84971_Larry Gwaltney_20211028

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• .
4d`°�' tr,I CAMA 0 DREDGE 8 FILLNO 84971 A p
I 4 GENERAL PERMIT Previous permit /v t
`�� Date previous permit issued /iffl
❑Modification ❑Complete Reissue ❑Partial Reissue
As authori/New
the Sate of North Carolina Department of Environmental Quality and the Coastal Resources Comr ie on in an area of C rnrcn.i:ta1 ccncam kvwant m
ISaNCAe'7/tr 120TJ �/
. / _ 0 Rules attached. i V I General F'e t Rules=stable at the 10 ow_i Ms'envy.,dyv nt,7+%CA i Ar',rf{.1
' Applicant Name___Lx i"'"/ 42r [ A/h} •LC/.2 !)Q Authanznd Agent 1+' —
Adccels
ly Lomeli
y - Pro)ectLoan,(Cctmy f�): - t,•�t r•C Ta
Cry_CI'^'sl'' •.. State I.-,L- ZIP ,5(f Street A(ress(5tate Road/Lot#(s) I c`.3 L,`"�f r"j"`-- .
i1 - - Subdensron Q) 'nA w',c:") k 0 r&S
MP"
Car Uir l Ar.... 'ZIP Z J 7ARcetod ❑C.W EW TA ES pis AM.Wtr.P.ody ��I--` �1., i.J.--e �e y'rras**
MAEC(s)_ 00EA !HA �SPIMA 0PWS colon Nti.wtnBody (fitt LLIS �1
ORW:yes/0 PHA;yes/60
Type of Project/Activity A In 11 Ceti, Jr— r Co?r �e S !t1/ 51Z aO /-, ;-"
9%y�}L Lf/eu1` 1 / ></3 /3.riJF//�f (sole: 1
Shore/me length / 4 a _ •- _ _ -
Access length ..----' 'e"--"'. 0 C.I/..,SE-. RI v"e--1(- iv _
Pier(docl)length _
c,6 f ... -
Fi�+d Piatfc n(s) ?x 2 it
clearingNadas m(s) ° if .(
v a
•Fir.)ier per(s) •
f
Total Platform area r.z . " 7,-(-�cl�s od' A - - - -
Gromlength/a p': Lr"hI1' t-t
Bullhead/RI z p 6enfittr -
Brcalw+ter/Si1 • _ _
' Max distance/length •
Basin.channel
Cubcyards LTG
Boat rain G K 'rcS
ocathausa/' fu _/3d 13. .
Beach BufldetiTg , t ✓,
otter t� b 0U C1 o OD i �a U c) L' 0 !�__- A�t e;�C) )(vim 6
V —Via
rs
SAYcbTC S /J�cti..,�ylrl--�I .
lJtraatdrnrm' n10 1� ? ,.,i e—Fttparian Wpm Attuhed: go
,, �(l' • ( ! • '•1=2t 2et e-13
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Sae Phctaa: rir‘ 6
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A twnkhng Drrma/tanvtg Pef nu may t o'Mil"of t`_1_Yr�LC ` el' �{TA!t+PAPI.NEUSEIBUFFER(cade one)
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Permit rOncSiLtvns_ — �w�__ _��� )1tl Soe npL•en b l regttdmg Riser wain rules ;y
--- •--_ `rj Srr aahnenat nrar+/mnnaton•nn bath
I MA AWARE OF ST ES CRC DULLS AVID COV:DITIOVIS THAT APPLY 70 THIS PROJECT AND Rl VIEW D COMPLIANCI STATEMENT. (Please Ininsi)
r r ApplicantFRtt D s. `
f srpnnt/m'r.�.- 1 c� �� L
i ..pb., 3/,,d cam Grtiara air b.nt cl vr.mn•• .I4♦td oS f/ _, c .�^.=s z/_ !_ '
' C'/r r ¢ Woe l'..nR Mu, �..... --'- I.ryraha.x Date
k san Feria) ENO//iN 'y -

•
•
•
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I
I. 1' ICROY COOPER
Gacrw—
I MICHAEL S.REGAN
Scanzne
Coastal Management niVIRON}IENT4 QUALITY BRAXTON DAVIS
Durrxr
BUFFER AUTHORIZATION CERTIFICATE ,+T
t FOR PIER AND DOCKING FACILITIES ACCESS WAY
� l
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&Neuse River Riparian buffer per Division of Water Resources(DWR)regulations I5A NCAC 02B-0233&.0259.The
Division of Coastal Management(DCM).through a Memorandum of Understanding with the Division of Water
Resources(DWR)has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA)permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor)performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
- Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft.riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
- Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite,mulch,or grass to meet the intent of the rules to the
maximum extent practicable.
