Jones, Jenna 80639C

! IC;iAIVIA / tKDREDGE & FILL NI? 80639
ENERA,L, PERMIT Previous permit# � J B C D
11New LJModification ��,Complete Reissue O-Partial Reissue Date previous permit Issued
As authorized by the State of North Carolina, Department of Environmental Quality ,r�� �
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCACy j
❑ Rules attached.
Applicant Name- itl� eN6S _
Address-A.I.-
-
City ..._....L)ki':A_f[�S_ ....Z;;fl (L� State ZIP
Phone # ( _. --_.) __...__..-- E-Mail
Authorized Agent
Affected I-)CW *W fYOTA
AEC(s):
I�1 OEA U HHF CI IH
i_l PWS:
ORW: yes /(no') PNA %yes)/ no
rA'ES ❑ PTS
❑ UBA ❑ N/A
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
ZZZIP---- -- ---
Phone # (_ ) —_ River Basin W}�%,.� _ OM _
Adj. Wtr. Body J(L7 r'..___bkL_.__ nat man /unl(n)
Closest Maj. Wtr. Body
Type of Project/ Activity I'V_0a>ysb yI N 1 i Ri Ly'aab
Pier (doclQ
Fixed Platform(s)
Floating Platform(s)
Groin length {
number
Bulkher}/ Riprap length--
avg distance offshore ( i
max distance offshore J
Basin, channel '
.'�4
cubic yards__ .'
Boat ramp % r
Boathouse/ Boatlift r
Beach Bulldozing-____-` ---_ .- - -
Other
Shoreline Length__—__'_q_U
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by: Nt�t.�?li) COON Iry ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
P.
Agent w- Applicant Printed Name
5gnatur Please read compliance statement on back of permit+.*
Application Fee(s) Check #
Issuing Date
w `9 ,,,..
Expiration Date

)�CAMA / W DREDGE & FILL W 80639 B � D
GENERAL PERMIT Previous permit # 14
E]New ❑Modification 3AComplete 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 V 1 �I u�
❑ Rules attached.
Applicant Name ld&A 'jpjvW Project Location: CountyA611Aw
Address �_1, I FA NN 61,E (Tt�t-V-- lU e Street Address/ State Road/ Lot #(s) L
City 5�5 State ZIP%
Phone # ( )
Authorized Agent
E-Mail
Affected )(CW P&W XOTA gES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ElN/A
❑ PWS:
ORW: yes /(—no-) PNA yes)/ no
Subdivision
City
ZIP
Phone # ( ) River Basin ATE (9AiL
Adj. Wtr. Body�tluo'r hose �/� "t natt man /unkn)
Closest Maj. Wtr. Body AI ' —
Type of Project/ Activity KOPD5[-�b III N`l 1, R n YV4e-*p
2
Pier (dock) length '
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number '
Bulkhe Riprap length
avg distance offshore
max distance offshore
Basin, channel
I
cubic yards /
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other /
Shoreline Length _ 4 lJe
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
(Scale: �f )
A building permit may be required by:�Latr�❑See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions TnKK
� 4Agent or Applicant Printed Name
V v
Signature ** Please read compliance statement on back of permit §,ignaturee g
Application Fee(s) Check # Issuing Date
1--2)
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
Iandowner(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 complywith 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

CAMA GENF,RAL PERMIT APPLICATION FOR
RICHARD SCO`rI'WoWrjj & J`NNIFER tvtICl,,IFI,A,E JOKES
211 FANNIF, CREEK LANE
S' NEADS FERRY NC 28460
Project: New sea wall construction and replacement of dock/pier at tile, above address,
1. Adjoining neighbors are: '10'2 Fannie Creek Lane - WAIVER ATTACHED
a. Stephen j'. worth & wife Amy Worth -- z
b, Richard Scott Worth (applicant) & Melody' Daniels-- 198 Fannie Creek Lane
NO WAIVER AJ'TAC1-,IED, as this propert; is owned ,0!5) by tile applicant and his sister
- call provide if needed.
'I'lle proposed sea wall will extend approximately 100 teet in a position parallel to the shoreline of
Courthouse Bay.
1 The proposed replacement pieridock will extend approximately 30feet fr0fll and perpendicular to
the bank of the subject property, d within 15. feet of the riparian access corridor.
4. No part of the proposed structures will be locate adjoinill property to the cast (Stephen and
5, No pro;posed structure %, ill be closer than 75 feet to tile,
Amy Worth). - 11e South (Richard
6. No proposed structure will be closer than I oo feet, from the adjoining property t`0 the
Worth and Melody Daniels). -c Bay with a boundary, of approximately '190 feet along
7 ly 172 feet along
The property fronts oil Courthouse,
courthouse Bay (northern be of tile Suj� )ect property) and approximate
Faft n je Creek (western boundary of the sub t
J,,et propertv). iles, per 2020
& The distance across Courthouse Bky to the nearest land point is approximately 0,77 M
011slow County GI& tely I feet.
9. Water depth at low tide at the end of the proposed pier dock is aPPIVIX11118 ximately
10. Distance from the end of the proposed pier to any federally maintained channel is app,-o
2,900 feet per 202-0 ojlsjow Count), GIS aerial imagery, and NOAA Chart 11542 201" Ed. December
1 12 -
,0 17, Last Correction 3'19 " 02 1

