84989_Filippina Moore LLC_20211118

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, -A! cAmA -,.-,"; DREDGE.& FILL . N(.' .i.-i')8%I A el• C D
1 ' -',
. • .,f-i 7=
; - -7 GENERAL PERMIT
. :\.,..., - „
Previous-permit
Date prev!ous permit issued ;I;-I
,.,..,
• > :- ,--. [ New le_:Modification 1Complete Reissue ..... Partial Reissue
&authorized by the State of North Carolina.Depaitment of Envicomeental 0,,aiey and tee Coastal,Resciii ces Coine,,,ss on fl is area or en..ronniental cor,ce.,p,irsi.ant to•
I SA NCAC .7/"._(./p.,.--:
_ ..._ _ . _. H Ruses actaci:eii i:.:-.c Gene)al Perish Rules as.a.iacoe at tt e roi.owns..nk .wv.svi.l..!_sncgo2f_CAMAraes
,
t...- r ) .)/.-•• e --,-.-
/ Applicant Name .L. i.ii_./.)..,.., a _'''',‘:-." - i. . 4---;:—- -- - Authorized Agent ,. /! .1. ,_........ ...1,...,_f•_...._,..; r,.„,..7...L N. _
Address C_C,t:/..‹....C /' _ii.F' •• L.‘e .,::::)/._ eft- __— Proiecc Location,County.. -r--'.7--417 - -1j- - L-Li.:-•/• Li
C'tY.39-1 -L,-..V. __ _ -State..k„. ._ .ZIP -7--2 c ..;...e- Street Address State Road Lot#S., 2-4/11 e . 4.-).14:4, I'.'A I
.
4, ,.:-2_ ,.3' 7 _
___,________.
&lad .4z:j_sz_42t,c;!.!..L .*._ .:'-.-_:-.-,-- Subdivision "--...Vre, r >.
/ City e • _. ...,....___ -
---, --.
Affected E jCW Eva . l PTA SE S .X.7/PTS Adi Wtr Body . ..et_ 2_,.. , AL., ...itszsarnan..0*1
-- -
,--
r—
UW AECisi 700A ,- i_.IHA j 0 SPIMA 7 PWS Closest Mai Wtr'Body_ •/".=-..-r--r-4( •L••"•r.:-..-
,
ORW ;es'24.-) . PNA yesIn.2.) ,
s...-0"
7) ,.,•'' if ,...,,..,
Type of Project/Activity /- .1!,',,... r z.•c:)_•:e•-":, -1.c. ,1-Z_-.).&,...41' ..'" .G.., . ...... ....r.
J il• r
(scalevi,73 )
shoreline Length -1-- 2 5L
If 1: •
* ' Access Length
N
P.er!dock)length
----
FIN•A Pi4ri0fM(41 t ..'", C. ''.IL"
I.
floating Platform(SI
-- --------
, Finger pier(s)
Total Platform are.,
-r-
• Groin length/a
Bulkhead/Riprap length -__
Awg distance offshore 5'
Breakwater/Sill ___ ____'-....-
Max distance/length
Basin,channel
L • ,,,,
/--- x.•i Cubic yards
..
- ---1
V. -..u‘ \ \
Boathouse/Boatlift V- -i•
C • -
Beach Bulldozing s')!.,,C- ,...•c• tisi - . .
--Cn.., t.,
' - •': -•-** * NZ: .s.A /-- ,••-..7 ' --'-'t- ..`--.•"„ i t,
Other_ 11`. • •"'.4.c..i: ‘- ' .4;'': ' . ! . '--'"-'... 1\'
C. .2 f 2( .1/4\s1 f
S t i i f
kt
SAV observed yes ,rfi) .17, . I * 1'' -I iltiql‘ t: 2, r,- *t'-'•,,.•
Moratorium' Oa yes ell fs r t i.':"' '1-. ; • '-- .
Site Photos: • yes fig,
Riparian Waiver Attached. yes el)) -‘"
(
A building permit/zoning permit may be required by I i. ...._(1 I • --
"t".1 pft.,,Am.14 ;EAtoti;R„.,,,.,.. ,.,
Permit Conditions .. .
, I--.. . . .
