Whalen, Jay 84848C

�rneS/Ar AMA I I DFIEDGE & F6LL.
GENERAL PERMIT ill
A 13 'C
Previous permit
Cate previous permit issued
New [ ] Mfadification (� Carilplete Reissue I_ J Partial Reissue
As authorzed by the Stat
tee
jof /N th irolina Department of Enva o nnental Quality and the Coastal Resources Commission in an area of environmental concern pursuant ro:
I SA NCAC _..._ .. ____ -./ _(.r _.- � -_ _- Rules attached. eneril Permit Rules available at the following link: yjwwfiW_ A7AML1r_ ks
Applicant Name „ [ '. 7( � � r �� Authorized Agent
Address_--- �/ [/7 r"dV77 ProeetLaeation Coun _ `✓" �/t"�e__Y _ _..
City ._... +✓+ r� �.. � ... state , -I _.. .. zip _ (Y C �...'� Street Address/State Road/Lot //(s) ,. -----
Phone /!)��
Email _. Subdivision
C t/r to cl �a t
City _.. _ 7.fP
Affected rCW EW PTA F.S PTS Adj, Wtr. Body g"f ` 1}`�g. - nat/rhn/unk)
~Ci [( (._I [ _J 1
AEC(s): ( (QEA I IIHA [ IUW ( �SPIMA [__JPWS Closr:stMai, Wtr, Body.-, 1(. .� ✓�_ ._...... _ ...._ _.._._._
ORW: yes/no PNA: yes/no
Type of Project/ Activity _ ___
Shoreline length
Access length _✓_ .
fixed Platt rrn(sy)
Floating Platform(s)
Finger pier(s)
X 17 4 �1 _ _ - - — (Scale:
- "
lotal !'latforni :uu•+ _. __a__- y
Groin leni;lh/11 —
Bulkhead/ Itiprap length
Avg distance off hart f
Breakwater/Sill
Max distance/ Ir neth .
Basin channel
Cubicy and ,
Boaatramp
—
Bo;alhouse/ aathf
Beach Bulld in
Other
,AV observed: yrs ft
Moratorium: n/a yes a !
i
Site Photos: yes r
Riparian Waiw,r Attarhv& yes na
A building permit/ioninlr pera i may bl• w(lisired by:
Perrnit Conditions
J
-1 TAIt/PAM/NEUSE/BUFFF.It (circle one)
See note on back, regarding River Basin rules
Sit addilitinal notes/conditions on back
I AM AWARL OF STATUTES, CRC RULE. AND CONDMONS TiIAT APPIY TO THIS PROJPCT AND REVIEWhD COMPLIANcL TATEMCNT. (Please Inni.alj
,t , P S 01t �'�
Agent in Appli end l N�fl . U, Prrrrrnl f fhrer 'ltINrP)N y
Sif;nah1 11 rr 141 compliance ••Natrnirnt on back of lielmit` Stgndfurt x __..
Apfi r lion I r•e{•,j Llux P. Il/Muney (It Is<.uirty, fSMte ( rpar.au /k,
e

y1*1`°"S'41 AMA ❑ DREDGE & FILL N9 84848 A a/c D�
GENERAL PERMIT Previous permit �-/
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As autho ized by the State
of %N th rolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC / r ❑ Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name ? e"-
Address t( I'le-vitu`'7
City w�r� �'�' State ZIP
Phone # ( )
Email
Affected CW EW /PTA ❑ ES ❑ PTS
AEC(s): 1 OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity t, [ P?
l2x %211AL
Shoreline Length ,
Access Length
Pier (dock) length
Fixed Platf9rm(s)
/r o
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Authorized Agent —�-
Project Location (County): Opt) I JL
Street Address/State Road/Lot #(s)
Subdivision
City L✓f !/i, JtJi/U ZIP
Adj. Wtr. Body / nat/rfian/unk)
Closest Maj. Wtr. Body
22
(Scale:
Avg distance offshore
i b j7
Breakwater/Sill--- -
��---- -- '2
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oatli
Beach Bulld�
Other
SAV
observed:
Moratorium: n/a
yes
yes
no `
Site Photos:
yes
!/
1
Riparian Waiver Attached:
A building permit/zoninlper
yes
it�may
no
required by:' P l
1
5►� `�C�
Permit Conditions
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIE I
Agent or Applicant PRINTED Name Permit ffice
Signat ase rea compliance statement on back of permit" Signature`
App on Fee(s) Check #/Money Order Issuing Date
t' � P' 4-'-"--'
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ENT. (Please Initial
Expirati

