77248_Mary Ellen Goforth_20200910

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0 'CAMA / I]DREDGE & FILL —�/ NO 77248 A C C D
GENERAL PERMIT 0it � Previous permit# N j A
11 >' ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued *) 1 A
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 - r, , L oc)
•
['Rules attached.
Applicant Name )„c v y c)/( . 6„.(i,4>� Project Location: County ,,m ,, '`,r
Address /CS ( 'UN. 1st r, DO 1` Street Address/State Road/Lot#(s) k,(p 01, (oil'C,r 4
City .:+'(1.01 sb°,� State ILL ZIP 27 c/03 _rr-r_'-°r --x, — .,, , . ;'i 1J,--,o Re)
Phone#(') ) (pC-1 - ;993 E-Mail Subdivision
Authorized Agent 4 - VI ALL. City L ,N 17 ZIP Z-4-S 5S
Affected ❑CW EiAN [Il lrA illES ❑PTS Phone# (2) ) G:t-- I - 7)`1y 1 River Basin Ti-1-1? 17 4 rvr
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body To ryi (,. iZ)v e r nat./man /unkn)
❑ PWS:
ORW: yes / no PNA yes / Closest Maj.Wtr. Body %of M'c 6 Z 'Je
Type of Project/Activity I r opoSP /Lib i L - 1)$tr ryi /3-x /
y /4) ' lOL.:3(, '44'ir-t (S le: j a'c )
Pier(dock)length 1 `I c- `
Fixed Platform(s) I(r-Y II; ■
Floating Platform(s) i =��a ��Y■ ,�,i i 1 1L. ._.,Finger pier(s) a 1 C _ j \ I l
Groin length I 1 I k k 1
number i ' ____ T ! ____ =1:11 .
Bulkhead/Riprap lengthLI I1110 I II
avg distance offshore ! ' ��■� ■, 1 - I ■III
max distance offshore i , ] ■
Basin,channel ,=—■: i MIMEII
cubic yards •— �_ �—■—_■
Boat ramp .1111 , ■ ■
Boathouse/Boatlift -T — tEl. . }.._.. — -
1 ■
■ ,. Ill
,�4• II 11 ■
Beach Bulldozing :■■- :: ■—.:
Other 1 I ■■ u■■-■
1 1 ' EM8 � i i ■-■
■■l i �■ =Mil ■
Ell ■■�■��■■w■■
Shoreline Length L Z j ; --a � ■-■■
SAV: not sure yes no - ---- ��itt
��■■�■
7.
a
Moratorium: n/a yes 0 _ �....✓kc ._— J' IY-` (4 �� II
Photos: yes no �}" ........__...-...-........ r7
Waiver Attached: y s no II . 47a,. - ' 1 . i■IIIPIVI B ■
4 ;
A building permit may be required by: rb?ti'^ r L a uv'r 1 [ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) \\
Notes/Special Conditions 1 5 111;)1P1 010 A )D1iAl/1 . -- IN Y1i , )f U 5/-
.b /L
cc I-LA Lit-'-1
Agent or i t Print a PermitQfficer's Printed Name
Signature **Please read compliance statement on back of permit** Sign4 re
o;\\\C is—z_oc. ' 3 655y. - ``)/,(--f—moo L,) ) / 10 1')-A2
Application Fee(s) Check# Issuing Date ExpiratiOi Date V lir

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 252-946-648 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

0❑CAMA/ ._]DREDGE & FILL No 77248 A B . C D
GENERAL PERMIT -0# W/ Previous permit# *)
)�—= DNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1,3 ! A
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 , I I• Project Location: County -
Address !!. .e. ,, Street Address/State Road/Lot#(s) . •
City _, 14/2 . State 1`-(-- ZIP '.7 Cl jf 3
Phone#( ) : ) • 7, i`,= E-Mail Subdivision
Authorized Agent i!:)i:+GL City ZIP 2. + `').r
Affected ❑CW ❑EW ID'ITA ❑ES ❑PTS Phone# ( ) ; I - ''1 '7 River Basin 17 / i A n 9
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body -- -•,1 L, ,•"'r (hat /man /unkn)
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity ,k
(St: j )
Pier dock length
(dock)
l
Fixed Platform(s) I 1 , ti I {i N! �w"
` J
Floating Platform(s) ,1 I f-1 t')'1` "V / .x.-+ 1 L tI Y
Finger pier(s) "4.,--.. , 1 a -
Groin length ; ,
number l-. -._... — ....
Bulkhead/Riprap length 1-d }_ _.. t _
avg distance offshore ! ! ( '+
max distance offshore I I I i '' ,
1 ( f I i
Basin,channel i I i 1
cubic yards i i.,-.I '� } I !
Boat ramp , ~
t
I i
Boathouse/Boatlift 1-j- -_j }.
1_ P+� ilr - , t
Beach Bulldozing i I `'I
Other ,1 Hii i
I
i I .
1 i i i ,.
Shoreline Length i I ._V�`
V!! 4- _ t-
SAV: not sure yes no - ---I-j--I- ._. _ --_. ____ ---_.._ ` _.__ _
i i a 1�
r--
Moratorium: n/a yes no i i 1 ! •"/ tiw\,'
Photos: yes no ---r .._.-
Waiver Attached: yes no • ' I it_ ' f- I -0 ", ,f v` I '
L
A building permit may be required by: i'. : ,rt,i )' J uC,t ,! [ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) .
Notes/Special Conditions s "' ^ ! r '.)
Agent or Appliczfrit Print ame PermitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature '' Y\\J 1
- f (.)1 ao v 1 . I 05-i; "Z f
Application Fee(s) Check# Issuing Date Expiration Date it lifr

