall be necessary to re-examine the alignment to determine
if the general authorization may be reissued.
History Note: Authority G.S. 113A-107(a); 113A-107(b);113A-113(b); 113A-118.1; 113A-124;
Eff.March 1, 1984;
Amended Eff July 1, 2009; October 1,2007;September 1,2006;January 1, 1990;December 1, 1987.
15A NCAC 07H.1103 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars($200.00)for riprap revetments sited at or above normal high
water or normal water level,or a permit fee of four hundred dollars ($400.00)for riprap revetments sited below normal
high water or normal water level. The applicant shall pay a permit fee of four hundred dollars ($400.00) for bulkheads.
Permit fees shall be paid by check or money order payable to the Department.
History Note: Authority G.S. 113A-107; 113A-113(b); 113A-118.1;113A-119; 113-119.1;113A-124;
Eff March 1, 1984;
Amended Eff. October 5,2009;September 1, 2006;August 1, 2000;March 1, 1991.
15A NCAC 0714.1104 GENERAL CONDITIONS
(a) This permit authorizes only the construction of bulkheads and riprap revetments conforming to the standards herein.
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time deemed necessary in order to ensure that the activity being performed under authority of
this general permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no interference with the use of the waters by the public by the existence of the bulkhead or the riprap
revetment authorized herein. Bulkheads and riprap revetments authorized in this Rule shall not interfere with the
established or traditional rights of navigation of the waters by the public.
47

ti
o STATE„,,-
:? ,-ir `Z
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. ir-
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,t,
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
BRAXTON C.DAVIS
Director
19 March 2020
Katherine Taylor
1197 Albemarle Beach Rd.
Roper,NC 27970
RE: Amber Hope Baur
1211 Albemarle Beach Rd
Roper,NC 27970
Rip Rap General Permit
Dear Mrs. Taylor:
The Division of Coastal Management has reviewed your 24 February 2020 and 20 January
2020 correspondence objecting to the above referenced project. The rip rap as proposed is
consistent with North Carolina Administrative Code 07H.1100. (See Attached) The project as
proposed is consistent with the appropriate rules and regulations of this Division. Therefore, on
19 March 2020, Kevin Hart of my staff issued CAMA General Permit No. 75343B for the
aforementioned rip rap located at 1211 Albemarle Beach Rd, Roper,NC 27970 (See Attached).
If you wish to appeal this permit decision, you may file a request with the Director of the
Division of Coastal Management, Department of Environmental Quality within 20 days of the
permit decision. I have enclosed a copy of the permit and the applicable rules. Please contact me
for the applicable forms. If you have any questions regarding this matter,please do not hesitate to
contact me at(252)-946-6481.
Sincerely,
•
Kelly pivey
District Manager
Division of Coastal Management
Washington Regional Office
Enclosures
OWAnnrit o1 Endroranstdi
Ir.1.1M5
North Carolina Department of Environmental Quality I Division of Coastal Management
Washington Office 1943 Washington Square Mall I Washington,North Carolina 27889
252946.6481

