Dudley, Claude 84722C

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CAMA ❑ DREDGE & FILL N9 84722 A B C ,
J. 3 GENERAL PERMIT Previous permit
yDate previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As auth4ize by the St to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC _ 1�L1 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name k
Address
City
Phone #
Email
C,)rAu1thorized Agent ~� /—y
Project Location (County)' _ , M
State AV ZIP Street Address,/State Road/Lot #(s)
` rjt��
ipf
Affected ❑ CW V�I EW PTA
❑
AEC(s): OEA ///` 1 IHA ❑ UW
ORW: yes�j PNA: yes r o
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Type of Project/ Activity.
Shoreline Length
Access Length �J
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)'
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offsbore
Breakwater/Sill
Max distance/ length
Basin, channej------
Cubic yards
Boat ramp
Boathouse/ o li
Beach Bulldozing
Other Zv oi&zo�_
SAV observed: yes Ono
Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes
A building permit/z ing ermit y be required by: 1
Permit Conditions
I AM AWARE OF STATUTES, CRX RJ4LES AND CONDITIONS THAT
\gj3nt or Applicant PR NTED Name
city —�
Adj. Wtr. Body
Closest Maj. Wtr. Body
AA
TO THIS PROJECT AND
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ENT.
read compliance statement on back of
Fee(s)
Order
Signature
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:
F-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
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:
(11aIvIe 5)vaf-� D,)Iej
Mailing Address: �G3s s'.r
JVC
Phone Number: Z'yZ
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 'Z �- & S- F'. t r
in l _ ,,j Ael a ,� County.
I furthermore certify that 1 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:
RECEIVE®
Nov 01 2021
Signature
/7111 DCM-MHD CITY
Print or Type Name
�l�N Y✓ t . •
Nf .
Title
Date

klV �ILOiX'19A -J

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �a/`t���l �"'v�l `AJ � �,—'s
�✓ �
5 . (Name of Property Owner)
property located at
(Address, Lot, Block, lload, etc.)
����
on d /� �� , in /�_ ��� 4- , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location/
l.� 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)
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 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.
Print or Type zName
Mailing Adke "
City/State/Zip
z j` z- y3zf��
Telephone Number/email address
9-/VZ1
Date
(Adjapent P party Owner Information)
.J A Si atp re* ., RECEIVED
J M oi\) 'jC L A.p A-1J
Pn t or Type Name
5, i !w � �fn� # (I NOV 01 2021
Mail' g Adddr�eess
C.a.krl�r,�� \>v ��' OCM- AHD CITY
City/ tatV Zi
5.1 i��1: i - AL'V--1-k&A5i? i �;��n►
Tell hone Number/email address
Date
*Valid for one calendar year after signature*
(Revised Aug. 2014)

DWI 1000 10i
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WOW: wom way.0
yi
'Ci

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Z S S Fic (Name of Property Owner)
property located at Si~
on _� 1d�1 (' « (Addresrs, Lot, B�o� cy�Rroad` etc.) N C
(Waterbody) `� (City/Town and/or County)
The applicant has described to me, as shown below. the development proposed at the above
location.
L I have no objection to this proposal -
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indlvldtwd pmposing development must 19/I In description below or attach a sft+e drawing)
WAIV R SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater. boathouse. crt', or groin
must be set back a minimum distance of 15' from my area of riparian access u -ss waived by
me. (if you wish to waive the setback, you must Initial the appropriate blank cc!ow
/ I do wish to waive the 15' setback requirement
!/ I do not wish to waive the 15' setback requirement.
(Property r---7
Information)
SignQtur
Print or Tp®Name
Mailing Aress� r4k i
City/StatelZip
2gz s" y
Telephone Number/email address
/
/al /
Date
j 'Valid for one calendar year after signature*
Aden operty 0 ;; , 3nfa,,-nation)
,Si r tore 16
Print or Type Name
7 /f�rs_ 5` --
Mai fi
�}g Addrest�
Cily/Sta a 6ip ?
R Y ?
Telephone Number/email address
l,arc'• -
(Revised Aug, 2014) mov 01 207-1

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Mean Low Water
Dredging Area Label
gang Area Hatch
MLW Depth(s) (Elevation(s))
per Survey & CPSI via Owner
due to recent shoaling
Average
Dredging Average Existing Bottom
Dredging
Area Dept h/Ei+evation (ft)
Depth (ft) At
A (0.3-1-3 5.2)14 = -1.55
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g (-1+0 6-2-2-2)/4 = .1.15
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