Oglesby Family Farm, LLC 84713C

o�,E`°"S", CAMA DREDGE & FILL NI? 84713 A
ENE L PERMIT Previous permitued
Date previous permit iss
N'ew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the tate of No arolina, Department of Environmental Qualityand the Coastal ources Commission in an area of environmental concern pursuant to:
15A NCAC t'� P ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
ORW: yes/no
Type of Project/ Activity
Shoreline Length � r—1 I% I
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
PNA: yes/no
46
t'
I
Total Platform area
Groin length/# e—
Bulkhead/ Riprap length r
Avg distance offshore
Breakwater/Sill .-.---
Max distance/ length --- r
sin chann 40-
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing--J
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes o
Riparian Waiver Attached: yes no
A building permit/zoning/npermit may be required
Permit Gonditions I ) (-zv A A itA 1
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
AM AWARE OF. STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVI
Agent or Applicant PRATED Name v Permit
g ture **�J�a�e Ic
read compliance statement on back of p r ' *
A Iication Fee(s) heck #/Money Order Issuing
❑ See additional notes/conditions on back
STATEMENT. � (Pleas4lnitial)

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.
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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 1-1 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: c'�� (, I gr L
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
mov P�1�� � ��c
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
6; 4 i,
at my property located at
A
in G f + County.
P I jl,- &"�"
1 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:
Signature je
r
- zla'�� r Wit /
rj, xagr
Print or Type Name
Title
Date
This certification is valid through I !

AUJALtIV I KIPAKIAN PKOPEKTY OWNER 5TA FEMENT
I herebyc if �� 11'1 jC TI Zt,tLs'
ert y that I own property adjacent to 1
�(Na of P�Qperty 0 ner)
property located at 3 -T
l (Addresi, Lot, Block Road, etc.)
on 1 � � f-' i �r� in 1,Y) ,l�J� N.C.
(Waterbody) (City/Town and/or County)~
The applicant has described to me, as shown below, the development proposed at the above
loca—
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing de elopment must fill in description below or attach a site drawing)
I m C L 1.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathou'sc, 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.
(Propely Owner/4i"formation)
O'nt or Type Na P tty
ale;, by
5
%-/
Date J '"-' t j
'� 11 xi '
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Sigrre * }
Print or Ty 6 Na0e
,D 0
Mai�ing Address
_4" T,1 J "
city/State/Zip
Telephor7e Ngmber/email address
Date*
(Revised Aug. 2014)

MENT
I hereby certify that I own property adjacent to �-"-'L 1 `"�
(Na of Property 0 ner)
property located at �c' 34C' - 7
(Addres , Lot Block Road etc.)
on � `� .1I; , in I�'1 �1tr���'. L� , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
X 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)
(9
Lpj
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathou'se, 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.
informption)
u`LLaLLL
°r' or irp Name
�jling A1414dress � � ,t /�� � � •�
ity/state2i
TPphone Number / 6mai addr s
Date
(Adjacent Property Owner Information)
Signature G
C ''lam
Print or Type Name
Cj�LM
Mailing Address
,
-riln�1S0A
Cty/amstae2p
aS1 1? sc� rY�CK
0 K Hot'/
Telephone Number / email address %r\g
c; a
i UVtj
Date"
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i U'
I6'1 �
i h b rt'f th t I rt d' cent to .
ere y ce i y a own prope y a Ia
• � G � (Na of PGgperty 0 ner)
property located at f l� �,�i
(Addres , Lot, Block, Road, etc.)
on �(�� in 'Yi ���� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat'o
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing de elopment must fill In description below or attach a site drawing)
70 -P"
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 formation)
ign . ire
or
i'iITVI LLL-
Ci
Telephone Number / email dress
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Sigp4atmre * 1
Ek - 0(
Print or T p6 Name
Mai mg Ad ress ,I i
City/State2ip
Telepho e N mber / ernail address
Date*
(Revised Aug. 2014)

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you �,aR s���,!,ng�
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to IY)
� IDY) tL�
property located at C ��)i r. (Na off P)raQperty 0 _ _ ner)
c� (Addres , Lot, Block, Road, etc.)
on �•�i K - In _ �'l�i U1-� a7�J� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing de elopment must fill In description below or attach a site drawing)
M5.
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.
(Prop�rty Own r informgition) (Adjacent Property Owner Information)
L
f1rA1W or l yp[ Name ! ,�
<T6 C re, h�, C'lu1-� Luc
N(ajling A dress ( j+� ; , �, J
�1l t e4 /V t�l
�j►ty/state/Z!
Te! phone Number mai addr s�'
Date
*Valid for one calendar year after signature*
Si at re*
C-)'-41
Print o Type Name
.q(#.t;L�_ C u _
Mailing Address
C1ty/S1a1e21p
S � ' C CI L.� �t boo r s "on r
Telephone Number / emai address l 00 -r t,n� .
—� i `3� I)- I - `c'n
Date*
(Revised Aug. 2014)