76080_Howard M. Roll Jr._20200811

0hCAMA / DREDGE & FILL S
- U��� No. 76080 A C D
GENERAL PERMIT Previous permit# ��,!-
)C 2New IIModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued U/,/
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 A' G/ (/ /_/'is 0
5•Rules attached.
Applicant Name f/ati< i</ /u. //u // /
Project Location: County -'• 1 c•r / Co
Address 7/t(( O/d Jeri Jr,, /' -• . C / U-' Street Address/State Road/Lot#(s) - '/ `f/ Oa /1'•'-'r `•-
City /Jc fl, et-,,, State," ZIP .2:•?-/U i- - ( lJ LJ•1
Phone# ?/ /� 7 �' �.>. Subdivision /,
(' ) / -Mail if/ /4/l f '• . r%.. / / •
Authorized Agent /o,(j d- • �Jr,N I City i ."'/(+< e ti ZIP %��U
Affected ❑CW ❑EW p PTA ❑ES ❑PTS Phone# ( ) River Basin 4- //,"
AEC(s): ❑oEA ❑HHF ❑IH DIUBA ❑N/A Adj.Wtr. Body / ' /,.-. - - e at man /unkn)
❑ PWS: /
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body !. �v
Type of Project/Activity f�//f /<, _ D 3 / ,/,:, / a t ,// �-' .,J
(Scale: / O' )
Pier(dock)length
Fixed Platform(s) /(' ' 0 C
J
c
Floating Platform(s) I . I -
Finger pier(s) '/,> (, ) :7`�x P✓ �V «2° l
Groin length r'ti' 11 l' +
number / w' i
Bulkhead/Riprap length +y it ,,
avg distance offshore
max distance offshore i , l
Basin,channel 1 ' .•I /a'/j
cubic yards fi�,
Boat ramp i , - , 4
Boathous oatl j /1'`/_..? / ,1 i I ( t •
• Beach Bulldozing �,T.,)� ~�P i ,
Other c ,,i ,
I
, Ai 1C7'.....''? I
I
Shoreline Length . 2 '"
SAV: not sure yes no -I — — a_
Moratorium: n/a yes I I I io
Photos: ,yes no J l �__ j
4
�_s. f" fr 11 / f, f� ; /1' ,N
Waiver Attached: yes ,no '
A building permit may be required by: /-)".e a "r . ISee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ,-re e o�//, /-2da
b , y, 1-76,z2,1--,/". ....r _.2,,,, I 1-7e-,,,1/e:/../-
Age , App• t Print N e l PermitOfficer's Printed Name /
Signature **Please r compliance statement on back of permit** Signature
200 a Yi 7 ,,/ 2l2t // /2 ) 2
Application Fee(s) Check# Issuing bate 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 252-946-648 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

O [=JCAMA / ❑DREDGE & FILL (` No. 76080
F GENERAL PERMIT �� � �� �> Previous permit# A B C D
)C CJNew ❑Modification ❑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 I 5A NCAC .
Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s)
City State ZIP t
Phone# ( ) E-Mail Subdivision
Authorized Agent . j,4, • , City ZIP
f
Affected ❑CW ❑EW [PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑oeA ❑HHF ElIH ❑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
i
Fixed Platform(s) `^ I/
Floating Platform(s) ` — — -
Finger pier(s) v
Groin length /a . . • j i
number - 1 i I
Bulkhead/Riprap length J , • I _
avg distance offshore A ll i r
max distance offshore �
Basin,channel / , l
/
/ I
-- - �—. , s
i
cubic yards , , \
Boat ramp _ .
it f • .
Boathouse/Boatlift /
Beach Bulldozing
ii ,r )
Other1 r„,..‹/-.-----
Shoreline Length
o
SAV: not sure yes no, ___ —
i
Moratorium: n/a yes no
NV
Photos: yes no L_
Waiver Attached: yes no
A building permit may be required by: t' ' . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions //, /2t. 2
G 1,..) . 7- hic _:)/-, .., ..,--
F. Agent App• Print NAne 1 Permit Officer's Printed Name
G
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:
I Tar-Pamlico River Basin Buffer Rules 7I 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
252-264-390 I Fax: 9 I 0-395-3964
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 11��11
I hereby certify that I own property adjacent to / ILL . tzfL 1N1 > (a01 1 Ja< .'s
Name Pr fProperty Owner /
property located at 2 1b(( b - b PA-KAItLs .c4vm $rani L (U }..OL-
(Address, Lo Block, Road, etc.) //
on �,/�yy.It(_v Rt.LAC in (E , v> N L ' rIv N.C. � k�`
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
• — - .25�_ y g X,?O
fve sv-c-, l f?mt"--
To
�I /9rb
r 6-
o
r L AP
;
/A wa WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by i
Z me. (If you wish to waive the setback, you must initial the appropriate blank below.)
°u I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner I rmation)
sllt 7/474( --- ,,,
1....K)n _
i ture Si$natalre*
tt.P.4ile. 44 • Pat( . ire-./ L L . 2../f_1,4r ��
Print or Type Name Print or Type Name .—�
�Iti( !)GI'. P ��i,) /.�'t'�c�, l "/1 O to t.re�, -;?
Wiling Address Mailing Address 3 .I_,eu b,c_ J , sI c� /J© s// k.✓ iVV1 .�
, 7 '
City/State/Zip 1 Ci /State/Z/p
gfc-fsl� ?2L /1,1 Ail 3-k '. c 2�.2) ���.�"--7�e)�-, •
Telephone Number/email address telephone Number/email address
3-(2.Z-2e, 3- // -mac) QO
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

