77404_Alfred Garvey Jr._20201005

g0 I
SAMA/ L�DREDGE & FILL 4-V( \ N . 7740
t� NER A ® c D 3
G
y-, AL PERMIT 1V 4 Previous permit# N �
ew ❑Modification OComplete Reissue LJPartial Reissue Date previous permit issued KVA
•
As authorized by the State of North Carolina,Department of Environmental Quality 1)
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 711, 1I60
' e\ mules attached.
i/I
Applicant Name //--11 (} r1 i1(ZJ j -Zti, Project Location: County g€ je-�
Address
ry�f�p� �b L0 Street Address/State Road/Lot#(s)
City RI1t 1f% State ae ZIP alvci A,Li Queevi 4r e -by.
Phone#(;30 liaiV—RVI) E-Mail Subdivision 1 l Y S c 1�
yy� Y,Authorized Agent ..�. S 11f arwtw ebns#• City bckWN ZIP R-4- (" '
Affected D CW Neew 56m ipei [i<s Phone# (3340 )9'06- 91-_ River Basin ThI,/P) h'1
AEC(s): D OEA 0 HHF 0 IH ❑USA O N/A ,
❑PWs: Adj.Wtr.Body 'Oign\K.a Wa'e..(' na /man funkn)
ORW: yes / no PNA yes / Closest Maj.Wtr. Body I?AYY111 _t R1tCY II
i
Type of Project/Activity e ( by154- t.t o
s H �' o new bt.lkha. laced 1
X Loaf-waya of ciisfolg bc.tik‘wA
Pier(dock)length (Scale: �� —Zt . ) i
Fixed Platforms
FloatingPlatform(s)) iM�- Rik)e_ , j 1 -f—t i_ I I
Finger piers) ; L I - - I. t_i— i !—— I 1_ ,
: i
Groin length t i — - _
number ' I . - , I I i ---. ' -
=ulkhe.,ry•prap length t gV• I..J._ --;- ..i__ i i -,I 1-,— ._ _ .' 1-4-1,
;_ i
avg distance offshore Zr , _i t -+--+ _
max distance offshore 2! _ 1 el � __,_.
t7
Basin,channel • ' T_
cubic yards Q i(s a i �' IP r L
Q .._ 1�' 1 j l 1. I
Boat ramp i 't j l I _ ,. ; -, ! 1 ..
_ j
, ,,, e, • •
1 !
•
e I. f, • l
Boathouse/Boadift ; ��y _-- -J i � r i i—f_._ 1 Ft i �`
: 6_,,,
ir,,-,--,, ,
, , , , , , .
__ _
__, ... • _ _.,,, , -!---fit
Beach Bulldozing i j� �/
Fyn 1 !1- r
Other_ E Lri •1 �_. 0 n. L m
i iN '- 1. b q o 'ring Fla —jet
N 1 t -i t-t r " t Ei��t� I .l � '
Shoreline Length t SO/ .1 I i I &tdL.K } I i ! i- -4--{--1-f - i ��;—
SAV: not sure yes , ; L I- i j _ , T
1
Moratorium rya yes ! . e _ ` I }
, 1 t � t
�t
f i
Photos: yes a 1 . i I i ;- t i ..
t , ,
Waiver Attached: ® ! i , -? I__ _
t+r. S to k Gov \-1 �� � l
A building permit may be required by: QQyi � CAW) [Pre.":"note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions Ls,}" f 4 ry i i1 ;t,le Lion. U W bcA11.sArlesil askA hDk-- it .)t 4.4e
2.1
Wcke(-wOt ) ok P)(l • 41tart .0k\r14ke. • 'Q (r
�. efltc eY Sr tr o .- e,X� by .'iercr•
"ID Pe ixm .1" -I-he. Pfij Ti 4 'Cpv{-v,ri
t
ent i nt Printe Name ia& — — YELLy , ?1 vV�
/ Per tOfficer s Printed Name
Signs re ** ease read compliance statement onb.ckof permit** Sign r —
k1424.4
p im4160, �` I;S'7 5 n ZaZo . - fiek, zLa
Application Fee(s) Check# Issuing Date Expiration Date

toliCAMA/ DREDGE & FILL N. 77404 A s� C D
G NERAL PERMIT Previous permit# PM
)C ❑KNew ❑Modification III Complete Reissue El Partial Reissue Date previous permit issued 14f
As authorized by the State of North Carolina, Department of Environmental Quality ill'
/��and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 17
likicules attached.
