Sheldon, Donald 79660C

0 51101 i�'Cl$ieC�
AMA / El DREDGE & FILL N9 79660 A B D
ENERAL PERMIT Previous permit#
ew ❑Modification []Complete Reissue ❑Partial Reissue Date previous pered
As autho ized by the State of North Carolina, Department of Environmental Quality vvll
and the Coastal Resources Com is on in pn are vir tal concern pursuant to I SA NCAC .
t1j'\JC u =s attach
Applicant (Name ° Project Location: County
AAA-- / 7"1) t I rt A A 44,f—A qt,-= Arldress/State Roadh Lot #(s) i
Phone#g')A
'1
E-Mail
Authorized Agent`I
J�r�
❑CW
XEW
(PTA ❑ES
❑PTS
Affected
❑OEA
❑HHF
H ❑UBA
❑N/A
Affecte
❑ PWS:
ORW: yes / L
PNA
yes
Type of Project/
Activity
Pier (dock) length C7�E(A in
Ir
Fixed Platform(s)
Floating Platform
Finger pier(s) �y�
Groin length Z—.!. --
number�----
i
Bulkhead/ %prap length `—
avg distance offshore
max distance offshore \ _
Bain, channel
cubic yards
Boat ramp
Boathouse/
Beach Bulldozing
Other s
Shoreline Lengthtyes
SAV: not sure Moratorium: n/a Photos:
Waiver Attached: es no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Sp vial Condi ' ins
Phone # )
Adj. Wtr. Body
Closest Maj. Wtr.
tC--
❑ She
ZIP
on back,regarding River Basin rules.
statement on
Feels) 1J [Check# Issuikg Date I v Expiratidn 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 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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:Hportal. ncdenr.orgtweb/cm/dcm-home
Revised 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4 h 9 /d A S{t e 1 c(o n
Mailing Address.
n f ,4 A/r 0 q' �6,s'
Phone Number. �: aS� S73 �- I k l`�� lo'
Email Address: n/1 / _ / /.._ (r1r� i+^ c e 4 n P f
I certify that I have authorized'
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ring; LrFr
6'x /6/ (-,N6d4 I>xl'
at my property located at 1) 3o w 9 n rk
in in rjpLP L County.
1 furthermore certify that 1 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: _
TT igure -p o
IJ 11 A JP. /C/Ur
Print or Typo Name CA
DW ny2
Tdie
Dale
This certification is valid through
I ZS I ZaZZ RECEIVED
APR 0 5 2021
DCM-MHD CITY

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
S N el/w/o
or Street #, Street Or Road, City &
Agent's Name* 1.,( C'1- we -Lb Mailing Address: 13 Of;
Agenfsphone#: d%. t � I.Jr �Jt�Siuo2
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.
" f 1 have no objections to this proposal. 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. Contact information for DCM offices is
available athtt /' nccoastalmanagementnet1web/cm/staff-listinilorb'rcallwCerti8-4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
distancebe set back a minimum of IF from my area of riparian
you wish towave the setbackyou must i i lal the appr priate blank ess unless waived by me. (If
k below.)
1 do wish to waive the 16 setback requirement.
I do not wish to waive the 15' setback requirement.
(P rty Owner Information)
Signature
Af, �6J�'-tllA�ri
Print or Type Name
�3 � r70W�9nr� �efICG(.IG�
(Ripar n Property ner Inform on)
VSignatu
WA
Print or Type Name
z
Ia,�za�/'�cwY
Mailing Address M ilding Address
ser {{r>t z✓C & e�C�.`(t�02� IiIC Zg,-P6
City/State/Zip Crfy/State✓Zip
.a�f Z�2--72, -6661
S2- g13, / $t � S a ' Uinty Telephone Number/Email Address
Telephone Number/ Email Address
3 Li Lo l_ 1 __—_-----
Date
p 7�2-02,( RECEIVED
Dale
(Revised Aug.2014)
APR 052021
- - _----- -