CERTIFIED LW&L -RETURN REC�IPT,R ' _JE
STED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner- ,
v v-)
Address of Property: L"ai�,x 043A
.1f,
(Lot or Street #, Street or Road,. City & County)
Agent's Name #- Mailing Addresv
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 drawingffie development
they are pr posing. A, cipscriptign or drawinq f _
with, dimens'gris, must be provided with jetter.rjs
1jections to S pmposal� I have Ojections to this propOsi'd,
41-- 1 have no 01 U
If you have objections to what is being proposed,you must notify the Division of Coastal Management fDCM) in
wilting within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Driver Ext.,
WImington, NC, 28406-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if ou have been notified ,bt,Caniflad 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 Initi.pJ the appropriate blank below. I )
I do wish to waive the 15' setback requirement.
V, I do not wish to waive the 15' setback requirement.
{Pr el Ow er
! Infor �11 tion)
Signalure
�-k S.
Print or Type Name
Mailing Address
AJ C- Z-94 to 0
5�tyl—State/Zip
:12A--ca.0 I -
Telephone Number
(Adjacent Prop" Owner Information)
Signature
. .. . ... .... . .. =
Name
6?, - v).� -etc Lei, ?�4a
Mailing Address
--S.dCL,6 A6-/v, 1116" .2-J-4160,
Citylstatelzip
91 - '?, bo - rtq -Z
Telephone Number
Date
Dale
Re vised 611 K2 0 12

i3D3FC8C6-OC8F-4C01-989A-72B1 D67157C9
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Richard Scott Worth and wife Jennifer Michelle Jones
Address of Property: 211 Fannie Creek Lane, Sneads Ferry, NC 28460
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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.
X I have no objections to this proposal. v 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 bX 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 15from 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.
DocuSigned by:
Owner Information)
ee by.
1
FK�=4�C834E
S V"02
6&
1 ft& -ure
(Adjacent Property Owner information)
DocuSigned by:
Richard Scott Worth & Jennifer Michelle Jones Melody Daniels
Print or Type Name Print or Type Name
211 Fannie Creek Lane
Mailing Address
Sneads Ferry, NC 28460
Citylstatelzip
704-258-7973
4/TfMgne Number
4/27/2021
Date
3903 Hickory Meadow Road
Mailing Address
Greensboro, NC 27406-9665
Citylstatelzip
336-451-9542
Telephone Number
4/27/2621
Date
Revised 611812012

CAMA /,�ZbREDGE & FILL 5r Tt'`4 A B �' D
"GENERAL PERMIT Previous permit#
'New ❑Modification `Complete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC�^ � .11� •Imo , • � d.
--� `� �'Rul attached.
Applicant Nrrame � 1 / �.J �nli�i� Project Location: County -[.Q
Address rf./l �►A,6 CfepK L.AFi Street Address/ State Road/ Lot #(s)
City V State ti� ZIP��_1 1L
Phone # () E-Mail Subdivision
Authorized Agent City ZIP
Affected T_ w W A � `" PTS Phone # (_) River Basin
Affected X
AEC(s): "®EA HHF IH ElUBA ❑ N/A Adj. Wtr. Body at an unkn
PWS: 13
ORW: yes / 0 PNA Ly, Closest Maj. Wtr. Body
I hype of Project/ ActiviSy < m t - -«- -� L121PTA vi,
(Scale: f_ Iee ® )
.+
Pier (dock) length s
Fixed Platform(s)
D �X
Floating Platform(s) o
Finger pier(s)
Groin length
f_uTber
iBulkhea Riprap length
-�avg distance offshore
max distance offshore
Basin, channel c
/ 1
cubic yards
Boat ramp ex-
--- -
Boathou61oatli S
6
Beach ByAdozing
-.... !'
Other � f b'1 � ✓ / "
Shoreline Length
SAV: not sure yes o _.
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes n
- r VV�y-�:� See note on back regarding River Basin rules.
A building permit may be required by: t / �] � � � an 1 _ '— g g
( Note Local Planning Jurisdiction), f" t i� l
Notes/ Special Conditions 1 + t¢' V X C� 11 [ t 24 Q� �_ LIyEf 61,11 I /S C /
IA
Agent or li t Printed N e t
Signature ease read nce statement on back of permit
14
Application Fee(s) Check #
0
PermitOffice %'s nted Nl�e
Signature y 1
Issuing l�at �t Expiration Date

gGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property owner Requesting Permit:
Mailing Address:
,$ncaas �er/' Nc o�-Fiw6p
Phone Number;
Email Address:
I certify that I have authorized
Agent i 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 1"' c,�.�k t, s «Js Fug rvc a�a
in n5)ow County.
! furthermore certify that f 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 aforermentioned fends in connection with evaluating information related to this
permit application.
Property Owner Information:
ct�r-—�
signature
Print or Type Name
Title
�! �Q lZFIZ
Date
This certification is valid through i a 1_'3 t 1 Po Q 1

I
't V-

r
Name of Property ()wner Roquesting rmit.
CA
FIAA
Mailing Address'
$^`W1C?9
A 9 ma
phone Number,,,
Eniall Address:
certify that i have ,authofiZ6 ,t4 en# t tsntr +�kor
to aot on my behalf, for the purpose of applying for ,and obtaining all CAMA Perm!% .
necessary for the following propos6d developmentw
`i
It rr�y,groperty located at
Sj
ire n S) 0 ay County.
fut1bgrmom certify that t am-authorr,74?o' to grant, and dd to fact grant-lpermiSSI n 40
�c�d ��rrlt �fcr and telraert�'f� enter
Division of Co"tal'Management staff, the L
on the aforernention6 l tarn $ to COn"ection wlYtr evaluating rr�ft�rrnstlor� late
t� tt� %ht's
v pera? # application.
property fir Information:
P _
Signature
Fruit or Type Name
TiVe
Date
o
This certification i valid through � � � i� �

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