Riemer, James 80513C

®^ CAMA / ❑DREDGE & FILL No 80513 A B C D
GENERAL PERMIT Previous permit# �-
F I1 ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality - /S /%� ClJ ` and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
J ❑ Rules attached.
Applicant Name Project Location: County 6C.,
Address1 6/ g- �� �l• Street Address/ State Road/�/L- t #(s)
City tih/fin. State ZIP 0 �h_/
Phone # ( ) E-Mail
Authorized Agent
Affected ❑ CW 09W iI1PFA
AEC(s): ❑ OEA O HHF ❑ IH
❑ PWS:
ORW: yes / no PNA/�yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Subdivision
City1 r ZIP
Phone # (_) River Basin
Adj. Wtr. Body �'/c'7/ "" ��t(. nat an unkn
Closest Maj. Wtr. Body C 0/-Z- A V"y
.■.■■■:.■.■■i:■■®NEE
■■MEMO::�e�
:::::
•■..
i:■ME
IIIII■I E
wr�iil
:�:::
:C
:::�::
■
■■■E:■■■■e:■
OEM
■�rv■■e®Eiq■M■■■E
■e■■E■..�.�.........�...e......
■■O■■E■
urrr�.�■■■■■■■
■■■
■MEMO
rM._�e■■Ones
■j■■■O■■
■■■
M■■MEN
■■
IN
•
i
E
"
r.n■■■■�
■■■■■■■
m■�
®
■
Lrimlmmm=mmlim
INSWE
.
■■MMEN
■■
.....
■■■■■
Ewalin■■O
■
■■■■■i:■aa��■■■■■■■m
ie■■■tea■■■
o:�■■■®a:�::E®I10Ee■E■
M■IEM■
M11111Ma■■■mommon
■
ee■ME■■\E■■■■■
i
IN
ONE
INE
irr.113■
I
WSW=
Iq Agent or Applicant Printed Name
is t
Signature �\'— ease read compliance statement on back of permit t'*
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 ])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 comply with 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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

" LAMA / ❑ DREDGE & FILL 9 80513 A B C D
ENERAL PERMIT Previous permit#
ONew ❑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
❑ Rules attached.
Applicant Name — _ _ Project Location: County
Address Street Address/ State Road/ Lot #(s)
State ZIP
Phone # ( ) E-Mail
Authorized Agent
❑ CW
❑ EW - © PTA
Affected
AEC(s):
El DEA
❑ HHF ❑ IH
❑ PWS:
ORW:
yes / no
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Subdivision
City
Phone#
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
(nat /man /unkn)
_ ■■■M 111IMMEMEMIN SIMON■■■■■■■ ■■■■■■■■■■
■■■�■■■■■■■�■■■■■�■■�■■■■■ ■■■■
�:::611011INE21�66:E66
1■
M.
..::MM66Mr.NS
116■....�6E■.
N.■■\
li"il%■■■■■■■■■■4.
■■■■■■■■■■■■■■■■■i■I■■..
■■
■■■.■...
:::::66MEN
'::■■a■■■■...■■■
■'�■■�
:::::::::�
.�■■■■...■■■
■■A■■■�■■■■■■
■■■■■:■■■
■■■■■■■■�
■■�■■MS�..
:.■■■■■IN
■SE■■■■■■■■■
• .��■■■■■■.■■
■■■■■
�■I■■■..■..
■■■■■
SOON
No
ElmEN
0
�■■C
■
■■■■.■mum
■■6■
E■
ME
■
■■6
ME
ME
■■
■■■■■■■■■B■■■■■■■■■■■
M
:::::::6:::
■
SEEM
■I■�a
ME
ME
■
■■.■NONE=.■■■..■■
0
MEN
Agent or Applicant Printed Name
Permit Officer's Printed Name
Signature "Please read compliance statement on backof ermit"
_ A9(4
Application Fee(s) Check #
Signature
Issuing Date; - Expiration Date
r

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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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.orgtweb/cm/dcm-home
Revised 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J AMA' 4Z / FAW A I
(Name of Property Owner)
property located at pd5su,r%T,Q.o7-tQ�i ( 4,9 7/2. n,,,o 6,4 rr/QE oF�%/6)
(Address, Lot, Block, Road, etc.)
on �f/DDE.t/S GtQt'E� , in sm )e� , N.C.
(Waterbody) — '(CitylTown and/or County)
The pplicant has described to me, as shown below, the development proposed at the above
I a
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(1ndMkhm1VM00&8V1d#vWq ment must flit in dsscr0N6 , OF8 tath alWo drawing)
1 400 Al r TO A Y t 57-14)e- Dock 1-Ert/667-11
a. Rdo 5'xay, r,.oXV7-/Ne.-ooC,e
3, 400 Two p I c 4S /,v F4z> A -el— of 6p4T A I
5C4 ATrAC44PQ Q/LA%&1lVC"
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. louavish to waive the setback you must initial the appropriate blank bel�nr.) <_
�. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja PropertyerWner Information)
hature �i nature*
St
A/EhE2 rAjo,J Q i/ui�f//�uSonl
Print or Type Name Print or TVne Name
0(LS KG1lvM ice+/ Ka IA/O IMri-Almr-Burt/ c.T
Mailing Address Mailing Address
S1Ky,2NA. �/t- " J9 Sryt &4V ,t/L M579
Ctty/S at7 e-22p� City/State2 p
jassltsa/ .. at 2by"gq�_39/r TadrG/Iryfdtllj's +�a�r+ta.G�
Telephone Number email addr5ss fJ rvN Telephone Number/email address
8iy►AY 2 01 � _ T_
Date Date- * —�
Cg�:cc 2! z-2q/— y00/
'Valid for one calendar year after signature' (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J ,401& #'Z T E01EA 's
(Name of Property Owner)
property located at 40 r /2 *wo 4F-4j7 X,04E We l' 6)
(Address, Lot, Block, Road, etc.)
on /dDENS G4a)C4- in rya t1R , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
1-7 I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indlvldua/priopeaftdevelopment must flitindescrfptlon drmHoW0,41ltedra*ft)
/• f100 /a r no 1, X t 5T/NG DOGse L Ea/G-7w
.2. AeO BMX Zy r r 1-os►riu� DocK
3, 4ojo Two pIr.ES /Al FA,&�dF
SBA ATfac.µ060 Q2n,✓14)G
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 _b w.) <_
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature SS� ture*
dmas iC/eti1,E/L FN.TAatttf J RARi01D1L
Print or Typpe Name Print or Tyypgg Name
1'7c L%snn r 'r7KOT Q.� 2 2 3 P05Su vt7Aor R 1
! einCP., j LMtS d V--" 't
Telephone Number / email addr ss d ,GDP
yenAy 2 o : l
Dare
C6K 2� Z-2y/— y0o/
'Valid for one calendar year after signature'
mamn Aaaress
JM /tNA. N G 2$J ? �l
City/ late
251-724_ /6y3
Telephone Number/ email address
(Revised Aug. 2014)