Dezso, Jeff 77198C

KCAMA / l I DREDGE & FILL N9 77198 A B Ln D
w NPENEPAL PERMIT Previous permit#
ew ❑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_ 27/4o
1900
DOFRules attached.
Applicant Name Project Location: County af)5 !A/
Address RmdStreet Address/ State Road/ Lot #(s)_
City StateA16 ZIP
Phone # l'}'—wff-N-7E-Mail
Subdivision
Authorized Agent SCtMC
city
ZIP (Ot�
EI`W ldW , ,, PTA ❑ES ❑PTS
Phone# (_)
River Basin 04?
Affected
❑OEA ❑HHF ❑IH ❑USA LIMA
AEC(s):
Adj. Wtr. Body
nat unkn
❑ PWS:
� S
j �
ORW: Yes no PNA q" Yesl / no
Closest Maj. Wtr. Body
ound
Type of Project/ Activity
er
Fixed Plakorml:.length�
Fixed Plat(orm(s) X
Floating Platform(,)
Finger pler(s)%
Groin length "-
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
y
Boa[ ramp
Boathou Boadi x
Beach Bull zing
Other r
Shoreline Length V
SAV. not sure yes nn
Moratorium: n/a yes[ no
Photos: yes no
Waiver Attached: yes
0 �
(Scale: I , p[[0)
__T�
J'
i
-1-
�1
{
--_
_
r
L
r
i
�k
t
1
I
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) , J 1 _ f - / }� t s / .- I 1
Application Feels) Check #

XrCAMA / ❑ DREDGE & FILL
9�ENERAL PERMIT
New ❑Modification ❑Complete Reissue
�Vc
❑Partial Reissue
NO 77198 A B � D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �y�p
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 07N, Z .Cl
Rules attached.
4pplicant Name Project Location: County ©f)✓5�LJw
4ddress Street Address/ State Road/ Lot #(s)
Authorized Agent
Affected El CW P W N(PTA ❑ES ❑PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW:
Type of Project/ Activity
Pier (dock) length„"
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ IUprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
s
Boat ramp
Boathou Boatlif x
Beach Bulltjozing
Other
Shoreline Length Vli
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdiction) ,
/ no
/17
sCO-T'l Wbnp
or Applicant Printed Name
permit
Sig na re **Ple s read compliance statement on back of pe **
VC01
Application Fee(s) Check #
Subdivision
City✓ ZIP
Phone# (_) River Basin�'g_j�
Adj. Wtr. Body nat unkn
Closest Mal. VAr. Body
qr�./
(Scale:' n0 )
❑ See note on back regarding River Basin rules.

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, certifythat this 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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

APPLICATION: LOCALITY:
z
O
z
a
y�
PERMIT ISSUED USING
STATIC LINE EXCEPTION?
YES ❑ NO ❑
9 y
W"ae
�r s
t L
O 1 C O
�• y Y ` a p b 6 Y.
q� �_
y 'p$n
y y
9 C� L L
9 i ,G T 5 a •L• Z n L q
y i
Ta_ a
Eb -5E =Ew 9 >b da
Yi
E � ay
A d
O ? 6 Z e O W
rag
'a b� abeoE'a o
a
e£° `o o f e. ° O `a 0
s
c
0
v
o
W e S
y
t
y0• p
O V
'
a
6
Ojl u (�. a
V
4
v O
c
a
E''
a q>
e j '_' c' a s •5g� R
a_
y
�i
12
3 9 .8.8
o A
S vj
,—co .8
E 3 n °°@@ 3 w m g a m
n 3 A W
3
m
O Q
r Z A L L
Q
ZI yl
�j 6 b 9 •X =
V
I I
O

