75496_Jack Rowe_20200521

CAMA / DREDGE & FILL No. 75496 A C D
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GENERAL PERMIT Previous permit# _
New ❑Modification ❑Complete Reissue CPartial Reissue Date previous permit issued B
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 /'' ' / 2'©"--) .
i]Rules attached.
Applicant Name 7 a )20 i"' - Project Location: County 3 . -,s-07 .r-
Address / -.2 5-3 ,-/C <-/r..-3}- L Street Address/State Road/Lot#(s) b c v i�6.--7^ .2
City ;�/r(Or>-),,c", r ,, State ZIP _ i s.-2 _ _ ,--.-/ , J, �/ /4 A �i?r/ --
Phone# (__)q'/Gp-232-4c E-Mail _ Subdivisions y.,92 3'6/3i4.e: J-10,1c 1)1-Z,!`
Authorized Agent /./n,--/%= %k--, "y 4., v - c 7'7 C,. City (.s-%ol"o , -" / ZIP Ts'/ 7
Affected ❑CW ,�'EW A-PTA El ES ❑PTS Phone# ( ) River BasinT7:4-, -A",,,(J
❑OEA -HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body PI,, ,e v ,v�yA, (nat [man /unkn)
❑PWS:
ORW: yes /(:no j PNA yes
Closest Maj.Wtr. Body ""-14 'Z'v 72, L
Type of Project/Activity Gam-It -101.4 c r 3' ),' 6 I IP/&h iv 4 J , . L-J-/ 4j
,
(Scale: 1 = )
Pier(dock)length?2 k C.,
Fixed Platform(s) /4 k F' j I I 1 -
-4-- �r n4,i v ')� wit I I. _
Floating Platform(s) I j
Finger pier(s) \ -- 1 — i
III I
Groin length _ I ' I . i r I I
1
number I —(
Bulkhead/Riprap length '44 - ■ , _■_.■
avg distance offshore `+ ' MEI
max distance offshore If -� �■,■„
Basin,channel I
,!LJ!lUiIJIu
� �� �N
cubic yards
Boat ramp Boathouse/Boatlift _,_.____ _ ,
Beach Bulldozing
Other , II - t- - MIME
I
lig
+ UIUi!IIIII ! i '
0
11 Num
_ M J... .
E
Shoreline Length Z i S IN
•CDI 11PrillIF- _ ~.1101111
SAV: not sure yes no -) -s r 1 �. _._ 11111 M.
-� + ' _ Min SE
Moratorium: n/a yes ',._no, rjp.. .� ,t.+ i •
Photos: yes _,_._. I i ' �._. _ .—
no i � r �� I i
Waiver Attached: yes no
A building permit may be required by: 3i f i rJ•71- -"—✓. . ]See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 'S A-7ra 7n.,'--,1'7 0 G..s-ti-,., i / /-+'`,1- ,.� ' ',
L. y 4
✓PJO9 '7 1-t-'# 2/A-)4 .a f`/ r7tSf Sr/7 A^ (,; :PAJNA7 ri?- '- I N
Cr rl4 �I �Cy t-llsrs ss , 4 , ;�,i.e �,
A ent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read c pliance statement on beck of permit** Signaturbl
)-30/c-/-lic 4 2Do % I 22 W 2/ A-e• 7 22c) - i 5 er7. 2v2c)
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 0-796-72 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 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

Authorized Agent Consent Agreement
I -L t \o W&_ ,hereby authorize H n k E U CS to act on
(Property Owner) (Authorized Agent)
my behalf in obtaining CAMA permits for the location listed below. This agency
authorization is limited to the specific activities described above.
Property Address:
S Ic1 ley-tor L-n
Eta /Ant-5 Creek , .) C 711y
Property Owner's Mailing Address:
The `owe-
I -7S3- ,y 141 SE E- .
C licia-,WIn; -hi , AIL .27' U7
Property Owner's Signature: I ('/,f!) ( i5_j �r>e,
Authorized Agent Signature: }1rV1 r'io,
:Date: C 1 3 " AO
Form:Authorized Agent Agreement as developed by NCDCM revised 9/25/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to R o w+; 's
q I �7 SName of Property Owner)
property located at 1 b T D ^ -3 (C� all for LC. _
{J ;� (Address, Lot_Block, Road, etc.)
on l��( (�(nY1 S I�G� in 1�In n�S C S`K N.C.
aterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1 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)
tO2ce %-k-h Cat I ver+ b& -we2A the. s wean i7 and
o el- to ki (1 -a .rtt✓ K
b 2 r rt es-- Ofl ap f It/CS 10E•ak--)y C* o + a- c,� rk.Fo-bte.-}-64
S ►note, li`rte„ -avid 2ISz✓ btA (Qt v.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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
with to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 / I do not wish to waive the 15' setback requirement.
(Pr Owner Inf on) (Adjacent Property Owner Info ation)
Signatur &mature
2Ck S c A 1\,\At4. 41
Print or Type Name Print or Type Name
JJ'7 C NC 14Wy L 42(?'0ti;; s--)1
Mailing Address Mailing Address
City/State/Zip City/St te/Zip
9LI 73 D( 33z (
Telephone Number Telepra Nrber
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ' 2C- K l\C)VJ2_ 's
ff I in, 1 (Na a of Property Owner)
property located at k4 i' — 3 fr l T I C i �In ,
on 3bayk-h (Address, Lot. Block, Road, etc.)
LS(ofnrt�S. CctLL . , N.C.
(Waterbodyl (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)
peo �cE -tie c A 1 \ync'-f o& e&,\ -ate. S wavinsio vnd
$ke T�ver 2v1& bt^L1' (0fcmie. 7 3`(.x�G
b2r.j,cEr Cyr\ vrrse) � v-1 2_4- I 10 -± b
\ \ a- 1
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
Q I do wish to waive the 15' setback requirement.
tip' I do not wish to waive the 15' setback requirement.
7
(Property Owner Info/f'f�ation) (Ad,entProperty Owner Infff rmation)
Signatc re.!— u„
J • R0We / J .ey a - 3./SCR
Print or Type Name Print o)r Type Name (//�[�] /7
f I-i - NC Nyy 93 r _ � GY�r/ 41 r� G
Mailing Address kl M Ir
ddress
City/State/Zip 9 t!co 73 n Cit y
Telephone Number Tele�j hone Num0r �y
Date I _ I c0—au Date- 7i —,/�f /
(Revised 6/18/2012)

MC Division of Coastal Mgt, Habitat Impact Campt4ter Sheet
r-- I
Applicant o t"-7
Date: 2 7 /Vl A\--r 20 2 O
General Permit#:
-7 Sy-9c, _g
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. (Anticipatednaal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. .•
•
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or •
restoration or and/or Sip restoration or temp impact
• temp impacts) impact amcust) temp impacts) amount)
Dredge 0 All 0 Both ❑ Other Epb 2 Va n Z: cb
Dredge Fill Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0 ' •
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill 0 Bath 0 Other 0 •
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ All❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
• Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
•
Dredge❑ Fill❑ Both 0 Other 0 •
Dredge❑ Fill❑ Both ❑ Other 0 •
•
• Dredge❑ All❑ Both 0 Other 0 •