Hill, Matthew 78278C

Zip_
City _ _ _ _. _ ....
Phone #-} ''LYh... fiver Basin
Adi, Wtr. Body --,CV 4 ",
Q...
Closest Mai. Wtr. Bodyt
,(nat_/.man_./unkn)
' LAMA DREDGE & FILL N 7 A a '(C } D
ENEt L PERMIT p /
Previous permit #
ew 1 Modification C ,«Complete Reis ue Partial Reissue Date previouspermit issued
As author zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of elvirownfrital concern pursuant to I SA NCAC ales anted.
1
Applicant me �,'__ Project Location: County_
_ T._. __ }.._... ..,. .
i-nn n Pi . A I f Street-Addrf%/ State Road/ 1A #(s),,
City. _ . IUJ-i- State V vLk,..tr<-(
Phone \ _. -Mail
Authorized AgentW
J CW ( t� PTA [J ES 0PTS
Affected AEC(s): u OEA n HHF L: iH a UBA CI N/A
U PWS: _
pRW: &I no PNA yes l
Type of Project/ Activity
max distance ottsnore L
Basin, channel_.. _
cubic yards
E
Boat ramp ,.--------
Boathouse) BoaGifLx,•
�..
Beach Bulidozinr "" " '7
Other
Shoreline Length._Y�
SAV: not sure yes no f
Moratorium: n/a yes
Photos: �y no
Waiver Attached: tvHs/ no
A building permit may be required by:
( Note Local Planning Jurisdiction) s n
See note on back
cow
rules.
—
AP li a nt NPermit ter's P ' ted
Age o Priam
Sign to aseread compliance state entonbackofper it
"° Signature}
-t.__ .`a IssuinDa xpir ion Date
Appli tion Fee(s) Ch ck #

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, certifythat this 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/ 1-888-4RCOAST 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: /I hjTM[- W 14)LL
Mailing Address: 2320 VhW, Whi lei.
AIG
Phone Number:
Email Address: Yha�E G✓' ►`�� 0 C0 GO r1
I certify that I have authorized 5E rr�i TUN'N�"-e ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 56/� uw-
at my property located at Zd-3 0 V'F 64 AD. Nt W 190F //L-
in 641"ce-&7T County.
I 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 informa ion related to this
permit application.
Property Owner Information:
/ 1 "12(l 1 �� -
gn ture
llo-/�-ew At, -
Print or Type Name
Title
Date
This certification is valid through / / Y D I ?// RECEIVED
DEC 10 2020
DCM-MHD CITY

I hereby certify th
property located at %3 G V F Q �-V- N�(Name of P
W
I
(Address, Lot, Block, Road, etc.) '
on l>t� f�U� SU U�0 —,in— # l�✓�/`/L _, 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)
5 4-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be se /back a minimum distance of 15' from my area of riparian access unless waived by
me. (If yo 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.
(Propert er formation) 7(Ad,'acent Property Owner information)
0
Si nit
NSi 1�tC�re
Print or Type Name Print or Type Name
2-320 VA-tL&-yq�y -ed 7,m 6
Mailing ddddrress X6 Z� �� Mailing Address
City/State/Zip City/State/Zip
-0G3� �sv S2r 9 91��
Telephone Number/email address Telephone Nu bev/email address
Date Date *
(Revised Aug. 2014)
*Valid for one calendar year after signature*

I 1"'WOby certify that 1 ovif) property adjacent to
-(-- I
Namo of Pop Lrty.Qwner)
pmpprty located at W3 4, '. '6- to
(Addre". Lot, Block. Road, etc.)
/V
(Waterbody) (CftyfTdwn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locafiort.
I have no objection to th-As profmat-
have obloctfans to this pr000sai.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Indtvidual proposIng developrneof njust fill in doscription, below or attach a site drawing)
5PAWAIL
WAIVER SECTION
I Usid-orstand that a pier, dock, mooring piltngs, ty)at ramp, breakwater, boathouse, lift, W groin
must be set back a minimum distance of 15'from my area of riparian access uriiess waived by
nv. (if you wish to waive the setback, you must Initial the appropriate blank below,)
I do wish to waive the 15'setback requirement,
' do not wish tc viaive t4 16' setback requirement,
(Puopeirt or formation)
,,Wire
PrOf or Type Name
-2,s 1oL
0 4 Y / LA� Al 'f 9
Teleftfkxle Number / erms-&Wress
'Valid for one calendar year after signatuie.
MaN, J19,AWM-'1,f
A�e
rRoksedAuq 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: RTTNIE W kjlL
Mailing Address: 23� 0 t/hu", W AJ le—ii•
Phone Number: 251 - 3 y1- b 0 3
Email Address: t kC� k r%t 0 C0 r P."/''1
I certify that I have authorized SE�i -To R-'Vre-
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: SEA- UAL"
at my property located at
in ("r61t5T County.
OF 6A40. X 0. Nt,W Pv,-T�;
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:
Print or Type Name
jwgr-4
Title
19 1 g I 2'�
Date
This certification is valid through / 1 Y O I Zfl

