77236_Ann Wiggins_20200826

0 'CAMA/ ❑DREDGE & FILL T� ��cy„r No 77236 A B C D
GENERAL PERMIT J—Vtf o i`r Previous permit#
> Z ❑New _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 P 7J 1,,,'T G G_ S Project Location: County f r'�i.:.
Address (o S D O L K S CUt D Z. Street Address/State Road/Lot#(s) s Ii 1 `1 ..;Z.
City Ck)(Dwr► ZT Y State N CZIP ? g 1 7- (i5 .: � -. , --,c i.2.
Phone#('t 5Z) l -6 2 B Ss E-Mail Subdivision Po TLT•S rDL-
Authorized Agent -P./Lfgrl K /Y)OY City -!0 Cr)wLtd}i 7 ZIP Y=r€s 1 1-
Affected ❑CW irti ®PTA ❑ES ❑PTS Phone# ( ) River Basin 41Z 1 PAT)
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Mehl t7iaLr L,,.' I 1 (nat / unkn)
❑ PWS:
ORW: yes /`
��' ) PNA yes / Closest Maj.Wtr. Body FAD"L%moo 1Z ' t n
Type of Project/Activity R t ?LA(...6 15 )( 1& ?U
l• 5o _ I )
Pier(dock)length
Fixed Platform(s) G X I10 1 j 1
Floating Platform(s) ( I I
Finger pier(s) i _ _.__. I..._.
Groin length j i i -1—' NJ "' -->
`r +r'
number _....._..__._.._._._ — -- -- I
Bulkhead/Riprap length . ' I .--
AV avg distance offshore e j 1 i
max distance offshore i
i
Basin,channel \I. in 4/ nr q)I i1 L
cubic yards i t 2_f Q\ +�~ i } ' {
Boat ramp 1� 1kj{ 'I'g i} lr b IrtiLl1E�{�-
Boathouse/Boatlift ;. ...1�....._..l9 V ....................._._............. r..__..._... __....._.._._.................. ....._.._._... _......_............................__ ..
Beach Bulldozing I t1 p f {
Other Ig.i. `, is 4/ .1....'‘--
"71)
k, �C� ( 4',(l.yLys 1 Fib �,40-- ► t
v5 j .�
Q 5' LL, , i j. Y� a k ..dc
Shoreline Length 1 ✓ � L _`_ ( I I j ��
SAV: not sure yes no �G —
V ------....._. c _ }
Moratorium: n/a yes no l}i
1 Photos: y0 no i 1 i —.. — — —...._—_ , -
Waiver Attached: yes no ' i i 1 j i ' , 1
A building permit may be required by: ?EJ?1.I C 21ZT CI)( a N T`) I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) {�
Notes/Special Conditions 1" /,41'[ f L?9..)Y` JV V 1 TO t X ( F- 77 l 7 -
/'
tc19 /74 ,(4
.7,47X4- i ,--
Agent or Applicant int Name e3itOfficer'sPrinted Name ,
Signaturk..,, ,e **Please read compliance statement on back of permit** Sin ire `��
, 7_00.„
cationFee(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. I 27 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

