76061_Charlie Brown_20200713

•cCAMA/APREDGE & FUL No. 76061 L PERMIT M.DltID 054- Previous permit A © %' D
p Ai
w New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued N//-�
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 I 5A NCAC 07/-1 • /,()C) .
®Rules attached.
Applicant Name �N -it- u.. \/ Project Location: County 8F^</;mot L 7 r%, ,
Address Jr) /, 2.,t uJ -• A , _ Street Address/State Road/Lot#(s)
City 1,../ i.J,,,,_)t-t-r- ,,-/ State Qc _ZIP ?7 4''C cj //'-- ,,- .-ciz L., ,,.. :47,--
Phone# (L�"/-SSIoI/"G� 1E v
£-Mail Subdivision ' : ,.__,-i v j�-,, --r 7-
Authorized Agent ,per i,i-j, e - -`)- /-t/''L4.-- City -T> 4 ZIP 17 c.
Affected CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin 1 -??A`• ,%J AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A. Adj.Wtr. Body ' .i/- e-� (nat /man /unkn)
PWS:
ORW: yes / no PNA yes /no Closest Maj.Wtr. Body 7'"'"'"� v0'L
Type of Project/Activity „-=f-Y ,I T '.t/z4) z'r )3 ei,,,'A/-pv.40
(Scale:/ )
Pier(dock)length -
Fixed Platform(s)
Floating Platform(s) �^ _ A.1.tt.i__ .- r y t).� ��. \
Finger pier(s) \\\
Groin length ; I j
number I ,
Bulkhead/Riprap length ?.gyp
avg distance offshore "t" '.S
max distance offshore eo
Basin,channel I
cubic yards
) „ . :
j
Boat ramp
Boathouse/Boatlift
II
j .
Beach Bulldozing .a0-10Lr4',r .0q../ 4-y.) 73tf4 g)
Other j
Imo, , : � i1P41001110T .
,----..„
40
Shoreline Length /;Z-/.) ( /� y�l,t.r��
X
SAV: not sure yes no _ — ._.... t— -+4--
Moratorium: n/a yes (--_ P 14- L 646 , '
Photos: yes ' i
Waiver Attached: yes '-no , -
A building permit may be required by:f Co...o 1,- w•/j m,c / r v • '$ee note on back regarding River Basin rules.
{ (Note Local Planning Jurisdiction) j2/ }-7,1--7-7,_,.i1
Notes/Special Conditions h r t,.1L/ - ,a-4-7-7--,Ore %L 1•r7 in 1-4; 7(a ''?74 le)) , �r�L
7A h►GA c, 04 J . //-CZq)(3)j .5E /f;7--A crfE?)- h4 J I1VAz) LJST .9G t- l
70 - 4414-10C45-t-
. 1-rl,r j ?,,fit,/Z i -.j, .
A6-2e/c7 _,) 1---'ec--1
Agent or pli t P nted a (c. Permit Officer's Printed Nance
Signatur **Please read com fiance statement on back of permit** " Signat
<s-> /3- 2--v 7
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 (252-946-648 I) 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 252-946-648 I
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

•' CAMA
/ DREDGE & FILL Rk5 No. 76061
GENERAL PERMIT 11D. W W J Oq Previous permit# A BCD
>CANew JModification El Complete 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
❑Rules attached.
Applicant Name Project Location: County
Address / / ) A?,,= ,,,, :,- "--I -_ :. Street Address/State Road/Lot#(s)
City ,.,...'- -,--.4 - State ZIP
Phone#( - -.)--R4-71/ " '' 1/E_Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale:, ,_:, )
Pier(dock)length --
Fixed Platform(s)
Floating Platform(s) fr.,,r,.,.,. v L.I --....
Finger pier(s)
Groin length
number i'
Bulkhead/Riprap length /-'•'.
avg distance offshore 'S' i max distance offshore
Basin,channel f
1 I
cubic yards —
Boat ramp
Boathouse/Boatlift
1 j
Beach Bulldozing . s r 1 [ / ! O Y' '1 i+ 7 J a ftv w r fix)
a•
Other I � Y? i
Shoreline Length /. �'_ t • I:,'" ,a:i:..'. j
SAV: not sure yes no
.
Moratorium: n/a yes nU) ;, C. y, , , i i,,, I
Photos: yes ,,, " _
Waiver Attached: yes :�no 1�
A building permit may be required by: . 1See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
--F,Dc.")) Crik4.7<--
•
Agent or Appli t P ted e1. Permit Officer's Printed Nam&
t f ( - / \_fi'�" • -.-4.-.:sr
Signature **Please read compliance statement on back of permit** // Signature, -,. '
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 II Other:
I 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 1 5)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 252-946-648 I
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
252-264-390 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