l
XCAMA/ REDGE & FILLil.iil
No. 75343
Previous permit# /4yA
ENVEL PERMIT previous A B C D
1New OModification OComplete Reissue CI Partial Reissue Date
permit Issued /1911
As authorized by the State of North Carolina,Department of Environmental Quality 11 !!
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 07I!'l ino
['Rules hed.
Applicant Name A1'lUEg Hoff- FAA Project Location: County WASP j/ ;i/A attacCOW/TY
Address J/Z11 /\L9EMAI?G}. pr/i1CM RP Street Address/State Road/Lot#(s) I i j AL 1AJZ(
City_RO P a State Ak! ZIP 2 79 70 F401 12P _63 FF A)t 33,
Phone#(25 ) 1!? $ 'I7 E-Mail Subdivision f4LgE/(ARtC • aE/NC V)
Authorized Agent 1-u I L St.ADE 1/3-254 G City I�0 Pni-
ZIP ?g 7a
Affected CW OW S PTA XEs PTS Phone# ( ) River Basin /7A50 l/erAM4
AEC(s); OEA HHF O tH O URA ON/A Adj.Wtr.Body!� /�XLl< ��Ul✓U❑PWS: S� /man lunkn)
ORW: yes / no PNA yes no Closest Maj.Wtr.Body4 4 I Y .SQNt1I)
Type of Project/Activity /4 LI'hh OQ)orb co 9/ l�11-v'A f /HAY FAQ"E !,J/U fl I L
Pier(dock)length
.-. (Scale: r 1'.3d t )
Fixed Platform(s) - -_� . J.... TI:tigPlatforms) AterAog -,y _..___
Finger pler(s) r __________.____' _... _ _. ... __. . .. ___ . __t_ -
--k!-- ... i-.... . .__ _ T
Groin le -_ _ - - —r -
number .l_. _..._.
Bulkhead/ 9 I _T f_
avg distance offshore l 0 f . ' .... . . .} .. .i_ i _
�I
max distance offshore i' . . . _ it P � - ._ •
Basin.channel "-` I j4- \ ‘DIM7 -
i I —
1 cubic yards i. . . ) �� !. _ . - --
Boat ramp - - `— — ( � _. �. ---� _—
i Q� �Ifi r�II'r/r��! —T
r �
Boathouse/Boatlift ; i .. —
7 -7 _ - 11 ,As API1
Beach Bulldozing l _..+ � � -*-- 1Ajls �.
l� 4,— W
•
Other J
�00 0IL-�-_� - -- —- P�C_ *di_- —__
Shoreline Len th • / -i— --i T �
r- ) _
SAV: notsu L_..._...
yes no ._ _... -
htoratorium n/a yes no �- -
��_'r I _ i I -
Photos _--
YeS rt\ -J_,. r 1- --- +- HWaiver Attached: yes Ili L_-,(_j_ -- l , j
A building permit may be required by: IJAS/i Ir1£i T ,) C 0V(Al'r/ . ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)Notes/Special Conditions ...Se I o 70.100 P R/t1 i r 6o/%0Y/7 i f A)( CAvf WIPIP/
10( I,,JAit1L Wmr2() ,ilw C.
t'Ll r , e_ i- ,.5 /ci 4...-(-e_ .KEVid 11AKT
Agent or Applicant P d Name
�7/_yGvr /� PermitOfficer's Hied Name
Signature **Please read compliance statement on back of permit** Signature I
900.ca .aS7Z 1 r1/tQc,i 2ozc f' iLy 20z( 1
kpplicationFee(s) Check# Issuing Date
Expiration Date 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to P rr ej A0 _ 1i 11.X'c 's
propertylocated at lc&M N L �eh .(Toe, of Property Owner)
1 (Address, Lot, lock, Road,et .).
on jQ,'f'i10►7(�q �c tYlc�, , in NIWar YV G 9/1 111 I n , N.C.
(Waterbody) (City/Town and/or Count )
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
/X I have objections to this proposal. AA.0,c,14-1 mehT1
0cc 0Av2,G,I O1r15
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
�Y I 'e Y / 1 1 r',. of t 6 br 'e�CJ. , ! f. V r
° C� p Y1
rein.
Hope 6e, r Pro etr. 4-4
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 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)
Sia.u( „5„,
,RatSignature*
mb e ey �at 13,44,e 1�-�. V\sax%' so Ac11e,r1
Print or Ty J/Name ,,�� Print or Tye Name [,
/2// ; /G�emA►rft' /./er/r�/ 1'4,13 \bernay�a. to . RA.
Mailing Address M ing Address
'Noe," rtlG 2 )9 >r1 rQ(1Y ) 1%1C XV2I10
City/State/Zip Cit v/State/Zipt t
.2 �2 .2/ S 2Nl ha1pe&Qr ad,(On, o-.Q,\Qi\ @ `C110.1\ •Gym qy ��
Telephone Number/email address Tele ho a Number/e it address
;2/ yl.".2 0 3�e,144,6
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