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY
/OWNER
/NOTIFICATIONIWAIVER FORM
Name of Property Owner: D+d n y 1/Ic /7 � sh e l rl o h D
. 3 1 1'1oo 1Qhc{ Arkalcey Ue;k{Gi� c4rleraf (Jl )Ni 2SZ)
Address of Property: v-----�.--- /
(Lot or Street fi, street or Road, City County)
Agent's Name* _i^ )I Jae- wC�
Agent's phone#: �151 L•lvS `1370'
Mailing Address: 3y13i��(Q
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.
I have no objections to this proposal. __ I have objections to this proposal.
if you have objections to what is being proposed, you must notNy the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at httn //www nccoastaimanaaement net/web/cm/staff-lislina or by calling 1-888-4Ru OAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of Whom 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.
(Propo Owner Innf�f�ormatatioon�)
Signature
Do h qLoA, S,P(���
PnnI or Type Name l
�3/ /(l ,ygr/�.d✓'°I
Mailing Address
City/Statal0p
Ui,S,� -Y3 F'%tCI�Jh(7(OYn (:yl
Telephone Number/Emar Address
< a' ?V L I
Date
(Rlpatl n Pro rty Owner Information)
Signa.'ttire
Tu�l�s
Print or Type Name
Mailing Address
1-3c_A-Lh:76(Z1- C 7Bs7,6
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Tele hone Number/Ematl Address RECEIVED
7< b
Doe f (Revised Aug. 2014) APR O 5 2021
DCM-MHD CITY

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: I A -S/Le
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized VJ J) D (; 4a e- LUc, 6
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I.j'yGr,•e.r
Ivy, Gay �(�� F.�ti,GlL fd6/' rj F'
at my property located at
in LILL Coumy.
0 s�/K
I furthermore certify that 1 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:
Signature
Print or Type Name
Title
05 1 % C' 1 :--,) C' �- i
Date
/ Ua
This certification is valid through ! Q 1�l

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. l-tli.wU /� • twt ar
Address of Property: 13 1 R' w/c.
(Lot or Street #, Street or Road,
County)
Agent's Name#: A.cQ/` dA-e��!� Mailing Address: 3�/1 3 ��icQr-1n°n fix.
Agent'sphone#: ZW lo(vS '137� if�e� �2F:ry WL- �2S3S(:l
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.
I have no objections to this proposal. I have objections to this proposal.
If 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. Contact information for DCM offices is
available at http•//www nccoastalmanaaement net/web/cm/staff-listing orby calling 1-888.4RCOAST.
if vnu hA A noon nntifled by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop Owner Information)
Q Q a 4 J
Signature
Print or Type Name
Vaailliing Address
Cr ��f , d C-
City/State/Zip
( nan Property Owner Information)
Signa u e
-NUUs
Print or Type Name
) 76 m V C rLE (A,C"
Mailing Address
&(- W-1 NC 29'��
City/State/Zip
�Ln%�c✓t-Ou�Cr:�7 �C:1 q�U' �ZD .��6�7
� Telephone
Numbs Telephone Number/Email Address
Telephone/Number EmadAddress 7
l%S//0 L��L(—-- nZ�LI —
Dale 111 Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: YN �Lc -( A ✓lIl�yV
Address of Property:
(Lot or Street #, Street or oad, City & County)
Agent's Name#: A. yet: U"& Mailing Address:
Agent's phone#: --)�� - 665., y3 19 �f J �/✓� Ale
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.
W� I have no objections to this proposal. _ 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. Contact information for DCM offices is
available at http-//www nccoastalmanaaement.net/web/cm/staff-listing orby calling 1-888-4RCOAST.
No resoonse is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop y w/ner Information)
� X Kll A
Signature
A , stI t�
Print or Type Name
31 vL✓t Qa lC u-
Mailing Address
\�L / �2 i� S
City/StatelZip
(Ripari ro erty Ow nformati )
,Signature
1'1;512 A -)V M5 y16W
Print or Type Name
24-3 &41412d PY/C4/
Mailing Address
B1657/K
City/State2ip
�ZSP, I:31 Djg-S�L /--7,�' 7x8 bag
Telephone Number/Email Address Telephone Number//Email Address
Dnte Date
(Revised Aug. 2014)