Tuck, Marshall 80403C

-. [ CAMA / I DREDGE &FILL NO 8040 A B 40 D
ENE tRAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I OO 4 }/�o/Y�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
i Rules atta ed.
Applicant Name A Akyrl Project Location: County (,C/►
Address Street Address/ State Road/ Lot #(s)
City �W
State ZIP /4qllp�
I
Phone O E- ail `— Subdivision
Authorized Agent City C�%'1 ZIP
�r a
Affected ❑ CW '�EW i(PTA X'ES ❑ PTS Phone # ) iver Basin
AEC(s): ElOEA ''❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat / an /unkn)
❑ PWS:
ORW: yes /kT— PNA yes / n Closest Maj. Wtr. Body���
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) _ Y 9 `�
Finger pier(s)
Groin length
berg_....._.__._.._.. - — ._......
B khea Riprap length
j�j --
�—
avg distance offshore
max distance offshore 1
Basin, channel' ----- - -
cubic yardsilia
Boat ramp —
Boathouse/ Boatlift ___.................fi
Beach Bulldozing `-- r---- ........... ....... ....
Other
f—
Shoreline Length
SAV: not sure yes no ...._..._....._......_..._
Moratorium: n/a yes no
Photos: y9s
.......... :
Waiver Attached: s� no I
A building permit may be required by:
( Note Local Planning Jurisdict'
Notes/ Secial Conditions
n;n)
r-,
Age�Tor�Applliicant Printee'Name
X�
iS g ature lease read compliance statement on b : of permit **
App� n Fee(s) Check #
l(SFT-TT € calle: )
See note on back regarding River Basin rules.
Permit
Signature '' 1
Issuing Date x irationlate))

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 1) 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 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
r
Name of Property Owner Requesting Permit: (h►r5 L� A7 -,
Mailing Address:
Phone Number:
Email Address:
4-1v Jc. (-e
:�36 - 701 -79-7,;7 3
ru /. (2O
I V /
I certify that I have authorized j-- 2 -'� " JD 1�. - 6
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: r� (�] Qc� �� ra 1
YU-' IC) F (k)V4i✓ice;. 176C
at my property located at ---�
in G ek 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:
OoK-/t'L Nlcoo
Signat re
" Ck /o 6 15
Cc
Print or Type Name
4V iu
Title
I Z ' I .0 Zj RECEIVED
Date
MAY 12 2021
This certification is valid through / I DCM-MHD CITY

l
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _i __ ,s
t
(Name of Property Owner)
property located at
(Address L $ Block oad etc. �r
on �G� tri,c: \ iri�'c� (C. •- ; N.C-
(Waterbody) i (Citytl'own andlor County)
The applicant has described to me, as shown blow, the development proposed at the above
location./ i
�/ I have no objection to this proposal
DESCRIPTION AND/OR DRAWING
(individual proposing development must fill in
PROPOSED DEVELOPMENT
icription below or attach a site drawing)
7-n j( r o"k O3 r�c_!� l �-
i
_ WAIVER SECTION
I understand that a pier, dock, mooring pilings, b akwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area o riparian access unless waived by me" (if you
wish'too waive the setback, you must initial the appropriate bla b�e�loo .)
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setba�k requirement.
(Property Owner Information) (AcUcent wrier I rmation) 9 t
Sii tahire.
Ll I: -.vJ,& vkiv)
Print or Type Name Print orr'Typ�e+Niawe
Mailing Adqrsess Jyqiling Addiess
citylstetq4,Jp City/State0p
Telephone Numper i 70ephone Vumbpr RECEIVED
Date Ilnte
(Rovizod fill N'Y2} 2 2021
DCM-MHD CITY

yi
I hereby certify that I own property adjacent to &"C'
property located at ��� 5 ��
(Address,
on C4LJ&& ( , in
(Waterbody)
The applicant has described to me, as shown
location
I have no objection to this propo
'S
(Name of Property Owner)
Block, i�oaPd�, etc� N.C.
(City/Town and/or County)
the development proposed at the above
DESCRIPTION AND/OR DRAWING 00 PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
e � �
£)ciS--t�'s-0o'-e- k.
?I9Lemen.TS� a--e11 1n
Aoo F1016�1„5 t�ocH,er'e—
lu
'T
r o► A- o,� 0L-0 .� t i t nrc, wO 1 j
I understand that a pier, dock, mooring pilings, bierakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area ol 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 r uirement.
I do not wish to waive the 16 setback requirement.
(Property Owner Information)
S.� I I�
Print or Type N me
Mailing Adqress � ZJ
City/Stat �p
�� �� ! �3
Telephone Nunfer
q.,IV, 1Uzi
Date
(Adjacent P
Name
Z
Telephone Number
�4-- -�2d?l RECEIVED
Date
(Revised 611&%12A 2 20
®CM-MHA CITY

to
r
n
x
00
00
cn
o
°o
co
Tit

s
f M' �. ,•. ,�l f�-n � r7 •[�5 1�ei i >���s' .4, � ^•J" irk �'r! [ ��Y'' �,7� .. '
�• , � ° 4+6 �} v . �S r I '
I. I } - '1 fir•. % �`ry7J '�1G: � �I Sr�,� < ��Go � r �i �i �� IJ . £'"` :>. � {4. _
y }
r i- � - it rff i' } r tt# ,� �h� ti •t,. E} � t I�Y3�
�' I r y�554- Rr .fa� 5. y I r `fy it Y Y` �n,'� ,}• "f 4 �•;e�ld '- 5 ygan,� i7
-
.`-c. trC T.�1 yt�,r:'yp��;
fi0irbr,, , is 4 G.:i- �->- ,��,7.r. .�� •.Sf� -�_-_ r-.
oil
sr
404,
v � �
�` jy''�r�° '7�5` �'``.•n �.. 5 Sri?' T d
a
r.
[
_ dY'• r . Y `I4 � '� tly � t� � �'•?.i�—" �°.�g�g��- ram• :`rF 'tiiM'�' -