85045_ArchiePentz_20211215

4�`°"�'"� CAMA DREDGE & FILL k1=j No 85045 ABCD
30
GENERAL PERMIT D 00,7 �
s Previous permit c..
Date previous permit issued - -
New 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:
I5A NCAC n Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address • Project Location(County):
City State ZIP Street Address/State Road/Lot#(s) '
Phone#(_)
Email Subdivision ,a�
City ZIP �" P�-"
Affected n CW n EW PTA n ES 7 p.m Adj.Wtr.Body (nat/man/unk)
AEC(s): El()EA n IHA n UW n SPIMA PWS Closest Maj.Wtr.Body ' %
ORW:yes/no PNA:yes/no
Type of Project/Activity ' /
"; r)
(Scale:/ '
Shoreline Length <
Access Length 7 I- ? -.._ _ ? _--A.- '. ----- --
Pier(dock)length i - 1 i 1 -
Fixed Platform(s)
i1
Floating Platform(s) I I' I
Y t
Finger pier(s)
, '� -"
Total Platform area 0'�---�.{,. 1 ; ,`t
Groin length/# . :_ ( _ ._1 3 c'—
k c.
....
Bulkhead/Riprap length . G_
, { i /, :(_
Avg distance offshore` 1 ! -' + — --(- ,; t - Li,
: i t '
Breakwater/Sill j , I '._ - '
! 1 j I .
Max distance/length ` ' i �r�
Basin,channel )-. --- -jam 7)-' )1- r—� --L-j — .:' `•`,.
Cubic yards '' L...r G + 1- { l .,/
� ,)
,
Boat ramp 1 I -_
li
Boathouse/Boatlift r
Beach Bulldozing -1------,.--------* ' `I '
Other
SAVobserved: yes no ) .... i T ¢ 4J'..— — ._ _..... �.._... ._.._—..
_tr
Moratorium: n/a yes no (-- A c i - r / -f -,4-- -- ' i
Site Photos: yes no #
Riparian Waiver Attached: yes no, , I , 1 L
•
A building permit/zoning permit may be required by:
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See 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) ,
i
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
r,
Application Fee(s) Check ti/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 5. 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

."``p"NLCAMA ( l DREDGE & FILL k No. 85045 ABC D
J. GENERAL PERMIT -T '� Dateoprevious Previus erm It Permit issued
n New Modification I I 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 Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP 1+.
Affected n CW n EW ( (PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑IDEA pi!HA I I UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
_,- 5 (Scale: )
Shoreline Length
Access Length - ; I --w- j I -"— .
1 i
Pier(dock)length I i l l
Fixed Platform(s)
I / .
a1 I
Floating Platform(s) _ i r/ I '
1
w1 -r _ i
Finger pier(s) _ A_ _.- _. .._.._..-.
i
Total Platform area j ! -a.. + . -
Groin length/# — ��
`'
Bulkhead/Riprap length _..__. ...---- - - _ . _.._..__. _...__..._. I r..___._.._.._ i .— _
Avg distance offshore ( i - .
Breakwater/Sill -. I
Max distance/length ,'
Basin,channel i r
Cubic yards • T . I e I 1
f '
Boat ramp � � �.PPP
Boathouse/Boatlift ,�� � t
,L
Beach Bulldozing " r ' t -
Other
_ _._ j >i f • )
yes no SAV observed: ' / �.
Moratorium: n/a yes no ' 1 „ "' )
Site Photos: yes no _.._.__.___.___r I T - i -._
Riparian Waiver Attached: yes no - I
A building permit/zoning permit may be required by:
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
nSee 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 REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name .,. Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
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

Archie Pentz
PO Box 116
Ocracoke, NC 27960
1 1 /26/2021
NC Dept. of Environment
And Natural Resources
943 Washington Square Mall
Washington, NC 27889
Shane Staples,
Enclosed please find old permit m#73043 May 1 5,201 9,
Adjacent property owner sign off sheets, a survey worksheet and my
check #1025 in the amount of $ 600.00- 200 Groin, 400 permit. If
can assist you any more please email me at
[e-mail] or call at 252-921 -0153.
Sincerely,
Archie Pentz

