79764_Keith Cowell_20210527

0❑CAMA / 11 DREDGE & FILL -�-^ g No 79764 A /�� C D
GENERAL PERMIT j-V# 5 97 Previous permit# Na -/
��—= ❑New �_. Modification ❑Complete Reissue El Partial Reissue Date previous permit issued A//-I
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 5A NCAC 7 i/ 2` .
(/ _ [I,Rules attached.
Applicant Name (\e, --�` ��—> t `` ' \` Project Location: County r• , , -
Address I ' (-~ c)C (o'rr Street Address/State Road/Lot#(s)
City \ 6P C State NC- ZIP 2 8S/5 / L - ((. I' h k.L'.r
Phone#(251-) °---2D 413C E-Mail Subdivision
Authorized Agent / ' r ` ' `� City I) 1-, 7,/4/ ZIP 1 >S C.:-
Affected ❑CW IFrEW 4PTA ❑ES E PTS Phone# ( ) River Basin vi1-S-
AEC(s): ❑OEA ❑HHF ❑IH ClUIBA ❑N/A Adj.Wtr. Body T P i / ( 'r 4 ((nat /man /unkn)
❑ PWS:
ORW: yes-/ no PNA yes,t no Closest Maj.Wtr. Body /
Type of Project/Activity //, / / 7)( / c//
9,,i I. . . (Scale: /.• 3 D )
Pier(dock)length ^^ //
Fixed Platform(s)i C Y ! `ei. IC r�L 1 t
Floating Platform(s) I i / o ' d
Finger pier(s) r d — —....
Groin length j i
number l _ 0 —_._.-. - } _-ry _
Bulkhead/Riprap length �i — �— ./ U' 7._.`_J / A _ -
. .__ _.__ IBC
avg distance offshore
max distance offshore J / ! '" ! I`i�
Basin,channel / f I t r
{ • t {
cubic yards \/ i i i
Boat ramp I ' ! - ►.
} i f
•
Boathouse/Boatlift / K i-__.._...__.._.
�. .
�_._ Ia i
Beach Bulldozing I I it'!'
Other I
V �4 ' 1
Shoreline Length -!- / !.' / -0 hA•') (t r„Je' ,/I i . I
`'
SAV: 7 not sure" yes no r p __-I c .__ _ bt i`7
Moratorium: n/a yes / c I ; _._ ! /f CI
Photos: yes s —._................. _.._.... — — 4
t.. T-,-. O
i
Waiver Attached: C I I 1 I
A building permit may be required by: Rn y-Nl,,=n `c> . X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1-6,--( �C� n G ��t Z + 2 )v/ 1 i) `1 N. /4 1
f 7‹1-' .al (
Agent or Applicant Printed Name Permit\r s rimed )me
Signature ,:. PI read co pliance statement on back of Permit" 'Sgnature
--
7 oo qc2 S ))76 V (77"1, 2pz/ - 5 Y Zi 2f
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 thepermittee to a fine or criminal or civil action; and maycause 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 (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 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

