Morton Investments 79591C

j�=MA / ❑DREDGE &FILL O
7)5)1 A B C D
Lt N.
NERAL 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 s(/ %! UU z
and the Coastal Resources CommI Sion In an area of environmental concern pursuant to 15A NCAC (/ I
J ❑ Ryles an_ a� ed.
0 ti/ �i Kvr��M r�'r I Pro ect Location: Coun �C-7 '!�
Applicant Name- , I h'--- ---
Address C—� F "� _ Street dress/ State aji/ Lot)
City__ _L!#'\ �• t state r�-`r - ZIP �
Phone # (11O10 U / I E-Mall
Authorized Agent _ OCW r _- t-
Affected - ..A ;;MS ❑PTS
AEC(fecte OOEA F ❑IH OUBA ON/A
ORW: ryes no PNA yes �i no
v
Type of Project/ Activity
ri
F`
Pier(dock)length -
Fixed Platform(s) --
Floating Platform(s)
Groin length
max distance offshore,__
Basin, channel
cubic yards
Boat ramp
Boathous oatlIf
Beach Bulldozing..
Other
Shoreline Length Il__.J--i-
SAv; notsure yes n
Moratorium: n/a yes
I
Photos: yes np
Waiver Attached: yes no - - -
A building permit may be required by:
( Note Local Planning jurisdiction)�j '
Notes/ Sp1eclaAl Conditions
Z r s T n cy .n
i I::i1
e4e" PC, 1
City �fCL�Lf_rf,� _ ZIP(
Phone# ORI rBasin
Ado. estr. Body _ j
Closest Mao. Wtr. Body ru
—7 1-L I I el X f)
•e l-e-alse reab compliance statement onbackofpermlt"
v Y Check #
Dot:
Issuing
_ ( See note on back regarding River Basl rle .
,0d' G(v'1)&A�Tci0,11
C, .,
ti

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
landowners).
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:
L_ iTar - Pamlico River Basin Buffer Rules Li Other:
i 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
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)
Itttp:Hportal,ncdenr.org/web/cm/dcm-home I ' " i
Revised 7/06/17

rU y 1-1DREDGE&FILL O
N. 79591 A B C D
NERAL 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 / (,/ % 10o / 7 `�
and the Coastal Resources Comm' Sion in� area of environmental concern pursuant to 15A NCAC / f / I v ta f c
M❑ Rples attached.
Applicant Name A C) 1� / KVPl'AM t'/t' % Project Location: County �Cy
le
City-Ic/pq a, I { State,- C ZIP
Phone#E-Mail
Authorized Agent
AffectedLl CW � -FVTA —:EMS ❑ PTS
Affecte 00EA HHF ❑IH ❑UBA ❑N/A
❑ PWS:
ORW: (
yes) no PNA yes ( no
Type of Project/ Activity
Pier (dock) length v
Fixed Platform(s)
Floating Platform(s) I
Finger pier(s) 4 _
Groin length
length
max distance offshore
Basin, channel —�-J
cubic ;yardsBoat rampBoathouseatlift
Beach BulldozinE i
Street Address/ State Roa11/ Lot Vs
I- �C t r
tv
City Yirl(Cy Nr✓l ✓l�' ZIPS
Phone # O Ri r Basin
Adj. Wtr. Body C1 (,tif r/
Closest Maj. Wtr. Body
G i 50 .%i�C1\
13 K 193 I to (Scale:
Other
I
Shoreline Length _
SAV: notsure yes n ��- l I,
Moratorium: n/a yes
Photos: yes np
Waiver Attached: yes no Cr
A building permit may be required by: ��C/` �✓ V d f n�
( Note Local Planning Jurisdiction) l
Notes/ Special Conditions / l l/t 1 P' C/ t 5 �^ ✓�l'��
X
Agent or Applicant Printed Name
X
Sitnistur ** Please read compliance statement on back of permit **
A6cau eels Check#
See note on back regarding River Basi le .
r�c�i
C)�
PermitOffi is I ed Name -
Signatu e

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 how to comply with 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 Pander 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: t xl h "')aU
Mailing Address:
of
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the followi g proposed development:
RW kle-�- W I Wr--)
at my property located at I qZ'
in I I aAlkji 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:
Signature
j Print or Type Name
Title
Date
RECEIVED
This certification is valid through 11 �i7/ MAY 2 7 2021
DCM-MHD CITY

q1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to hllV `f'Ur� %11w1 I X O,j��� s
property located at 1 y 2 (N of P operty Owner)
I ,,��%Lli % OO1,% i��U�
r on (Address�eI � P, , of�Block1 Ro d, etc.)
N.C.
�(! w in -
(Waterbody) (CltyITown 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 waived by
me. (If you wish to waive the setback, you must Initial the appropriate blank below.)
C "rr- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
'Valid for one calendar year after signature"
(Adjacent Property Owner Information)
C - rw _ ('�
Signature*
CM K-,S rurt-hrU. Lno�
Prinl or Type Name
178 Ce9� r �WJ.
Mailing Address a PS y
(fw/vvc- Pot N t— N L
CitylStatelZlp
117a<{-JCJ -(90o kI ,5 eS etoo k.(tj 4c.. ce ri
Telephone Numberl small address
S/, S/;Il
Date*
(RevlsedAug' fATIVED
MAY 27 2021
DCM-MHD CITY

q Iv-*5
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at I q ?-
on
(Waterbody)
(Address,
. in
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
x 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 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.
x I do not wish to waive the 15' setback requirement.
*Valid for one calendar year after signature"
(Adjacent Property Owner Information)
3U AJL[�- **J Xl AJL0..YI.fJL
Signature
Gary Gardner
Print or Type Name
1720 Mail Service Center
Mailing Address
Raliegh, NC 27699
City/State/Zip
by 919-707-4091
10ttTeiephone Number/email address
5/25/2021
Date* RECEIVED
(Revised Aug. 2014)
MAY 27 2021
DCM-MHD CITY

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