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0 CAMA / DREDGE & FILL -r�Imo '�t[ �'1005 No 77296 9, C D
GENERAL PERMIT _1-1/ Previous permit# ( i
)C ,New Modification ❑Complete Reissue 11Partial Reissue Date previous permit issued A,/,!'
As authorized by the State of North Carolina,Department of Environmental Quality i/ //�U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
❑Rules attached.
Applicant Name -- �,e+�
/ Project Location: County / ; 7, r'
Address .5 ij/c a,. /1,, i /�` Street Address/State Road/Lot#(s) J Y 1, I, h,�; -
City Jef/, State!(/C ZIP , cl / L-z,, ,,,/ 4
Phone#( ) :— ,/ -�c'. E-Mail Subdivision/mot c f 72,, ,, ' ��„ ,
Authorized Agent 7:1 / 7 ., < City /r /<, r ., l ZIP _2 7 /O
Affected ❑CW ❑EW FtPTA ❑ES OPTS Phone# ( ) River Basin -1 / r
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body tel., r -i J.r at, man /unkn)
❑ PWS:
J
ORW: yes / no PNA yes / no, Closest Maj.Wtr. Body / N._In f, '--
Type of Project/Activity i / , . c:
%/, ,, e (Scale: )
Pier(dock)length
I
Fixed Platform(s) }
Floating Platform(s)
Finger pier(s) —
Groin length '
4
/ i .....
number -- .-._.._._...._._...
i
c ulkhead/-Riprap length I .... t -1..-- .- --
avg distance offshore .' I
max distance offshore '-2 i 1 {
Basin,channelsd, -—
cubic yards i Y J I f / / ", r
I4,
Boat ramp i `.- y, I
i
Boathouse/Boatlift _ �_._._. - - II --- - -.. i -- - -
fi
Beach Bulldozing - y�` ,re-
I / if
Other 1 4,,.4';' !' I ' 1
f
Shoreline Length J /�( r Y' . l (. i I j 1
SAY: not sure yes no _.._.._;.....,�d y II rC /1 _ -)_._..... c 1Xr r t /. ,.;I -I i i . . 1 r:_e.,:7 _.
'/ R T
Moratorium: n/a yes o 1 ' Il1 .ram
Photos: yes no 1
Waiver Attached: e o I ' I 1
A building permit may be required by: —, /: -I 6 I(--'-See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions . ^// '/C '
I
I
p rimed e Permit Officer's Printed Name
Signatur **Please read compliance statement on ack of permit** ignature !
/c/v ,,' / . a / /5 2ei-- a / // /5 , & 5
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 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: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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
/�/J
0 - CAMA / DREDGE & FILL 04 fl005 N° 77296 ABCD
GENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue CPartial 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
L Rules attached.
Applicant Name - - _ Project Location: County
Address /,, 1 - Street Address/State Road/Lot#(s)
City State ,'( ZIP ,
Phone # ( ) _ E-Mail - Subdivision /L'/
Authorized Agent City _-- ZIP
Affected ❑CW ❑EW ❑PTA ❑ES CIPTS Phone # ( ) River Basin /;j`"
❑OEA IHHF ❑IH ❑UBA ❑N/A ,
AEC(s): Adj.Wtr. Body i `. - .- at /man /unkn)
❑ PWS: J" ° � "
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body / J
Type of Project/Activity
(Scale: / )
Pier(dock)length_
1 i i
Fixed Platform(s) 11
Floating Platform(s) _ _. i f Finger pier(s) 1 i 1 I —i i �� ,
i
Groin length I f j t..
1 ill
number ___._._.�—.---- -- ...-----._.._..__._.—
:' .i
1V...-+---4 -
-' --'-''-- -
11
Bulkhead/Riprap length 1 1
avg distance offshore
i I
max distance offshore f ..1 I I
Basin,channel ' I . .' r' I I
j
'.
i
1 1 _---�
cubic yards I / I -' T+,I.:,
I
Boat ramp I T-^.-^V 7 . .t
.