Applicant Name )1 I' p�'€(`� i� N Ey �(Z. _ _ Project Location: County'Bea.S---0�,1-
Address 10 R 1 the o ?I?X'(\j 14J Street Address/State Road/Lot#(s)
City RA1el 1'` State i4C ZIPp 3- aqy QUee_N Ilno e br.
Phone# ( 2,(9) get o-4gi I E-Mail Subdivision t ` 1 'to y 'Es\c... -
-1 S' 1) { C City 1,C.tM ZIP :��-PC s
Authorized Agent s /11PiY IM �!')STl� )
Affected ❑CW W Lr�PTA [ L 114S Phone# (3340 )9O8-SS')I River Basin } / PA-Y)'1
❑OEA ❑HHF ❑IH ❑UBA -7N/A
AEC(s): Adj.Wtr. Body A` \1Ca) RIV«' na /man /unkn)
❑ PWS: •�
no PNA yes / io Closest Maj.Wtr. Body r Qrnll Lb Zk1eY
ORW: yes /
Type of Project/Activity•PrzypD5e1 C6)45171 4 d'i ON a 4- �- 56' O c- r w b,... lkh . P kaCea
�
2 wafenuaY1 Df tiI S+►hg be tIk\\t (Scale: I#' -1_D' )
Pier(dock)length
Fixed Platform(s) 40--- 019 j 1� ,�
Floating Platform(s) i i i
Finger pier(s) - -- ----
-- -
Groin length N"
number - -I -I- , .... ...._ - - - -- -_-
0.'prap length SO r . _.__._._- -- 1 1 - • i
avg distance offshore 2.1 I 1 1 i
max distance offshore Z1 1 11 0 1 ' ‘ "°
Basin,channel / 7C • , ` •
_ r 9 d� Ctg' ,
I q
yards ards L1 y I ► A-
b
.
n_ ,
Boat ramp r ri !-._�- I._. _._- - b ..:..._._
Boathouse/Boatlift .C.'� r , 1 ,{tj �Q
4,44
-wI�. _ s
� _ rt r
Beach Bulldozing1-- ' !ti 1..... �.
.4
0
Other C '- ]J4 "I4' V '1. b 60_0 y..''4, '1_ C y - .Qd `� .,., a
1 .
V
■ 61.ENto 1 ! I \6rCIttSoh
Shoreline Length 11
t O V s ,+ C`
SAV: not sure yes ' �_ --t j
--�Moratorium: n/a yes _ ©�
Ili , , ,
Photos: yes _ I _.._..._.._ �_'
Waiver Attached: no 1 I 1 1 1 I l
t-t R r
A building permit may be required by: tealAi1)Al ov.41 ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) \\ + L�
Notes/Special Conditions Lot- 1 c math *,e' I
J u"i'n- W b t\clec L ft o D\ e j CQe'
!z WaL e_elo r) bk exl S�Hr) llk\lec.. . �elAct camen.- 6 ' - e. UHi Jeiprccf
-I' (QLf;r am'►" -h efis )-;.1 �z t.,lc
kLL y S 'lve.�
Agent or Applicant Printed Name Per tOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signbt�5r,c.n--
--
C4 1( -ph I sS 17 s U,.. - z v S' Pe 5e w 'z132
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 RulApplicable 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

•
41 ❑CAMA/ DbREDGE & FILL N. 77404 A CO C D
GENERAL PERMIT - Previous permit# IJ/4
>Z NNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1.11111
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
['f'(ules attached.