gral-VONO
I het0by Certify that I ovgi properly adjacent to � �111/ /_ _L_ 1 5
)(�V (Name of P ) ty Owner)
_ Co 0. o r
p,rop", located at A'FW�04jopf
on 1306vi' S'(/V&* (Address, Lot, Block. Road, etc.
ire lw�*s a 7- 1 VC N-C
(Waterbody) (CltytTown and/or County)
The applicant has descritto me, as shown below, the developmont proposed at thre above
IcK.ation.
I I have no obtection to this proposal
i have objertions to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development Must fill in description below or attach a site drawing)
I: Pr 04 t I
sfo� 01: py(!PF��fY
A
WAIVER SECTIQN
I understand that a pier, dock., mooring pilings, boat ramp, break -water, boathouse, lift, or groin
must be set back a rn"murn distance of 15'from my afea of .riparian. access untess waived by
Tm. (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 16'setback requirement.
or formation) (A
AA
_1A
19" 1fre
M
71
Print or rype Name Prk�&_Ty_�O_ rVatTle
S 66,4 _AJ VIM Ig ddrev
_ 4-
(Xy/Stafe/Zip
Tplephtxitt. Number emaiil aoress f xt umbjoirip rn& a&jruss
fRavhsedAug 2014)
`Valid for one calendar y"r afte(sigrinature'

ADJACENT RIPARIAN PROPERT
Y OWNER STATEMENT
I hereby certify that I own property adjacent to #11,L- 's
„(Name of Property Owner)
property located at W-S % YF A li- K
(Address, Lot, Block, Road, etc.) '
on vr'n , in ,(/ /wP� /`/,G-- 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)
so
J'J- sl or" 'Ur- PYdPR4-Y
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be se aback a minimum distance of 15' from my area of riparian access unless waived by
me. (if yo 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.
(Propert er � r�n)
NiT-A6
•e
Print or Type Name
7_3 ab VAk0-yYlY
Mailing ess
e 664 r/a!! X4 28 �o
City/state/zip2 3 0�3�
0-
Telephone Number/email address
Date
(Ad'acent Property Owner Information)
0
ign
tv%«
Print or Type Name
Mailing Address
sN o,/
City/State2ip
asp ; Zt Q 06
Telephone Nu beV email address
Dale
(Revised Aug. 2014)
"Valid for one calendar year after signature`

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AMA DREDGE & FILL W 78278 A B V D
ENE L PERMIT Previous permit# L/
ew" ❑Modification ❑Complete Reis use CJ�Partial Reissue Date previous ermit issued
As author ed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of a viron ntal concern pursuant to I SA NCAC
ides att ted.
Applicant Nme� �// _ Project Location: County
AAA_.... l�,il � it � �1 a j � A Ml .t / � I O7 ' _ / Street,Addreiss/ State Road/ l qt #(s). A L
Authorized Agent V
Affected Cw ❑ PTA ES ❑ PTS
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): __„_
ORW: a2/ no PHA yes !
Type of Project/ Activity
Pier (dock) length---
Flxed Platform(s) --
�I
Floating
ier(rn(s) �-
Finger pierss)
Groin length c
er Bul has Ripraplengt
avg di stance offshore -
max
-
maxdistanceoffshoreBasin, channel -- -- --
s^ �
cubicyard
Boat ramp �----- - �—
i
Boathouse/ Boadl(�(, �
Beach Bulldozing _
Other_._
Shoreline Length_—i _
SAV: not sure yes no r
Moratorium: n/a yes o
Photos: o
Waiver Attached: s no I--_
A bulking permit may be required by: _
( Note Local Planning jurisdiction)a
I
T V
City ( ZIP_
Phone #-) fiver Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body
66Q
See note on back
6av
rules.