84956_Bruce Tompkins_20211014

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From: Vaughan,Kent D kent.vaughanOncdenr.gov
Subject: ©XCAMA I DREDGE&FILL ,
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Date: October 14,2021 at 8:52 AM , .•-•
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To: Kathleen Tompkins [e-mail]
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Please sign and initial
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CAMA . . DREopt & OILL. A ei:, C 0
GENERAL PERMIT
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�°Ft°"sr� c[ ICAMA ❑ DREDGE & FILL N9 84956 A C D
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2 I GENERAL PERMIT Previous permit
Date previous permit issued IWN
New ❑Modification Complete Reissue ❑Partial Reissue
As authorized by the StateS of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC 7/ /Job �/�� ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name �. /� �"!�/��12 S Authorized Agent -
-per
Address J'7 [rife OLel Project Location(County): ra'""� /l
City /'% F9 ' State We-- ZIP 2 8 5 S c- Street Address/State Road/Lot#(s) 3? t/rOa/C - 0-- RI
Phone#(ZSL} (O'10 40'7 7 /
Email A 4 -e00%)(1Ss'1 i e_or A, Subdivision
City )411 e'-" ZIP 2 655 & ,
Affected ❑CW n EW n PTA I [ES - 1 PTS Adj.Wtr.Body $ - . L. e..t�L na anSunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body We ere-e--
ORW:yes//D PNA61/no
Type of Project/Activity /e;-✓" Q/�o .D-e__. / ►1 ,S y /2 / /c'�`� /
4f ,,, 0,Lf' . --G,/ ar G Q e $- (Scale: /O )
Shoreline Length ± ZS 0
Access Length Hill_Hill
j . . 1� �Ill��li ! — 1 14 1
Pier(dock)length —, —N ;
Fixed Platforms) LA_ I ■
Floating Platform(s) I I ! I
I !�'e IIIr {
Fingerpier(s) 1 {___ , _
EN i
Total Platform area _ 1 "p
Groin length/# EMI 1111111111111111111 _..
i. ; .j. Riprap length Z - G� �1_ j ��� � N [ — 1
Avg distance offshore i ,—D `� ; N-'ii
-' �� — '--
Breakwater/Sill �— l('r"' 11 - i ��� 1 ' r' '' ` I I �,
•
Max distance/length WI i I i /„
Basin,channel ____ _ — 7"
`� f V( �V�L� a ._ —I� I . , _ __ ._1
Cubic yards I A �-�f+__.__. _�_--' i � _
Boat ramp 1 t _ { 1 i , 4
ME Pg I , . '■
Boathouse/Boatlift
Beach Bulldozing i 1111 l 1 I ME 1
Other i .c �SoY� , J} 1S1 - —I= —) —
SAV observed: yes IIIIn/a yes Site Photos: es ' Iy ,fly _._._ mi
ir._.__ ,._ EMI fir—_-__
1 In
illRiparian Waiver Attached:iii no I '
c Q } � n
A building permit/zoning permit'r y be required by: [Ir //,W C0
/ /� / [NITAR/PA E SE/ _FFER(circle one)
Permit Conditions A )r`�rt n*t.•> //Lk.Q.0 /�j%1 r
egr ij 5y //� ~/ ❑See note on back regarding River Basin rules
nSee additional notes/conditions on back
i
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial)
Agent or Applicant PRINTED Name Pe ..' 0 i er' ED = e
Signature**Please read compliance statement on back of permit** Signatur
it OA, (70o 5-3 8(,,, OG /V., 20 2/ — R 6, / -zP�Z
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 projectis consistent with the
local land use plan and all local ordinances, and 2) a written statement from.the adjacent-riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location. -
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington,NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] _ 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington,NC 28405-3845
Elizabeth City,NC 27909 - - 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick,New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home - Revised 6/01/2021

