McEnally, Richard 76610C

ANIA /
-�
- DREDGE FILL
- St
A B D
ENERAL PERMIT
iNew
Previous permit
_..
__ -._a_..,r. .,., =.e Reissue _Partial Reissue Dale previous permit issued
As authorized by :'-e ::a:e r '".--r. �_ c -- _. --^:ent of Environmental Quality
and the Coastal R=_sc_
__ Ccr---ss._- - _ _ e_ c: environmental concern pursuant
to I SA NCAC
i
v Rues attached.
Applicant Name
Address j '�
_ _' f j
-- p
�, �Y 04
Project Location: County.
Street Address/ State Road/ Lot #(s)
City_nrr�(i 'r•_+
----5ta[e
Phone # �-1< �_• _ _ ����E-Mail ____
Subdivision
Authorized Agent
^ rye �. [^.l�Q( _ _
City n�� Ln/ Jam' _ __ ZIP
OW _SEW
P
,TA —ES Ji. PTS
Phone # () River Basin
Affected _
AEC(s): OEA
_ HHF - IH _ UBA ❑ WA
-
Adj. Wtr. Body [E Il� (ram i L/ Jman nki
= PWS:
ORW:
PNA /
Closest Mal. Wtr. Body
yes;
yes ��
Type of Project/ Activity
t f /
r (Scale:
Pier (dock) length x �j^_.
Fixed Platform(s)
Fr Platform(s)
Finger pier(s)_
Groin length
_
number i
Bulkhead/ Riprap length-
avg distance offshore -
max distance offshore
Basin, channel
cubic yards I Boat ramp
Boathous / BoatLh
Beach Bu Idozin
--
\ c
Other _ -
r
Shoreline Length
Ifl�li7 /
$AV: not sure yes
Moratorium: n%a yes
Photos: yesf/11f1
Waiver Attached: -
A building permit may be required by: (��m UE'n CIO L Lj)1�7 VN.See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) 1 /
Notes/ Special Conditions / +1 / 4
Agen or App:ica-..:Prime Name
Signature Pleaserea
mpliance statement on back ofpermita"*
Application Fee(s)
Check #
_ F-) G�CA
PermitOfficer's Printed 'Jne—
Signature 4pi�
if
Issuing Datb Date

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NCAMA / ❑ DREDGE & FILL N9 76610 A B (P D
ENERAL PERMIT Previous permit#
ew El Modification ❑Complete Reissue El 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 i
1
G J�
Rules attached.
Applicant Name
J
En a
I V.
Project Location: Countya_4_1/
Address
Street Address/ State Road/ Lot #(s) �O
nn
City `YSP.f StateACIZIP
t
Phone # c -ZAOME-Mail
Subdivision
Authorized Agent 7-o � cQQnto
CityNpaA/ YXh'f')
ZIP
Affected ❑cW -rA El ES ❑PTS
Phone# O
River Basin eGtgB
❑OEA ❑HHF LIH ❑UBA ❑WA
V
AEC(s):
ORW: yes Un 1 PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) r
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Beach Bu ozin
Other o S 1
a
Shoreline Length
not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: ye no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
G
or Applicant Printed Name
Signature**Please read compliance statement onback ofpermit
**
��= w- lga
Application Fee(s) Check #
Adj. Wtr. Body Cell 1 ( /man /unkn)
Closest Maj. Wtr. Body A Se. �I ireX
(Scale:
See note on back regarding River Basin rules.
PermitOffcer's
Signatur
Issui gDa�xpira on 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 1) 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 INC 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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 Mall
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
nn (Name of Pro�,perty Owne�
property located at O L5 1 /cG� Chep� /2rrx fl/
q/�/ (Address, Lot, Block, Road, etc.)
on 9,44ce.t" (Pe' -,in Cb u21i1 1_,-tu,1 ZL/ , N.C.
(Waterbody) (Cityrrown an# or County)
The a plicant has described to me, as shown below, the development proposed at the above
loca
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)
tT^6lei tsX)
�"
P ex..c I c
4 c(J
"-oiufe-t�rf�t��
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 y6ish 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 wner Information)
nature
4
Print or Type Name
Vz
Mailing Add ss
Ale(L Mplj, Ate. R 1651�
City/State2i
Telephone Number/email address
a 5� - z5tT)-6ss3
Date
'Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Sig e rc_q r A
Print orTyp
la3e N'eat,cs Gr
C'
o
MagAddres,
City/States tp 4� oZ
a9(if�3 le - t4�
Tele�ne Number /emailad`dress
Date* RECEIVED
(Revised AuMAY 0 6 2020
DCM-MHD CRY

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to i chy id (6l- 414, 6101// s
(Name of Property Owner
property located at / '90 /� S/^,It <s (HR�
(Address, Lot, Block, Road, etc.)
on2s4ic,e-5 ein (c-«a ✓cam/ N.C.
(Waterbody) (City/Town Ad/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
9 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)
L o h
/in
o
oar
" IL —II
P
/&,"/ e-r' '/'/ c e /�
WAIVER SECTION
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) (1Addjac/ent Property Owner Information)
Print or Type Name /Xv
/d �/h <'t
VMaiing Add�/ss
City/State2lp
� sa - 5'7/-e
Telephone Number/email address
Date
*Valid for one calendar year after signature*
20
i� pr.
(Revised Aug.MAY O 64Z0Z0
DCM-MHD CITY

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: III /1 t bX
Mailing Address: M 96 S } ices CAeOlc- /2oa S
rh 116,
Phone Number: o, —
Email Address: M e..U7a h eC h f iia-ter .Low
I certify that I have authorized % on-! 46 U111- A? it S 252- Sl Yr 9 &8A
V Agent/Contractor
T& & r✓ ire �r�1FSnK� /h/I�4f Ln�✓J
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6�0 , A i el- e4 r1 ek
16017 ;5` / : 1-1�14
at my property located at 1?6a"
in 6y ve h County.
I furthermore certify that I 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:
-Signature
Print or Type Name
Clwtieh
Title
�2 _/ S
Date
This certification is valid through -7 / / / �-O
V
MAY 0 6 2020
DCM-MHD CITY