79841_Malcolm Quay_20210714

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LAMA/ ❑DREDGE & FILL. �e--5. N9 '79841 i B D C D
GENERAL PERMIT .ID (0 153 Previous permit# A/A
>G New ❑Modification ❑Complete Reissue ❑'Partial Reissue Date previous permit issued I//:1'
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 /i/ /`Z,d 0
/� ...pules attached.
Applicant Name �'�C+'. ,�I) � ,{� G/ Project Location: County t1 I l/ t 0r
Address /j /�e (��C S�" Street Address/State Road/Lot#(s) d � �
City X/( ,J {,1P/Kh State fvC-ZIP i---/`}'SG Z p-1, }l, •
Phone#(2 2-) l 45 -�E-Mail a(�`-'�� >,A-e.ti 1,-,: (•Eh ` Subdivision �-
!{ -
Authorized Agent �.P fr�-1 7�,CSot- r" City 'All-.'" r-' / ZIP '-CS =,
Affected ElCW (Ic]EW [ PTA ❑ES ❑PTS Phone# (Z f� 5 Y'3-5 River Basin /(-/--�L`ve
AEC s : ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr..Body �" "J • C>✓
( ) ❑ PWS. • ,,(Hat i/man /unkn)
r /,/ Closest Maj.Wtr. Body S, '��' -( �`
ORW: yes /V PNA //,y11V,/ no / /��
Type of Project/Activity �9'^`.1'/'�` l'i`-, L -4 c( Pcs 5 n sk--/ 5 7 ' 7/C'_.'-^
q K N,90 C'en .,, e cG I- -�eA-c( (i�D` `�°�r (Scale: /,'�0 )
Pier(dock)length . e> / .
�y i ( = 1 I I i ; r 1 1
Fixed Platform(s)i< 0 3 i +! j 1 I
FloatingPlatform(s) / il , ;
Finger pier(s) I I i
Groin length 1 I I
Ill
1 I' i I I i
number — - --� - __-I
Bulkhead/Riprap length i .. . _,. . _ ■ � 1 -- , ■■. .__■.--
�,
avg distance offshore j j
max distance offshore j I ! iliiiiF
I 1 i1
Basin,channel 1 [
cubic yards i 1 • _ l ,
Boathouse/Boatlift / —! L !III _ _ ._.....'.....__111 • ;__._.._.11111—`'
I ;
/ I -- - ��huh
m i T.- Ill am ..
Beach Bulldozing ® �.�.� � : — �� . =SMARM
i ! tr"TIUF
1i iI j iI ' ; I iI
I �, 1 1
Moratorium: n/a yes ._' 1„_._ I. f.
Photos: yes no I ✓ ♦ p - -- _" ----
h
Waiver Attached: - 4 no 1 P,-I> • i . i I 1
�
A building permit may be required by: I ,rz wkt L:C..c . . ❑See note on back regarding River Basin rules. 1
(Note Local Planning Jurisdiction)
/ z.
Notes/Special Conditions ►0 4-e.,L �t)ar m�- �t(Pcl I Or�5`�—i1-� /, d 6 a 11'' n 7/LC'c��' )
Agent or Applicant Printed Name�J�� � r �� Per itOffi er'S Printed an�e�
Signature Please read:compliance statement on back of permit Signature. V .
//22 Pi fl f° 5/05-V .,.-6 / /; zcn.-/ -- A�,lt/, / V, 2U-z
Application Fee(s) Check# . Js/suing Datre 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.ncden r.org/web/cm/dcm-home
Revised 7/06/17