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•• - CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
••• • -
„
• (Top. portion to be complete by owner or their agent)
Name of Property Owner:0` �-t I
Address of Property: ( SOU Lab Q10c
Mailing Address of Owner: 6)6' B6% I l`e' oefa�)e / �v e�y�t©
Owner's emaile.61-01e -?F OI k/ R05�Wner's Phone#: 2J O- 121 r 3
Agent's Name: Agent Phone#:
Agent's Email:
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
4 ice Co' description or drawing, with dimensions, must be provided with this letter. •
I r „Al- I DO NOT have objections to this proposal. DO have objections to this proposal.
fed i` •
yl r. G.;:-I. : If you have objections to what is being proposed, you must notify the N.C. Division of Coastal .
q/�I Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
' �� mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
d ,-►%i(t`, contacted at(252) 946-6481. No response is considered the same as no objection if you have been
r,/ 40 notified by Certified Mail.
°
��i iiB- WAIVER SECTION
a�
Jo n �'0 y 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback k- 6.' ,4'-
Signature of j ce Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
'Typed/Printed name of ARPO: e- (.00 O 1 3
Mailing Address of ARPO: V (' , 1U E cS L i
Jettk)osuUe--
ARPO's email: ARPO's Phone#: 7 2— . �T—00
Date: *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be comple d by owner or their agent)
Name of Property Owner: i� F- -1-4 j t t'Li 1 Z.--
Address of Property: 4 /5 SOU is ` i)as
n� /y,
Mailing Address of Owner: @�� Bow 11 ( , ()O� ` " eeI U 0-71&a
Owner's elate CL`eACf�`E'-05OP-SIbQ'Ow Phone#: 2 SZ-12I —oi
Agent's Name: Agent Phone#:
Agent's Email:
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
descriptionri � or drawing,with dimensions, must be provided with this letter.
KX 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
•
I do not wish to waive the 15'setback requirement(initial the blank)____C
Signature of Adjacent Riparian Property Owner: /.jj-l�s�
Typed/Printed name of ARPO: rat Morn R3 ace %.k.) ef�it6
Mailing Address ofARPO: 39 LE' 0OPe -Tim i(.r/D+N0(a4* 0 cr.ol P)3--
ARPO's email`(" t47 PILlp� A&SI i4RPO's Phone#:
Date: `waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021

LAMA/ACDREDGE & FILL K V I n� , No. 73043 g C D
GENERAL PERMIT �-I SZ • Previous permit#
>�=%New ❑Modification El Complete Reissue ❑Partial Reissue q 13- 3-3�Date previous permi issued
As authorized by the State of North Carolina,Department of Environmental Quality I
and the Coastal Resources Commission in an area of environmen I concern pursuant to I5A NCAC `/ ' /`V�
,Q / �/�, Q ules ttached.
Applicant Name / /AC fG /C /go Project Location: County e
Address � d- 8C2x //K- Street Addre State Road/Lo #(s) ,51-207[)
City arGrl-�/le— StatS ZIP cr.,9 ) /(Z
Phone# ) -Mail __ - Subdivision ," ,�Q
Authorized Agent y�fjG �/ = ��1 City' e ZIP Uifil
Affected ❑CW itfgw ,J PTA AS .PTS Phone# ( ) e_..—._ River Basin
AEC(s): D OEA CI HHF LIH CI Cl N/A Adj.Wtr. Body —,/--
,' • , , an /unkn)
❑ PWs: _
ORW: yes / c PNA yes / no Closest Maj.Wtr. Body_ ��
��J ,��1i
Type of Project/Activity //}9 SSi rz, G L,L o.5 d l�
(Scale: ��..:: v )
Pier(dock)length
Fixed Platforms I I I
Floating Platform(s) ■. ; MINIMII., __ -
Finger pier(s) ���_��- i �. ��+�MIN
Groin length InumberIHUIIUIUl : hhh"' '_ 'H
Bulkhead/Riprap length aci7 ■ �=■■ I —�
avg distance offshore mug mugI ! ! U..
max distance offshore g 1 ( I 1 I 1
1
Basin,channel "�- - . —-- i u!Iui
� —
cubic yards I I ! I C I
IUUIIIHIH
Boat rampBoathouse/Boatlift ■ -
1.11rialrAl am . ;
. , _diejf._4._, ! _. . : , : :
Beach Bulldozing
Other �" �" i S ! '`r^. i
i---- -1-1 innomommum!. , um _ ______t___ _ /I:i
,17/1 __ MM. ,41,7' lin ' Illardir4 or I
Shoreline Length tip- 0 A ` .w`4. /� IMill _• ' V'
SAV: not sure yes j / i
II
Moratorium: n/a no r �I •• I ' ' i _��
� yNIMI
� • •
Photos: � •• '_••F� n _ . __'_ � � ■
Waiver Attached: yes n• — '/-_----
A building permit may be required by: )1-- . _ e note on back r arding River Basin rules.
(Note Local Planning Jurisdiction) / /� r /,,, Ye
� Jl�l/ �� / �CJ
J4 Ae---ra- .1. //
AL.4 _f 1.------ r --C-S;", A10.
Agent o-App' .nt Printe• Name Permi••
paajaillr-
__ --1111CW _„:.---- --•-- ----"/52
Signature PI.: e r•fmPli.. ce state►�enton bac ermit Signature r G/52
•.lication Fee(s) Check# Issuing Date Expiration Date