86103A_Smiley, Wayne & Cindy_20210923

00"* ®LAMA © DREDGE & FILL N9 86103 B C o
14 Previous permit
4 GENERAL PERMIT Dateprevious permit issued
® New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As aut3hon7ad by the State of North Caro{ina, Departrneru of Environmental Quality and the Coastal Resources C,omawswon ire an area of envirmn-wf al concern pumant to:
I SA NCAC N 11M Q Rules attached. M Genes Perma Rules available at the folkm ing linliu yamLkNry-wdCAJ'Nruks
Applicant Ne ami Autthorh d Agent__Ve rg i Slit
Address a Project I oc=- (County): f.Lt7Y�_ 1► t __,
City st. ZIP 21 � Street Addr'essJ5taue Road/Lot #(s) _
Phone # ( ) 14171 - � 7 I? ._. to -- -.- t •
Email Subdivision
aty t&
Affected CW NEW ® PTA ® ES PTS Adj. Wsr Body (i w+k)
AEC(s): 0 OEA IHA uw DsPwA *❑ Pws Cioslest m,- wa: Body 19 It, SaahW
ORW: yes/e: PNA: yes, Fe
Type of Project/ AcWty Cm , ��141t IJe> &LL
(State: (" 104)
Shoreline Length
-j1/Access Len6th _=1 I +i 1t -aa—r•+t —?, --f '- t +t >ii1
Pier(dock)length ,� _.� _�_� �-- x.t_
Fixed Platform (s) i
Floating Platform(s) �- i : _ ; ; _! a t ti --r- ?
Fingal prat{s}
Tptal Platform area 1 t � ;
Groin len,gth/ff ti- �� ? r + 1 + - : ; ;�i 1 t * ( ? j i 3 ► ,
f! �Riprap length _ r, -r{ —i-- Lti-
A
� __If f --i t { --ir i -ti ---i• —�
distance offshore � r..-t__{._i_. ' � ? t + h._,-..!_ -�_ #-t--F-'�--� •'"r. r + •f1' - � i �—i'. i� 1 t
Breakwater/Sin
Max dtstanr_e/ length ►--_.._„___'_#_•. _. t --, r _�. _ ; 'r—;T'- —i- f i--�- -u -
Basin, channel , r—r -�- t a" f f..; , *-y--1-J .._l — r- -++
Cubic yards
~ _
Boat ramp i j _; I 1 T f ` It
Boathouse/ Boatiift s i_- ' t i I E t
Beach Bulldozing - f i
1 t
Other
e
r t° r l+( i+ j1 c l f i+; i l '. •t i l. i i i 1 `Wr -
_ F i
SAV observed: Yes; i• t ° i '
Moratorium: a --+- +- •E r�M --r, d
Yes f ----�.. f ---l--i--yi,-�. r..
Site Photos: �] no
'--r-+—�-•E
Riparian Waiver Attached: ytW ha . • 1 1
A building permit/zoning permit may be required by: .: Q�W►Va R�
Permit Conditions
TAR/PAM/IVEUSEBUFFEit {c rcle ane)
See note on back regarding River Basin rules
See additional notes/conditions on back
l AM AWARE OF STir►TUTES CRC RULES AND CONDITIONS THAT APPLY TO TH$ PROJECT AND REVIEWED COL4PUANCE STATEMENT. (Please initial) j ' < % IT
Sign a "Please read compliance statement on back of permit"
Application Fee(s) Check ft/Money Order
Permit
Signature r
q/t3/ V ���r3fzt
Issuing Date Expiration date

ATMA.,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit:
Owner's Mailing Address:
1 L<� OVA -�My-\ CA
ReccA-L rcA NC a ��
Phone Numberjj(�2 4-1--) -C:9S cl-
Dee Freeman
Secretary
Name of Authorized Agent for his project:
1/m C',-L I-ip :L�
Mailing
�
Phone Number a !) �.3V—
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at �± R S- RpX'k C-C' V-\
This certification is valid thru (date)
Property Owner Signature
2- d 0 1
Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal opportunity 1 Affirmative Action Employer
NonrthCarolina
Nuturu!!r,

HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wayne and Cindy Smiley .s
(dame of Property Owner)
118 Pelican Court, Lot 85, Hertford, NC 27944
property located at
(Lot, Block, Road, etc.)
on Little River in Perquimans County N.C.
(Waterbody) (Town and/or County)
757-477-0999 Mailin
Applicant's phone #: Address:118 Pelican Court Mailing
Address:
NC 27944
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) -ma,.L ✓-� -
118 Pelican Court Cam) 12.
Mailing Address
MSignature
R14��- Gt • T1Mc� 0
Hertford, NC 27944 Q � g A
City/State/Zip Print or Type Name
757-477-0999
Telephone Number
S ignatu Date
Telephone Number
Date

HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _T11
sie of Prop Owner)
property located at��
(Lot, Block, Road, etc.)
on L- t W`1 vC- r > in N ,")AlA _ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:-J 7'q 7-1 M9`t Mailing Address: l Pe —Al CCx C\
A & -) L SZ1ct LA �4
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
fort Permit)
L 4C6- P,i iCC30 C;�—
Mailing Address
City/State/Zip
Te ep)lope Number
t ture Date
(Riparian Property Owner Information)
Signature
C ern L�
Print or Type Name
Telephone Number
Date

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l ".)� -t� T4 '-,J C"''!F'erqulmans (316 h-6 CA.
,128
9120/2021, 1.59:48 PM 1:
0 0.01 0.01 0.03 mi
Address Points perquimans nc easement Imagery 2020 Blue: Blue
0 0.01 0.02 0.04 km
er uimansnc __misc perquimans_nc_ dims r. n Red: Red h Ima 2016 tea^ ^ S,EPA
State of North �roiinaDOT,Esr,HERE,Oamm.
p q 6�7 er g y INCREMENT P, UsGs, EPA
perquimans_nc_lot perquimans_nc_acres Green: Green
Perquimans OIS
For tax pufpO98s Only. Not a legal document of 4urveyperquimans nor Slate of NC a39ut71Q any Ilablllty n33uttN19 from 1:3e of this map.
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