dCAMA/ ❑}DREDGE & FILL ' (/� q5 3 . I`T9 79841 A 'B C D
GENERAL PERMIT ID ' 8 " Previous permit# JI,,/�\ `
)'= J'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,f 4
As authorized by the State of North Carolina,Department of Environmental Quality 11
' and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC J l. /7 d 0
t fj _ p'Rules attached.
Applicant Name �r r /(�fJ�s�'`1f r; ,' ',;;/.-'.. Project Location: County ;...;, . rr F c•
Address l / /1,/ ' i, t C'�'' �• 'r'/` <<
Street Address/State Road/Lot#(s) 2/ - `'''r 1(7
City X/1 _ Be in .State N C ZIP . L.-f'!"r. L ''41, r;.�r, ,
•
i '' • '.,' 4','r' ( . . , 1 i ''-- ' Subdivision
Phone#(;: '" �) :f - � E-Mail �- � /
AuthorizedAgent i� I ` // ZIP ,- 1- `r"
�.�' i'r �� 'l"J�v {'�n`�� City
Affected ❑Cw r' EW PTA ❑ES ❑PTS Phone# (.4'-:•- ).(-Lr `> > C- River Basin /i r'(` ")(
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L� ( /unkn)
❑ PWS. . nat./man
'"� Closest Maj.Wtr. Body (
ORW: yes /(.no' PNA yes / no rr,
Type of Project/Activity t-�,'i / . -f , , ,:,� < � �� ` C �'' �' r !�'j ,
•1 V C) (t..//6"! r ej 4 —A n•ti.�•( %'%. 1--C,z{)1t. (Scale: / . (3 ),,
r
Pier(dock)length ...�- j r
Fixed Platforms) '�X C? r ' • �-•a_�� i I
Floating Platform(s) _ ' ■=_�®_ I ! —MUNIIIIMMIIIIIIMIIII= '
Finger pier(s)
I
Groin lengthMM
number -- 1-- — --- f i — — ---- _ ._._[..._
Bulkhead/Riprap length \ I i -I"--'-- i j
avg distance offshore \ I ■■ I • - ' I _ -- j
max distance offshore , ( IIIIII-_ MO I i [
Basin,channel _ _ 1 :— � I
1 1 IMMI
cubic yards 1 �Eil=1=11=1 i
Boat ramp / (9111111=.11111�
Boathouse/Boatlift I -■ - ;— —` — I - -
/ _
__ mmimim. ______
Beach Bulldozin , —rb"--,7/_11 '6 —I 'I ''''
g r imilli■� ' '
OtherII
( I 11111111111=1111.11.11111111
Shoreline Length _ • -°--' ����� MI
1 I •SAV: otsure yes no - - .-.- I
Moratorium: n/a yes Cno� �,_ - - ' I I ! - IF' C' I i
Photos: yes no 1 C ! — -- _ .__ •
_—
Waiver Attached: yes,'' /no/ - '-L.
'A building permit may be required by: ^1-7,11‘k,...,oa (t~ • I See note on.back regarding River Basin rules.
(Note Local Planning Jurisdiction) <
ti
Notes/Special Conditions i t •„-._<<, S-' cc(-jr,•,',.,, r i':.f1 1;.,, L; 4i`__I- 2..._. f/.,-f, •I !j ,'-.‘,/ ,-N fr%-,, ,1
.' ,' ,/ , -f-- l' 1 ' - ef)1 Vid';iiek ,N,
Agent or Applicant Printed Name • Permit Officer' Printed Name
/
r
Signature **Please read compliance statement on back of permit Signature, ;y
f' ' ./ r:' = 05 `S ,1:4\ ,r'//, .,>�/ — ),1s>t, t�/, 7('-e. /
Application Fee(s) Check#. jlssuing Late• _ 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
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 OWNERSTATEMENT
I hereby certify that I own property adjacent to 41.41 el0 �/�- is
(Name of?trope Owner)
property located at AO �q,Jc'1 1. t:iL c 4 tile 0t211-1 , C' f
l =-- (Address, ot, Block, Road, etc.) j
on L IO 2 e _ -.D tZ,p 11;? , in iN\C?rt.�2i 4 i 7✓i,ii (1 1►CD , ./, N.C.
(Waterbody) (City/Town andlor County) l
The applicant has described to me, as shown below, the development proposed at the above
location. •
`7( 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)
,,
' AIVER 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
m t (I you wish to waive the setback, you must initial the appropriate blank below.)
2, .// I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
( r perty 9wne nformation) (Adjacen Prop erty Owner Information)
Ki\ 4 ' . 6 k) fiiiii'l`"—--::' -
sag,
Signature* sVi� O la/ ( A
Print I oo;Te Name C� (Print or Type N1
i C4Mailing Addr ss , MailingAddress
4 ii ) Q)D —) '� C .-2 c 2 uJ�l5�‘;J �k) i fu C ' ,-7'�'
.G., -- e/!P� Cit fate/ZipJ J
if
Tel phone Number/email address Telephone Num er/email address Co,; lit%)
G2-A, )41,\ o N.,te D 7, ,•Cc AN
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
11 Name of Property Owner: t e 01 hr) a' y
Address of Property: 091)3T g Ver(Fr- FAhil-ctd
(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.
/ Sre ?Ad
V 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. Contact information for DCM offices is
available athttp://www.nccoastalmanapement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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.
ro O r Information) (Riparian Propnty O er Information)
Signature gnatu e
t(\V c\JAvv,.
‘J ) n✓e,JZ)
Print or Type Name Print or Type Name
yoi 112 (1'u ," Ste.
Mailing Address Mailing Address
96 o Sa wow pr,„ey e `7 6070
City/State/Zip City/State/Zip
`A - Co(05 330‹ a Y..-r , Cvl ,l°'4N 0203 7`2-6 7°A
Telephone Number/Email Address a "phoIVu'n'ber/Email Address
Date a�
(Revised Aug. 2014)

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C \ vv\ �,,�A
Mailing Address: ?%1\e Cre N g-er0 PL.
Phone Number: ,25-c),- (33 17 5/
Email Address: Q yi q, p (..,-N\R ,Cove\
I certify that I have authorized etr � r-4.e a lil
Agent/Contractor
to act on my behalf, for the purpose of applying/for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at -)b rr e r e e r I-'
in ?Rt..a.,.cb County.
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
Print or Type Name f
Title
/c 1 1 / 0.oa.0
Date
This certification is valid through 10 i L / 0\