84963_Thomas Treweeke_20211011

4.0"'NE�+►nMA 0 DREDGE & FILL 9 84963 A 0 c D
#- (fir revious permit ... 4
GENERAL PERMIT
Date previous permit issued .y��i
P4w ['Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina.Department of Environmental Quality and the Coastal Resources Commission in art area of environmental concern pursuant to:
I SA NCAC 0 711 /' O0 0 Rules attached. G ueneral Permit Rules available at the following link:www.deq.nc.gov/CAMArdes
Applicant Name 7-7z osh,:• ( / v.s,/E.e'.Je.. - Authorized Agent i4/`7
Address 7 2 e v►rcr- %/'c, I Project Location(County): Y A �• / /�
City 40 Y14•ie- State /l� ti ZIP 0 77�'J c/ Street Address/State Road/Lot#(s) //, 1 S!-,��jc. .Jc- ,?'
Phone#(97) 5I J/` . Z5 7
Email /g- f�t✓eel 62 op-{orl/'n znr.-T Subdivision 47/4
City C�e•r'¢rvAl: ZIP c279t2
Affected 0 CW Om 2P<ti 0 ES OPTS Adj.Wtr.Body . /" L <,s'r Z o c,.n `') d ayman/unk)
AEC(s): OEA 0IHA UW SPIMA PWS Closest Maj.Wtr.Body /e..2 le. •-•5;A J. e/
ORW:yes/6 PNA:yes/e /
Type of Project/Activity Ai, -ill r.'e . 1% ei Jet!r s.•, o-' reoc/' •4' 6 -i'S Y' '-j "X'%X;_.-
o�...2`s'°..2.0 t (Scale: )'01(J)
Shoreline Length 6 .:.
Access Length
Pier(dock)length PA.sal /' S�ti pi. J.
Fixed Platform(s) /V --
Floating Platform(s)
Finger pier(s)
• r ANJltee;z4G
Total Platform area ��-�.20
Groin length/0 COVe JU f '�0✓
Bulkhead/Riprap length J�
Avg distance offshore e 14' , "
Breakwater/Sill / /
Max distance/length 9f'/ , -.f
Basin,channel • "
Cubic yards ,
Boat ramp p�
Boathouse/Boatlift I`
Beach Bulllldozin r fII
Oth !'rcL(o22'h�W` I r��1.,1
ru�'F ps/— e...k..shi:"-/Ifj�r.� 1 5 ,. `
ey
SAV observed; no _ 'rd ,[ f�/ VI `E.YtCC.
Moratorium: n/a yes CP 1' V /v tvL /,-C
Site Photos: yes ® 1.13% 0 4.'/-` ` - ♦ CrS•C:L-.CCe� ,c ��;-,r- 'r.E-.<^rac'cr:-Ce›.rrxoi ar.�rd.co cG�
Riparian Waiver Attached: yes cn
//
A building permit/zoning permit may be re tired by: Ae. e:,. / r C t✓t c-Irk
•
n / ( TAR/PAM!NEUSEIBUFFER(circle one)
Permit Conditions "Cc, ci�t./O „e ,,az ,?4,I ��:CF�4 //le-
ej.e..6- , X f/r...-, 11:1See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULf;S AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) '
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature 'Please read compliance statement on back of permit" Signature, f
-01;200 AY ,or/,2 e �ii,- .�
Application Fee(s) Check 0/Money Order Issuing Date Expiration Date

1 I CO r' .is S C O 1 COMPLETE TH •SfiIS T•ION ON DELIVERY'
III Complet items 1,2,and 3. p!Sign-.1 re
III Print your name and address on the reverse 11) /I t.dir 0 Agent
so that we can return the card to you. Wddresse
I Attach this card to the back of the mailpiece, g. -eceived by(Printe. - �C D to of liver
or on the front if space permits. A . Peiti'I2 2 ti
I. Article Addressed to: tr D. Is delivery address different from item 1? ❑Y
(� '"' �,. If YES,enter delivery address below: ❑No
9 o No r1 JL . -':;!.:
Uc race l 2. iv, C� ..,
3. Service Type 0 Priority Mail Express®
II I IIIIII Ill II I III I I III I I I I III II II I III ❑Adult Signature 0 Registered Mail,"
❑Adult Signature Restricted Delivery 0 Registered Mall Restrict
Mail® Delivery_
9590 9402 6450 0346 7097 98 ❑Certified Mall Restricted Delivery 0 Signature Confirmation,
❑Collect on Delivery ❑Signature Confirmation
2. Article t be 1T n feLfrpT Se lei be 1 rrm❑Collect on Delivery Restricted Delivery Restricted Delivery
71 0'12 4 Y0'` 0 0© 166 7i2' 5 1!•1!I Stri cd De111y1 Hill
DS Form 3811.July 2020 PSN 7530-02-000-9053 ; f i Domestic Return Receip