j„`41k.a_
❑CAMA/ ❑DREDGE & FILL N° 79764 ABCD
GENERAL PERMIT Previous permit#
> El New ❑Modification ❑Complete Reissue El 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 5A NCAC
Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s)
City State ZIP
Phone# ( ) E-Mail Subdivision `"—
Authorized Agent City f' ZIP
Affected ❑CW 0 EW CIPTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity `
(Scale: / c_. )a
Pier(dock)length _
Fixed Platform(s)/ 111111111
l/ "� E■■� •�■■.MMIMPIE:■■■
iummouma is
Floating Platform(s) ■■■12 ■M.'■■ _._
t r
Finger pier(s) tf , II
111111_...'..� i•I� 11�'..... _.._..
Groin length
number 1+ `# -
Y
Bulkhead/Riprap length mail Itillgi-Ell{ v } 'Ti J
avg distance offshore I 1 r 1 IIEMMMIIIIIIIIImmi aTIV ■■■
max distance offshore 1 1 1 1 11111111111111111111111111ami IIIIINIIIIIigIIMIIIIIIIIIIIIIIIMIHIIIIIIIIIIIINIIIII
Basin,channel IIIIIIIIIIIIIIIHIIIIIIIIIMIMIIIIOIMIIIIIMIRIIIIMIIIIIMIIIIMIIIMIIWIMIIIMIIIIIIIIIIIIIIIIIIIMIII
cubic yards '�w""� ■■
Boat ramp �MI���� ®III���IJM II � � �
Boathouse/Boatlift ' f/ III k
'..
111111
Beach Bulldozing �M� IIM ����■ -f ■■■■■11111
Other IIIIMIIIIMIIIIIMIIIMIIiroiIIIIINIMIMIMIIIIIIIIIIIIMIMIMII 1 > IIIIMIIIIIMIII1111111111
IIIIIIIIIIIIII
IIIIIIIIIIIIII
Shoreline Length •■■MINI ■■ � 11111111011
gt ®� , ,, ������ �����_ _
SAV: not sure yes no ! : ���_._.., i z / i _ 4, , ,, , -( -- -
J ! _ _...
Moratorium: n/a yes no 1 ; `� -Aj_
IIIII
Photos: yes no .... __ ,._.. ....... i_..._._..
Waiver Attached: yes no
A building permit may be required by: / , c e-' Di See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 7 , - ' ;, ' _I
Agent or Applicant Printed Name __ PermitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature `
)) r )-f Z`� .� ! ../
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 252-946-648 I
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
40I 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 SJATEMENT
I hereby certify that I own property adjacant to-- K E-t E 's
(Name of Property Owner)
property located at ct 5 A i)L D p Atll1 n
(Address, Lot,Block, Road,etc.)
on , in fsnttza CV 1 , ,r_ N.C.
(Watorbody) (CItyITo m and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location/
L-]t \V _ 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)
r3 to IT10t- C ci 4 E LL
4,1 - S
e
6.)4 1 g C r
15.ca-4-4t,lsc- iibocriCn) 8'F liiari
P�ev I - ) C IVALi4,
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.)
.-
17
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(Props ion) (Adjacent Property Owner Information)
SignatureSignature
\-i CCU)E.t._.1.._ a? i2.- �l l 1 v Cy-
Print or Type Name Print or Type'NanJe
SQdifi �Gt '71 rze,t
Mailing Address M i ing Address
crryistate/zip 1 r t /U C
C /State/Zlp
Telephone Number/email address _ 8<<, -,7�.�7 7‘,�d ei i)��/Zj j Ad `z �£J
Telephone Number/email address �
Date
fA6-.9) LA,I -- rt
Dale*
'Valid for one calendar year after signature' (Revised Aug. 2014)
L

I hereby certify that I own property adjacent to K i E{ t. E Ll.r 's
(Name of Property Owner)
property located at G 3; 5 A
Address Lot,t, Block, Road, etc.)
on , in \`n iZiZ ; o�,
N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
`.` ` ; • COW E LL ^� cst..(
1i
f;ev
cpa-r/,4U.s
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
(Property 1 ation) (Adjacent Pro
4� � party Owner Information)
7 9
Signature t7/ �'r1 1 1- -'
Sre*
l�E T1-t C u:�:� LL_ ct
ialritry-,-
Print or Type Name Print r Type Name
Address �''�"°''- �✓' " i'
Main Ad ss
City/State2ip '4r /1'�
Cityy//Slate/Zi
P
Telephone Number/email address _,�?val 91 I
Telephone Number/email address
Date 1 !v`/6
Dale*
`Valid for one calendar year after signature' (Revised Aug. 2014)

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H. Gregson, Director Dee Freeman,Secretary
Date 5'c "/ 2d1
Name of Property Owner Applying for Permit:
{ 6/ hL l '
Mailing Address:
13 tau)bov✓o , NC- •-$? s,S
I certify that I have authorized (agent) Tef\t -Pre 5(C to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) boa C clr c_,4+ i00..1 lZ
at(my property located at) q 3 a SADL ER- Plotkin RD
This certification is valid thru (date) � —
c.711,d
ors-/zl
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer-50%Recycled 110%Post Consumer Paper