Norwood, R. Steven 79643C

CAMA 1 DREDGE & FILL
ENERAL PERMIT
ew .lModiflcation JComplete Reissue 0_pareea1eissu
As autk tizedby.the State of North Carolina, Depanment of Environmental Quail
and the Coastal Rewurces Commission in an area of environmental corpecp pursu
Applicant
Phone # f�/1 �. V AMall_
..... ......
Authorized Agent l�u-Vuf
Affected CW EW
APC{s}: PTA ES PTS
OEA 1HF USA
'
1 Pws:_ ......._...
4RW: es ,1 no PNA yes ( h
Type of Project/ Activity
�4UM
Pier (dock] Length, �A.
Fixed Platwnn(s)__ __ I
C�)d=`wily`-_-''_�'1
rY
Floating Platform(s) c----� ,.
' ,�i
1
Groin length `'�_ _,_,_ _.._.
`. `,vYs✓ ita.
nu nber , .=_ i
Bulkhaad Riprap length
avg distance offs) ore
�cf��r
( t'"
_((
nu distance offsho a .....
Basin, channel..—
_...✓
,`i i y47 1 I
cubic pr&-, ."'
Boat ramp'
Bw,t�ho(usel di I`�
} 1
,,.
Beach Buildming,.
Other.
Shoreliro Length
SpV: net sure V
of
MOtarorum: Iva yes
� o-�
t �/
Photos: yes
,10j
Alaneer Attached! es -n
..
A building permit may be required by:
( Note Local Ranninglurisdict`i )
Noted Special Conditions
Application, Fee(s)
Previous permit # ee......%/%
e Date rev o s permit issued _
tY
ant to I SA NCAC
ulos attach
roject Location: County__.
StroetAddress! ad/ Lot #(s)
Subdivl i _
City. ....... Zi -
Phone # }.__ fiver Basin
Adj. Wtr. Body net_ man run
Closest Mai, Vdtr. Bod
1 V w,
See note on back regarding River jBasin
rules.
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0auth
AMA / ❑ DREDGE & FILI I _A %
N , 7 64" AB �D
ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑"artial Reissue Date rev'o s permit issued
ed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental conkern purquant to 15A NCAC
Applicant Name \ n
Address U �C
City
Phone # )
E-Mail
Authorized Agent
�.ASt;
Affected�COWEA
AEC(s):
PWS:
ORW: �e,/ no
�HW
HF
,,
ETA
yes
PNA
Type of Project/ Activity J�
Pier (dock) length Ij
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel ----
cubic
yards--- —\
Boat ramp _ �C��Y,
Boathouse/ tlif ` 5:
15x
Beach Bulldozing— ��
Other h-itk / (x/n I
❑ ES ❑ PTS
❑ UBA ❑ N/A
Shoreline Length -A ) ("
SAV: not sure o
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: es n Aby:(u
A building permit may be required
( Note Local Planning Jurisdic q,-C).
Notes/ Special Conditions
Applicant Printed
n
v
ules attach #.
Project Location: County
Street Address/ 3bad/ Lot #(s)
Subdivi i
City ZI
Phone # ) iver Basin
Adj. Wtr. Body nat man /unkn
Closest Maj. Wtr. Bod
See note on back regarding River Basin rules.
Permit
ature O,Ptgasereadcompliancestatementor�baskof ermit��'
Application Fe�e(s) Check #
Issuing tee I Expi(a Fion

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) .
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/ 1-888ARCOAST 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: s
Mailing Address: ./
r
Phone Number: ,22% �ZL-; KL L L z'
r
Email Address:
I certify that I have authorized �l1lV-kt�1/C fty I fu �U U L-s
Agent / 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
in (&VAA k P2County,
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.
6e f
Property Owner Information:
ROO
Signature
Print or Type Name
Title RECEIVED
MAR 0 3 2021
Date
DCM-MHD CITY
This certification is valid through !

ADJACENT RIPARIAN PRO --ERa-OWNER STATEMENT
I hereby certify that I own property adjacent to �✓� /��D✓t-f.i9 I��� 's
�,� / ,.IN of Zperty(Owner
property located at VL �D�et, �J
(Address, Lo lock, d, etc,
(Waterbody) (City/Town and/.or County)
The applicant has described to me, as shown below, the development proposed at the above
loca io .
I have no objection to this proposal,
I have objections to this proposal.
DESCRIPTION AND/Oil DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must MI In description below or attach a'site drawing)
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 kCEIVED
me. (If yo wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement, MAR U 3 2021
i do not wish to waive the 15' setback requirement,
(Propegy•Own.et Information).)
Print or Type Name �.
''{,: )� �•' - f.. •�� %ram-:;i
Wiling Address
Cl #S
Telephone Number / email addross
—dam'—{---�� �....... .,..:.e...... .. .. .......... .._...
DCM-MHD CITY
(Adjace Property Owner Information)
04
.S
S�C'.1cS�GJ�
(Revised Aug, 2014)
"Valid for one calendar year after signature"

s. 1 f
y ..

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Novw(-)crl S
IN,,, of.�'^rrop'erty Owner)
property located at 2C��- �.j�/t? �,L�( )(' Ajax+ — --
(Address, Lot, Block, Road etc.)
on 1C� in Mu. Z76) N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, 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
(Individual proposing development must fill in description below or attach a site drawing)
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 waive, bw- EIVED
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
)AB _ I do wish to waive the 15' setback requirement. MAR O 3 2021
I do not wish to waive the 15' setback requirement, DCM-MHD CITY
(Property Owne�Information))
_ s
X
Print or Type Name ,
Mailing Address
Ci y/State2lp
Telephone Number / email addressf�,,`
Am,
"Valid for one calendar year after signature"
(Adjacent Prop y ner Information)
,til r11C11111'c''k
Pri It or Type Name
Mailing Address
VOC
Cit /State/Z- �i rKe oco✓
�S-- � 1 o.ys3 p
Tel phone Nurnber / email address
22 ` —0 - .
t1ar,
(Revised Aug, 2014)

J/
F
60 00 RECEIVED
MAR 0 3 2021
DCM-MHD CITY

s
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fhis is an agreement between Steven Norwood and Williams Stokes regarding the joint use of pier
iucated at 207 Uve Oak Road, Newport, NC 28570.
SO lliaRE LD,
Vi
Print Narric
Signature Date
Print Name
Srgnat°, Gate

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