Parrott, Lillian & Webb Geer 80436C

nCAMA 1 DREDGE i FILL :�, ) A B { / D
ENERAL PERMIT, Previous permit#
'Modification C.Complete Reissue _:.JPartial Reissue Date previo perm`t issued
As autho axed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resourc Commissi in an area of a ironmental , oncern pursuant to I SA NCAC
Rules a ed.
: Count i L P
Applicant Name__'+ _ t roject Location: ,
_ . _ ..
Address,`_ ...._� _ Street Address/State Road/ Lot #(s)_'" Y'
"3 City _ .. State_,ZIP ,�jtvr~'i
Phone # m<I'u E-Mail Subdivision.
_.............., . ZIP,. .
_:
Authorized Agent .. , _.... . .......... City
�j
Cw 0 TA L]PTS Phone# ( �. 1., River Basin
Affected �� flltu
C oEA i.:. HHF G H BA O N/A Ad Wtr. Body,,,,an junkn
MS. {1
Closest Mal. Wtr. Body w _
ORW: yes / 6S PNA yes / '+o
Type of Project/ Activity
Pier (dock) length.
Fixed Platform(s) ti ............ __ .
Floating Platform(s)
Finger piet(s) , •_,
Groin length y f fYiEi/{
number"
Bulkhead/ rap gLh
avg distance offshore } F
max distance offshore
Basin. channel �---..
cubic yards ^^ , •_
Boat ramp
Boathouse( Boatlift �--•
Beach Bulldozing, ,
Ocher .._....,,.., ...
Shoreline Length w
SAV: not sure yes no
Moratorium: n/a yes no
Photos: a
Waiver Attached: a no
A building permit may be required by:
( Note Local Planning Jurisdiction}
Notes/ Special Conplons ) i
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pfea t P httq tgN me
�Psereaeomp a� ten�eOn ackofperm+t
Feels)
_ ....
Signatu e
uiwltel
(Scale: -
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See note on back regarding River Basin rules.
:ion mate
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AMA/ ❑DREDGE & FILL i�l� 80436 A B D
ENERAL PERMIT, Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previo permt issued
As au,New
by the State of North Carolina, Department of Environmental Quality �� L
and the Coastal Resourc Commission in an area,of a ironmental oncern pursuanV JWV_t to 15A NCAC V
Rules a a ed.
W
Applicant Name 11 Project Location: County
Address x 01 fit' O An (A � � � Street Address/ State Road/ Lot #(s) Ad r r%— , 1G Ale,
City
Phone #
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS
ORW: yes / 0
E-Mail
XA
❑ PTS
❑ N/A
Subdivision
City
Phone # (
Adj. Wtr. Body_
Closest Maj. Wtr.
Appikation Fee(s)
read compliance statement

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, certifythatthis project is consistentwith 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 -
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)
(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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Lillian Parrott s
(Name of Property Owner)
property located at 3211 Evans Street
(Address, Lot, Block, Road, etc.)
on Boaue Sound in Morehead City , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location,
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)
See attached.
WAIVER 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
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
l;%%/� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
�i--T
S'ig " urrr
SiOnatture*
/eannette A. Parrott (Trustee)
John T Sutton III
Print or Type Name
Print or Type Name
1202 Sweet Briar Circle
3213 Evans Street
Mailing Address
Mailing Address
Kinston, NC 28501
Morehead City, NC 28557
City/State/Zip
City/State2ip
(252)-671-2815/ charles.parrott11 a)gmail.com
(252)-286-9301/ mhsutton001aec.rr.com
Telephone Number/email address
Telephone Number/email address
Date
"Valid for one calendar year after signature'
Date *
(Revised Aug. 2014)

