Jones, Jenna 78894C

DREDGE & FILLSCAMA / NO
78894 A B C D
GENERAL PERMIT Previous permit#
iJNevv ❑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 I SA NCAC e
❑ Rules attached.
Applicant Name �:; i 1. j �' ' 1� - Project Location: County
Address /!,'i: r S t ( ! L
City u'� '- �r.a t `/ StateW, Zip —, I
Phone # ( ) E-Mail
Authorized Agent
Affected /�S CW JEW .,h PTA 'UES ❑PTS
AEC(s): ❑ OEA LL HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
45 '
ORW: yes / no PIMA yes '/ no,
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O— River Basin 1 ,'� T }7
Adj. Wtr. Body ii (itaf :/man /unkn)
Closest Mal. Wtr. Body i
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Agent or Applicant Printed Name
Signature "Please read compoance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Printed Name
Signature
Issuing Date,' r 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 (910-796-7215) 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
252-808-2808/1-888-4RCOAST
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

C AMA Cif NERAL FI RMI I APPL.ICA I ION I,OR
RICHARD SCOT I WOR11I & .11`NNII-LR MICIIELI E JONLS
211 FANNIF C'Rt.L.K LANE
SNEADS I LRRY NC 28d60
Project: New sea wall construction and replacement of docklpicr at Cite above address.
1. AdJoining neighbors are: 11
a. Stephen'l'. Worth & x\rfe Amy W(jrth-2tl' Fannie Creek Lane— WAIVER A't'I'ACIIt'
b. Richard Scott Worth tappliciult) & Melods Daniels - 198 Fannie Creek lane
NO WAIVER A F-1 AC I IED, as this property is owned 50I50 by the applicant and his sister
- can provide if needed,
2, 'file proposed sea wall will extend approximately 100 feet in a position parallel to the shoreline of
Courthouse Bay.
1 `The proposed replacement pier/dock will extend approximately 30 feet from and perpendicular to
lire bank of the subject propertc,
4. No part ofthe proposed sttuclures,t ill be located within 15 feet of, tile riparian access con-idor.
5. No proposed structure wilt be Moser than 75 feet to the adjoining property to the east (Stephen and
Arm Worth).
6. No proposed structure will be closer than 100 feet from the adjoining property to the south (Richard
Worth and Melody Daniels).
7. The property fronts on Courthouse Bay with a tnmx ary o appr�imarc h �9�e�alen
Courthouse Ray Northern boundatg of the Sobic'et property) and approximately 172 feet along
Fannie Creek okearern boundar} of the subject property}.
8. 'Pile distance across Courthouseto Bat the nearest land point is approximately 0.7? miles per 2020
Onslow County Gls.
9. Water depth at low tide at the end of the proposed pier/dock is approximately 1 feet.
10. Distance from the end of the proposed pier to any federally maintained channel is approximately
2,900 feet per 2020 Onslow County GIS aerial imagery and NOAA Chart 11542 201" Ed. December
2017, Last Correction V19i2021.

4 WrAMINAUUM11101
h
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property: V tf�
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
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 pr posing. A description or drawing with dimensions must be provided with this hailer.
I have 110 objections to this proposal I have objections to this proposal.
if you have objections to whatis 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.,
tMhaington, NC, 28406-3845. DCM representatives can also be contacted a1 [phone], No response is
. ... — I .. ..-_,__.e� a— n..wtdAA M.nn
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 mus� t initial the appropriate blank below)
I do wish to waive the 15' setback requirement.
V 1 do not wish to waive the 15' setback requirement.
(Pr a Ow er Info tion)
1Cignature
Print or Type Name
Mailing Address
asa S i wrv. I.J(-. ?R4too
City/state2ip
:log tau t - A!A—q
Telephone Number
(Adjacent Property Owner Information)
signature
Print or pe Naine
Mailing Address
Gitylstatelzip
Telephone Number
Date
Date
Revised 611812012

DIRECTIONS FOR OBTAINING A LAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSEILIFT
To obtain authorization to construct a pier, you must submit the following items to your
LAMA Permit Officer:
Signatures of no objection to the pier, from both adjacent riparian property
owners.
' V 11 out the attached florins. complete with drawing of the proposed
pier, and have your neighbors sign and date in the appropriate place.
If hand -delivering use the tbrm that states such.
' If your neighbor will not sign the form, orlives out of town, you may
send the C",ER"flf• IED MAIL /12i URN RhCIEPT form, and 10 days
after the date of receipt (which is listed on the green cards returned to
you by tine Post Office) the permit can be issued, even if no response
has been received.
If any part of the proposed pier is located within 15 feet of the
Riparian Access Corridor line, the applicable neighbor must check f
AND initial We box to waive the 15 feet setback requirement. A
signed./or m, without this box checked, dues not cvnstinne a waiver.
' The Riparian Access Corridor is n rt the extension of property lines
out into tfie water. It is established by two imaginary lines that extend
at a rlil° angle fit -tom the channel of the walcrbody ttr the highground
property comers. Your Local Permit Officer can help you it,
determining your Riparian Access Corridor, In some cases, a survey
may be required.
2. Drawings of the proposed pier:
Your drawing must include the following information (see attached examples):
<0'- Your name and project address r'',
r
W Names of adjacent properly owners
10, Width of property and name of the waterbody
Dimensions of the proposed structure, including distance to the
property line and Riparian Access Corridor line.
Any marsh grass border along the shoreline

General Permit for Piers
Page Two
ro' Width of the waterbody (this is the measured distance from the
waterward edge of the marsh grass on your side of the waterbody to
the waterward edge of the marsh grass on the other side of the
waterbody)
*4 Water depth at low tide, at the end of the proposed pier
Distance from the end of tile pier to any federally maintained channel,
if applicable. ]`his information can be obtained by reviewing the
channel survey maps at the US Army Corps of Enghieers District
Office, 69 Darlington Avenue, Wilmington, North Carolina
3. Once you have this information you should contact Your LAMA permit officer and
arrange an appointment to meet you on thepropertyand evaluateyour request. When
you receive your permit, take it to your building utspectorto obtain a building permit.
itheri?agen is only valid for 120 days —contact your LAMA Permit Officer if
for some reason you cannot complete the construction within this time period, The
LAMA Permit Officer will inspect the finished pier to assure compliance with the
submitted drawing and all conditions of the pen -nit.
Sample Drawings
15A NCAC 071-1.1200
Attached: Riparian Property Owner Getters
Agent Authorization Form
s:\cmna\shclls\pier.dit

DocuSign Envelope ID: 3D3FC8C6-OC8F4C01-989A-72B1D67157C9
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Richard Scott Worth and wife Jennifer Michelle Jones
Address of Property: 211 Fannie Creek Lane, Sneads Ferry, NC 28460
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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 or drawing, with dimensions must be provided with this letter.
X I have no objections to this proposal. __ I have objections to this proposal.
If you have objections to whatis being proposed, you must notity 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, 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.
DoescuSigned by:
Owner Information) (Adjacent Property Owner Information)
ocu5 a by. DocuSigned by:
Dea,e4A54&Ph�
Richard Scott Worth & Jennifer Michelle Jones Melody Daniels
Print or Type Name Print or Type Name
211 Fannie Creek Lane
Mailing Address
Sneads Ferry, NC 28460
Citylstate2ip
704-258-7973
4/TyMane Number
4/27/2021
3903 Hickory Meadow Road
Mailing Address
Greensboro, NC 27406-9665
Citylstateliip
336-451-9542
Telephone Number
4/27/2621
Date
Date
Revised 611812012

DocuSignEnvelope ID: 3D3FC8,_A-72 em,57G ,
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