a
0
L CAMA / ❑DREDGE & FILL _ ._� ���1 4 ' No 77236 A BCD
GENERAL PERMIT — Previous permit#
Y ❑New - Modification iComplete Reissue L 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 i 0 L.,,. L .— N.. < Project Location: County
Address ., :) (.)<-. : `S L TT. , , Street Address/State Road/ Lot#(s)
City N 't W *N L i `I State l\' ZIP t ., i .t.- t.:,
Phone# ( ) '? 3) 'C'S E-Mail Subdivision t' 1'T%>L i T( tl:a''' -
Authorized Agent {.4 NJ K/ n l 0 Y r!- City _ , v I.
YEW ` tt?- I 1 - ZIP )` � 17F
Affected ❑CW W ®PTA ❑ES ❑PTS Phone # ( ) - River Basin 'T 4 }-A(r'
AEC(s): ❑OEA 0 HHF 0 IH ❑UBA ❑N/A Adj.Wtr. Body 1` : 1 (nat / unkn)
PWS:
ORW: yes / no PNA yes / no )
Closest Maj.Wtr. Body I�'ir't- -1- 3 t R-
Type of Project/Activity
ale: 5,-. • 1 )
Pier(dock)length ��//
I
Fixed Platform(s) i '
Floating Platform(s) _ 1111 I
Finger pier(s) I
Groin length I 1 I 1 I j _�
l-. ..1
number 1 . . ... - T__ -1 t —
Bulkhead/Riprap length i — _ 4._._ -^_ ___ -_ t _ _.T_- i_
{
avg distance offshore -•-----� --- ----------- - . j
max distance offshore_ 1
Basin,channel a i • I 1r) *-, r 1 ,i _ `i,/1.,r}
i ' " ! 11' ill
cubic yards +
f' ` I i
Boat ramp i il \ '1 s , I ,J L , ,�.,;-
Boathouse/Boatlift i -�it C� �_.
1 f.�_ ... _._._.-..... i_ - t ----I— --
Beach Bulldozing -_r - t ,n' „Y re 1
Other l il IIV ', . S , 1 All
�h+ ',' 1. , ,...,..,_• -t L
l' l v r.--'‘.--4'!',t.i,k,I e
I ,,,,, ,,,,;-_, , . _ .
. ; ,
, ,
,_H ,,,, 1_,,--i-‘..„L ;,_, b.; ;4.,,t,,,,,,,..t.,...„,_
,...,, ,tr, , , , , ,
Shoreline Length ( 5 ._,._ , w�'f-1!.., f._._.a 1 j. I i f J �y �I`.
j gg,� , �><
SAV: not sure yes no AL _ I1,...)1c
m
__/, I' 1.�ci 't Li... 1
Moratorium: n/a yes no
Photos: yes no _.__,..___ I_.-.
Waiver Attached: yes no '
A building permit may be required by: 77'"0; i ` il' v, t t-'i `I I v+ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions - =r'1 lU t 7 TO I` x ( C L T) i 7
1..:7
Agent or Applicant Name 4 Permit Officer's Printed Name
�/f
Signature Please read compliance statement6n back of permit** Sign turel �_ T`Th
cation Fee(s) Check# I suing 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 252-946-648 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

Authorized Agent Consent Agreement
I 0 (,J , hereby authorize /5T j;,i- ,,vi- 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:
di?
Citz_e_e_4,01.,,,41 11C .271f7
Property Owner's Mailing Address and Phone Number:
F ��
2S•,2— 53I- 01RS
Property Owner's Signature: W.,;-2
Authorized Agent Signature: 2 > .
Date: g a — oZ°A a
Form:Authorized Agent Agreement as developed by NCDCM revised 7/29/09

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ' l H,, (( <g /h 1
(Name of Poperty Owner)
property located at C 6 /9cir sic/ LM erz"
• (Address, Lot, Block, Road, etc.)
on ro/e_j-; - , in /5F.2 "7` , N.C.
(Waterbody) (City/Town and/of 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)
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.)
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)
Signature Si nature
f b. r i'ti t `\ 11,; in..
Print or Type Name Print or Type Name
�t -Pocks ;d e Dr. o •C3ox / /4/
MailingAddress Mailing Address
C DC0 ; r14 'tic a'7'I t l 11 eg L f �(, iV L y
City/State/Zip City/State/Zip
Telephone Number Telephone Number
— 3-31 — g ,? -37- ZU
Date Date
(Revised 6/18/2012)

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to77- j;�., /,�/, yy��� ,s
/ (Name of P�perty Owner)
f
property located at .e -y c►!�' /La.-
(Ad-dress, Lot, Block, Road, etc.)
on r',e/rf'd� ri:} ; .�/r in ����f�� T (�. , ''`-• , N.C.
(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)
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad'a ent Pro erty Ow r Information)
1/� GtJ, (,tJ V l_� )?4i(/e(�o
Signature Signature
An rt. W. t-v s S�i►, S s)11/�✓`� & /JE1014/b4-11
Print or Type Name PrintT e a r �^ n
Mailing Address Mailing Address
11 C -77 17 Ga coWi'I,LIY
City/State/Zip � City/State/Zip ry r/
aka '- S" I- 6.2
el l b 1
Telephone Number Telephone Number
23'2- 7/ -1Sac
Date Date
(Revised 6/18/2012)

NC DiVisiiasa of Coastal Mgt, Habitat Impact Cornprater Sheet
Applicant: >R-14. 'WthtrlS
Date: Ss
General Permit#: ��23 ict,3
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 1
A(Applied for. (AnticipatedFeal (Applied For. Anticipated final
DISTURB TYPE ' Disturbance total disturbance Disturbance i disturbance.
Habitat Name Choose One j ncludes any Excludes illy total includes ! Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or. nip restoration or temp impact
:emp impacts) impact amcuiit) ; temp impacts) amount)
0-Fe-IN) 3 ,.z i I
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