04
I

4 ke
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /?n1A�r �p ci_2/c?>� 's
(Name of Pr perry Owner)
property located at /,ill /4/AeJ1,f)tr)e ,bc[I J
/ r, (Address, L , Block, Road, c.)
on Q/bfmai"/C_ �7oK ipc?�, in fvCvr, Jt/C, GaQJ/ '7c? 64 N.C.
(Waterbody) (City/T wn and/or unty)
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
pment must fill fn description below or attach a site drawing)
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I t UL)� (1 t Y �7 in
pe � af-t Y I Yp � tr 'ftt
fZro (' ey -f-Y
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/ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature i nature* U
A rvl 3r.(Z \ t O I \A R Kag-he r i m t. . I cut r
Print or Type Name Print or Type Name
i-ll Alb-e_ll;m t tiCt+ e'ct , 119-1 1\0,0,4 6ei‘.ti Rd
Mailing Address Mailing Address
oPER NL. a.7970 Nc a7q- o
City/State/Zip City/State/Zip
s fiI - hopebc.ir' a- 3- cIYJ
Telephone Number/email address .a o t • (-Pr" Telephone Number/email address
�`-t -re b a-0 D-o Mott t /, ,2 0-2 0 -2A-c-. a 4 l dr.-
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

I hereby certify that I own property adjacent to [ (J///e fikeft'- 's
(Name of
Property Owner)
property located at l�l/ /1, ,)47,CS4, •a .,e - ,
(Lot,Block,Road,etc.)
on ' F/71l/f l r' �'�//"1i ,m / A1 : �'�)a l���t���
� ,N.C.
(VVaterbody) (Town(d/or County)
He has described to me, as shown below,the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlifi/boathouse
must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me.
XI do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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/ au
G "Telephone Number
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AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
]_� QQ
Name of Property Owner Applying for Permit: Hope. 6aur
n /�
Mailing address: 12..1 1 Albemarle Cad., React
Popcs~ /tl M'. 797b
Telephone Number:
I certify that I have authorized > I C (61ad d. (agent/contractor),
to act on my behalf,for the purpose of applying and obtaining all CAMA permits
•
necessary for the proposed development of •
I
/r� Q L /� I L f� t
at my property located at !Z 1 I r1/bCmariC etach,
Tioper, /Y•e. l7970
This certification is valid through (date).
(Property Owner Information)
I �
Signature
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1-1 1/1,-It_f- lei-*/i;).
Print or Type Name
Title, co. owner or trustee for properly
Date
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE) li '
I hereby certify that I own property adjacent to 1,01 U r J`?r. .r c% 's -t,,
(Name of Property Owner) —9 J--?- 4
property located at ]. j/ ,41) e im /t> Li A ,-pt' , 61tV
(Lot, Block,Road, etc.) G
on J, i ��ti id CD >in u k /f,1�1 ph CP/�i ' i ,N.C. yz J q
�;/
(Waterbody) (Town dlor County) & LI ,- ':
He has described to me, as shown below, the development he is proposing at that location, a
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse d--6 3
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. s,65
•
XI do not wish to waive the setback requirement. bJ
a
I do wish to waive that setback requirement. _3( gJ p
DESCRIPTION AND/0 ' I RAWING 1 F PROPOSED DEVELOPMENT: ..f �` C'
`t/ p .
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to l (/J/r 6.e 's
(Name of Property Owner)
property located at / // 416e/fprA � Gl� -I
A (Lot, Block,Road, etc.)
on 1 1),/pd ,in /I7A1 C-/�
A e t n 7l ,N.C.
(Waterbody) (Townd/or County)
He has described to me, as shown below,the development he is proposing at that location,
and,I have no objections to his proposal, I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
XI do not wish to waive the setback requirement,
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: ::.`4 /
Mailing address: 1 .2// Q/,1j f 4p11.14( '& /z/
Ropv ry C .z7970
Telephone Number:
2 S 2 7.2 a 0///
I certify that I have authorized Fr../(_ —41a (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at Ill/ am Y)77arie IJC�i rr/
I?ape,- 4/G 2 7 q ) o
This certification is valid through (date).
(Property Owner Information)
• f � fic - -sJ
Signature
Print or Type Name
Title, co. owner or trustee for property
Date
/ / / 2 d'

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NC Divisions of Coastal Mgt, Habitat Impact Computer Sheet
Applicant -AM .
B Pa 3-9 u SL
Date: )
General Permit#:
s34-3
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 I FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for (Anticipatedfiaal (Applied for. (Anticipated final
Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Choose One includes any Excludes anytotal includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or temp I restoration or temp impact
temp impacts) impact amcunt) temp impacts) amount)
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SF�r�� �, Dredge❑ Fill❑ Both ❑ Other � %"'
Dredge❑ Fill Both ❑ Other ❑ 6sc, iz,so
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
•
•
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑ •
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
•
•
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