I AM AWARE OF STATUTES,CRC RULES AND CONDI f ION1THAT APPLY TO THIS PROJECT AND REVIEWyt)COM nt IANCI siAtt rdi NI K tv,.„. ,,,ii.„
,
//0 ...- 1(-'.1.4'..614' .,,..61"572:16.d?"4"-C". A-/ )/ ,1:',,•' ,/,'-i.,•,„v,•,,,„t.!-.,,n, tt 0 r;AI, ./
Agent*; lit .. RIPra ,.. .,
Sigpature"Pleasrtfreart cm itili. s,tement on bait of permit" , , ,, sigi i.ii op- ) .
aCI"- /e 6(/ ._A:'• .1.'‘ -'' .i" 2 / V ' 1 s /.1 2: : e
lb nv It it/Money()him Is•ann,.1)do I
Application Fee(s)
I e

•
ROY COOPER
Go.emcr
iMlCHAEL.S. REGAN
Secretary
Coastal Management BR1XTON DAVIS
eNViROry 4ENTA.QUAL.TY 3.rerh:r i
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
a riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar Pamlico River
basins,per Division of Water Resources OWRi regulations 15A NCAC 02B 0233 and 0259. The Division of Coastal
Management(0CM)through a Memorandum of Understanding with the Division of Water Resources iDWR)has
re',iewed your project oroeosa-and nas determined that the project as proposed:orrpties with Me aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CANIA;permit nave'eceived Buffer Authorizatior
Provided the project is constructed in a manner that continues to meet all of the conditicns listed below.Failure to.
comply with this Buffer Authorization may subject the property owner and the part•,(contractor)performing the
construction andtoi land clearing to 3 civil penalty by DWR of up to 525.000 pe-dal;per Violation.
Impacts: Impacts to woody vegetation from clearing and filling in Zone 1(begns 3t the most landwarcl o=e ther
normal water line(?IWL)or normal high water line(NHWL)and extends 30=eet land.ard)sfid'l be nrmmi:ed to
what must be impacted for the sound installation of the shoreline stabilization.project Unnecessar, clearing and
filling in the buffer is a violation of the riparian buffer rules.
Clearing&Grading:Clearing and grading of Zone 2(begins at the landward ecge sf Zane 1 and extends 20 feet
land:varal is ailo•.ved provided that it is re-vegetated immediately and Zone 1 is nit coreoromised,which includes
maintaining diffused(non=channelized)flow of storm water runoff through the oufte-.
3 Construction Corricors:Construction corridors are allowed for shoreline stabilization projects. but the', must be
satisfactorily restored as aescribed:n condition 5 below,
.t Potential Overr,ash:For vertical shoreline stabilization projects(bulkheads)only:sites•.vherr wave oserwas:t is
expected to be severe,the first ten(1.0)feet landward(unless specifically adtherized otherwise by Dal)from the
structure may be maintained as a stable lawn in order to provide for structural stability
Temporary Stabi ization.Immediately post construction,bare soils must be stabr:ized as quickly as Possible by
providing 3 temporary ground cover Newly seeded areas should be protected with mulch and;it erosion matting.
This ground cover is a temporary measure used to address erosion until site restorat•on can be accomplished
Site Restoraton:At mirimum,pre-project site conditions must be re estaolished.A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation ata stem density of 260 stems oer acre
Non wooded sites may be re-vegetated with woody vegetation Restorat•on must be completed by the first
subsequent planting season(Novembere t through March 30)after completion of the bulkhead J f
a Pre-project site conditions:4) 's u,•tcttt/ .(A, -GeGt( 5�✓'�/ 5"d"""-'&-
Project Drawing: The drawing on the CAMA General Permit is considered the Project 3rawing of your rooerty !l�,e(�,��.� �,
indicating the location of the shoreline stabilization structure and any associated'cleanng,grading,and construction dedr
corridors Thls drawing will be used to aid in compliance and monitoring etforts.
By your signature below you agree to be held responsible for meeting all of the above listed nd• lot s}fed ve that ill
tnfoC/� r t (s eomplett e and accurat e -
agent r AooTeant P tee d Name Pernik Of Imes Signa re
or Applicant Si atone. las D teg
CAMA GENERAL PERMIT N 8Lf q"
Stare of Nor*h caraiina a(wonner Coas:at'tar.Jgrn(ent
wasrinytnn OI4tcc 1443 weahuvon Syi,are 3.':;.°N� 17'040'i
•vdmona?nn,lirire •" it tin Al trm.c,, n,a......... .... .t v.. 'a._ tt
Nrwh.aa c;n'Qrhre 100 Canarer::heron\inreh.,id:ay♦(:'3:f i. .)ii8.'iOa

NC Division of Coastal Management0 r )
Cashier's Official Receipt 15 2 9 4 fC7 n
r i Date: Lib" ►S' 20•
Z
Received From:. S
�LlL i
�' Check No.: U it ! 5
Permit No::. /
Applicants Name: f f_ [ •
County:
Project Address: ,J
Please retain receipt for your of of payment for permit issued.
