Rogers, Glenn 78358C

LAMA / O DREDGE
- FILL
N9 78358 A B C D
ENERAL PERMIT Previous permit#
New OModification ❑Complete Reissue El Partial Reissue Date previous permit issued
As As authorized by the State of North Carolina, Department of Environmental Quality _7 A y y
/ y rK
and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC/ �`
Rules attached.
Applicant Name (— l e^' 9 (' r- Project Location: County t tJ 'I, /
Address 116 e 7 J -- ( Street Address/ State Road/ Lot #(s)
City L-�e.�- //'' StateIZIP 1 � �� l...(` Z
VS Phone r ) a��. Dr E-Mail
Authorized Agent
ElCW
❑EW ❑PTA ❑ES ❑PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ P
/N/¢:
ORW: yes /"no)
PNA i es`/ no
Type of Project/ Activity
Pier (dock) lengthv,
Fixed Platform(s) �r
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/Riprap length
avg distance offshc
max distance offsh
Basin, channel
cubic
Boat ramp
Beach
Other
Shoreline Length 1 V V
SAV: not sure yes
Moratorium: n/a
yes
kp6
Photos:
yes
pq
Waiver Attached:
yes
no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Subdivision
CitySf,r �4,. ZIPr
i
Phone # ( ) 11 River Basin r
Adj. Wtr. Body l 6 `P nat man unkn
Closest Mal. Wt., B_dr _ / _ C1�//\
(Scale.,,
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Of 1 r rinted I�i[oe._-------- - -
Signature *ease read cor li ce statement on baacofgg q'�t * Signatur
Application Fee(s) (f/CCh'eeck# Issuing Date ffxpiratioA 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 ❑
❑ 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
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 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 Pander Counties)
http://Portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

i
CAMA / ❑ DREDGE & FILL N9 78358 A ( B� C D
ENERAL PERMIT Previous permit# 1,••�'
i New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
�%V /t; a
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 I SA NCAC
/ � Rules attached.
Applicant Name Ole-" {" 't S " Project Location: County'6V ro V
Address ! in ''i
City P• State k-
r' r
Phone #ti � ) S�L't ' = E-Mail
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PyY¢:
ORW: yes /iFno� PNA es// no
Street Address/ State Road/ Lot #(s)
1-7�7 /- I t -r / f
City ZIP V`
Phone # O River Basin.'
Adj. Mr. Bodat man unkn
Closest Maj. Wtr. Body / (141'
Type of Project/ Activity
■■ee■ ■
w■■■■■■ee■ewe■■■■■e■nElms
a.■■■....
::...:
Knee
.te:a_
u::�i:
-i:�::
.ee■■eee.pm■1,■er..MEN
■':i
e■
his
eee■......e■■■■..
...ee.e■eee..Inc
■e■..■....■■■N...'.......■■■ee■■■■eee
:::e::e
■e■■eewM.u■■
:::111111
..a
r■i:::�
1111.2 ME
e��l�j.e
■e e��.
111111►.■■.■iie■■�■.
■e■o ■.....�._.
'
�::::::;:::
e■ilelJ■1�.'e■
::::�::Iwe:::�::M'
e■e■■
■e■e■e ..
®.
��iee.i■:.euweee■■■:e��ieee■e■er
ee��...■ee■■■
. ■■ee■...
®■I.
.I �■®■
■■e■..
..■.
SEMI
M
ME
Argent or Applicant Printed Namfe,,.
Signature ** Please read complikc'e statementon baz<-ofRgrgfsit *"
Application Fee(s) Check#

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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L]Tar -Pamlico River Basin Buffer Rules L]
❑ 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 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, 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 Pander Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
-P/` coJ Ce c �c � 6 A 7kc'— —(�,A f �
Mailing Address:
(st P�t-,9� ("�rouc ck��c� cl�.
�r i�Da rr\ Q C a" `J 3 7
I certify that I have authorized (agent) d CO EL— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
"-�c Q� '
\-4 WA ( S tj
This certification is valid thru (date)
.
roperty Owner S►jg ature Date

HAND -DELIVER- -
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent toG� tLe q f L j= x f-S
(Name of Property Owner)P421
property located at I-7rk 1� `� `\ ` `o-Ak
I n \ I (Lot, Block, Road, etc.)
on I(KAJ 1\I�r�cin. zf A . .C.
(Waterbody) ('Town and/orCounty)
Applicant's phone #: &4rL�Mailing Address: ` try- dsLL-�Inwet�
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I S) 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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIVICNT:
hv;»dividual proposinn development)
\�¢atVo
S
��•�' ^c4� - � , ;j���,fr c �� �5c��1 � haw �
--------------
(Information for Pr perty Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
City/State/'Lip Print or Type Name
Telephone Number Telephone Number
Signature Date Date

