Sapp, Janet 76772C

XCAMA i",DREDGE A FIILLA N9 76771 A B � p
GENERAL, PERMIT Previous permit #
'New Modrfication 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 15A NCAC 10 i
ules attaehad
Applicant Name �_ UT-ch
p4 Project Location: County -�s'�
4
Address a� ve— Street Address/ State Road/ Lot #{s})
City l - State f ZIP �710-- -
Phone # 5� 3 E-Mail I�C1 (_fol �� bdivision
Authorized Agent Mtn I [e60 S - cityob
lJll� ❑ ZIP
Affected CW XEw XPtA XES PITS Phone # River Basin ['
AEC(s): OEA HHF _ IN U" MIA Adj. Wtr. Body P f Lnkn]
Pw5
ORW yr, X PNA yes I rjp
Type of Project Activity�C
Pier (dock) length
t
Fixed Pkaidorm(s)
Floating Platiorm(s)
Finger pier{sj
Groin length
her
ulk Riprap ii!ng[A
i
arg distance offshore
t
max distance o►lshore I
Basin, channel
r
cubic yards_
amMV—. . -f
BOathOUW aaadi t
Beach Bulldozing _
Other
Shoreline Length
5AV not sure yes no
Moratonum n/a yes no
}
l�
Photos: yes no
Waiver Anathe& yes
A building permit may be required by-
( Note Local Planning Jurisdiction
Notes/ Special Conditions
-4111;;, L qt I IQ
11 1 k- L►t r�
Closest Mal. Wtr. Body ENV" r-U t
?� �,�Ojr6e; . _�V
�pi5
�or Applicant Print
cure " Please t ead compliance statement on back of permit"
rcat+on F pa{s j Check #
ma
(Scale: y 1
Pt
See note on back regarding River Basin rules.
n
PermitOMcer's Print
Sign�tur
® o
Issuin at Pi ion Date

'�, DREDGE & FILL
,kCAMA i
A B
GENERAL
PERMIT
Pr(Vjg')"s Per r1lit #
Rcnssm,
Rmrtial Roisiw
Dtw previOus Per"'It M54"'�j—,
An
Appficam Ntme
4bAddress
City
Phone #
ZIP
Cw xt"V,
XPTA XES PIS
Affected I
PkE,"Cis) OJEA HHF
IN UlAA NA
Adt,'Mo" $,)dy
pwl�
Mal wti, 8"x,
ORW PNA
Y
Type of Project, Activity
A buit&ng
'�ee ftott 00 twKk rcgaribng R4wr Basw, rv4n,
Note
Notes Spectif COWIWO AS

-. CAMA / I 1 DREDGE & FILL
d { B D
GENERAL PERMIT
6AA
,
Previous permit#
New ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental
Quality j
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC OZjq , / 1cr-)
Rules attached
Applicant Nam/e��
Project Location: County
Address V
Street Address/ State Road/ Lot #(s)
City
State ZIP Q/
Phone # ( ) -Mail
E
'a ..�
Jubdivision
Authorized Agent
tyJP�� ►`� � ��5 /'' (��
n�dJt1 S City C) ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) '� River Basin
1
ElOEA ❑ HHF ❑ IH ❑ UBA El N/A
AEC(s):
Adj. Wtr. Body J
a unkn
❑ PWS:
�-
ORW: yes / no PNA yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity C )
o - Vinyl^
(Scale: 1
)
Pier (dock) length
-
_
Fixed Platform(s)
C
i-
Floating Platform(s)
Finger piers)
- -=-- -
t
-
-
--
-
....
_
i
- -- -
-
-
--
- ---
-
-
- -
-
Groin length
! ! !
I
i
i ! i
i
I
•
�
I
Bulkhead Riprap length
I
avg distance offshore
max distance offshore
I
Basin, channel
—
cubic yards
I
!
:
Boat ramp
i
Boathouse/ Boatlift
j ! i
I
i
!
i
i
i
r
i
;
1
Beach Bulldozing-
i
i
:
Other /
AflShoreline
Length
SAV: not sure yes no
:
:
--
-
Moratorium: n/a yes no
m
Photos: yes no
_..
._._..
-
_.._..�
I
_ -
:
-
i
- ;
- -
Waiver Attached: yes
°
❑ River Basin
A building permit may be required by:
1 Ls
See note on back regarding
rules.
( Note Local Planning Jurisdiction
j
Notes/ Special Conditions
wit- 0": '
p
Au
V"
�-J
Age eor Applicant Printea-N4a e
Signature ** Please read compliance statement on back of permit
f t
A IicationFee(s) Check#
bA rt-'t1f-)J
Permit Officer's Pri;6cr X-J
Signgurgr
q •- 0 0
Issuin at pir ion 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 complywith 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/ 1-888-4RCOAST 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
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)
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _Ja rle+ _f;41Q1D
Mailing Address: j `L b a � U-t- >� � G�►'1� �( h
ns+.o -7i v r
Phone Number: -3
Email Address: tv q a rr, - L©
I certify that I have authorized DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: `._ C C' V \ nw,
r)LxlXhcod.
at my property located at I H
in catifret County.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
d-4'
Signature
lj
Print or Type Name `
Title
q /
Date
This certification is valid through 12 /
RECEIVED
MAY 2 9 2020
C)CM-MHD CITY
31 / 2020
l� CIS-�C �� _.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��,r, c a s
(Name of Prope y Owner)
property located at 1 L46 Chu--J) 6 f k16110 e-
(Address, Lot, Block, Road, etc.)
on 1 cw in A rwpop—'Tl , N.C.
(Waterbody) (City/TownAnd/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
C i G(0' c= v ► O � L -BU' "Gftb
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Propert� Ow Information)
Suture
SC)A Cf�
Print or Tye Name
Mailing Address
A.%C' 6?7101
City/state/Zip ,
Telephone Number/email address
Date
L
Telepho e Number/email address RECEIVED
5 6 a `
Date MAY 2 9 2020
*Valid for one calendar year after signature*
(ReviseC Aug.
DHD CITY

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on 1CW
145 CHURCH GATE LANE
(Waterbody)
JANET SAPP
(Name of Property Owner)
I
(Address, Lot, Block, Road, etc.)
in NEWPORTICARTERET N.C.
(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)
-INSTALLATION OF 126' OF VINYL BULKHEAD
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
JANETSAPP
Print or Type Name
140 CHURCHLAND DRIVE
Mailing Address
WINSTON-SALAM. NC 27101
City/State2ip
336.817-5493
Telephone Number / email address
Dale
(Adjacent Property Owner Information)
Signature* L/
Print or e Name
I �q
Mailing Address
City/Stater'
Teleph ne Number/ em it address
_� le c
Dale* 2 9 2020
(RevigqA6CITY
`Valid for one calendar year after signature"

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