Signature of Agent or Applicant: �, Date: 'f 1A/7.--/
Signature of Field,Repress ive: --n - ' Date: 1,//'a/.=

,S`OMT4t%rICAMA ❑ DREDGE & FILL N9 84989 Ad) C D
Previous permit
s G E N E RAL PERMIT MM
Date previous permit issued /11
NNew ❑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 Ili- I/C'C) ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
�r�Iei C
Y� LL e— Authorized ent OrS `^-`-�'L
Applicant Name(/�> � p��h i /� Agent 1/ `��
Address �- /d1O/ ./J ' / er�'SV` Project Location(County): - te/ ) v� �G' vit 4
City it l State V i ZIP 2-2-c 3 Z Street Address/State Road/Lot#(s) �l V Sdc - ��'`4-
Phone#(77 �O'9 4/8 7
Email j iv- /,,,,,ii(p. /na'/' Subdivision ArV(ft-- �x/'i-eS
City •0c-i ZIP 25-7/
Affected rim ❑EW ❑PTA II.ES OPTS Adj.Wtr.Body 13cc d t'rk- ( man/unk)
AEC(s): OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ik e---/vZe--
ORW:yes/6 /PNA:yes no n
Type of Project/Activity p/ IT`Dear`S ,.. 2-75f R.,I,p ay9
(Scale:A/ 3 )
Shoreline Length 4 7}fi®
Access Length ' ; — -.
v
- I N 1
Pier(dock)length , ; I j ' 1111111
Fixed Platforms) i(. ��� '�
I�� 1 IN
, 3(-00..aikT 1
Floating Platforms) i
Finger pier(s) IIII 1. ; i �— `..
Total Platform area j I
Groin length/# ' `
_ lei
Bulkhead!Riprap length 5' r a__ __ I -- -_-'_--
Avg distance offshore 51 ! i , I I I —
11&111 II I
Breakwater/Sill ! all 1111 I
Max distance/length I
Basin,channel -I-_. �___ i ___ _�-- I ._, .�L i
Cubic yards �__-- 141
_ __...i._. _ _! i._._: __ -_ _
Boat ramp M� _ _�c'r
�?, , _ A - i I e'a.,'odd i .$ $
Boathouse/Boatlift i ! I ( �11 .s ] i i. d 1
Beach Bulldozing j °ar — y*aa. tR-- l t`' •
Other I�i _ _. �O Nw� ,e.. ' 'fW 14,1 n�
„ii.,,,kr: __ :. LI,
SAV observed: yes f _1.�_ �._." i-� +� i - - 'a-.J Gt
Moratorium: n/a yes i i y� 1
Site Photos: yes p ---- _... (. _____----._--j__.__. ---J/,O
Riparian Waiver Attached: yes o i eili
A building permit/zoning permit�may be required by:Te'1 C_.a
Permit Conditions �fT TAR/PAM EUSE)BUFFER(circle one)
❑See note on back regarding River Basin rules
IIISee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEW D COMPLIANCE ST TEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Offic r' e
Si nature**Please read compliance statement on back of permit**/J C Signa r Q �y�yam/ �/y�
44115 C ���J �h /gi �2/ - /� �' - \ if 2-192-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

r court
s� I" 1CAMA ❑ DREDGE & FILL. t .
. = GENERAL PERMIT 84989
Previous permit ,�',
Date previous permit issued It✓q
[ 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:
15A NCAC 7/6' "/-D l ❑Rules attached. ®;General Permit Rules available at the following link:www.deq.nc.gov/CAMArules'
Applicant Name /'"i /1 o p ' »i Kil&•0>- / G G yy Authorized Agent/ 'lee- (Iv--;1 ` c rr.<=�*'4 /
Address T/'Otte/ di ,i/ter;fie�' .`',<;7 4•= Project Location(County): `" 1"", fe'!'