Air�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date CO l 2i.
Na f Property Owner Applyi or Permit:
Mailing Address:
1 V-7iV2./\,1 k L Dr-
w,-5\f. )\con c,c. -a: 7 f3
I certifythat I have authorized a ent Cc\1 � to act on( g my
behalf, for the purpose of applyi for and obtaining all CAMA Permits necessary to
install or construct(activity) -`\-- '\tett) ,
at(my property located at) l 7 4.-\J i f v', e W cr .
W \I ; -sr o r VL )- 7gcl
7
This certification is valid thru (date) 3) t ) o .
gy...-„, 7(c / 7?
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]\FAX: [phone]\Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled\10%Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to S p•>^ 's
(Name of Property Owner)
property located at \\mot R.t, ry te..� bc jy( Z7$B°t
(Lot,Block,Road,etc.)
on Browk CceJ - in_ 4oe4r .N.C.
(Waterbody) (Town and/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.
I 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)
* ?".t0e"-.& cicrsA?. ‘D44-\k1/41&c
ne‘.0:.,ly bt•\k ''%ea. . v'o titr .a:g.q•-‘ \k\+•d,AK
W.(\ be Co<,s�r 6.:��y �ton�- e� -)Cs-
- Area. be'..•,c b%-.\k%, ` w•\\ toa G'•kkec(
Signature
\
T-\t'' t''.w G ISiC'•�I
Print or Type Name
54D- Itet'
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
a (FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to C__ _Ata. PkiSrW lr srAr1 s
(Name of Property Owner)
property located at 11-1 ky.A.F•si
(Lot,Block,Road,etc.)
on -6re4 ,in_ •orhr- .N.C.
(Waterbody) (Town and/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.
I 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)
"� T re.I:eb b�-\Y.�n..� vw \o�ger •�......\.�e.��` . h•AnaeA,
� (1
•\1 bt CoNsk,-...Nak A3ete \v ;^ 1re�ti•4 Cs e_v.C�.�►�
-I` Are.. b�.\At u.c1 w.'t1 be. ,CANa
gidlIrre4
-Arnyc� s-
Print or Type Name
?S 2- Y_Yl�-- �_4 Y1 Telephone Number
Date: 7740 a_ack¢____ -

NC Division of Coastal Mgt. Habitat Impact Computer Stieet
Applicant: G14i41$Z le
Date:'`"-- -(o D 6/
General Permit#:-7 C,D 1_.5
•
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. i FINAL Sq. Ft. j TOTAL Feet FINAL Feet
(Applied for. (Anticipatednral (Applied tr. iAnticipated anal
DISTURB TYPE Disturbance total disturbance. Disturbance i disturbance.
Habitat Name Choose One ncludes any Excludes try total includes Excludes any
anticipated restoration any anticipated i restoration and/or
restoration or and/or erap restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
4/..;cyaez..../t Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ 60© - i `
Dredge❑ Fill❑ Both ❑ Other ❑ Il Q r3- 92a
Dredge❑ Fill n Both ❑ Other
! i i
i I'I
Dredge 0 Fill❑ Both ❑ Other ❑
i I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both I❑ Other ❑
{
� I
Dredge j Fill j Both ❑ Other ❑
� I i
lj Dredge❑ Fill❑ Both 0 Other ❑ i
Dredge 0 Fill 0 Both ❑ Other 0 !
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge D Fill❑ Both 0 Other ❑ j ! ! j
Dredge❑ Fill❑ Both ❑ Other ❑ 1
' I i
Dredge❑ Fill❑ Both ❑ Other ❑ I