80206D - Johnson

0 ._ CAMA / 71,DREDGE.& FILL N° 80206 A B C G
GENERAL PERMIT Previous permit# (J r II 5
>� 'New Modification Complete Reissue Partial Reissue Date previous permit issued 1- i 13 j i kit,
As authorized by the State of North Carolina, Department of Environmental Quality • !S O U
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
❑Rules attached.
Applicant Name SO e_ "To0 VIS(Act . L Project Location: County''Jew I+ i v OV t-
Address 04- Tv ki,. , -11 A V e. . Street Address/State Road/ Lot #(s) S14 K4 E
City J‘1wm t o c -tv)^ State NA- ZIP ,;
Phone# ('1l0) 35 --03 5 E-Mail Subdivision
Authorized Agent N(la _ City _ ZIP t
Cw [YEW WPTA ❑ES ❑PTS Phone # ( _) River Basin VNAn 1 Tt Ug- IL
Affected 141w
OEA ❑HHF ❑IH ❑UBA El N/A , f
AEC(s): Adj.Wtr. Body A(w V v is viw+h-a+p (nat /nan /unkn)
❑ Pws: NA\CS C�U S OV 1^C,
ORW: ®e / no PNA yes / no Closest Maj. Wtr. Body
Type of Project/Activity _ . :,, i i , , , v - ,., .. ._.A_ vU"t W\ -
(Scale: t "' 5 J ' )
Pier(dock)length
Fixed Platform(s) I I 1 I
Floating Platform(s) --1 ' "" ; I
Finger piers) - ,
fi IM G c%'
Groin length " , f
L _
number n , . i /)d r "
XY\\ 1
Bulkhead/Riprap length 1 1 Ir?„C I 1(
avg distance offshore r}- NN I
max distan� ffshore
1111111111.- v -
I .si channelA -1O xaa 'a - Amp.
-/-,. oxts'x- I !o/wco,e I
cubic yards{ - 1 1-c...1 '�, I fi
Boat ramp I I r r jmizu
i
Boathouse/Boatlift —'--""_..._..._. _— ���� �.__.._....
-
Beach Bulldozing •' •1-1-
i '^ r I j
Other )k ��
P . .
Shoreline Length .
► ...41 1 ; 1
SAV: not sure yes no - • 1
Moratorium: n/a yes no /- '/� 1 ' O4 Z. TYIN I -
Photos: yes no 11.1, I i j _......_.. i 0
Waiver Attached: yes no 1 I AIME1 CC 4L
A building permit may be required by: 7 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) `
Notes/Special Conditions )lie(4 C f 4 ca+p v- ►-` '- hall a 1M t V1 l l 'N h•- > ' C^Vim+
a Cuc,.. -6 V ..Q.4-tav- S , 1411 -4-I-i . I Soo wt 1,$c &r i . 64 I l (oc c ( i S+4+c
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r-e.o -)an YVS6r-) _ eG-G-WS,,Or(_ C lk'c_
Agent or Applicant Printed Name PermitOffic Printed Name
C- _.&_P- -'._ -�.. ���` . gi p ��� -''
Signature **Please read compliance statement on back of permit** Signature
i CALL) . ij1/4/ .) 51 l -4 i-0 --i- �-4 \ a-1
Application Fee(s) Check# Issuing Date Expiration 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 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,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(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
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 `X5 f i' 's
(Name of Property Owner)
property located at 22O 9 3 ,7y
(Address, Lot, Block, Road, etc.)
on / -LC) LtJ , in /UE1-0 Jfi/WDIJE7' ,ui,` , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
1/274`" 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)
/'FR/`rir To i-isf/J)7Pfl ) eX/5 77.10 DOC_w ,4 LE7I
___
IlEAPArdIPrAllir
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WAI R SECTION
I understand that a pier, dock, mooring pilings, 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.)
vtb LEI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop wner ormation) (Adjacent Property Owner.information)
t nalu
8 Signal re
JE 6ENAL-i.) J`fCP12.