�°F, `°"sr� 9
J --
X CAMA ❑,,DREDGE & FILL':M}.w .. N9 84956 A < C D
. o-;''1 GENERAL PERMIT Previous permit 1(
Date previous permit issued ,/
)C n New n Modification ❑Complete Reissue ❑Partial Reissue
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:
15A NCAC 7// /ic'r'`) ❑Rules attached. ® General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name / /t..l= ;' 7' 11-) 1/'7 - - °`�'t-,, Authorized Agent: '""
._ // i,.- l 1. ;, -t r 4$.; 1 r; 7
Address .%`i (.r"�.,, f� r' ;( ../ Project Location(County): `^
City J`7/\6,,' f > - State 'i" C.. ZIP ' 15'CS 6- Street Address/State Road/Lot#(s) `;c1 / De-'''/G /. F 12 r'f'
Phone#(r a) /-`70 cea/-7 i
Email /r- I:,/,,.04 ,,-,-_ , f10i,,, Subdivision
City l'/7 e°' /.j, ZIP : - '5-1.S-
Affected ❑CW ❑EW ❑PTA ill ES ❑X PTS Adj.Wtr.Body W a,' D 'ram-.• (rex- i_! .(n rnan/unk)
AEC(s): ❑OEA nIHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body -C 4"5 s'\,( t rC-c- (e_ •
ORW:yes/no PNAs/no
Typeof Project/Activity '?J.,y/; '7,-, j��,?- �. / ,; ; ✓�, . / /'2 / ?fib,-I/c f� /-.M- fc
Pe r _I/,-, r %., ` . ,�« � e 1 2 ,/ i 6.. '.. (Scale: /-0 )
Shoreline Length ;7 .c c J
Access Length 1
/
Pier(dock)length 1 1011111 111 WIIIIIMITI 111111ri911111
Fixed Platform(s) _„--..., so si rim lip i
, / - a anis ) IIIISIMIN IN 1
Floating Platform(s) / II II 11W11111111111111111111111MIIIIIIMIIIIIIIIIII
y, KEN II IIERMLIIIIIIIIIIIM11111111110111111111111111
Finger pier(s) / lain
/1 P s
Total Platform area 1
Groin length/# MIIIIIII 1111111111111111Wp , MiSMIIIIRIIIIIMIIIIIIIrl....111. g
cB(il kh d"/Riprap length . 12 / I� 1-i 1 - . --111111111111111.10111.111011.11101 II
if tin III
Avg distance offshore 77 - i , ------ r_ ,...„ 111111111111111111 ' —memo
Breakwater/Sill i j NMI "
Max distance/length - /
Basin,channel / <
• Cubic yards i _, _ rillarrLI
111 III NNE
Boat ramp / I
Boathouse/Boatlift ! r a
Beach Bulldozing / 1 #. ,
Other �.. c j I �.'
, �`' ! I i,t r
SAV observed: yes r:no.-. I i i ;"
Moratorium: n/a yes (n -am _ 3 -i iir
Site Photos: yes no -- IL
__ E 'Riparian Waiver Attached: yes no �, ' mm i [ , I l
-
A building permit/zoning permit maybe required by: /N' // t? f-) C_-
n TARPAM NEUSE FFER(circle one)
Permit Conditions 1 i f C a` fI_[,(--c/) 2:),,'A //�G f.a's�42 ��� r r�'/t, L� / ,,
( n See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT, (Please Initial) i
A
Agent or Applicant PRINTED Name Permit Officer's.PRINTED Na'fne
___--.-ram --,/..._--------
Signature**Please read compliance statement on back of permit** Signature 2 "I
6?/` 0/4{. V '0 r r -- s t`-. /7l'/ /r !. 2/2 2 / f t`" 1.; f -26
Application Fee(s) . Check U/Money Order Issuing Date ' Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City,NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde,Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates,Hertford, (Serves: Brunswick,New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

`°"ST%®CAMA ❑DDREDGE. & FILL= -.. ?; N • ,
a 1 GENERAL PERMIT Previous permit •
•
Date previous permit issued -'./ N
n New n Modification n Complete Reissue ❑Partial Reissue
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 5A NCAC 7/f //Or) n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name / ei f Ir -✓ ''` 1;`A 1 jf --,--'-' Authorized Agent ' -- --...""'
•
Address i ,_., c , Project Location(County): 1-
City ' / ' - - 4''" State C- ZIP - s -" `% `- ' Street Address/State Road/Lot#(s) f `''° �" {" f is <
Phone#(_) ' s ' / - -
Email ' , `' - • 'r` . ' ,- . Subdivision --- --
City f.f ' . - ZIP t::
Affected n cw n EW n PTA n ES n PTs Adj.Wtr.Body '' : i •• • " 'L' ,(natjman/unk)
AEC(s): n OEA . n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body f ":r ( &f! K--
ORW:yes/no. PNA�yes/no
Type of Project/Activity / r , . ,. / • / ,1%' 1 r"�. J! f,' -- / •
•
,-
1N., -.r- / (Scale: /7r1 ),
Shoreline Length -4' ? c Q /
Access Length I I ■�� `r
Pier(dock)length i
_�
ME sS -
Fixed Platform(s) / 1
1111 1 n V
l
Floating Platform(s) '
IIIMIIJMIMIIIIIIIOIIIIIIIIIMIIIIIIMIIIIIIMIMIMINMIIIIIIIIII
Finger pier(s)
Total Platform area /
Groin length/# 1111111111111�
cBulkhea'a%Riprap length { U!IPiiiiiim1 .
Avg distance offshore l
Breakwater/Sill
Max distance/length
t
Basin,channel ;"`"
-Cubic yards
Boat ramp
Boathouse/Boatlift ; ,.'
Beach Bulldozing - ' " ■
Other k r�'. -;-, ' . ff
- ( e' 1
SAV observed: yes no ± Ii all ,.
Moratorium: n/a yes ,no,,
Site Photos: yes ,:nod i l S—
Riparian Waiver Attached:.,-yes_) no
Sd A.: %-.
A building permit/zoning permit may be required by: - �' ' !'h
Permit Conditions ' -- , r / ` ' ' ',, ., / . , /v ;/r 1 , , -.,, ' n TAR/PAM/NEUSE/BUFFER(circle one)
t _!
X.
,''/,/,./, • ' ❑See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED:- COMPLIANCE STATEMENT..." (Please Initial) `')
/''`. ,,-! (:;-,t c- /}s, . V " - - -
Agent or Applicant PRINTED Name Permit Officer's.PRINTED Name
- Signature**Please read compliance statement on back of permit** Signature .2 ''',' •
Application Fee(s) I( Check#/Money Order Issuing Date .Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City,NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde,Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City,NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates,Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