B
¢' ¢ w a �� •� � c V pp� � c a d c
C S d 6 A NF Y d
2 i
y 'L C L Fi y •O C � LJ `cT G O C $� ¢ yq . V r
f0':
TIC A 6 ` G C
oP� Its
o `a
FFy
W a n t= .� 3
W�Qg bIR
F S5mro$ O ro"` r sn
E 0�.� ,qq1 Uk�E,g� o€ `e
y c n F
yp � � v
O E U`'
= a
❑ a - J y
Oe w ro m s ro d e.
P G � ❑ `s �� �°z' jw
�� o�� y°
O V V T a >
q N �t .v �0
V c C > m
.U.. O A 0 a Z
00
pi oil
N Q C �' u W •n
5 z z • ri
wp O as z P v€
WI a m WE m 00 L o I o a
r
.a O W .a] ,Z Q U W Q Z. Q U W ..1 O N M V w ."..'d ±i ;s

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: T e4-� 1 /�
Mailing Address: a0\4r-'-Ik 2J
27 s zlc,
Phone Number:
Email Address: �ciC 25oN q �l . C �nc�o
I certify that I have authorizedc ✓� ��f
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6)t- \: a s � ��(-
at my property located at
in County.
I 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:
e.-,,S'v
Print or XVDe Name
Title
I --S l Zb 20
Date
This certification is valid through

tifw,A+.;.)i.af99A 1•10.Ab"3q AMA ) HO 1 iAi.Y- f."�-V5' C3HTUA TtAriD
- _.�_ - JKIY't;'i•I �srf 11: 31�iI`ai'. ,.�,.. -a; �i-,:.(IOTr-i 11;' �a; -•vE.'i
1
..1
1 '
r +mhofff!n, qV60 i;r,,i) �ttfwo I
In lo'A
:iF181ngo1ovob
'?'. ;7°!).'SG1�;'.Is: ! c= ,:ii''t] ?(tljl9`7 ?•'!t!1YY•;>1 �'ht`T, 1
r';C 1 ,"El aY`?4�TS Y�:ti" 11tii'+!'171i�fi iliYY?d� .cr;3U.t Fl(S,f 1'.:5,% �SY •tSc;tlY;i1 A+1 if:�L',glt 1 �C) i'.1i'T.IV1C-j
,y7(}1?fi. �SY'"14r ftry'fl`-7u
'.riC<if 1, iYlOii 'i51�'I7 �)19U!}1`I
+

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to —'s
(Name of Property Owner)
property located at C
(Address, Lot, Block, Road, etc.)
on in 5 Qs yzs-=2 L N.C.
(Waterbody) (City/Town and/ r Cob unty)
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)
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.
L,0�_ I do not wish to waive the 15' setback requirement.
Owner I
Print or Type.
a
SIP
U11y101arei41
a" - as co' � . Co vet
Te/ephon Nu(�ber/ email address
� 147
8 Jzow
Date
Owner Information)
Print or Type Name
1 1t .3-1 u �.,1 Q5- ���� Aa�.3,a•� 6..�
MaAddress
i r(o4 /UC �sS3?4
City/st te2ip I
Tip 44- 5'S �l'1'15F
Telephone Number/email address
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to �"T �ez S� 's
(Name of Property Owner)
property located at III
Address, Lot, Block, Road, etc.)
on in N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
elog- 72-y010y
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1)0.7 co s
(Name of Property Owner)
property located at
on in sw,. s N.C.
(Waterbody) (City/Town and/dIr County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_�_ I have no objection to this proposal.
1 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)
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.
Print or
C 9TT �
City/State ip "
�� 2 0 Ao 1 C G ✓�
Telephon Nu ber/ nail address
Date
I
o:) 77
_ `1/ 0 -V70—/q7Sf.X
Telephone Num Qmaj I address
Date*
t/l,73 b2ty7)
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 2� le Z5,: _s
(Name of Property Owner)
property located
Address``, Lot, Block, Road, etc.)
on Cqw�� in J1� �&s'el,e N.C.
(Walerbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Telephone Nu{mmber
1,6-!O-N
Date

0

T
a
`j
cam;
3'

n
i