City /t-,rr :-)( State (IA ZIP 12--2. a 5-Z-- Street Address/State Road/Lot#(s) - 9 t7/. ��3t`Zs' /tqs)-
Phone#( 9r3�) •r �l G%JR.7 1
Email i r;:/l v "i-"ir i �r.."' ; =� c' r"n`l•t' r°'"" Subdivision J`"•r 1/( r __. -�.A pi P> �., /
r % City 13 r'A,P. '' 4--7'�; ZIP 2-- �. /
Affected ❑CW ❑EW ❑PTA DES LJ?TS Adj.Wtr.Body 73 o c I (1--,r`IG (na man/unk)
AEC s: OEA IHA UW SPIMA PWS /•` .t.(_ C d✓O �r❑ ❑ ❑ ❑ ❑ Closest Maj.Wtr.Body
1\ORW:yes/rl PNA:yes/no • r -
Type of Project/Activity / ear°' ' -�.I' l ni20 S —Le) /.A.� ,• �.,, - 2.75' w •oe(a
/y r r
(Scale: ] -5 )
Shoreline Length " ' 2'0't 4
Access Length r I
Pier(dock)length /
Fixed Platform(s) i — ■111111■ . 41111111112MMIIM11111 11111111111111111 ■
Floating Platform(s)
Iflullil I 11111111111111111111111111 III
Fingerpier(s)- 1 11111111111111111
t
6
Total Platform area d
Groin length/# !
Bulkhead/Riprap length r r----
Avg distance offshore Si
Breakwater/Sill J ij �
Max distance/length / I iiiiiliiiiliiiiliiiiilili
Basin,channel rI
Cubic yards Bd� 111111111111111/11
�� ��I 111 I.•.
Boat ramp �* 11.1111111111111E1111 ���� ��RIR RNIRUNU1
: : ::l
i IIIHIP !iiUIUII i !J!IiIIIlIF
Other I iV iC�
SAV observed: yesrdi ■ .((R . ■ R $ W
Moratorium: ,n/a yes no i'�'� �
Site Photos: yes. , RRRRU ��V �N �� �� 0
Riparian Waiver Attached: yes (So) A I
A building permit/zoning permit may be required by:'n^-1 f L<- C--O
r n TAR/PAM/NEUS_ BUFFER(circle one)
Permit Conditions /t/Cl
r
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
, t
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE/l STATEMENT. (Tease Initial)/
- r'7 t t'! 1-Ll bf r/�r' ,,,/' ` -
Agent or Applicant PRINTED Name Permit OfficejsPR(T�E �Name -,:'
,� � fit-, 1 __�
Signature**Please read compliance statement on back of permit** Signat&iie C./ -
;1,?` r.4 �°-' A 'V S it/0C, 'i 3, ..o 1 - f ' r-A if 2-e2- .
Application Fee(s) '. f 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

Sc°Mrk s. CAMA n DREDGE & FILL. NO 84989 A '.B ' C D
Previous permit ',''• ' ",' /1./., '
0.. 1 GENERAL PERMIT Date previous permit issued ,,1, ,/
V New I I Modification n Complete Reissue n 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 `/' - ' n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
,
Applicant Name ,` , .. q _•i,, - Authorized Agent 1 ' '
Address t,4' t- 1 ��°•,''� Project Location(County): ' ` /' ` " ~"-' _ '
City . ' • State 't ; ` ZIP - - - Street Address/State Road/Lot#(s)
Phone#(_) •. / •- -
Email Subdivision °"'`' •' _T • , ,.
City ' ZIP : -:‘ . - , /
s
Affected El CW ❑EW n PTA ES FrPTS Adj.Wtr.Body _ (nat/man/unk)
AEC(s): n OEA ❑IHA UW I SPIMA n PWS Closest Maj.Wtr.Body / '` •
ORW:yes/nbs1 PNA:yes/no
Type of Project/Activity 1;; -' - -
(Scale:,,,,. t" )
Shoreline Length I t
IIIIIII 4
Access Length I
MINIM 1111111111111
Pier(dock)length ! �3
.. ....1...
Fixed Platform(s) , .'.-, ._ i _ . 1
; -1- El OE
i i
Floating Platform(s) 1
Finger pier(s) f
i
t
Total Platform area I
im-4_'_ III _ amounuammaamounopai
Groin length/# /
1
Bulkhead/Riprap length-- I.-- .... __. _ t._.