I 1 i ; ."'
I i
Boathouse/Boatlift — -I 1 — «..-� I !- r—'
1111
I
� ;
Beach Bulldozing i _ { ' l 1 j+' . 1 i
i
Other 1{
Shoreline Length /,` I r'7 gyp�'�"�
' �'I : I. V f-,s
i
SAV: not sure yes no l:9 �" -- ,�'E // t `
Moratorium: n/a yes no i,I. i J
i f 1 I a
Photos: yes no i j ------ ---- - 1 — --r
1I
Waiver Attached: yes no -
A building permit may be required by: /!,r 7- / ( - I l See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ,
- / 1 1 ( i1�.i/r1 i� c�C`
Agent or Applicant Printed Ma e -� Permit Officer's Printed Name
' (� A
Signature Please read compliance statement on back o 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 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 1 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: 252-247-3330 Fax: 252-948-0478
(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: 910-395-3964
Fax: 252-264-3723 (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
09-15-'20 12:41 FROM- Four Oaks Middle Sch +9199634123 T-373 PO00410005 F-7 4
.4uthorizedAgent Consent Agreement
(property owner(3) , herby authorize Tobin Jay Tetterton
T,I s Marine Construction, LLC to act on my behalf in obtain`
the location listed below, m� CAMA hermits for
PROPERTY ADDRESS:
s he c-
PROPE
RTY OWNER'S MAILING ADDRE
SS:
e•
Phone No, 7.____: !41—
PROPERTY OWNER'S SIGNATURE: \
AUTHORIZED AGENT SIGNATURE:
74 2 t
TOBIN TETTERTON
DATE: ` i J R 24
.10
w/Authorized Agent Consent Agrro,
i
09-16-'20 08:20 FROM- Four Oaks MiddIe Sch +9199634123 T-376 PO005/0005 F- 07
ADJACE T IPARIAN PR PERT OWNER STATE E T
I hereby certify that 1 own property adjacent
0 ' f��yy��gglyl
property located at At1 , (Name of Property :. ®r)
on - � b/`ci5
(Addres
in� �oCkti Road, t' .
(Waterbody) N ___- J>��l , N.C.
(Gity/Town and/or County)
• ...__ • T. , ppl`cant has described to me, as shown below, the development proposed at the above
Adte,CP.tit I have no objection to this ro
property proposal.
Owner I have objections to this proposal,
—�
Chock otie —
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development mus(fill in description below•or attach a'site drawing) ';' ,
/ 6
/Me ` Cir.
/; ,/
Adjacent 1NAIV S�, t�CTION
Property I understand that a pier, dock, mooring pilings,ER boat ramp, breakwater, boathouse, lift, or groin1.
r4viisr must be set back a minimum distance of 15' from my area of riparian access unless waived by
I`tt`a me. (If you wish to waive the setback, you must initial the appropriate
ppropriate blank below.)
Cate -
i do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback re '
q ent.
Witt_(P .pçewnern11
U/V° i (i ►-nt Pr• •arty O i ner I formation) '
slur � I1j 141/ Italia , ( ,..1 A . blii
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A a r
Ai_
y Nam
,� 0Name�-
rint or Ty
•
iling Lid ss L t? I ttt/iA
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italyip
re -Rrumber/ ail address i •SGP�S 4. _ 4 J- t!O6r ,1. • , .Telephone Number email address �'/
Date , 9'Z'1 o
Date*
`'Valid for one calendar year after signature* (Revised Aug, 2014)
09-16-'20 08:20 FROM- Four Caks Middle Sch +9'199634123 T-376 P0005/0005 F- 7
AD.! NT RIPARIAN PROPERT OWN R STATEME T
I hereby certify that I own property adjacent
fiLSIILS 4 el /4 ' .....S
property located at A . (Name of Property 9 rjer)
it 1 d bf~r .
or? _ (Addre n �"JJ�pCk, Road, t, r.
(Waterbody) .'f 9/" N.C.
