86165A_Imes, James & Amy_20211020

1`A"'k ❑CAMA ❑ DREDGE & FILL N9 86165 0— a, B c D v
GPrevious permit
GENERAL PERMIT
Date previous permit issued
❑New ❑ 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:
1 SA NCAC �� + 1t%' ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Sr M&'Sir—
Address 3 r
City ' �. ^ C State _ Nl' zip `I S
Phone # ( �) opa- y�?YZ-
Authorized Agent _ k I, 4S ra JV`' I..
Project Location (County): (i Ir' {- 'k
Street Address/State Road/Lot #(s) 10,s y; e n r r I-C
Email 1-nPS 1GLW v i ,C�� . Subdivision AAnr\\/LS 1i�
S + - 1�(r Ama -."Sen
T Mcity Arco ZIP alc!
Affected ❑ CW M/ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtc Body L>/� .�(nn an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWs Closest Maj. Wtc Body 14(r,� I-+t /i✓ �tn^ 0
ORW: yes/no PNA: yes/ !
Type of Project/ Activity
Shoreline Length' ,`'. Q S
Access Length G —lctl IV ) 'j'%-'-
,GK ^ Psb' _,,,.. {,.jig_-�•-
Pier (dock) length • k
Fixed Platform(s) i9 4; S'i "V
Total Platform area 7 Jh
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
i
hBoatlift x 1
SAV observed: yes no'
Moratorium: n
Site Photos:
Riparian Waiver Attached: yes (noo \
A building permit/zoning permit may be required by: I r . yf.( k (rg�
Permit Conditions �Ji ".'rt. � .l i s �/ c r • 3 5' a,1k 1 r .-t /
_ � A-b Side L-r 1 Ls
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Signature
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:
1-1 Tar - Pamlico River Basin Buffer Rules F-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

RECEIVED DIVISION OF COASTAL MANAGEMENT
0 C T 0 7 2021 AGENCY FORM FOIR PEST APPLICATIONS
DCM-EC
owner of the property located at:
(property owner)
IPA A
prcpe'-.. -,address)
IRAi C,42 1yC, Z7�'t2�
do hereby authorize
(rarre c= : - -' . ';:= : acnng as agent)
to act as my agent for the purpose of ob irc = =ee 'zcasza: -Area Management Act and/or
Dredge and Fill Act permits, that may be new ,e ;-_-posed development at the above -
indicated property, which entails:
t/
(describe proposed development scr vhfch permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
(date on which agency, authorization expires)
✓i Qi
signa )
�1(pkkf# name of owner)
(date)
(title, if officer of core. owner or trustee for property)

CERTIFIED-M4IL • RETURN RECEIPT REQUESTED . � ►- C E � `
� �D
DMSJON OF COASTAL MANAGEMENT
ADJACENT R'PARIAN PROPERTY OWM R NOT'RCATIOWAVER fOFJIA 0 C T 072021
Name of Property Owner, Anvoca ae- 1-winz
Address of Property: 10.E " -b' d atnw f�`G 2. 7 . CM -EC
(Lot 6t Street #, -Street or Road, City & County)
Agent's Name Malling Address: t 3'7 ► Ca�a�b �e Ct�
Agent's phone#: "�Sa Lt3s 6em 6`'1DypG� /vG a`I qS�
1 hereby certify that 1 own property adjacent to the above referenced- property. The irwividual
applying for this permit has described to me as shown on the shed d the
they are roposmg.
I have no objections to this proposal. I have objections to this proposaL
if you haveabjecMons to **atisbe&tgproPQsed, yvumustno9iTyt1w
( nap in Wdftg-Wftft1n 10 days of receipt of this nonce Comet
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift roust
be set back a minimum distance of 15' from my area of riparian access unless waived' by tee. (If
you wish to aivthe setback, you mustkdtial the approp�e blank below.)
I do wish to waive the '15' setback requirement.
I do not wish to waive the 15' setback requirement_
(P opedy Owner hdomation)
Signooe a S � z�
P or 7ype'Name
ng Address
©ram
City p
aSA aoa- w-M� - I l AxeS law 0,TYW I Dom,,
Telephone NurnberlEthafAddress
�1d1
Date
(Rip" Pr met' 9k)
sigTTQl7A''8 �1 t
av%ra IT \n�-s"
Pririr or 7 pe,Name
M8fflns,addrss
City�leT�p
Telephone Need S1wA-
(Roviwd Aug 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
tvoca i�e G11/1
(Lot bf Street #, Street or Road, City & County)
Agent's Name
Agent's phone #: Sa �t'3S 6ocz
I hereby certify that I own property adjacent
applying for this permit has described to me as
they are p posing.
I have no objections to this proposal.
Mailing Address: f 3'71 Car- 101fe l�
/`'1 oyp�c /yG a7 qS�
to the above referenced property. The individual
shown on the attached drawma the dement
I have objections to this proposal.
Jf you have objections to what is being primed, you must notify the D&Mon of Coasts rt
(MM in writing within 10 days of receipt of this notice. Coitacrt k0bnmow for iiis
available athttalAvww..nccoastalmanaaementnetlweb✓cm/stsff4tsdna orbYc a 1-8i- SST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish aive the setback, you must initial the appropriate blank below.) RECEIVED
I do wish to waive the 15 setback requirement.
0 C T 0 ) 2021
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Pr ri or Type Name '
7
Mailing Address
, pq ©c-iivS-
cffilmatovp
Telephone Number/Email Address
6�r�1 al
Date
(Riparian Property Owner t domm )
S1 �
Pricer or Type Name
PO &7_v
MailNrcc
ddress
091 ?
City 00
OAC`l 5'1 D a
Telephone Number/Email
6)2_5L;)L1
Date
(Revised Aug. 2014)

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RECEIVED
0 C T 0 7 2021
DCM-EC

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