Applicant Name )1 I cy-r G14 2\1 Ey -5c . Project Location: County 13 foams-t-oe'--\-
Address /0 a 1 l.1(''ci‘obe.csol ,L11J roc Street Address/State Road/Lot#(s)
City ) a 1Q-1 ‘'‘ State ZIP�1-t,10 � ' P-/t'4"l AnO e 'p,r.
Phone# ( ) 90S- 91 E-Mail Subdivision l \ i lj V S\c. '
Authorized Agent /�y . may a✓0( (.o/ 5 • City b C� / ZIP !,?0q
❑CV/ I�EV CI IP4TA I4 IRKS Phone# (3)WA- f River Basin ThIL/-PAryi
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body PAYn\tC.n 11Z-1\X-Nr na /man /unkn)
❑ PWS:
ORW: yes /'no PNA yes / Closest Maj.Wtr. Body MY.P.)1 4-b �J e'c
`--o
CD
Type of Project/Activity T7tb-po5e (by)54-Iu Lfi ok d ± 56 0 c r\`' b 1(-1VI eo,. 7la(e c
,
' Loat W t.Y 4 e)if s-bhC, b t, 11,4Ne (Sale: lb'
- ZD )
Pier(dock)length ( . \�/
Fixed Platform(s) j _ rZ"jf� R1Qe r +� 1 I ' 1
(((
FloatingPlatform(s) �A( _
Fingerpier(s) ! 1.,
Groin length 1 �' "pr 2- -
number _.._..__ . .. . .........._._..__ t.. �I' i
Bulkhead1R ±iprap length G U — — f — ,
avg distance offshore ,
� I 1 , 12.
r lr' '4)
max distance offshore Z I ;` 0 r� V
Basin,channel / 1 eta I V ' f �''"" .1 CS1, --
'‘;::4?
cubic yards Lti'oy, �' 4. I I 1
Boat ramp 4�` �� p� a] '
Boathouse/Boatlift - ti l '����e t I �4 T'�'Q-` +
_.
Lo
1 - - -
,� _ •; Rio; -
44,
Beach Bulldozing t —
rf . r ► , (;, (i
Other _%,1� at' ),,t b[).. T—� - ti a law! C-, ..... ...,..75 4 ,.., 4 - -a
i--
Shoreline Length O 1 4 sA.( I { '
SAV: not sure yes no _ — i t)
,p
Moratorium: n/a yes Q j
Photos: yes I _ __. i
Waiver Attached: Ey es no . 1 t
!_tR
A building permit may be required by: Zeao-en A Cowl\..1 . ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions 1- 1 S EY l A-t.Nv,P a v)h. N E W 7 tt 1`Kr c0 —wok, 0 D C fv 4 i C.4t c
2- WC/6 0000 r:) b•C exl c.-4-.i t.,- IN..A -le.. ., T2-e-00 CCW1evt/t e) e.)k\-5'Hk, 1'
Is. (e rro, t-he esis �i-, boo4-V1,... ] .
14.�i,, '-FlvP'-,
Agent or Applicant Printed Name Permit Officer's Printed Name
/ gr-^ilre""eff2-..
.�Signature **Please read compliance statement on back of permit** "Si
-Pp 4/6 J r / J P,7c.-r'o3ert .1'2G) .5 Pc75&NrgQ."y 7 A2 I
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 0-796-72 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
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 ` N . 77404 A B 1 C D
GENERAL PERMIT / ; 1 Previous permit# 6 i
>' ❑New ❑Modification Complete Reissue El Partial Reissue Date previous permit issued •',/h
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 I'1• Poo
- LRules attached.
Applicant Name )1 1 1' , L. �')I1 R\ El J R• Project Location: County -Ca.