USPS TRACKING#
First-Class Mail
Postage&F'� Paid
USPS
Permit No. es 10 �.
9590 9402 6450 0346 7097 98
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
Tct rtv.,)P k
3 et.rte.
'WV v ; L(e ; 0)S3t/
Hi
it ail I tf ! ii � i 1i 311ii Him i ! I

- • 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: l.i>, y � i v /f--,—/ems,,-V
Address of Property: %(r6 . /, /f ji r>1,,,- c_ ,4i.. 4- i- -,- A--) %/ ::
Mailing Address of Owner. ,P9 Z P e‹. ,lJ 7 /,.,,o,.',.'//p, ,i/2 KY �,�
Owner's email:fir/L' �k/40 ,if/ 2' Owner's Phone#: q:7N7 -'-1 PS/' - p/✓��
/,., : A 7L
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be 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.
`/' , 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.[phone]. No'response is considered the same as no objection if you have been
notified by Certified Mail. V
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
Signature of Adjacent Riparian Property Owner
-OR-
t,
I do not wish towaive the 15'setback requirement(initial the blank) la
waive
Signature of Adjacent Riparian Property Owner: J1.),_12_ , ,
Typed/Printed name of ARPO: A(?.QA IE Q- ( -t -r2
Mailing Address of ARPO�) (lp r OC° '��. w Q-� 4 UO
ARPO's email.�9 @ CxRAQ� 1-I �I��" •s Phone f
ARPO #:
Date: 9 1\ 1 71 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

i • d
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Tracking Number: 70202450000086725789 Remove X
Your item was delivered to an individual at the address at 10:37 am on July 22, 2021 in CARY, NC
27519.
C✓ Delivered, Left with Individual .,,
CD
cp
July 22,2021 at 10:37 am
CF
CARY, NC 27519
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_ Tracking_History
July 22,2021, 10:37 am
Delivered, Left with Individual
CARY, NC 27519
Your item was delivered to an individual at the address at 10:37 am on July 22, 2021 in CARY, NC 27519.
July 22,2021,7:29 am
Distribution to PO Box in Progress
CARY, NC 27511
July 22,2021,7:18 am
Arrived at Post Office

CARY,Nd 27511 •
July 21,2021,6:54 pm
Departed USPS Regional Destination Facility
RALEIGH NC DISTRIBUTION CENTER
July 20,2021, 10:40 pm
Arrived at USPS Regional Destination Facility
RALEIGH NC DISTRIBUTION CENTER
July 19,2021, 12:48 pm
Forwarded _ ._ _ _ _ __ _
OCRACOKE, NC
July 19,2021, 12:48 pm
Arrived at Post Office
OCRACOKE, NC 27960
T
CD
CD
Q
Cr
July 19,2021,5:07 am °i
Departed USPS Regional Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
July 18,2021,4:25 pm
Arrived at USPS Regional Destination Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
July 17,2021
In Transit to Next Facility
July 16,2021, 11:54 pm
Arrived at USPS Regional Origin Facility
KEARNY NJ DISTRIBUTION CENTER
July 16,2021,5:02 pm
Departed Post Office
DENVILLE, NJ 07834

July 16,2b21,4:38 pm
USPS in possession of item
DENVILLE, NJ 07834
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: ?f' /to,/ ��
,Uen 1, "✓✓e /V T a7v9
Phone Number: f 7? - 4? - 9/1r 7
Email Address: �`���ri,� :/�� � �,,�f,;�� a f-
- - __ w___1-_,certify that-l-have.authorized, __ _-- - -�- _- - __--
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: .r/‘
at my property located at %f✓c /i / '✓ji(./Z,--n/ /(,/4 ,179/d'
in //y 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 information related to this
permit application. .
. Property Owner Information:
- _ - -- - —
Signature
/ ,.� ✓y�ri��N_✓T
Print or Type Name
(/`7e�
Title
7l 7l /
Date
This certification is valid through I> I