Salley, James 78327C

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LAMA / ❑ DREDGE & FILL O
Priz!�by
N. 78327 A B C� D
NERAL PERMIT Previous permit❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Asau the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Cor�Lmission in an area nonmental concern pursuant to SA NCAC
/` 9 R^ules�ac_hed,.
Applicant Name ✓ �✓��J ���� Project Location: County
City i iV^ Z `VUZ State /v(-ZIP OLO 1®
Phone # 06 E-mail
Authorized Agent r
Affected �/y�"v' � DES ❑PTS
AEC(s): OEA c ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no F PNA yes no
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic.
Boat ramp
Boathouse/
Beach Bulldozing
Other
Shoreline Length _h�T
SAV: notsure yes no'
Moratorium: n/a yes /no�
Photos: es 1C09
Waiver Attached: yes no L—
A !- A
building permit may be required by: iil (.K
( Note Local Planning Jurisdiction)
Notes/ Special Conditions �t ek-1
Agent or Applicant Printed Name
Street Address/ State Road/ Lot #(s)
/crtc
Subdivision
City C ZIP n
Phone # ( ) River Basin
Adl. Wtr. B--, na an unkn
Closest Mal. Wt„ R_d,
l J�iiO(
(Scale: A /"7-3 )
/ ❑ See note on back regarding River Basin rules.
l�
rt
Signature **! lease read complianease read compliance statement or back of permit*'r Signatur
to7V % 2
A+,,JVtknFee(s) Check# Issuing Da

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 [)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, certifythatthis project is consistentwith 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
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, Bartle, 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

AMA / ❑ DREDGE & FILL N. O
78327 A B C, D
GENERAL PERMIT Previous permit#
PN�ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As au horized by the State of North Carolina, Department of Environmental Quality / !�
and the Coastal Resources Cor}Cmission in an area nonmental concern pursuant to I SA NCAC
Applicant Name ✓ �r�% �7r Project Location: County�C
Address V jV ' n, Street Address/ State Road/ Lot #(s)
City ✓` U/L State
{ V CZIP� 6 Cjrac (r//-�'4t
Phone # 06i�E_ ll Subdivision
Authorized Agent C7(� L City C ZIP
Affected � ❑❑ ES PTS Phone# () IverBasin�
AEC(s): "'� E HHF IH ❑ USA ❑ WA Adj. Wtr. Body � na �an unkn
ElPWS: N
no Closest Maj. Wt.. Body
ORW: yesno PNA yes
Type of Project/ Activity ( P 0 L
� K2�
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/Poprap length
avg distance offshore
max distance offshore
Basin, channel
_
j
--
!
- -
cubic yards
Boat ramp
Boathouse/ Boatlift
-------`�"
Beach Bulldozing
Other
�•!
-- 1
-
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes o
Photos. es
Waiver Attached: yes no
A building permit may be required
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
t
tl(
by: P✓✓`
,p
�� 0 t C K7`/ L y g 5 t
(Scale: A IT-) )
/ El See note on back regarding River Basin rules.
4—
Agent or Applicant Printed Name Permit Offc rinW
Signatur ** lease read compliance statement oq back of permit" Signatur
IeUb
l v-dw3 2 l
A li nFee(s) Check# Issuing Da )

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 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/ 1-8884RCOAST
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

Name of Property Owner
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the
necessary for the following
at my property located at
in on Slaw County.
l furthermore certify that l am a
Division of Coastal Management;
on the
permit
Title
in
Permit: JamP,c, SQ\� I
of applying for and obtaining all CAMA permits
development: GOQS-Vroc-tt®h of
Date
This certification is valid through i
to grant, and do in fact grant permission to
Local Permit Officer and their agents to enter
)n with evaluating information related to this

ADJACENT R►pA
I hereby certify that i own property
property located at b
on (n u?eh4 Gr, e`
(Waterbody)
i
The applicant has described to me•
to 'on.
I have no objection t'
I have objections to
to lo,m Sails S
—(Name
of Property Owner)
ss, Lot, Block, Road,
in Swor �S ern
(City/Town andlor County)
N.C.
as shown below, the development proposed at the above
this proposal.
proposal.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, t ramp, breakwater, boathouse, lift, or groin
boa
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 1�' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner
Pnnt or Type Name
r.raPkS t� o�dS (1-
Mailing Address
�wgnChor O NG
City/SfatelZtp
Telephone Number/email address
(Ad' cent rope Owner I I ormation)
��t � o V 9�ai-hPk i n ci onvlell�=tY�
Pnnt or Type Name
4s=tt,C&!de nods dr
Mailing Address
byvQn-S ol-ai NC, 22)S�54
City/State/zip
Telephone Number/email address
*Valid for one calendar year afteraignature* (Revised Aug. 2014)

I hereby turfy that I own propet
Property located at
911
The applicant has described to n
location.
—9 1 have no objection
t have objections to 1
I understand that a pier, dock, mo
must be set back a minimum diste
me. (if you wish to waive the setba
IN I do wish to waive the
I do not wish to waive.
trroperty
Number/ emall address
to .Om�� Wqi IS
(Name of Property Owner)
(Address, Lot Block, Road, etc.)
in�AnSbOrO /or�4(fly\i ,N.C.
(Citylfawn and/or County)
shown below, the development proposed at the above
proposal.
proposal.
lungs, boat ramp; breakwater, boathouse, lift, or groin
15` from. my area of riparian access unless waived by
must initial the appropriate blank below.)
setback requirement
IS setback requirement.
roper%Owner information)
�ara,-, or St-P�,O��i�e wad
PnntarType;Name
%GreetC Sit
Mailirig:Addess-
�WaYiShQNbr
Cdy/SFatalZrp
Telephone Number/email address
Date*
*valid for one calendar year after Signature* (Revised Aug. 2014)

1/14/2021
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