Eastman Creek HOA, Inc. 80086C

_ XCAMA / LI DREDGE & FILL C
W 80086 A B / D
®GENERAL PERMIT Previous permit #
XNew ElModification UComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 0 // t
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC a'
yr'�n1 f �lesattac ed.
Applicant Name GG /WIQ IS.eL � (s Project Location: County
Address t �f ����
Street Address/ State Road/ Lot #(s) Ivtiyt (% d
City . t _� State �GZI Pr V 6 OY) 5> Ai P III a 5 o- ! _.
Phone # (�JI) - 00 E-Mail Subdivision �'r - l� any
Authorized Agent Act-v_.��in ✓ S City�u o.s. F) — ZIP
Affected 111CW ''Q15W _tzLP`fA OES ❑PTS Phone# (_) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj. Wtr. eody�� not man /unkn
❑ PWS;
ORW: yes PNA ye 1 no j Closest Mai. Wtr. Body /m. C�
Type of Project/Activity j? OI)n5y tXGO-1 11-P-F- i i in S'Iii P+- 'J
Pier (dock) length
Fixed Platform(s) i Floating Platform(s)
Finger pier(s) f
Groin length
number
Bulkhead/ Itlpmp lengthi—
avg distance offshore
max distance offshore _
Basin, channel �...
Boat ramp
Beach Bulldozine
}
l i
i
1 'IX I i i
Shoreline Length �/ t'URV
�_a..
S": not sure yesg
Moratorium: n1a yesPhotos: yesWaiverAttached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)n, ,.
dotes/ Special Conditions /KILIIL
w
W296 I�l./IM'_�'M .
Sighetnre *aPleaserea co (sliance statement on back of permit"
�00<"' f t 08
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
). , 1 . I

XCAMA / ❑ DREDGE & FILL
NO 80086
A B © D
GENERAL PERMIT
Previous permit#
XNew ❑Modification [-]Complete Reissue
❑Partial Reissue
Date previous permit
issued
As authorized by the State of North Carolina, Department of Environmental Quality
O /I
and the Coastal Resources Commission in an area of environmental
concern pursuant to I SA NCAC
('
G
County
ulSes �attac �d.
Applicant Name G``A3+rvw.A
i014��r
Project Location:
Address
4-7
Street Address/ State
Road/ Lot #(s)e0MMM'%+V
dotil
Sf1�
a S� cO
City StateZlPo�
Phone # fta) -O0E-Mail
Subdivision
Authorized Agent
- L�0, � . S
City
S
95-�-
ZIP
❑ Cw �W ,VTA Li ES ❑ PTS
Phone # ( )
River Basin f� CA
Affected
❑oEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s):
Adj. Wtr. BodW
ve
5 1�Tjyt� (�"e-0,k
nat /man /unkn)
❑ PWS:
ORW: yes On PNA ye / no
Type of Project/ Activity
Pier (dock) length
- __—
Fixed Platform(s)
I
Floating Platform(s)
Finger pier(s)
Groin length
i
number
Bulkhead/ Piprap length
i
avg distance offshore
—
max distance offshore /
Basin, channel
Boat ramp
Boathouse/ atli 13 X l3
Beach Bulldozing -
Other r
Shoreline Length r /,p " s''�
SAV: notsure yes
Moratorium: n/a yes -----
NYPhotos: yes
Waiver Attached: yesno _- /'
t
A building permit may be required by: zK;
( Note Local Planning Jurisdiction)
NotesI Special Conditions J l
t Ida
tot or Applicant -Printed Name
Signature 'Please read compliance statement on back of permit"
42004Il'l 1100
Application Fee(s) Check #
Closest Maj. Wtr. Body
Date
S/'
11
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 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, certifythatthis 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 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, Bartle, 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: f Q.S 1, "a�A Cd L"�tA 140A I' V
Mailing Address: 0 UL3YL C12
Phone Number: Jl I `;5'I'ao"f % `" l L1l"'c_ H
Email Address:
C
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining A CAMA permits
necessary for the following proposed development: ib 0"-A t 2..ywc
at my property located at Q
in fT eLCounty.
I furthermore certify that I 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:
Signature
M(xFs'n0a Pe-0-
Print or Type Name
Title
Qsl,/�71
Date
This certification is valid through I
S rn9COUa'
Pd I aoo
Gk:�'II08-
RECEIVED
JUL 22 2021
DCM-MHD CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVE�R FORM
Name of Property Owner: CcAmp��i JU I �I� 3)66 �
Address of Property: 3 I +3 7 T11TT)eS —)yp fA ReayQ 4 Me, 06 "0
`_1
(Lot or Sheen#,, ,S,treet or Road, City & County) '
Agent's Name #: M\CYla �� F �1��{j) `M,ail`inglAddress: 77`a1 5 Kmall
Agent's phone#: "I��1��5�'W�I� V ►nIOIK>✓Y�r IVC �J��—�Q
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is 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.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
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.
(Property Owner Information)
awSignature
EAa ' 0,10efk.l.o.+n W% }}OVA 1414,
Print or Type Name
? D, 090y- Z01
Mailing Address
r+, ,k �$ S11a
City/StatelZip
%q-a59 -0M- M;
Telephone Number
5bz 20a
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date
Revised 611812012

ADJACENT RIPARIANPROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property Iogated at
on
I
es, LDS; CI00 KO tl, et .
in Sep L �I 5� , N.C.
(Cityfrown and/or County)
The appXant 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�� mete ii�ka (o� ,v+ as W,�`
arc 0, bot + Is e- �►� 7�F r� �1;� (ai�i1� �����Q013ao�o)
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.
(Property Owner Information)
(Revised 611812012)
d
RECEIVED
JUL 22 2021
DCM-MHD CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 20, fJQ)L c-;Qo� (Q}\
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining
CAMA permits
necessary for the following proposed development: TO 0, Q V)0a+
at my property located at DT J �1i.��fY�W� l ✓P��
in f' ewel County.
1 furthermore certify that I 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:
jyw�' TRW- -�
Signature
mop r s ),)0_ Pec 0-
Print or Type Name
4A-Qab-,
Title
o-Si d71 c2o,.)-1
Date
This certification is valid through
1 tl

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�t
I hereby certify that I own property adjacent to �aMnoy1
N m of Pro a Owner
property I cated at �,�1 �Y �V' Q ry.( ( a. �-� L� `Alh
p (Address, Lot, Blg�k, Roa ,etc.) C
on l N.C.
(Waterbody) (Citv/Town and/or Countv)
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)
are-aro'POSM+o
o dc�l0,1x�o lea!' U-�v �xi �t,n� Slap �Plr]-(o3�1�d46Du3a°oo)
)� Ea3 oJ� Cfu le LapAal U
a9rea�1 bJ%N'r + C40
l_ aand'►r�° �10'R; "-JN�ks - I!, 4,C orgy -fir
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.
(Property Owner Information)
Signature
F irnavt Ca �_ "iw.i Opp, 19
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
Date
(Revised 611812012)
JUL 22 2021
OCA"HI) CITY

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