Wilder, Mark 84840C

oe°FCOAfq� AMA ❑ DREDGE & FILL N9 84840 A BC D
GENERAL PERMIT Previous permit
Date previous permit issued
New []Modification ❑ Complete Reissue ❑ Partial Reissue
As auth !zed 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 T �' % ` Vv ❑ Rules attached. E�0C eneral Permit Rules available at the following link: vvww.deq.nc.gov/CAMArules
T '
Applicant Name /
Address rtu
City fir'
Phone # 1
Email
"/(cat -
State ZIP
=413
Authorized Agent
Project Location (County):`
Street Address/State Road t #(
Subdivision
City _ZIP WIV
Affected ❑ CW ❑ EW ❑ PTA ES ❑ PTS Adj. Wtr. Body na an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body",� ✓� C���t�
ORW: yes/no PNA: yes/no
Type of Project/ Activity
' (Scab
Shoreline Length
Access Length
Pier(dock)length /
Fixed Platform(s)
Floatings
Platform ()
Finger pier(s)
Total Platform area
Z
i/p#rap length
stance lam
offshore 1
Breakwater/Sill �__ _ (� �CTc
Max distance/ length n )'
Basin, channel — - v V l� _ V V z fl
Cubic yards ,w—
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes �n
Moratorium: n/a yes
Site Photos: yes //J
Riparian Waiver Attached: yes o ' a
A building permit/zoning p it may be re 'aired b�3 :
Permit Co d�tions !' "t -� 1 -'� d <A ✓1 '✓! % TAR/PAM/NEUSE/BUFFER (circle one)
El
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEVMV COMPLIAN S TEMENT. (Please Initi/1
Carteret Marine Services C.-�`� 1�--
Agent or Applicant PRINTED ame Permit O ce 's RINTEb Name
t t t Sign e��PlN7,
se rea ompliance statement on back of permit*" Signat r
�- J��_� 6
Ap on eels) Check #/Money Order Issuing to Expira on
i liDat

001WAS'4
1
AMA ❑ DREDGE & FILL N9 84840 A B( D
2
Previous permit
-GENERAL N E RAL PERMIT
Date previous permit issued
/ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As auth ized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC I �v ❑ Rules attached. � +eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
J" R
Applicant Name s
Address
City e, -el
Phone # )�
Email
G/t
State Al� ZIP
Authorized Agent �C `��' t Lei'
Project Location (County): CV
Street Address/State Road/Lpt #( .
Subdivision
City_/,1,-,T IL'i-64--1 Z ZIP a4a 1J r /
Affected 1-1CW ❑ EW ❑PTA ES ❑ PTS Adj. Wtr. Body //�,. /��nat/wunk )
AEC(s): ❑ OEA 1-1IHA ❑W U❑ SPIMA ❑ PWS Closest Maj. Wtr. Body W � ���•
ORW: yes/no PNA: yes/no
Type of Project/ Activity
' c �/' (Scab )
Shoreline Length
Access Length
Pier (dock) length /
Fixed Platform(s) N
Floating Platform(s)
Finger pier(s)
Total Platform area
Bulkhea / Riprap length
istance offshore
Breakwater/Sill
Max distance/ length %) )� +� yr • , r `� /� /I / ] l /f i
Basin, channel \/ V l / l/ l.� L/ •��v `® (/ °'
Cubic yards
Boat ramp /j, A
Boathouse/ Boatlift � f
Beach Bulldozing
Other
SAV observed: yes 091-
Moratorium: n/a yes�`� �t'��►t_u�ar1. /®Y
Site Photos: yes / ✓✓
Riparian Waiver Attached: yes t-/A building permit/zoning p it may be re fired fffj�
�1 � � � , �,�i:� ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Co Vions ttt
�iy� -� , �e� ��� ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
� IA& la I
I AM AWARE OF STATUTES, CRC RULES AND AND REVIEWW COMPLIAN S TEMENT. (Please Initi
e_-�� )
Agent or Applicant PRINTED Name Permit 0 'ce ss RINTE Name --"-
Sign �) PI ase read compliance statemec_ Nc ui - Signat r
Ap i lionfee(s) Check #/Money Order Issuing 4te ExpirJon t

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 1-1 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ila r k kJ—L d t�
Mailing Address:
AI& 2760d
Phone Number: �Zg';Z — V oZ -Z/,?g�
Email Address:L✓%�C��,t'�,�Oi'I�G! ii'1 L . LOlyl
I certify that 1 have authorized Cod4Cf'�t Alai-4
Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
e14 % 7 64d .
at my property located at 5-16 Or A'-AnTle—y xr-' -20s//
in County.
l furthermore certify that l 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
,.��f�,-.� ��✓i /cue �"
Print or Type Name
Title
/ / 2d.2
Date
This certification is valid through l�l 2d-z

:1
Mailing Address of Owner: 1220 Mao 9-f-o&, L t�,nL,7, ft16 2 740t
Owner's email: J% l lcler P %AteVi' . ykowner's Phone#:
Carteret Marine Services
Agent's Email: [e-mail]
Agent Phone#: [phone]
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
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 400 Commerce Ave., Morehead City, MC 285557. DCM representatives can also be contacted
at (2521808-2808. 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 by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must Stan
the appropriate blank below.)
i DO wish to waive som all f the 15' setbac!!k "-
k
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property fawner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: / 3 2
[/A)-306�
ARPO's email: ARPO's ARPO's Phone#:
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:
Address of Property: 51 O yi G. [, //
Mailing Address of Owner: 1 0 Ujgyl/�e-q f ' A16 .274ot
Owner's email: A47-/oils 9 na»1ey1;V COAOwner's Phone#:
Agent's Name: Carteret Marine Services Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom bortlon to be completed by the Adiacent 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.
X 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone], No response is considered the same as no objection if you have been notifred by
Certifiled Mail,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be setback a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetm .jyouish to waive the setback, you MMst sign
the appropriate blank below.)
I DO wish to waive som ) of the 15' setback
OR -
Signature ofAdjace R paria Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
i'
David Crease --"'"
Typed/Printed name of ARPO:
Mailing Address of ARPO: 508 Seashore Drive Atlantic, NC 28511
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 11/02/21
*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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