Carpenter, Joel 76612C

CAMA / ❑ DREDGE a FILL Na 76612 A B ® D
GENERAL PERMIT Previous permit#
New ❑Modification ❑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 envlronmental concern pursuant to I SA NCAC
�1 Rules attached.
Applicant Name Project Location: County Qnn�2�nyl
Address 2 % SQt l W s e,,v -Dct UP Street Address/ State Road/ Lot #(s)
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CAMA / ❑ DREDGE & FILL , N° 76612 A B ® D
GENERAL PERMIT Previous permit#
MC New ❑Modification ❑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 0 tt • ��ii�
/� �Rulesattached.
Applicant Name `'c�t� l DL( pp� IiiiV Project Location: County �q,��0!
Address 7 SA 1 'y f e6,�v D(`I VP _ _ Street Address/ State Road/ Lot #(s)�> 0�
Authorized Agent
❑ CW Am -.(Yd
❑OEA ❑HHF ❑I
❑ PWS:
Subdivision
City ZIP
J./I I_ AI,-

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 El 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/ 1-888-411COAST
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

Nema of Property Owner Requestktq Permit:
gAddreas: �`% .SAi �NIGw �!►MC.
Phone Number: --
Email Address: rnIJiPAri�.ly +Bqy �vct
I certify that i he" autfwrized Aoej { rrly.,. C�r.s��tef�aa jtw
ngemrco�aaao, "�'�
to act on my behalf, for the purpose of apptyinp for and obtaining all CAMA oefndts
193sory for the fWjo% Q proposed development �$p"-- Pit 1!
at my prop)arry loosted at ei�
©---
rlprt t , i►c —
in 'U"s'' c,County.
I framorrftara csrNfy Met I am authorlasd to grant, and do In fact grant psrtnftAm to
Divlsfon of Coasfal Manegamerd staff Me Lo0al Parmft OtMoer and fffa/r SgWft to enter
on the aforamaMlonad land& In aanec nbon W*h evaluattng lnbM& on rehited�
p®mv appfN auw. _
©i 02c0
Fft
Darn
Ttds csftifk:etlon Is valid through 1_ t
RECEIVED
MAY 14 2020
DCM-MHD CITY

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ADJACENT RIPARIAN PROPEn s
Y
I hereby certify that I own property adjacent to(Name of Pro rty owner)
property located at i e:>AIdtt0 L.gr,, Road, etc.
(Address, Lot, 01oek, 1 �G N.C.
on _ fcro in � 1-----__
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
1A�•Iotaca '
_ I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till In description below or attach a site drawing)
Coo
NAIVER SECTI N
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
I ` 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) (Adjacent Property Owner Information)
41
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Wknature� _ , qP
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Pd, t or Type Name I
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Ma'ling Addrq�s AJ`
4199 t. r.A 1
Telephone
Date
FA
Print or
Mailing
address Telephone Ntitnber/emall address
Date,:t5 _7 —A-
RECEIVED
(Revised, Aug. 2014)
MAY 1�26
DCM-MHD CITY

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to MO. -OGI CAvgt::�IA&• s
property located at c II e—AA t a L,4o G (Name of Proptrty Owner)
(Address, Lot, Block, Road, etc.)
on �('c) In 12hwf j Vt N.C.
(Wate►1fody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca'on.
r}t�� 1 have no objection to this proposal.
N Q� I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing developthint must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
L must be set back a minimum distance of 15' from my area of riparian access unless waived by
'4[1 me. (ifYouwish to waive the setback, you must initial the appropriate blank below.)
is jt�p' l 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Pwner Information) (Adjacent Property Owner information)
Srr fat) �'�trnr„r}ty. Sig
nature* I,/'�
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_ g o type
NJ 2W l /ram c NamelI-- /�
Date
email
RECEIVED
`Valid for one calendar year after signature' (Revised Aug. 2014)
MAY 14 2020
DCM-MHD CITY

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