(CltylTown and/or County)
..... The applicant has described to me, as shown below, the development proposed at the above
location.
AfliRCRrt; __X___ I have no objection to this proposal.
•
Property
Jwn,r I have objections to this proposal.
chisCku,ut -----
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(*Individual proposing development must fill in desct'ipfion below or attach a site drawing)
'5:)(3-t.t./..)
X A' i/ 6/mecd - , -
tajacent WAIVER SLCTtaki
Rmyterjy I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
rwt-Nr must be set back a minimum distance of 15' from my area of riparian access unless waived by
i,i"s' me. ( u wish to waive the setback, you must initial the appropriate blank below.)
;r,,tiiii
coo
l do wish to waive the 15' setback requirement-
,, i do not wish to waive the 15' setback requirement.
U(PUpert ®wne i rmation;n � � (Adjacent Property Owner iptormation))
s' alto-
^ llltll
M n t or Ty Nam It I.` /r3 Cl 1 r
ro �� t� r gin orT et
fling ad ss . G ac res /de
use— 8/1141 Address
-- 7 1 .V CltylStateiZip
Ci
Te a e tt'umbsr! — t5y `1 fti 3 - 3 i (p,547 fe-5 _
grail address Telephone Number/email address
1�.J h�ctrl (a {j�?a[ �c( hliur)er
Late
`Valid for one calendar year after signature` (Revised Aug. 2094)
n
1
O9-16-'20 08:20 FROM- Four Oaks Middle Sch +9199634123 T-376 P0005/0005 F- 07
ADJACENT RIPARIAN PR PERT OWNER STATEME T
I hereby certify that I own property adjacent
property located at,Yk 3 i5 (Name of Property ®r)
a • Vc,s
on (Addles t, aCk, Road, t
•
�n , N.C.
(Waterbody) (City/Town and/or County)
Ir�-l'pplicant has described to me, as shown below, the development proposed at the above
ndiva,,. !'� ' ro. I have no objection to this
Property p POSaI.
Owner I have objections to this proposal.
Check une
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
/1 /1 ))/
/ 6//MfeS -- S>1,5 7/--)
Adjacent WAIVER SECTION
Prnp@rty I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
n,wusr must be set back a minimum distance of 15' from my area of riparian access unless waived by
Must me. (If you wish to waive the setback, you must Initial the appropriate blank below.)
:,litrai
Cito
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback req ent.
Wk._
(P , peg Awne I ',nation)V iivp( ' nt Pr erty O ner I formatton)
S_ caul. Q. bnriA
t7 at or Ty Name! ` r`I A I(a 6- 04 '' ✓ 'L
,� d •rint or Ty e.Narrre ' i
fling Rd ss .6 ,A .e...m.t.iii el
Y- kS / is 7<5r� iii !{adr ss
Ci /S te/zr It / at_SA, /VC 76' Ce),P
1 3 7 }y( 7ea p
Te o e umhor/�ail address `/ 62a.
-1�J - Telephone Number/email address
%`/
Date Z1 O
Date'
`Valid for one calendar year after signatures (Rev,.Aug, 20 14)
NC Division of Coastai Mgt Habitat Impact Computer Sheet
Applicant Su Ili r„ f
Date:
General Permit#: 7 742,6 5
Describe below the HABITAT disturbances for the application. All values should match tie lane,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
I (Applied for. (AnticipatedFiel (Applied for. I (Anticipated final
DISTURB TYPE I Disturbance total disturbance Disturbance disturbance. ,
Habitat dame C includes any Excludes om :otalincludes Excludes any I
Choose One
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
/ / temp impacts) impact am cunt) i empimpacts) amount)
Su A"t`ti Dredge❑ Fill Both ❑ Other ❑ gs
J/e 0f'eAk Dredge❑ Fill[•Both 0 Other ❑
1494-k JS Dredge 0 All❑ Both ❑ Other IrJ' O J e)
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
I I
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑
Dredge❑ All❑ Both ❑ Other ❑ i
Dredge❑ Fill❑ Both ❑ Other ❑