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W9CAMA /. DREDGE & FILL NERAL PERMIT
slew ❑Modification ❑Complete Reissue ❑Partial Reissue
jV 9 76799 A B (/0 D
Previous permit #
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 15A NCAC d_
;Z:Rules attached.
Applicant Name (?,V Project Location: County Yx
Address 3 C-Q Street Address/ State Road/ Lot #(s)�✓�`_
City r State (y , ZIP_
Phone # E-Mail Subdivision
Authorized Agent �n i U�(,C; �J�51C • City ZIP
,
Affected ❑ CW `<W pl' PTA �`S ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body t /man /unkn
❑ PWS:
ORW: yes / (o.h PNA yes
Type of Project/ Activity
Pier (dock) length -
Fixed Platform(s)
Floating Platform(s) ✓
Finger pier(s)
Groin length
number
Bulkhea 1 iprap length
avg distance offshore ^'
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach
Other
Shoreline Length ""V
SAV: not sure yes �/n�
Moratorium: n/a yes no
Photos:
Waiver Attached: no.
A building permit may be required by:
( Note Local Planning Jurisdicti
Notes/ Special Conditions (�
,e) /
Age or Applicant Printed Name
Closest Maj. Wtr. Body 'w
(Scale:/
� �C �6 `l $ See note on back regarding River Basin rules.
n i i I c fn s J_ A ) i
Permit Officer's
Si' ature ** Please read compliance statement on back of permit92-")
�V
A plicationFee(s) Check#
SignatLte
Wpira
o
Issng to 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mail
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

a
AGENT AUTHORIZATION FORM FOR PERMiT API L AT10NS
12
Name of Property Owner Applying for, Permit: TPE
Mailing address,
Telephone Number: C� 72-1
gen Contractor),
oa
I certify that I have authorizedw.S,
to act on my beholf, for the purpose, of vi oplyin,-1 and or ainincl all C'..AMA perrn;fts
necessary for the proposed development of
4-0fA A Euf:c��� --
at my property located at jk):LEAUL-EL LIE t:LC
This certification is vabd through (date).
(Proporty.,Owner fiffors'nation)
St�riature
Pfirit ot, Type Alarne
Title, co. ownetor trustee for, jxopaffy
Date
Telephone NUMber
V-\
Email Address RSC[5f\fr=o
�k# �aa90
JUL 0 12020
DCM-MHD CTY

. r
. . .
+z
,�- - _ __
- ..
__

ADJACENT,,RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to � _ ,..
Na e of Pro erty Owner)
property located at
(Address, Lot, o k, Road etc'.)
on a� AVIEV""_ in� � .,... N.C.
(Waiterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location, Jose
Eche
h jf ,A<t z X
wow„varrla l have no objection to this proposal.
I have ob)ection.% to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
62' x 6' Wood Bulkhead (Upper Wall) - this wall will be built as a Navy Wall using 10'-12' round
pilings every 5O.C., 2x8 (2.5 treated) V/G boards, 4x6 whalers 5/8" tie rods & 2x wood cap.
V/G boards will have a minimum of 50/50 ground penetration.
244' x 5' Vinyl Bulkhead (Lower Wall) - this will be built out front of existing bottom bulkhead.
Built with ESP 3.1 Series Vinyl sheet piles. Roughly same construction methods as above with
the exception of rock bed drain installation.
There will be some intermediate pilings driven in front of existing retaining wall.
All backfill will be done by the State.
WAI' &! SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set bade a rnininiurn distance of 15` from nay area of riparian access unless waived by
rye. (If you wish to waive the setback, you must Initial the appropriate blank below.)
Jose
Eche—
' a l do wish to waive the 15' setback requirement,
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
rfyl ti lfz�
Telex,/a�/ono t�r�mber/entail address
darer
*Valid for one calendar year after signature'
(Adjacent Pr ere°
ty Owner Information}
iaU w,F,re a"ae, ;
Jose Ech varr,asn,ema
1—A54 email-leil,evarrlaAaerowual�alenm.
115'r
P I or Type Name
LW .
Telephone Number /onwil address
6-34 2020
Dtve
(Revised Aug 2014)