Perry Management Inc 78275C

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2)kCAMA / ❑ DREDGE & FILL NO 782r% A B (C D
GENERAL 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules 44ached.
Applicant Name �� Project Location: County
Address Street Address/ Stat Road Lot14
#
City tate IP
Phone ail Subdivision
Authorized Agent CityJ ZIP
Affected cw EW PTA ElES [IPTS Phone # () Riv r Basin
AEC(s: OEA HF 1 ❑ UBA El N/A Adj. Wtr. Body
na man unkn
❑ PWS:
ORW: yes / o PNA yes / nC / Closest Maj. Wtr. Body
icationFee(s) ' Check#

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 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: (. 0 %jpX � [ f 71-
�n 2 �sd�
Phone Number: S-2;e�
Email Address: bu0 f Q,IPr,-ysit�. <Q •-�,
I certify that I have authorized �o Z--e
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /lets. JJC/
C-0HS-f'rL,c7Zi0h
at my property located at 70 %
in Z-zre i&e '� 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:
Signature
f Print or Type Name
Title
Z l l 7020
Date
This certification is valid through 7 I_Z_I Z02/

Postal
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Tracking h:
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Return Receipt
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Tracking ## :
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Affixed Postage
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Affixed Amount: $0.55
Total
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Grand' Total - $15.49
Cash $20.00
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9590 9402 4706 8323 9674 30
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PS Form 3811, July 2015 PSN 7530-02-000-9053
■ Complete items 1, 2, and 3.
® Print your. name and address on the reverse
so that we can return the card to you.
® Attach this card to the back of the mailpiece,
or on the front if space permits.
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: la^a _//16
Mailing Address: �/� 0 SOX
r1 rA fti� iY 2
Phone Number: 2 S 2- 5-2 l — 5-2;ef
Email Address: bur f Q�P�irSin�.�o•�,
I certify that I have authorized �o &e /—Z/-t '"(�i•� Q.. ic,� r;oy
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
-oHi4-;e.cZ.eh
at my property located at 1� 70 7 SeLvA Stik /).-,;..,r
in fe-e 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:
11 Signature
Print or Type Name
Title
lZ1 12020
Date
This certification is valid through 7 /z_/ ZD2/

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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
® Attach this card to the back of the mailpiece,
or on the front if space permits.
j 1. Article Addressed to:
# :Ipse-p hty
9590 9402 4706 8323 9674 30
7019 0140 0001 0229 3151
PS Form 3811, July 2015 PSN 7530-02-000-9053
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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3. Service Type
Q Adult Signature
❑ Priority Mail Fxpress©
❑ Adult Signature Restricted Delivery
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❑ Registered MailT'^
❑ Registered Mail Restricted
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❑ Certified Mail Restricted Delivery
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❑ Collect on Delivery
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r'a UNITED STATES
i POSTAL SERVICE.
MOREHEAD CITY
3500 BRIDGES ST
MOREHEAD CITY, NC 2.8557-3095
[phone]
11i13/2020 02:47 PM
Product Oty Unit Price
Price
2020 TB FD LG BM 1 $2.69 $2.69
First -Class Mail® 1
$0.55
Letter
Morehead City, NC 28557
Weight: 0 lb 1.00 oz
Estimated Delivery Date
Mon 11 / 16'12020
Certified Mail®
$3.55
Tracking #:
70190140000102293144
Return Receipt
$2.85
Tracking #:
9590 9402 3799 8032 5919 36
Affixed Postage
($0.55)
Affixed Amount: $0.55
Total
$6.40
First -Class Mail® 1
$0.55
Letter
Morehead City, NC 28557
Weight: 0 lb 1.00 oz
Estimated Delivery Date
Mon 11/16/2020
Certified Mail@
$3.55
Tracking #:
70190140000102293151
Return Receipt
$2.85
Tracking #:
9590 9402 4706 8323 9674 30
Affixed Postage
($0.55)
Affixed Amount: $0.55
Total
$6.40
Grand' Total : --- — — - $15,49
Cash $20.00
U.S.
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'ICAMA I j-1 DREDGE & FILL Na 78275 A B C~ D
E RAL PERMIT Previous permit #
ew . i Modification Completed `Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an.area of environmental concern pursuant to I SA NCAC RuFes fled _---
Applicant Name
Project Location: County -_
` � _Y_""1 �"-
Address Street Address/ Sta Ro Lot #
r
City_ ate P .v.- --
Phone -� ails Subdiv 'on 4
Authorized nt City- ZIP
CtiV EW w. TA OES OPTS Phone # ( ) r Basin
Affected _ eA HF f O UM ❑ WA
AEC(s): Adj. Wtr. Body L g lu
0 PWs:
Closest Mal. Wtr, Body
ORW: yes 1 PNA yes l
Type +of ProjeW At~twtty
{Scale:IA
)
Fier (dock) ength _
- _
Fixed Platform(s) ,
;,
Floating Plador (s) f
Finger pier(s)`
Groin length
number""."`..".»_— 2
Bulkheads Riprap length
---
an distance offshore' �-� ----
max distance offshore
. Basin, channel""_' -
Boat ramp -- Boathous Boarish
WWI-
I }
Beach Bulldozing ^^�"" k - - - i _.o� ..•..-( t r- I
C)ther
Shorelihs Length
t
i96
SAV. not surf
j r
Moratorium: , n/a yes no
Photos: yes no -
Waiver Attached: yes no
A building permit may be required by: a note on ack regarding River Basin rules.
( Note Local Planning lurisdictior}� #
Notes/ Special Conditions /
. 1. - K . ' 1 -_ - f n / - ,, wn _ 1 '1 _ h n L •, _ rl f�t it A .r,r•. i �a �t 1114 , n /i , i n� e� a�
0
UMNIZ
re *P readcotn Iiancestate ento kofpermit" Signatt�
---._ Check # t Ex irattoh Dat
,tion Fees)