3 Access Width:The width of the pier or docking facility access way shall be limited to six(6)feet.
4 "
Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: AO r 5 �h
By your signature below you agree to be held responsible for meeting all of the conditions lis d above and /rify
that all information provided is complete and accurate. /
Agent'or Applicant Printed Name. Per fficer's Sire
id/2-a/
gent or Applicant Signature Issue Date
CAM A GENERAL PERMIT
•
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V1�tm a'rcr,u.$3w.rshnQtun*MU.kbgSS4stmgwrt Za18vlM7aJouJM
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•
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so`°"T LAMA ❑ DREDGE & FILL N9 84971 . A CCD
��� Previous permit /v
: GENERAL PERMIT Date previous permit issued /✓A
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:
I 5A NCAC 7/'T'/2-0 ❑Rules attached. y General Permit Rules`available at the followingn link:www.deq.nc.gov/CAMArules
Applicant Name / !/mil7/ iv/.. � &� Authorized Agent -- l2�1cr(-(Address ",, .--t 1L),.-/K ,i'`1 �vJV / Project Location(County): 1ar�'�tl t Ct�
City b-9, " 2 State 'v C-- ZIP 57/ Street A ress/State Road/Lot#(s) 2_i C 3 L'
Phone#(XZ 675 Jd89
{ /1
Email Subdivision (ij nrSC,tom .oe S KO-(��
City Oil.e i So ZIP Z l I
Affected ❑CW M EW M PTA IllES ❑PTS Adj.Wtr.Body N1 -- 1 ./e,e-' man/unk)
AEC(s): 0 OEA IHA UW _SPIMA ❑ j PWS Closest Maj.Wtr.Body 1 v Z.—LA—_ `— le'1"--
ORW:yes/rs` PNA:yes/40 _ 1
Typeof�PProject/Activity/ AisQIIexv4-- '��oSJ '..e/S ' (,i)`c -5$1 ro' 'e /
{ ,Lt /`-/�Z 1 / /gC/3 06 -6 yof-- (Scale: )
Shoreline Length / Soo
141111 i 1 j
Access Length ��/ -= { � f--1� i i I 1 11NI
Pier(dock)length g0 j 3 i �1„ \\ i i I I l /
Fixed Platform(s) /)C�-� { - -- - t- I -__. '� k . _i
Floating Platform(s) ; S i
1 I i i I i e l -
Finger pier(s) - --..._...._ .,.. j �_.._ . _... �.. —....._..�.._.. _.. _
r� I
Total Platform area 2 fe5-, rOP 3 I
f/
Groin length/# i •�) b Gt . _j� _—, j I I
Bulkhead/Riprap length i.. / - i -i' -! • , _!_._._— __-• j
Avg distance offshore ' i I
Breakwater/Sill i 1 i
i
Max distance/length t 1 - i
i
Basin,channel -` j
Cubic yards j__... - - ,_.' -- 4--
-
Boat ramp i G , j C •
Boathouse/ at' /3 1C /3 _ • $ i e,---,,-0
Beach Bulldozing l_ _ I ggg��� I C
Other / ,1 i �iC2Q 0' 6 ,-i 0,�Jf 0 E�€) . Urd- e ,�1' b b 6-161
SAV observed: yes _— � - - j -- _- �`1��
Moratorium: n/a yes , V} ���` ;�( -' I (��-e�
I���,J H k 111 -�Site Photos: e o - ;V�"�y } ? P ; _I__.-__ ____.. __ �� ..--- ----i----�i___.__ !e U
Y i 1, {- , I- ro
Riparian Waiver Attached: es o `P� 1 i i
`� ('1 Q Q .
ern A building permit/zoning permit may be required by: W�
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
((((1 See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEW D COMPLIANCE STATEMENT. (Please Initial)
/94 U r\
Agent or Applicant PRINTED Name Permit Offi is P D a
Signatu/�rl�i**Plea�jread compliance stateen3 on back of permit** Signatures
ef�- o� m°— Ova 0d it,. 2 2..e) zl , a-g, 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 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

4,4 N 1 fc AMA ❑ DREDGE & FILL No 84971 . ' A CSC
s = GENERAL PERMITPreviousvous s
Date previous permit issued _..rL//4
IA New ❑Modification ❑Complete Reissue ❑Partial Reissue '
As authorized by the State of North Carolina,Department of Environmental Quality antdthe,Coaystal,Resources.pCommission in an area of environmental concern pursuant to:
I SA NCAC i/i. r<2, G. 0 Rules attached. I , l General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /t- ."r / rrr)ra.f" Ie/ Authorized Agent �"3 1�'C . �"—�
Address a ` ;!:i'/
,�,,��" . i( r •f �-''� r Project Location(County):4--- ��;- t C.'0
City !) 71-et.e^ " - State C--, ZIP Z- f,/ StreetAddress/StateRoad/Lot#(s) 2 1 1�.7 (- '' �"C d►f`�e"`.