•
Locality Permit Number OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require pennits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
(For official use only) Certification,-Sand Dune,Sediment Control,-Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION
STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name e,d E 9--tomviit listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address 4Q b AlA)C17, RD kr described as:(check one)
���,���
City mEP Q ter State i 4 C. Zip-P)5 i-hone sASA Gp'lb 77t X an owner or record title,Title is vested in name of (_/-__, awl, fd'tlid.ldGni 1Ta(111 Pk l6,
see Deed Book CA) page 8(a d in the Pemyt_te_c9 County Registry of Deeds.
Email fitstQ Cdin.
AUTHORIZED AGENT _an owner by virtue of inheritance.Applicant is an heir to the estate of
- ;probate was in County.
Name S'(:r,f)
_if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address
City State Zip Phone NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (Name) (Address)
(1) mtke la&YSON .?'_ r CEP RDhd m02.e.(1 T Mr- ze55‘
e.522,Ailvect RD Ps) (2)
(3)
671E iTt- c.„ ± Q - (4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Fr l!i1 F to..S.v...D ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware thatlhe proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
SIZE OF LOT/PARCEL: square feet acres tion and floodproofing techniques.
PROPOSED USE:Residential is (Single-family❑ Multi-family❑) Commercial/Industrial❑ Other ❑ 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 information
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes � This the 'Z,1 day of G��f�; ,20
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but Qg,Q,i,, _ '
excluding non-load-bearing attic space) Landowner or person authorized to act as hill r agent for purpose of filing a CAMA permit application
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application includes:general information(this form),a site drawing as described on the back of this application,the
UPON SURFACES:latruare feet(includes the area of the foundation of all buildings,driveways,covered decks, ownership statement,the Ocean Hazard AEC Notice where necessary,a checkfor$100.00 made payable to the locality,and
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) anyin ormulion as maybeprovided orallybythe u licanr.The details o the application as described bythese sources are
j PP f PP
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
YES NO4
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