0

for.,

Ub MAIL
CERTIFIED MAIL - RETURIN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEivIENT
Name of Property Owner: C 16-LA.
,
Address of Property:. 1V` 4 9.� � .3 �t-`,' "` �dL,
(Lot or Street #, Street or Road, City & County)
Applicant's phone#,-910 q�I!!� Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit
has described to me as shown on the attached drawing the development they are proposing. A description of drawine,
with dimensions, must be provided with this letter.
V %— I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner
I
Print or Type Name
1 (`,
Mailing Address,'I.
��o lq
City / State Zip + q 2
Telephone Number Jig 1 �7 00 J
Date d-- 5 I
(Riparian Property Owner Information)
Signature
or Type Name
Mailing Address
City / State / Zip
Telephone Number
Date
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone]Internet: www.nccoastaimanagement.net
An Equal Oppodunity 1 Affirmative Action Employer - 50% Recycled h to% Post Consumer Paper

U5 MAIL
CERTIFIED MAIL RETURN`- RECEIPT REOIJESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
Applicant's phone —_—
Mailing Address:
I hereby certify that I own properly adjacent to the above referenced property. the murviu,
has described to me as shown on the attached drawing the development they are proposing.
with dimensions, must be provided with this letter.
OkElcw
for this permit
i I have objections to this proposal.
�:' I have no objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the.same as no ob'ection if You have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse,:or lift must be set back a, minimum. distance of
I5' from my area of riparian access unless waived by me. (If you wish to waive the setback you roust initial the
appropriate blank below.)
I do wish to waive the 15, set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information) (Riparian l'roperry vivi,ci
iff(J-1
i nai na, / Signature
a.f
Print or Typp e Name �� Print or Type Name
V1 f 5
Mailing Address,
City/State Zip � j-
Telephone Number t! [ p t �� v� do 3
Date
Mailing Address
City 1 State / Zip
Telephone Number
Date
127 Cardinal Drive Ext., Wilmington, North Carolina 28405.3845
Phone: [phone] FAX: [phone]ntemet: www.necoastaimanagement.net
An Equal Opportunity 1 Af<rmative Action Employer — 50% Recycled V 10% Post Consumer Paper

Cr��fc Mir 0
TOV t i M

From: RICHARD DOWDY Fan: 19197271428 To:
l
Fan: (910) 395"3964 Page: 3 of 3 03f0612021 1:26 PM
,
� r
d
l 5 'lip

From: RICHARD DOWDY Fax: [phone]
'US MAIL
To: Fm )910) 395-3964 Pap: 2 at 3 0270912021 1:26 PM
Name of Property O
Address of Property,
CERTIFIED MAIL RETUMN RECEIPT RETjUESTED
DIVISION OT COASTAL MANA,GEiV1FNT
ADJACENT RIPARIAN PROPERTY OWNER $TA,TPVIENI T
whet;
t C. Idt
/ (Lot or Streetill, Street or Road, City & County) j
Applicant's phone k.110 ! J --� Mailing Address:
I hereby certify that I own properly adjacent to the above referenced property. The individual applying for this Perm
has described to me as shown on the attached drawing the development they are proposing. oscriMion ofdrawint:
with dimenSi2bs. mist be urovided with this letter.
haveito objections to this proposal. 1 have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Managemeut (DCM)
in writing within 10 'days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive TxL
Wilmington; NC 28405-3845. DCM representatives can also be contacted at (9I0) 796-1215. No response is .
considered Eha same as no ohieeYloh if you have been notilled by Certified Mail.
WAIVER SECTION
I understand. that a pier, dock mooring prliggs; breakwater, boathouse, or nft must be set back a minimum distance of .
15' from my area of riparian access unless waived by me: (if you wish la waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15, setback requirement.
1 do not wish to waive the 15' set back requirement
(Property Owner Information) .. (Riparian Property Owner Information)
:.,
i nature signature
ic,:haa! F 00
Print or Type Name Print or Type Name
r
E `
1 t v1el 5 Ovl
Mailing Address, Mailing Address
)
G- l
City J State Zip City / State I Zip
Telephone Number I t y �q l7% �v ` Telephone Number
Date . d tJ �20 .� Date
127 Cardinal Drive Exl., Wilmington, North Carolina 28405.3846
Phone: [phone] FAX: [phone] intemet vww:rtccoastalmanagemen4nel
An Equal Opportunity 1 Alrmallve Action Employee -60% Recycled 110% Post Consumer Paper