Roche, Steve 79700C

❑CAMA / ❑ DREDGE & FILL 1 V9 7797/ 00 A B � D
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previoul permit issued
As authorized by the State of North Carolina, Department of Environmental Quality t r
and the Coastal Resourc s Commission in an area of enviro, ental oncern pursuant to 15A NCAC m V
Rules attac d.
Applicant Na e', Project Location: County
Addre o Street dress/ 4afe Road/ of #(s)
City State ZIP
Phone # E-Mail SubdivAi n eel
Authorized f\1Ar�gCent
Affected a WEWHHFtip,
AEC(s). ❑ OEA
WS:
01no
A
❑
❑ ES ❑ PTS
El UBA ❑ N/A
ORW:
PNA yes /
to /
Type of Project/ Activity
Pier (dock) length 1 J A�W I
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) --
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _ e--�—
Boathouse/ Boatlift'—_
Beach
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction) All n_
or ADDlicant Pri
City
Phone #
Adj. Wtr. Body_
Closest Maj. Wtr. Body,)
Permit
ZIP
Basin
,r
(Scale: )
❑ See note on back regarding River Basin rules.
O /1nl 2 /7/ /" A
h
x
�Si ature� Please read compliance statement on Pack of permit"
C�.J(��
Application Fee(s) Check #
Signature
�?Ialdoj W/V 220_�_)
Issuing 0 ate xpiration 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) . I
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 howto complywith 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
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)
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

RE: [External] Next step
From: Styron, Heather M. ([e-mail])
To: [e-mail]
Date: Monday, April 12, 2021, 10:14 AM EDT
You will need to send in the signed riparian property owners statements from your neighbors, a drawing of what
you are proposing with dimesnions and the permit fee. If it is for a pier then that would be 200 dollars. We take
check or money order only and it can be made out to NCDEQ. The mailing address is 400 Commerce Ave.
Morehead City NC 28557.
-----Original Message -----
From: Steve [mailto:ssroche6C-yahoo.com
Sent: Monday, April 12, 2021 7:11 AM
To: Styron, Heather M. <[e-mail]>
Subject: [External] Next step
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email
as an attachment to Report Spam. <mailto:re or .seam nc.gov.>
We have obtained signatures of our neighbors allowing us to proceed with our dock. We would like to proceed
with the next cama requirement. Please contact us so we may schedule a visit from you. Note that my wife and
I have each had our coved vaccine.
Look forward to you visit.
Thanks
Steve Roche
919 6122034
Sent from my iPad
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RECEIVED
APR 19 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
s
I hereby certify that I own property adjacent to 't y� �7 lea ch`Q-
'/ (Name of Property Owner)
property located at `r l� ��c;t ' VC
` (Addr ss, L t, Block, Road, etc.) �� N.C.
on AIPL- �f7',v ti •1-si�+yc� Ct-t�K in L
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. N
I have no objection to this proposal.
-............__.�--
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
!� (Individual proposing development must rill in description below or attach a site drawing)
10 Lo r
y Y/
WAIVERS CE TION _._.__.._ . be se
1 understand that a pier, dock, 15' from myilia ea of breakwater,
unless twaivedgroin
by met (If you
back a minimum distance o
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15, setback requirement.
(Property
Owner lnformatton) (Adjacent Properly Owner Information) Lta
Signature
re ''R°c�' or T e Name_ print Type
print or Typa Name �l, �,, ���1 V
& f-I W�(-);1�( "'�T� %Mailing / ddre
Mailing Address
tate/Zip a�7 ,� J
Ci tatelzip " 1 �c n --
- Z �� =� Telept one umber
Telephone Number
at
Date
Date /J (Revised 6/18/2092)
I /J �()/LJ"l nJ d>�
S 1 DECEIVED
APR 19 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STA_ T T
(property Owner Information)
rg ture
print or Type Name Jr�
Q l (Ji o—
Mailing Address
City tatalZip
Telephone Number
Z7 Z:uLI -
Dare
10'
I hereby certify that I own property adjacent toAtj t s
(Name of Property Owner)
property located at / �D g�Zt v
L (Addre s, Lot, Block, Road, etc.)
on N.C.
er_l� in Cti ' w ✓e.
aterbodvl (City/Town andior County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
__-1ha-ve-olljactions�-tfl this.proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
`(Individual proposing development must rill in description below or attach a site drawing)
Vr v w v
V Y/ i p °,
WAIVER SECTION - - be set
I understand that a Pa nce of 15' from my'a area of npar ar, dock, mooring pilngs, tnr
back a minimum dista access unless �wai ed groin
met (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
J do not wish to waive the 15' setback requirement-
Do —
(Adjacent Property Owner Information • .
Signature
Print or Type Name
Mailing Ad 77v,
ess _
City tatelzip
Telephone Number
... `1 ('- C, c --
Dare
(Revised 6/1 &2012)
RECEIVED
APR 19 2021
DCMaMn CITY

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