Phone#( 5.'2) (07S' '..% �`?a ,
Email Subdivision (/ .), ,i."' t-,J,,,..r-1 ko re
Cityf VtPs',‘± .. ZIP /-1
Affected . ❑cw MEW b PTA ❑ES '',,PTS Adj.Wtr.Body k) �r�rC'
- ''' t ,/6,(' ejna�/man/unk)
AEC(s): ❑OEA ❑IHA ElUW ❑SPIMA ❑ 3C
sPWS Closest Maj.Wtr.Body t -t.A P-c v-e
ORW:yes/n' PNA:yes/
Type of Project/Activity _ Aro o' 1 I ('c.,., V -r}c,-,/3 f,6f:A- in!`-,-f S r ' `"`5",..,-
a
9 \ ,),01 L , /�e-ti t / ., /� r3c.'7% 4L (Scale:. ).
1 /
Shoreline,Length. 4''! 4 o 33
Access Length -..^`'--- i I nain' pi'u'u'u'i'u'un"h'i
9x C. Oil __I ill
Fixed Platform(s) (....._._
C
asialliiiiiiii,
Floating Platform(s. ME)
I
IIHhIIHHIIiiiiIIiIII! gIIIHflIHI
Finger pier(s), d IIIIIIMEIMIRT
�� �� II IIIIII
�I
I
! Ill gm. MI
Total Platform area_ /1 i ■ �IIIIIIIIIjUIi1IIIUIflhIIIIII1IIUIIIIIII■Bulkhead/Riprap length / _ anir.
II 1 U i■*B�
mmimil iiiii .
Avg distance offshore S
1111
Ipliginiii
. Breakwater/Sill 1
Max distance/length
iimialiNiipulial,
Basin,channel
Cubic yards" ,/ 11111111111111 .. 'LEI II III!, 111111INIIIII RI .
. Boat ramp. P
Boathouse/Boatliftt ' 1.S g / R i'
Beach Bulldozing j
Other - . / G/DMOIAP ilium
1 n somitarowelamman
�""Imo : 1 -. Farina"!� .�� t. . �' BBR
ammufrinume ,
SAV observed: yes �n '
Moratorium: n a yes Ilul .z, _1IHhIIIIHIHIII !1
Site Photos: yeoil y-- iiiiiliall — — .
Riparian Waiver Attached: ry no ' �, ._ 1 ' 1—
tt ffr .
A building permit/zoning permit may be required by: 4.Y^r^,1 l ( ,^, ( l1., 0 f^
Permit Conditions TAR/PAM/NEUSE/BUFFER,(circle one)
n
See note on back regarding River Basin rules
, - - n See 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) ' . • . ,
r c% az 1,-
Agent or Applicant PRINTED Name t Permit OffieeYs PRINTED Na l�
Signature**Plear read compliance statement on back of permit**, r� Signature--- _/ / F
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 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

;1°F`°MT4 LAMA L_.l DREDGE & FILL No 84972 A 'B. C D
0
GENERAL PERMIT Previous permit `
Date previous permitt i 1ssued ./- '11
El 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:
I 5A NCAC I ' /~- `'"'1 ❑Rules attached. j( General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
f a •
Applicant Name I r / - • •. . ' ,- . Authorized Agent
Address r - + : " :- Project Location(County): ;
City ' - • ' ' State ZIP --:`- !' "/ Street Address/State Road/Lot#(s) - '
Phone#(- ) -
Email -. Subdivision I
City . ' . ZIP - ! i
.i
Affected ❑CW Fi EW 7 PTA ❑ES ° PTS Adj.Wtr.Body ` ' • (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA PWS Closest Maj.Wtr.Body I' " ; : k`' ` ' (l~
ORW:yes/nol PNA:yes/�rJ
'o
t
Type of Project/Activity ,A . i % = /
/� �
1 'Y 72-4 %/.' -+, - .. , r-,.f (•' (Scale: )
Shoreline Length -= I (•
p� _.. �
Access Length = '"'
1111111
®EllIMIEMIgil ° ■
Pier(dock)length ` f..' 55
1111rgliallillign11111
Fixed Platform(s) `-;' = "
■ lU
Floating Platform(s) �U
sIIas
Finger pier(s) I MN
iii:niiiu:n
Total Platform area I i •';1
Groin length/# I i I c.,
.. 1iiiiiiii __ SINN 11
00
Bulkhead/Riprap length - --r- I—� 4• ' ill -11111111111
Avg distance offshore s I
. ■ ■
Breakwater/Sill t% ..r. ...11........ ■ .: �11
Max distance/length 3
I
••
Basin,channel _f
Cubic yards (� al NMI 1111111111
Boat ramp
t
MI
Boathouse/ b � -
5555$ ■ ■ w5r _ ■ ■�
Boatlift
Beach Bulldozing1 ! i
_III .t i.-_lila _r IIIIMManint
Other
it _
Y t, _1E riumimmiirsil maproms
1
SAV observed: yes ;no ' t'
NE ramilickill
Moratorium: n/a yes mo. , , 10.11MINNE 1 M. no maw um am
Rite Photos: yes no 1 -I=} ■ ■�
Riparian Waiver Attached: .yes: r�1 ',' " %.. 111111111111
1111111)
A building permit/zoning permit may be required by: t.