r _ _

ADJACENT RIPARIAN PROPRTY OWNER"STATEMENT
I hereby certify that I own property adjacent to J/)Wjtip4Au . Rol( fZ. 's
(Name of Property Owner)
property located at 2 I I-II 0LI' F,Ink liL4,1 !'act, /20e ID J—
(Address,Lot,eBlock, Road, etc.)
on PArv•I i c_O P.1 V e t , in / e/M�a2t 2 -I 6 /led i) , N.C.
(Waterbody) (City/Town an�f/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)
ZS D
lodge 'k-Sa'o , I
f /►;vel •
ra
I ,
CY,s4 -
� V '
' 4 4----- v t - 6. L. F „I.,. n► , 4........ _ 9—v -. ._.r?
ti
Z. it!Jet I WAIVER SECTION 2/tNe' - \ N
t 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)
On 11.j/4C
St tune /f/j/�� // } Signature* _
Type ,7),.,,,,,z .A-
A. kl,1 N.-
rint or J Print or Type Name
c.2/t// Q/I\ d!A> gea 1 14 wets a /G 1 e/gyp it t,(r 6,, a, to
M lin Address Ma Tin Address
►�tyty/State2ip City/StatefLip
/9-pc..22-2.2. Mi'Oka 0416, •t'a�si ;,s i'9,--3 s9s``
Tel Number/email address Telephone Number/email address
3
Date /
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: / t)rhA2 hil . P' /! 'l
Mailing Address: Z/ `I/ ("L N gect[L W e- —
1 1 1P N ft ). . z.� l v
Phone Number:
Email Address: H fri Po( 3IL _I MU ) . ( OVI&
I certify that I have authorized k� r� ��j� Ft5p
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: &IAJ- L ✓1 - cw
PPer, th P�5 �� Awehrle►--c
at my property located at .2 / Lit ()1-JS Pitbw Pe cL We i—
in gett_tt- Qek County.
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 and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
41/247111/
Si nature
Al4,04 1114• J?21/ \
Print or Type Name
1010 e
Title
O lO2l c
Date
This certification is valid through 0 3 I © 'Li gZ f

.'.,':tII.
. R 1: 1 1 1' : iN t r
4 S
lr�ay; !�q
+ . r
fl
l rt 1 q,.l j(.1 y .
{
fi
1 i ,
, '�1I 0:(N P 1
) ab 1, , s 1 `s f'
--fi�gg ' n ,: ,, ,Tr h• } ' r4,,' . I 1a
'- t i ' ,; ;'. .. .y WesL:ririk''
S a
•
yr
{ s.G .�
t y "f f I.
.t
0.ip..

NC Division of Coastal Mgt. Habitat Impact Computer S eat
Applicant: ��✓ I
Date: // t71-
General Permit 4:
7 t '
•
Describe below the HABITAT disturbances for the application. All values should match tie name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq.Ft FINAL Sq, Ft. TOTAL Feet FINAL Feet
i (Applied for. (Anticipatedfiral i (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance Disturbance disturbance.
Habitat dame
Choose One
includes any Excludes anv :total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or'amp restoration or temp impact
temp impacts) impactameuot) temp impacts) amount)
� /
I(P/O(M 14/� Dredge❑ Fill❑ Both ❑ Other I�,/ g7 J (I
Dredge❑ Fill❑ Both ❑ Other ❑
I �
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I � �
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
I �
Dredge❑ Fill❑ Both ❑ Other ❑ I
i � f
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I Dredge❑ Fill❑ Both ElOther CII I
•
i Dredge❑ Fill❑ Both ❑ Other ❑
—2Q5/d
I