Avg distance offshore ' ' /
I
Breakwater/Sill /
I y
Max distance/length
Basin,channel
Cubic yards 1 w
I�r Boat ramp r
Boathouse/Boatlift P IMMIIIIIIIIIIIM• , ` 1110111 11111111111 •,. IIMMIIIIIIMI
Beach Bulldozing f! £ i
f iimpril
Other s
I ;' i
1.---- § OEM 11111111111MIllarn, II
SAV observed: yes =rio
- . �
Moratorium: n/a yes enb ,
Site Photos: yes no --
Riparian Waiver Attached: yes (nod j I
A building permit/zoning permit may be required by: 3•; i, • C
Permit Conditions '---1n TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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)IE
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name ,,--/
�`
.. - _ ` ..>_' �
Signature**Please read compliance statement on back of permit** Signature /
.11 e./-1 l 'Sj"-:--. ! `. ' ' .` 'i -.'i;'.. .- • . • y.: /i _ .2 w.....
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
F 1 rP0;N 'A°o'ee, z-z-a
Name of Property Owner Requesting Permit:IAA) Pill/N, b IIsct I ft4 itiook5
Mailing Address: S 4IDO ^G- -� . �j - Lam'
c t r't�-f- u A o o ?
Phone Number: (3) CO-I[: 763-Yo`1-q / 7 CPS 70 3-eZ4g -. q
Email Address: . ,"C 1-66ol,nu/(3i t& 1 . �14 cr- is-atziD 0At_L.
I certify that I have authorized 7 i6_ cn457 e-nu4 a. ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6i1.41/'1.04' 4..)4/
;977�rGi 06. mflc`J „5/61.4=4i4 &
at my property located at p2 41 Z S7 et G ®,r?T
--in —gl,W-ZiCco__-_-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: .
Afil(A,„: oi—
Signature 41-4 4114 MC)--CA
vo4 -N -
G T,�J,/®r iv; SI- As Cc�r d9 c �o��F
6441
Print or Type Name
Title
II I )0 / owl
Date
I i
This certificationiis valid through I I 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /--,4 / — �{ 1L� 's
( a1V' meof Prop rty Owner)
property located at c' / & SFZkC ,es/r►,T ,
Address, Lot Block, Roa etc.) 1 6ot/
on, d CZ-6=X , in j 14 it/r1 c 5, , , N.C.
(Waterbody) (City/Town and/or County)
The,applicant has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
__- /—ef'P't fiE R-f Zept 4.1)c5/elowe,i6: .c4.,4,. 434-4 ir._
4.),,,ex-- 7S /
WAIVER SECTION `;, T
I understand that a pier, dock, mooring,pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from m area of riparian access unless waived by me. (If you
wish to waive the setback, you st ;n,ittia the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
•
(Property wner Inform i n) (Adj c nt rty Owner Information)
IA, e1.634,
\ .t E •
Stgn ature Si atu.
6 c, /r; � F`)" 'vs ivc 1y i N i JD,�,v t . I 1 i��'�
Print or Type Name ` Print or Type Na
s7co i.' c C7- f�'/ '� .
Maili�n Adpicess Mailing Addr
t-m-‘r I� ,2A a ;Q*��•.I.�t
City/State/Zip City/State/Zip
(P—et( 7 ?;- -7 ? a6 l(-/� 3& a ivy flecl 8>0 43
) elephone Number, Telephone Number
,,, 16- )d' a( 11/11/,497-I
'Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to "i,/ AP - ctt"f "1,C.ame of Property Owner)
property located at , T i v S7�'C-�ctvid 7
/y .�- Address, Lot, B ck, Road, .) .D
on C 31,1574-e) C i r/C , in / Ve57-AC_ 2)V,2 LS' AeolNI.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)-
z �� �,,4 c= SSG/E-- .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop rty Owner Informati )j,
(Adjacent Pr Owner Informati
_ignature lona
S. nail re
":" axbr"-
.kw
CIE1, Uo�,vl q i)- 1J,4 Akoee
,,JoS Z £eft-n.
Print or Type Name Print or Type Name
Sys JL)c-rE.i( Oreor Cl 62412 c)yr C ,.-'f. .2Ct
mailing Address 1 A Mailing Address
r ¢r -1c V11 0 3a Mailing
fl oar 'f / A,c.0 ZBS7/
City/State/Zip / City/Stat /Zw
61e l -Yo4-gt87 (all J)7n $-•?1��j1 &07 - g J3-S///
Telephone Number Telephone Number
11-10-on ll-/0=2!
Date Date
(Revised 6/18/2012)

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genautantsactors
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P.O.Drawer 1678
New Bern,NC 28583
[phone] Ofc Phone [phone] FAX Job:
Sheet No.: .,.. ,.../...
.21
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