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
TSee 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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Nanie`,1'
— - '.1,/
Signature**Please read compliance statement on back of permit** - Signature i
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 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

•N.c. DIVISION OF COASTAL MANAGEMENT
A®JACENT 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 Ownen. L ( t�YLpiQ Yt Yt&
• Address of Property: V VV F'J I �G1 riv] Rd, ,Ovie mica' 11NC.
Mailing Address of Owner: 54_111 • _
Owner's email: Owner's Phone#: -�- 7 -
Agent's Name: 6•C r (1 1 MQt V i�P a-1,.. Agent Phone#: Z( { ( '2,I`7d
•
Agent's Email: lovami ip rt tSon (. 5IN,OLF . (►m
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. DirekLuz Oh
I DO NOT have objections to thi's 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 g •
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 IN me
(this does not apply to bulkheads or riprap_revetrrrrnTs).-(it:yo • 'to waive the setback,you must skin
the appropriate blank below.)
I DO wish to waive some/all of the 15'setbac .
Signature o djacent Riparian Property Owner •
-OR- - r
!do not wish to waive the 15'setback requirement initial the blank)
Slgnati re ofi Adjacent iR j are an PmnertwOwnere
Typed/Printed name of ARPO: `'' d Serf M e 11.
t;�JK1L
Mailing Address of ARPO: .�1'r,? I,I ��1. .�,i w�;- � , �`�
ARPO's email: ARPO's Phone#: • 6 6e)9 ' ``
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Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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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. Lay-rti l�Yl ok Y1 r-t 1,Ver1., .
Address of Property: c2 1 U liu i' 1 a f r hit 1 o . la/en-hat..jVc.
Mailing Address of Owner:
Owner's email: Owner's Phone#: - -(� 15--giari
Agent's Name: 6.W-ego- 1 [ c U AND Gai-, Agent Phone#: 2-"t 4( `.-01146
Agents Email: 10100‘ott 1t7 IUY9.Cr( -Son 5ThAeJt , (c)INA
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. DraW 44. c Q„ a I_—
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 response is considered the same as no objection if you have been
notified by Certified Mail.
" 1NAIVER 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).-Of:ybu 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-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner( - '
Typed/Printed name of ARPO: $C)C(Ie\(* "4" 3kVM'Of I C DQU1A01
Mailing Address of ARPO: 5nC. r...OTC I 1 rieh4-n4 C
ARPO's email: ARPO's Phone#: •
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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'N B Prescott Marine Construction,LLC
PO Box 874
Oriental, NC 28571 US
1 [phone]
[e-mail]
Estimate
ADDRESS ESTIMATE# 1904
Larry Gwaltney DATE 09/28/2021
DATE ACTIVITY AMOUNT
Concrete Dock:5'x 80'=400 sq ft,400 @$40.00 16,000.00
Concrete Platform:9'x 20'=180 sq ft, 180 @$40.00 7,200.00
Tide Tamer 10,000 lb Boat Lift, Pilings and Installation Fees, 1 @$10,586.29 10,586.29
Site Preparation and Restoration: Remove and Re-set existing Rip Rap for Piling 500.00
Installation-per hour,2 @$250.00
CAMA Permitting Fee-Dock, 1 @$200.00 200.00
Pamlico County Building Inspection Fee, 1 @$154.40 154.40
Permit Processing Fee, 1 @$75.00 75.00
TOTAL $34,715.69
Accepted By 3„ /41„jitth Accepted Date `l 2't f 2.1
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