Raynar, Wiiliam 84303C

CAMA ❑ DREDGE & FILL 1`833 �i(} r B p
14
GENERAL PERMIT Date previous permipermit issued
❑ New ❑ Modification. Complete Reissue ❑ Partial Reissue
As authorized by the fate f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 4 ° Rules attached. N General Permit Rules available at the following link: www dea nc Qov/CAMArules
,. iT _ ^ 1 iA n • 4 . /7
Applicant Name V 1 l Authorized Agent
Address n , Project Location (County):
City . fate U V} v ZIP Streert�Addresss/SSttatee Road/Lot #(s)
Phone #
Email Subdivision
City r ZIP
Affected CW �EW PTA ❑ ES ❑ PTS Adj. Wtr. Body a n/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/ o0 PNA: es o n
Type of Project/ Activity .
(Scale:
Shoreline Length
Access Length -
Pier(dock)length ! i
Fixed Platform(s)
Floating Platforms)
,,.
�NI-ty-I V 11b C,Q
Finger piers)
Total Platform area
Groi length/4
�--�
ulkhea / Riprap length r
//�t�
Avg distance offshore 0
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oatlift' 1 _
Beach Bulldozing
Other
SAV observed: Q no
Moratorium: n/a yes Cno
Site Photos: yes Riparian WaiverAttached: yes
A building permit/zoning permit may be required by:
Permit Conditions _1.,!_1 f T-i41V1 .In'
AND CONDITIONS THAT APPLY TO THIS PROJECT AND R
Agent or Applicant PRINTED Name Permit
Si ture **P d compli6&e statement on back of permit** Signatr
Application Feels) Cfi # Money Order Issuing
a TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
)MPLIAN STATEM T ea
MPIN Name
Expiration Date ,

OF COAU41
�c ICAMA ❑ DREDGE & FILL N9 84303 BPrevious permit
D
i = GENERAL PERMIT Date previous permit issued C 1
y� J
❑ New ❑ Modification YComplete Reissue ❑ Partial Reissue
As authorized b the tate qf North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC j! E} 0WL ❑ Rules attached. L General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
r
• • r / .L. ". R ,furll�l
M.
or W ill, .
Email
Authorized Agent UU'W I
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City erk zip
Affected X CW MEW NPTA ❑ ES ❑ PTS Adj. Wtr. Body f I 9 V� c at% an/unk)
AEC(s): ////❑ OEA ❑ IHA ❑ UW ❑ ❑ SPIMA PWS Closest Maj. Wtr. Body <.J
ORW: yes/0 PNA: es o r
Type of Project/ Activity i " I LA-4i✓ l
(Scale:
Shoreline Length
Access Length
i y' /�
Pier (dock) length t> CN4i Rt3vY7 ►4)f+
Fixed Platform(s) -6OktL-0
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# #n
ulkhea / Riprap length 1,39
Avg distance offshore 0 �
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oatlift .
Beach Bulldozing r
Other�_h
SAV observed: eye no
Moratorium: n/a yes Ono
Site Photos: yes Riparian Waiver Attached: yes
A building permit/zoning permit
eermiitmay be required by:
Permit Conditions � J if A 1 (q .Ir:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWAREAF STATUITES, CRCJtULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVI�VVED COMPLIANg STATEM
Agent or Applicant PRINTED Name Permit Officee'i PAINT Name
Si ture **P read compliance statement on back of permit** Signature Y
Application Fee(s) Ch #/Money Order Issuin 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:
1-1 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 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

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CAMA / O DREDGE & FILL 9 80428 A B C D
ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reis$u�l'artial Reissue Date previous permit issued
As autho 'zed by the State of North Carolina Department of Environmental Quality
and the Coastal Resources Commission in an of environmental concern pursuant to 15A NCAC ( 1 1 1
lu es �uac
Applicant Nam f i Project Location: County_ �l -
IVED
OCT 0 7 2021
DCM-MHD CITY