86108A_Scruggs, Larry & Robin_20211006

®CA ® DREDGE & FILL Na 86108 Q� 0 B c a
GENERAL PERMIT Date
pre permit
� ate oitiotn permit issued
® New ❑ Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the Sta Cis of North Canabna, Deparoymm of Environmental Quality and the Coaxal Rasourcw C,ortvNnion in an arm of a vironmertW concern pursuant to:
I SA NCAC rl ( % ZCyO Rules attached tg C,eneral Permit RuNs avallable at dw foMowf lark: wifflmftPQwmLQ6M&J=
Applicant Name 0. a Authorized Agent 5'
Addre9a �, n_ E C ante TT�rrt, { Project Location (C-W): T 1itV&j2jSr3
city 1 `f c'�t�ciiA Sterna N� 'ZJP i^ 4y y Strew Addr+eat 1M Roads of #(s) #t
Phonea(Zd) Z3s.-5Z<fo toy a— 0.%r n pgl
Email _ 'r-1 wxwwonp y 1
City zi P
Affected ❑ M EW PTA ® ES ®PTs Adj. VYI;r- BAY ri F �manfunk)
AEC(s): ❑ OEA INA UW []WWA El PWS Cbsest Maj. Vytr. Body
ORW: yeses PNA: yes/
Type Of Project/Activity 1 b nko11 t2 rNA
�x
Shoreline length 36A
Access length .-. i Cl[ ti,i4 h �... I ! ! ` _ram i� _+ _ 3 } 1 i !w : 741
Pier (dock) length
Fixed Platibrm s I i
t ( + y mot--r*={--.
,_, ' + J .. T. ___w.. r .yry.�.�ir !"`•i---i-�- -. _ _.. ;_ t 1-t-+•-+-t- . -1
' i 1 y i i • t i ( + + r e y _ Yam'.,
7tuatingPlatforin(s) i;'. r�-S ---try-_ s.,tr �i- i
i
Finger pier(s)
t 3
Total Platform area �I Si - ' _ '� _ l - +
Groh) leftgttt/# ^^ _ t ` i I - r-r- �-- �_ f _ ` -�-. �-: - +-_ _+ _ .! . __, _, ► Y �;
- -
4!�/ rap length ! i i I 51
,- - •�
Avg distance offshore O r _• { a
Breakwater/Sip - -.-� -•-� - t- �__ti- ` - + ` ; , i
Max distance/length
Basin, channel -• -I - i- i .� _ �- _ t i t j_ i _ ' 1 t �,
{ fi 1 •
Cubic yards
Boat ramp --i--�-',-- r
/ity>KT r-, �' -'- L ; -r-- i �' j i ! - 'j t -t•Pr-r--u.- .,7-a
1 i
Bea Bulldozing i ' -+ �" i i Ji _ , _-r- . ,a _ t ' I . 1�_..� j I' "i '"j " i . j i' "}"'t - �•-1
I
Other
,' �+• 1 if`C(,'['; �/ ' _.'.._r.L___' �-`,I-'t 'I.__�1'_"^ �...;-.�_�,.,,.... _F-.. �Tr mac.. �.
SAV observed: e5 n0NN
_Ld.Moratorium: ri/a yes raI 1 F- • + iof- ;�-1 v _ t ^ +.
Sine Photos: yes no �
Riparian Waiver Attached: yes no i�--=
t
A building pertn/zoninB Permit may be required by' �tkv
Permit . • ='-
-_v --
Conditions t i off- gat' iZe ❑ TAR/PAMMEUSE/BUFFER (drde ohe)
U-� See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF StAT1JTE5 CRC RULES AND OONOmONS THAT APPLY TO THIS PRIMECT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)
L �aCs� art`liSh�K�.s a
Ag ph RI a Permit is PRINTED N
Signature *Please plfan ent on back of permit•• S
$�r 475'�l�l
Application Fee(s) Check#/M r [Le oriey Order Issuing Date Expiration Date

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: Robin Scruggs
Mailing address: 104 E Camp Perry Rd.
Hertford, NC 27944
Telephone Number: 248-238-5640
!certify that I have authorized Earth Shakers Marine f agent/contractor),
to act on my behalf, for the purpose of applying and obtal . g all CAMA permits
necessary for the proposed development of App W of bulkhead and pier
at my property located at 0 ^t4 E Camp Pe ry Rd.
This certification is valid through December 2021
(date).
(Property Owner Information)
Robin Scru
Print or Type Name
Qwner
Tide, co, owner or trustee for property
Date
J &- 5Z-q0
Telephone Number
rk,CruGGS5gt , Cto(..coW.
mail Address

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Herqulmans C316 ib" Ca,w,,� P - t�
8/23/2021, 10:29:1 S AM
Address Points
perquimans
nc easement
Imagery 2020
Blue: Blue
perquimans_ nc_misc
perquimans_nc_dims
Red: Red
Imagery2016
perquimans_nc_lot
perquimans_nc_acres
_ Green: Green
1:1,128
0 0.01 0.01 0.03 mi
0 0.01 0.02 0.04 km
State of North Carolina DOT, State of North Carolina DOT, Esri, HERE, Oarmin,
INCREMENT P, USOS, EPA
f—aD r NA-CV\I For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any liability resulting from use of this map.
10'1
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