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erL CAMA/ ❑DREDGE & FILL N9 79856 41_0 C D
EN ERAL PERMIT Previous permit#
>([6New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued j
4
As authorized by the State of North Carolina, Department of Environmental Quality '/
and the Coastal Resour s Commission in an area of environmental concern pursuant to I 5A NCAC /r`t iZO .
Irules attached.
Applicant Name ip° Project Location: County_ , c_p
Address ' 3 ' r Streetpy s,.. [U�' S AdAess/State Road/Lot#(s) 9 5
City e L State AZ—ZIP Z ES 7/ 5' U►'/A,L, &N,\.- . " .
Phone# c2- -4 75- ' 3 -Mail '' II Subdivision e-t''S o`^ e-r c_
Authorized Agent "E C e-5 c.- r4 City 6))%P.vL ZIP 2 7/
Affected ❑CW W PTA ❑ES ❑PTS Phone# (',52*C7 567 3.5(River
RiverrBasin X)c-r1/4.
ElOFA HHF 0 IH ❑UBA III N/A
AEC(s): Adj.Wtr. Body
a► s)S- -3-- CA C. (i nan /unkn)
0 PWS: l '�uae �ti
ORW: yes / no PNA 0/ no Closest Maj.Wtr. Body r
Type of Project �
/Activity ` j(cowl/4 `?<�-�o4-0S-e 5 - v''`<1 2 i'I A � ' 1::),-;0-t-a4 2
� --
CLIrc-, Q f3� ko-,..,�_ 1 (Scale: /.I )
Pier(dock)length ,
! I I i ( nI -�ij---�--� ;
Fixed Platform(s) 11 �'�� `CJ�"`'�Tl� l� f I
Floating Platform(s) 111 , l 1 I _ I I I
LFinger
pier(s) NM�� ! I _�_ 1 — I—•— - —Groin length IIII , j I I i (
ji
number I('j" f- (Jt -- I
Bulkhead/Riprap length III i— Qa .I
If ---
avgdistance offshore I • ■ i I
max distance offshore �•• ��� U. i. �r- i i ,' I
Basin,channel *IIIIHhI1IUII �_ 1
i I I • - ` L
cubic yards I I I 1 T. I 7 I
Boat ramp I i ' 1 ,dr1 i
�='
Boathouse/Boatlift �_ _ I 1 IiIiIII. r_ _ii
I I i
Other
l ! �
I ( I ! NIL I
1111111111122,,-,1 2 I. ' ' 7 ' ' ! 4 n 1
Shoreline Length g, 111•1111 -1 p ✓ i
! ��• U 11 —V 11 --, 1 , y _1 ._L
SAV: of sure yes no ■■■ ' y I 1 , I ; I .1
Moratorium: n/a yes T� jTip Y—�.l - Y 1r� I`' p �1 ��
Photos: yes AOf — ! ! -1- -t __ . I 1 I —__ —.-
Waiver Attached: yes .— I I ' i 1 1 I�( 11 i ! ,I I - 1 I I 1 r -
A building permit may be required by: o✓►•. ((__ C.jj , . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /� �3 2�'► l
Notes/Special Conditions TO-r�sr �i.1 -4--C-0-rev (J1�Lo�
`- 6k_e_. Ste,•-e.)- ---aa_- eat r-" `o c, 44-'2-
Agent or Applicant Printed Name Per. ' off• er's' " ted N.
i /1/ir
Signature/ ' Please read compliance statement on back of permit re
�6L if/2,i eg19 `-1-6
„ g 1?.55 y �.�.� . i , :Z o -i/ �� v, 2� ten,/
Application Fee(s) Check# Iss ' ate 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 tobecome
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 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

ROY COOPER
• ,:a Governor
:1 MICHAEL S. REGAN
• - Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
• FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 &.0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75.and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
a. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
Pre-project site conditions: 4 T . 5 %.„}„..,
By your signature below you agree to be held responsible for meeting all of the conditions listed above a verify
that-a)l information provided is complete and accurate.
Ag�r�t or Applica. tinted Name Pe ' Offi.c Ignature
Agent or Applicant Signature Is ue Date
CAMA GENERAL PERMIT tt: I56
• State of North Carolina Environmental Quality'Coastal Management
Washington Office:943 Washington Square Mall Washington.NC 27859 i 252-94a-6481
Wilmington Office: 127 Cardinal Drive Ext.Wilmington,NC 28405-3843: ;10-796-72I5
Morehead City Office.400 Commerce Avenue Morehead City.NC 23557 252-308 2308

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• I hereby certify that I own property adjacent to 3 -P1 I SilfrOn • 's
LI Name of Property er)
property located at `1'5 W 6- Y lCLW i?M Dt
(Address,Lot Block,Road,etc
on T I�SOh�s Creep ,in l.JJ'/Cttf 1( lent//1(0 0_ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown b 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
<,..,ir ak., :a*4-����:4',-.��x'�.+` �r40/i+�zm. -^:azr 2~7 ��+���.--•�,:xs.�.
'1 1e4c kr ore
OS"
- 514-yon _ Ropcay
VDPoseel
. W, ER SECTION McCa ' ' (1wi
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.
(Properly Owner InforMation) (• ���- Pro I o ation)
" Signature Si�� r
r 6 1 YEN e ���'
Print or Type Name Print or T 1�lame
(o S-rrot o C'•L-e-L6 bg,
Mailing Address Mailing Address G ( ^
F&V 500 P
TAW*
Oily/State/Zip -&929—L AIJN 4.7gCd8-6694
Telephone Number/email address Telephone.Number/email address
-c9-3
Dale Date*
(Revised Aug.2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
,
I hereby certify that I own property adjacent to Jc-P-P- Iviala 5 njaiName of Property 5-1-en
r
property located at `"I 51, 5- Y CtVl �/T �£a
(Address,L lock,Roa etc4.1
on wSoh(S Creel ,in l e01r Wild/i(O , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loon.
I have no objection to this proposal.
I have objections to this proposal.
—`DESCRIPTIOWAND/ORDRAWING-OF PROPOSED DEVELOPMENT—
--s�1t9 le4c kr Prope+fiy
OS°"
Ciffifr - 5-kyron _ 4oPev-y
tocti-Lifi-VAli o V,y V
McCa ciyw RSECTION
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.)
✓� - l do wish to waivethe 15'setback requirement. - -
I do not wish to waive the 15'setback requirement
•
(Property Owner Information) (Adjacent Property Owner Information)
Signature Si D1f
•
Pant or Type Name Print or TT • erne , s7
Wiling Address Mai7ie,ft V1 )\[( cR71/'
City/State/Zip Ctly/State/Zlp)Chet- 01 V
(
Telephone Number/email address Telephone.Numberr/email address
Dare Date*
(Revised Aug-2014)
__.

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: n J L�i F STyrC�
•
Mailing Address: °/(5 5. Plat/Hal/2)r) 7r.
rIC 12 A/C ?B(5 7/
Phone Number:
Email Address:
I certify that I have authorized ' P,' scolt /V)arir . Congru Liff ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: (2 ha.+[1 lf
Gv Rh r s+e m
at my property located at cS , P/a r)) •
in TPaii4
1l ce) County. •
! furthermore certify that l 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:
\9
ignature
Print o Type Name
D U-) -Pf
Title
d"? l 2021
Date
This certification is valid through / ?/8) / 0?0.2/