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DocuSign Envelope ID: 4D09CF4D-82AC-4D19-879B-1282E5374891
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Lillian Parrott 's
(Name of Property Owner)
property located at 3209 Evans Street
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Morehead City , N.C.
(Waterbody) (City/Town and/or County)
pubsapplicant has described to me, as shown below, the development proposed at the above
ati n�
11"ave no objection to this proposal.
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)
See Attached Plans
WAIVER 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 (d you wish to waive the setback, you must initial the appropriate blank below.)
�J Iish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Pro�etxdQwner Information)
Doc�u�S�ig�n�ed�.�by: �j
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Signature 05 5`oo.."E24D4
Cg658b'ir
Signature*
Jeannette A. Parrott (Trustee)
Webb Geer
Print or Type Name
Print or Type Name
1202 Sweetbriar Circle
3207 Evans Street
Mailing Address
Mailing Address
Kinston, NC 28501
Morehead City, NC 28557
City/State/Zip
City/State/Zip
(252)-671-2815/ [e-mail]
(252)-342-2536/ webblgeerCa)gmail.com
Telephone Number / email address
mber / email address
Telephone Number/
05/12/2021
5
Date
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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DocuSign
Certificate Of, Completion
Envelope Id: 4DO9CF4D82AC4Dl9879Bl282E5374891 Status: Completed
Subject: Please DocuSign: 20210512 Plans.pdf, Adjacent Riparian Property Owners Statment 3207 Evans Stre...
Source Envelope:
Document Pages: 3
Signatures: 2
Envelope Originator:
Certificate Pages: 2
Initials: 2
Charles Marion Parrott
AutoNav: Enabled
[e-mail]
Envelopeld Stamping: Enabled
IP Address: 66.76.200.226
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
Status: Original
Holder: Charles Marion Parrott
Location: DocuSign
5/12/2021 10:22:44 AM
charles.parrott11 @gmail.com
Signer Events
Signature
Timestamp
Jeannette A. Parrott
DocuSignedby:
Sent: 5/12/2021 10:45:23 AM
[e-mail]
p wwViewed:
E��05C�KSBGECE24!4....
5/12/2021 11:18:43 AM
Securit Level: Email, Account Authentication
Y
Signed: 5/12/2021 11:19:06 AM
(None)
Signature Adoption: Pre -selected Style
Using IP Address: 50.25.43.12
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Webb Geer by:
[e-mail] ED11"S1111dc l l _Z—
y
Security Level: Email, Account Authentication 86566C58CC7848F__
(None)
Signature Adoption: Drawn on Device
Using IP Address: 174.106.209.177
Signed using mobile
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature
Editor Delivery Events Status
Sent: 5/12/2021 10:45:24 AM
Viewed: 5/13/2021 3:28:29 AM
Signed: 5/13/2021 3:34:00 AM
Timestamp
Timestamp
Agent Delivery Events
Status
Timestamp
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp
Carbon Copy Events
Status
Timestamp
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
5/12/2021 10:45:24 AM
Certified Delivered
Security Checked
5/13/2021 3:28:29 AM
Signing Complete
Security Checked
5/13/2021 3:34:00 AM
Completed
Security Checked
5/13/2021 3:34:00 AM

Payment Events Status Timestamps

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DocuSign Envelope ID: 97F81AFE-DFF64C88-A4DA-033AE1BAB9FE
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Webb Geer s
(Name of Property Owner)
property located at 3207 Evans Street
(Address, Lot, Block, Road, etc.)
on Boque Sound in Morehead City N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
IV ti n.
211 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)
See attached ) % and 2 9f
oil, 4`- ��lz fZl
WAIVER 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
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
&3INIZ11 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Properr��O
gwner Information)
cuSigned by.
„t-L- z -)- -
SlTllCltlUY' 86560C58CC78A8F
Webb Geer
Print or Type Name
3207 Evans Street
Mailing Address
Morehead City, NC 28557
City/State/Zip
(252)-342-2536/ [e-mail]
Telephone Number/email address
5/13/2021
Date
formation)
Yignatctre*
Burt Rudolph
Print or Type Name
3205 Evans Street
Mailing Address
Morehead City, 28557
City/State2ip
(252)-521-5234/ [e-mail]
Telephonee mber/email address
5- f / /
Date*
*Valid for one calendar year after signature*
(Revised Aug. 2014)

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