SITE DRAWING/APPLICATION CHECKLIST , , , -Please make sure your site drawing includes the following information required for a CAMA minor development permit. . .• . _ 4
The Local,Permit Officer will help you,if requested. t%
PHYSICAL DIMENSIONS APPLICATION FOR a
Label roads Z
e_ CAMA MINOR
K Label highways right-of-ways
. Label l ny setback
struesctures
DEVELOPMENT
a( Label any and all structures and driveways currently existing on property ,. . . .. .. .
,,,--Label adjacent waterbody �]
PHYSICAL CHARACTERISTICS ., , PERMIT
_Draw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
Draw location of on-site wastewater system (CAMA)and set the stage for guiding development in fragile and productive areas that
If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
Draw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission '
Draw and label toe of dunes.. (CRC)to implement clear regulations that minimize the burden on the applicant.
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
_Draw and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
If you will be working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what Information he Or
Draw and label landward limit of AEC or she needs before you apply. . 9
Draw and label all wetland lines(contact LPO for assistance) .
_Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be Issued within 25 days once a
DEVELOPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
• Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
Ar Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
fit: Note size of piling and depth to be placed in ground
1K Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
K Show all areas to be disturbed are not-CAMA=related;we urge you to check with the Local PermitOfficertardetermIne
_Show landscaping which of these you may need.A list is included on page two of this folder.
NOTE TO APPLICANT
Have you: We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing? .I
• ommission
_ • signed and dated the application? Coastal fRes Coastal Management
• enclosed the$100.00 fee? Division of Management
y
• d by the property owner) . y b
completed an AEC Hazard Notice,if necessary?(Must be signed
•.''FORSTAFF USE:°`a'- n
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Site Notice Posted Final Inspection Fee]tecetyed- �', +� a ,<<�,'
t• q 5 j' n t ' Y tri CA
CA
'Site Inspection ' ,, , � X ma
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Date of Action:',Issued�h•,j' .. Exe inpfed.' ',Denied
„ AppealD. eadli e20daysfoiti"pemit acion,
', {. DCM Form EB1952-2015/Revised '�
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PIN: 7518409210000
Pamlico County, NC iMAPID: L091-24
CALACRES: 0.3511354
This web site is being provided for the benefit of the general public. [ACRES: 0
The entire risk associated with the use of this site is on the end user. ACCOUNT: 17122
No representation is made that this web site will meet the specific
requirements of any person or will operate error-free or without OWNER_NAME: TOMPKINS BRUCE W ET UX
interruption.All other conditions or warranties,expressed or implied OWNER_NAME2: TOMPKINS KATHLEEN A
are disclaimed.In no event will the County or Atlas Geographic Data,
Inc.be liable for any loss of use,business interruption,loss of OWNER_ADDR: 39 CROAKER RD N
profits,loss of data or incidental/consequential damages arising OWNER_CITY: MERRITT
from the use of this web site.The County and Atlas Geographic Data,
Inc.make no warranties or representations as to the accuracy of OWNER_STATE: NC •
information on this web site,nor do they assume any liability or OWNER_ZIP: 28556
responsibility for any errors or omissions in its content.It is the sole
responsibility of the end user to evaluate the accuracy, SITUS_4DDR: 39 CROAKER RD N
completeness,or usefulness of any information,opinion,advice,or DEED_ACRES: 0
other content available through this web site. 1DEED_YR: 19970626
4n1►1I tip',, DEEDBOOK: 000323
04 `+. JDEEDPAGE: 861
i+r ;' G' SALEDATE: 6/26/1997
f ' 1 y SALE_AMT: 91000
tr icl
r LEGAL_DESC: OFF 1328
BLDG_VAL: 128355
LAND_VAL: 61425
Pamlico County,NC TOTAL_VAL: 189780
202 Main Street CALC_ACRES: - 0.4
Bayboro,NC 28515
•
•
http://apps.agdmaps.com/print/nc/pamlico/index.html?MAPID=L091-24 Page 1 of 2

4

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT.RIPARIAN PROPERTY OWNER.NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
. (Top portion to be completed by owner or their agent)
Name of Property Owner' \(11CC' 1'1Ci • n;‘,.£'P Ce:ih-k
Address of Property: 3 . C.
Mailing Address of Owner: C{1�"�rlt-'t ; R C._
Owners email: K ;6r ( t1\ .,CF\\Owners Phone*. � a " •
Agent's Name: �� C� (rk‘an Agent Phone#: =.
'Agents Email: AC"n :\i 0,k ) l'N i; 7 i=�1 i Z -C \/.
ADJACENT RIPARIAN PROPERTY OWNER'S,CERTIFICATION
(Bottom portion to bq completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property"The individual applying for this
permit has d cribed to me, as shown on the attached drawing, the development they are proposing" A
description r drawing,with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal" . I DO have objections to this proposal:
if you have objections to what is being proposed, you must notify.the N.C. Division'of Coastal
Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943, Washington Square Mall, Washington,.NC 27889. DCM representatives can.also be
contacted at(252) 946-6481.No respgnse is considered the same as no objection if you have been,
notified by Certified Mail:
{ •
WAIVER SECTION -
., I understand that any proposed 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(this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign the
appropriate.blank below")
l DO wish to waive some/all of the.1"5'setba k,
Sign tore of Adjacent Riparian roperty Owner -
I
do not wish to waive the 15'setback requirement(initial the blank)'
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature" '
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER.NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner .1' Ark..1Ce �1c. \r�� 1\L\r\ t n 5
Address of Property: C �(: r t
Mailing Address of Owner:
Owners email: VAns-\cVr\ ( 1` I\,C ,1\Owners Phone#: a�a -.a
Agent's Name: e \J R(' ( \C\1 Agent Phone#:
Agents Email: 1 �t-,-'i-,M(`a,1 "'<<1ti'\ l'1 c
ADJACENT RIPARIAN PROPERTY OWNER'S.CERTIFICATION
(Bottom portion to lip completed by the Adjacent Property Owner)
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.
g.471. I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed,,you must notify the N.C. Division of Coastal
Management(DCM) in writing vvithin 10 days of receipt of this notice. Correspondence should be
mailed to.943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481.No response is considered the same as no objection if you have been
'• • notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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(this
•
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign the
• ; appropriate.blank below.)
I DO wish to waive some/all of the 15'setback, ��./�
/ f A 6_/-/
Signa re of Adjacent Ri arian o e Owner �•
P P riy
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
• Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ' ARPO's Phone#: '
Date: *waiver js valid for up to one year from ARPO's Signature*
Revised May 2021