Ormond, Keenan 84156C

NN0(Wr"` CAMA ElDREDGE & FILL Na 84156 A � o
a v GENERAL PERMIT Previous permit
Date previous permit issued
Clew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Stater�f Norjt aroollliinnaa, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ��• f'F 8 I '(� ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.sov/CAMArules
A
Applicant Name
Address c '
City
Phone #
Email
Authorized Agent 1 i./ SCA+ j
Project Location (County):
ZIP Street Address/State Road/Lot #(s)
Subdivision ' /
City ' VV Vir 6 CJ zip
Affected ❑ CW EW .� PTA �S-ts ❑ PTS Adj. Wtr. Body_ at/ an/unk)
AEC(s): ❑ OEA ❑ IHA UW ❑ SPIMA ❑ PWS Closest Maj.NMr. Body
ORW: ye /no PN o
Type of Project/ Activity
fi✓ i
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) in
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
e"
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous Boa ;?
X
Beach B dozing
`
Other
r
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit Way be required
Permit Conditions /Y I t at"
r
�dcK
Y L_ U. i
( V___,1
GI ma
O r. i, X/ Q-T, TAR/PA /NEUS BUFFER (circle one)
f t �DcSee note on back regarding River Basin rules
' ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES RC RULES AND WNDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please/,I%itial) 1-'5 79
or ApplicantyRINTED Name Permit Officer's
NgAturg **please,rpad compliance statement on back of permit**,
oney Order IssuiVg Dite Expi

pN\F(OAS?41 VICAMA ❑ DREDGE & FILL Na 84156 A POD
Previous permit
i 3 GENERAL PERMIT Date previous permit issued
IVew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Sttaate%�f Nort arol�inaa, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 0: rr , I "�-t ❑ Rules attached. General Permit Rules available at the following link: vwvwdeq nc.gov/CAMArules
A A f-N 7i d .
Applicant Name
Address
City
Phone # e
Email
Authorized Agent f L/',I
(p Project Location (County):
State / ZIP Street Address/State Road/Lot #(s)
Subdivision
City �`1.t �� ZIP r
Affected ❑ CW EW PTA ps* ❑ PTS Adj. Wtr. Body S a an/unk)
h.
AEC(s): OEA 1-1IHA UW ❑ SPIMA ❑ PWS Closest Matr. Body
ORW: yeC/"�-I—--
PN o
Type of Project/ Activity. C-
j s fr
(Scal I
Shoreline Length
Access Length ,f
Pier (dock) length
Fixed Platforms) X rIn
Floating Platform(s)
Finger pier(s)
Total Platform area s qo
Groin length/# `
Bulkhead/Riprap length
Avg distance offshoreV'-
Breakwater/Sill
Max distance/ length
Basin, channel f�
Cubic yards
Boat ramp
Boathous Boa
Beach B dozing r
Other >
SAV observed: yes no
Moratorium: n/a yes no C� w � Fyn 1
Site Photos: yes no Cr'w J S��
Riparian Waiver Attached: yes no 0
A building permit/zoning permit ay be required b J
z TAR/PA BUFFER (circle one)
Permit Conditions /NEUSVle ��yy((��
C % a- \ See note on back regarding River Basin rules
IVI1Tl1F,5r
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES RC RULES AND QONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (P
Ca Cal I ani
et or Applicant PRINTED Name Permit Officer's Pl Nark
,ig* I ase c ad compliance statement on back of permit*
V *0 Sig ufe
cation Fee(s) Check #/Money Order Issuift Date Expi

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-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 Dist rict
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: Keenan & Julia Ormond
Mailing Address:
Phone Number:
Email Address:
3456 Sienna Hill PI
Cary, NC 27519
203.871.9069
[e-mail],[e-mail]
certify that I have authorized ID Eure Marine Construction, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Construct Dock
at my property located at 1010 Paradise Drive, Havelock
in Craven
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 mati n:
Signa ure
Print or Type Name
Vx e r
Title
i U 1 2, G l z i
Date
This certification is valid through 09 / 11 / 2022

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Julia and Keenan Ormond s
(Name of Property Owner)
property located at 1010 Paradise Dr.
(Address, Lot, Block, Road, etc.)
on Neuse River in Havelock/Craven N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
See Sketch Attached
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.
(Property Owner Information) (Adjacent Property Owner Information)
f.4 NaJ2 &a4r -Agent
Signature
B-1_ Manso tr - TD Eure Marine Construction
Print or Type Name
PO Box 650
Mailing Address
Morehead City, NC 28557
City/State2ip
252.571.45051 [e-mail]
Telephone Number/email address
10.26.21
Date
*Valid for one calendar year after signature*
Signa�i'tre * a
iil %c' J') 4lk"
Print or Type Nam
Mailing A ss 7L U cl
City/ State/Zip
yI ,'�/C� X �1 mil' fL'G4 L� iYi��
Telephon Number / email address
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Julia and Keenan Ormond
property located at 1010 Paradise Dr_
On Neuse River
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
in Havelock/Craven
I
N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location:
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)
See Sketch Attached
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.
L-' I do not wish to waive the 15' setback requirement.
(Property Owner Information)
g.(,I -Agent
Signature
B.I. Mansour - TD Eure Marine Construction
Print or Type Name
PO Box 650
Mailing Address
Morehead City, NC 28557
City/State/Zip
252.571.4505 / [e-mail]
Telephone Number/email address
10.26.21
Date
(Adjacent Property Owner Information)
Sign tore
Print or Type Na
Mailing Addrfss�C �� 5 3 Z
1��l 4 tL' 1 o , l
City/State/Zip
(2S2Teleph ne Number / email address
l+�ic/zc I
Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature*

m
a)
Cl)
L
U
C