Print or Type Name Print or Type Name
v20 93 •,q ,v,T y ,1/L c '4/N T )' i TY ,4'W
Mailing Address ,1.. Mailing Address
(-Olt Alf w G 7-co-3 /U. C '-^.'/// 1-c)/4-thi c,6 7r P-,
City/State/Zip City/State/Zip
9/0 3S;- 03s 96 - 6 2 - 3/9:2
Telephone Number Telephone Number t-ECEIVED
l0 /9/ c a p2002_1 /O ,-/Piftk/.y 0212).21
Date Date MAR 1 2 2021
(Revised 6/1 ?J C traGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER- STATEMENT
I hereby certify that I own property adjacent to '�aht 7c- ///J5&2i..: 's
(Name of Property Owner)
property located at a '1/33 T R/n->/ Ty 11-0
(Address, Lot, Block, Road, etc.)
on / ) , in Net= ' /7t o4.)El& GC 0A-.7y , N.C.
(Waterbody) (CitylTown and/or County) 2r9t/
The applicant has described to me, as shown below, the development proposed at the above location.
eJ) 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)
/9ERH,T Tc) *Am.)rkti,-) DX r.. E LAC/SPi c auc.it. ,Mal
,/LV_____ZZ
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
iI do not wish to waive the 15' setback requirement.
(Propert Owne formation) (Adjacent Property Owner Information)
.d.---- p r
ignature Signature �1
*7r7 - •77,4'7us,.L: Auoy Pal Le--
Print or Type Name Print or Type Name
o V 3 7i11/24-% Ty 44i/
Mailing Address Mailing Address
City/State/Zip City/State/Zip
9/4, 3 52- 03 55' "/b -- 68'6 - 732 3
Telephone Number Telephone Number
/0 /7/14cN caa"),,L/ /c /1,,,g ht ago 1./ RECEIVED
Date Date (Revised WiR012)2021
DCM WILMINGTON, NC

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
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certitsoHthet town Ftr000ltyfactjacent to,
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ovatoroct•dh (TO.Vitiendldi
He has des-chbeidAci me ay.shown in the littachedapdridation andiprojett the deVelodnient
he is ptoposlh áUiathcátiôñ,aid illithrei,60-,Ohjettieffeld FiWgrbpiOst-1.
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ADJACENT RIPARIAN PROPERTY OWNER
STArt-EIVIErt4it FOR CAMA mig:61A. PERMITS
A.?LW :pm-6161
iiiiteby00*thati owtivototy,adia-tont to: .s:
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(0606.7.0t*morty Owner)
• property Ideated:at•:, •
- .-• =7' -T.-,
• AtkireSS,:Lati:alock,Roadetc.)
on -
01:fitePtex!Y) (Town ai!dfilr
He riSS•f riesribed to iiial•40 ii7ttioc4tta-o-hed 0:001147sitioli à1id prOjebt draw iit(S),trie,rieyetOpiotkA
.heit..proOsitil at that iddatiori,arid,1 havd.fib:-Objettibtfato his proposal:
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G NERAL.' '' PERMIT 1*i,.46*iiiiitoe# 1:27:_,: a
• '. bw -fillociffigion - ibC..aftiVlOte. Reissue CI-Pallid Reissue l D*tg:iiii4iii**0-okigst—issued
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As authorized by th State of North Gird- Itiii,:DiciartiiiiiI__ . :it of.06crjrtitetiiin t and NaturalResources_'i14-f /WHO
and the Coastal Resources- CommissionA .in an-Area of environmental to ItA K.C.A 7 i
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ill 17:711 -! ". I, ' ' - 'Address__ ,..- Or. --. •---,-.. :.., LI I-11/: ' - kik(-
sititecAddeela Stitkitadi Lot T#..(i)
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