L (
Address
3 I CI.cx\o\')ti'('h) 41).) Street Address/State Road/Lot#(s)
City )�%tl• ) State tVC. ZIP (, 1 249 't Oct`F)'' I-II % \ • i r.
Phone# (' L,) VC-(S � I `j E-Mail Subdivision i 1 TJ y -E. Y\av"�a
Authorized Agent i -s /ride►A( L o/fS1• City .)c_(kV' ZIP 1 4SCC
Affected ❑CW 1 v�ITA I S C8•�TS Phone# (231u )'"f4- - `5*`1 I River Basin 1 R /PA I/r1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A 7
AEC(s): Adj.Wtr. Body k'CANYI`‘co lZ.QC( i.at /man /unkn)
❑ PWS: -,
ORW: yes / no PNA yes / no)• Closest Maj.Wtr. Body 1 L' ,\ 4-to �i `e-
Type of Project/Activity 0, ( ��'0 i-►' i t...H IV w bu IV-:VI ) ,i �.
1 (st:
Pier(dock)length ,
i
Fixed Platform(s) Lao:- R f 0e t" �- I I
Floating Platform(s) ���rr`'a 1 � l i�; _
Finger pier(s) ) ,
Sa++-1''-'' _-_..... +11 _.
- Iti
Groin length { 1[ep?
I. !. 1
number - —.__l -_..
Bulkhead/Riprap length ' �' _ . t 1-._..
avg distance offshore 2 , 1 ' 1
max distance offshore _' 'c U ,�A4i— r
Basin,channel (t fff t {
cubic yards t, \ I I i
Boat ramp i r� n4, to I I "
Boathouse/Boatlift I '1"" —..-- - .� ' }
_L- -i , { - !!,a '1.- ! --
Beach Bulldozing { —
Other 1 j *ow ' : . -- tu14,-"tur".1 tg,. 0_,,i,ii 1
''..
Shoreline Length ',!' ', ,tr, I ! i1 61k
SAV: not sure yes { Ifi *PI
Moratorium: n/a yes _61. t _..._ I ` _._
Photos: yes i — _.. —
Waiver Attached: yes no 1 I i 11 I •
A building permit may be required by: Z(xQA .,\ L Dvnk 1 . n ee ote on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / `t"W Notes/Special Conditions T + . r ►r+ •v'F Ica Fel
NAP+. WOrte41� VONA 1l )C 1 t, x ,-`?1
f:x, c)-• w,- bLA A-14c.. , T)a<C Y 1't L e N\ j ' -, , -.r
3ieEt.i.y P I ilR Li
Agent or Applicant Printed Name PerrtaitOflicer's Printed Name
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 RuVs Applicable To Your Project:
J 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(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 9I0-796-72I5
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

-
ROY COOPER
N
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River
basins per Division of Water Resources(DWR) regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal
Management(DCM)through a Memorandum of Understanding with the Division of Water Resources(DWR) has
reviewed your project proposal and has determined that the project as proposed complies with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
>.. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL)or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
- filling in the buffer is a violation of the riparian buffer rules.
2. Clearing& Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects(bulkheads)only;sites where wave overwash is i
expected to be severe, the first ten(10)feet landward(unless specifically authorized otherwise by DCM)from the
structure may be maintained as a stable lawn in order to provide for structural stability.
s. Temporary Stabilization: Immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
6. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead.
• Pre-project site conditions: 1"r (S /3-ra„- i.}-, a, ,,,,-1
7. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and anyassociated clearing,g, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above lis d conditions and verify that all
information is complete and accurate.
Agent or Applicant Printed Name Per ffi er's Si e
Sea 4-4— -2oz,D
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: - (p44 --i .