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. 4
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] 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]
(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
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)
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

AGENTAILITHORIZATION PEAR CAM& PERMIT APPLICATION
Name of Property Owner requesting Permit:
Failing Address:
Phone Number: . 7
Email Address: WRL Cda-�j ---
--T
I certify that 1 have authorized C3 Scott' Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAFA permits
necessary for the following proposed development: pnek L 4—�4
at my property located at t `7 %i r &i ,40j,
in 616&1�-el County.
l 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:
x _
Signature
F nt or Type Name
�
A0-B—J.-
Title
21 /.
Date
This certification is valid through 0 9 /,___) $___.f -' )-o';L,�i.

Authentisign ID: E45£85CC-8715-484Di ViC-6863EF£448CC
ADJACENT RIPARIAN PR
�PLRT'Y aV1tNE&�TA�TI:.MENT
I hereby certify that I own property adjacent to
lie air` Property owner)
Property located act �� L�II��r� �,,.� O,
(Address, Lot, Blom, Road, ems.)
on l~F p lc ��n17r ire ti 'il�t'�4 N.C.
(Waterbody) (City/Town and/or County)
initial The applicant has described to me, as shown below, the development proposed at the above
Mere on locat
one of 1 have no objection to this proposal.
these ! have objections to this proposal.
limes
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
I lviduatl Proposing dev%meni most M to desC a /r a site drawing)
WAIVER SI~CTIC}N
I understand that a pier, dock., mooring pilings, boat ramp, breakwater, boathouse, lift, or ctro n_
-ntrs be -setback- a min -imam -€distance of I S' from my area of riparian access unless waiver by
me. (If you wish to waive the setback, you must irritant the appropriate blank below.)
_-__-- -- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15, setback requirement.
(Adjacent Property owner Information)
�r
S .A�lia�u�
sigiTa1w, OOM216 47:04 AM GMT
P 8ft Mar
M�"I#Meron Lane
wan`ro, N 28584
7elep hone Number ema/t address
09125/2021
(Revised Aug, 2014)
"`Valid for one calendar year after signature*

i hereby certify that I own property adjacent to V-47 �i✓L'??�.,L +� I
of Prop" Owner)
property located at
(A r, Lot, Block, Road, etc.)
on -- L= van 4,j o� '' ; N.C,
(Waterbody) .� (City/Town and/or County)
e applicant has described to me, as shown below, the development proposed at the above
pP Ft p p
i ratio
I have no objection to this proposal.
I have objections to this proposal.
i
09SCRIPTirON AND/Olk DRA'flWNG OF PROPM90 DEVELOPMENT
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16' irom my area of riparian access unless waivedby
me. (If you wish to waive the setback, yot e appropriate blank below.)
I do wish to waive the 15' Setback requirement.
I do not wish to waive the 15' Setback requirement.
(Prop rty �er ln/f�o 'on) (Ad'acent Pro ation)
SiVtrye
�5 grrature
Print 7 T pe Name Pant lame
Mail" g address ling Address
_ " .Ve VJ
cityistt &I cite rip _ _
Telephone u her/ ad address Ta oph ne IUurnber/email address
rr r
btxre 17crte
(Revised Aug. 2014)
*Valid for one calendar year after signature*

inc P
ar¢fr G - x Pro arty Address
r �x
Date: 911 sl21 137 White Heron Lane
Scale: 1 . 201 ; q Swansboro NC 28584
Property Owner:
; Z , _ .Jay &Debbie Whalen
Proposed Work:
-install a new 6'x38' wralkway
and a 6'x2Q' platform
-Install 4-1O'x34' piles to
support new boat lift
135 White Heron Lame
9 White Heron Lane
a�
.4!
0
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