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 Rulles 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 (252-946-648I) 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
40I 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

MC Division of pCoa<sta'I Mgt. Habitat Impact C,o puler S3ie
Applicant Mar I vl l cr l Cb
Date: q J 10/4
General Permit
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. (Anticipated final i (Applied for. i,Anticipated anal
DISTURB TYPE ! Disturbance total disturbance. Disturbance I disturbance.
Habitat Marne Choose One ncludes any Excludes ry total includes Excludes any
anticipated restoration any anticipated i restoration and/or
restoration or and/or 2ma restoration or temp impact
temp impacts) impact amount) temp impacts) ! amount)
I I I
a Dredge❑ Dili❑ Both ❑ Other I i ,13k) At 11$6 4-r
Dredge❑ Fill❑ Both ❑ Other ❑
j
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill Both ❑ Other
Dredge❑ Fill!0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
' I `
Dredge i j Fill❑ Both !i Other ❑
Dredge❑ Fill-❑ Both ❑ Other ❑
l I
Dredge❑ Fill❑ Both ❑ Other ❑
� � I
j i I i
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
1 I j i I
Dredge❑ Fill❑ Both ❑ Other
I l
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ r

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t\qA E(1�•
a GO-Co -- s
C �Na of Propel ;owner)
g
property located at 3(Q M Cce-kttx S mart
(Address, Lot, Bloc Road, etc.)
on Pa•vs C0 2\ver- , in vJq.sl,.t-,3- 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)
Qee(et ce pte -
Co tiro bo ..
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.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope Owner Informati.n) (Adjacent Property Owner Information)
patoi
Signs a Signat re*
El/ . Poke'f &1..f (9e.if Jr
Print or Ty e Name Print or Type Name,'
gas E. BfC oo� 5117 vf-rr-'14 he II'
Mailina.44adress Mailing Address
e..s�o•• A(G z1yo3 otea.4r+ro ,ift 7yiv
�
City/State/Zip Cdy// te/Zip s 7 15,
-P5.s
Telephone Number/email address Telephone Nu ber/email address
eol
Date Date"
(Revised Aug. 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1r I hereby certify that I own property adjacent to , CIE((G`G4 's
( ame of Pr_oi Arty Owner)
property located at 03(e AL C f/_.S Alebre-• CLy
f� nn (Address, Lot, Block',F oad etc.)
on . 1 4"1, L* 4,r,- , in W , N.C.
(Waterbody) (City/Town a�ld/or County)
The applicant has described to me, as shown below, the development proposed at the above
lop/
• 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)
4,a1 et
Coo,- bogie(' r; �-f
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. Of o 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.
(Prope ne;IJ�f r (Adjac t roperty Q nor Information)
Signature Signat
M ell*. Goa ..,K Te ekt 14/o eft,
Print oIP - 6. Bc ei oo �/� Print T elyp 56 47
Mailing Address Mail r/3p
VeASIoli er NG ?Ko3 fail oIto R/c Z,a
City/State/Zip 311 4.<7( f City/Sta
Telephone Number/email address Telephone 0,lym er/em it address
— — -- J1U( � LJ
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*
1 A

Mary-Ellen Goforth
105 East Brentwood Road
Greensboro, NC 27403
Mr. Bob Carlyle
A-WALL Construction
VIA Email: Poledriver2(a)hotmail.com
RE: 836 McCotters Marina Road
Washington, NC 27889
Dear Mr. Carlyle:
This letter is to authorize you to act as my agent regarding permits for the pier and all related business
to the pier, at the above address.
Thank you for your assistance.
Mary-Ellen Goforth
Homeowner