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 1252-946-6481
Wilmington Office 1177 Cardinal Drive Fvt Wilmi„gton,Nr 28 405-3 8 45 i 910_796-72 5
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

t A
Authorized Agent Consent Agreement
I,t?Kitd H(Rrvq J2 fi (ai/e. L , herby authorize Tobin Jay Tetterton of
(Property owner(s))
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
,91-1 &veep 1
3141) a' no g
{ 9
PROPERTY OWNER'S MAILING ADDRESS:
ed./ Cabs ,'c L-
l � y
R� ettah k/C ?'7&01
��36 -9�� � g5S1%
Phone No.
PROPERTY OWNER'S SIGNATURE:&% / 67e6
AUTHORIZED AGENT SIGNATURE:
TOBIN TEl 'ERTON
DATE:
W/Authorized Agent Consent Agree.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i.c1
property located at • (Na a of Property Owner)
A- e , /VC
on �A m J, o V r (Address, Lot, Bloc , Ro d, etc.)
(Waterbody) ' in C.
(City/Town and/or County) E
The applicant has described to me, as shown below, the development proposed at the above
location.
Adjacent I have no objection to this proposal. I
Prope
Owner one . .tlnr^ ' +:filar s thig pr
DESCRIPTION AND/OR DRAWING OF P ROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
t
S?? / & /A4ta/q,i ,
: ,
, i
Adjacent WAIVER SECTION
Property I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse
Owner must be set back a minimum distance of 15' from my area of riparian access unless� lift, or groin
'lit e. (If you wish to waive the setback, you must i iai the appropriate Arai waived by
one blank below.)
I do wish to waive the 15'setback requirement.
(Property Owner Information)
djacent Property Owner Information)
Si ature -
fr ve JR- /vle L riLl i afore*
Print or Type me o e T 'N- .1 e5 re/
24 i°YY Lvt P 'nt r y e Name 27 aueen Anne be,
tlpg A dres
Ric/ LIB�16 0
City/St te/Zip 9 n�a�� eS tit
:(o-9©� �g`j'/ Ci /State2rp
Tele ho a Number/email address is 1
'
ri,7 �2a Telephone Number it add
/e
Date 4.,
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

,
ADJACENT RI ARIAN PROPERTY OWN R STATEMENT f
i hereby certify
that I own property adjacent to ri)
6r � T2acl C ✓o(n ,b� an�e of Property Owner)
property located at 9 .e �/� ,s
on ern r o ��V r-' (Address, Lot, Block, Road, etc.)
(Waterbody) , in tia
The -'•licant has described to (City/Town and/or County}
!o •
me, as shown below, the development proposed at the a
satQ t V. I have no objection to thisproposal. b ve
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G.Tar
1
DESCRIPTION AND/OR DRAWING OF PROPOSE 1
(Individual proposing de D
9►development DEVELOP A t must fill i DEVELOPMENT ,
n description below or attach a site drawlttg)
r
P ' - -/) 130N''
' i,ar .t �►IVER SECTION I
-v �:}, Iunderstand that a pier, dock, mooring
must be set back a minimum mon g pilings, boat ram ! s
distance of 15' from my area of riparian access unless
boathouse, lift, or groin
me. (If you wish to waive the setback, you must e i
: `" low ) waived by
.---..�,.#II�J the appropriate blank below.)
i do wish to waive the 15'setback requirement.
(Property Owner Information)
(Adj cent Pro rty Owner Information)
ignature Svc
,.�l><Cc,.cvy T2/��rle Si tu�'e : •`
Print or Type Na e © • c_. '
/�e. ,r1. Pri or /V rvRT p )a lc
M 7i gAd Tess — , ei cTsy o:. ,X uet�
d
M fli
NC o276,o ng Address
City/Sta n Id Tess ✓e 6n1,h /11L
(o=`�O�- f�S9� City/State/4
Te;e horn Numberfema�l address s a. 7/ - 7.7 7/ 4/9yloregb`, G4:1�ii , oyy�
,p e%phone Number/email address
Date ----- SZ"I�7�a0d
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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