Michailidis, Vasilios 84704C

aoF0ASr4,&nCAMA ❑ DREDGE & FILL 9 84704 A B C D
0
GENERAL PERMIT Previous permit
Date previous permit issued
[:],New ❑ Modification ❑ Complete Reissue ❑ 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:
15A NCAC i f " I +: 1 , 3 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name �� ! } t' ) " t{r_?)1 3 Authorized Agent
Address Project Location (County):
City State ZIP '1 Street Address/State Road/Lot #(s)
Phone # (_)"��4L
Email Subdivision
City 'l ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
I;' I ^n...•�s
s IHA UW SPIMA PWS "�C_ `e
AEC:
() ❑OEA ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body.
t
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)y
Floating Platform(s) _
Finger pier(s)
Total Platform area i.
Groin length/# _._...._._
Bulkhead/ Riprap length i
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift .,2'�t�
Beach Bulldozing G
Other v�
SAV observed: yes ho
Moratorium: n/a yes no t ---�
Site Photos: yes no,
Riparian Waiver Attached: yes no)
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: //
❑ TAR/PAM/NEUSE/BUFFER (circle one)
") (%a �,; .. See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Appl!4arnt PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signat to
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:
1-1 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

1**1tOAST4
1!!q-❑CAMA ❑ DREDGE & FILL N9 84704 A B :It
2 GENERAL PERMIT Previous permit
Date previous permit issued
❑New ❑ Modification ❑ Complete Reissue ❑ 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) _
Subdivision
City
Affected ❑ CW ❑ EW PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC s : OEA IHA UW SPIMA PWS
O ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length m
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
_
Total Platform area 6�
,
�,L
Groin length/#
----i
-
Bulkhead/ Riprap length
-[
—
Avg distance offshore
j
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Bbatlift
Beach Bulldozing
'
Other
SAV observed: yes no
Moratorium: n/a yes no i
Site Photos: yes no --
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
11
(Scale: —
TAR/PAM/NEUSE/BUFFER (circle one)
'l
❑ See 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
I`
Signature Please read compliance statement on back of permit Signat4e ' p ....-.- i
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:
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: . - t-1 aS CAN A 1 L ►`n> IS
Mailing Address:
Phone Number:
Email Address:
y 1 I 7?. L-A *--> —e-r ---r-- �':>
t`�la air 1� i-1 c ass -7
I certify that I have authorized �b 1"� '3-E�— '
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a "'Pb L� L')TT
D (:? 1 :;� 4-1ck f4r-PDI
at my property located at I ` 73 Lfr I F- '
in �� County.
1 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:
Signature
� 1L4 CS, 1--i1 G0 W, 1'D 1 It
Print or Type Name
Z>0-019'� No c1lck
vs 31 et
RECEIVED
Date
SEP 10 2021
This certification is valid through I I
DCM-MHD CITY

G
ADJACENT RIPARIAN PROPERTY OWNER S/TA/TEMENT
VQI�-
I hereby certify that I own property adjacent to �z� M" (Name of Property Owner)
property located at ��" r ��-�
(Address, Lot, Block, Road, etc.) N.C.
on (Waterbody) (City/Tow and/or County)
The applica has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have abject on_s-Jo this proposal— ----
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�ft►"1D
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwateraboessouse
unlessftwaived Iby muet (If you
back a minimum distance of 15' from my area of riparian
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
�f I do rrot wish to waive the IS setback requirement-
(Property Owner Information) (Adjacent Propejrttyy Owner information)
S.o ature
Print or Type Name
kJ I 1ii to,r
Mailing Address
City/Sta te2ip
ILs`L �L—
Telephone Number
Date
Telephone Number
-C /Date
RECEIVED
(Revised 6/18/2012)
SEP I O.2021
DCM-MHD CITY

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certify that i own property adjacent to \--__o.�!5
I hereby c ify (i�lame of Property Owner)
property located at Lpl (Address, Doty Block, Roach, etc.)
n in Mo G I - County)iRI.C.
o to o� I (CityJTovvn and/or
fflaterbody)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF pROPOSED Di��4"I�Io�PliIIENT
(lr�c+evica*ual pe-®posir� dtrelopa ent must 9/ dog olecri %c�n e/s�vv or r ar h a site drawing)
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WAIVER. SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 16' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must inii-dal the appropriate blank below.)
I do wish to waive th6.15' Setback requirement.
do not wish to waive the 15' setback requirement.
�l
(Property Owner Information)
1/7
ign ature
V A 'Stic. r0J S
Print or Tye Name
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M ' in Ad ress� G V 1
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1-�p--)%-S"�
lephone Number
Date
Pri�o�rAypeName
m
Mailing Address
phon Number
Date
owner Infomnation)
RECEIVO (Revised 611812012)
SEP 1® ZVI
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: V-f'SI L4 a
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a " �� L- -1-556f`T t')-T-T
at my property located at !� '
in �2� County.
1 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:
Signature
Print or Type Name
_
RECEIVED
Date
SEP 10 2021
DCM-MHD CITY
This certification is valid through 1 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own Is
property adaceht to V J.S. " b z
(N
property located at fiame of Property owner)t! i �' P.,� `�'�- �1
(Address, Lot, Block, Road, etc.) Ca�e7� N.C.
on jam) fr'e7.:� \� in
(Waterbody) (City
andlor County)
The applica has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have�bj�ctons.o_tt�is_p�oposal _ ____-------
DESCRIPTION AND/OR DRAWING OF PROPOSED
below or DEVELOPMENT s �e drawing)
(Individual proposing development must fill in descriptiont✓�Ig�1�6
�06
• 1'3
G�Q► � �`�' Sara
tpt►"7U
WAIVER SECTION .
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, waived
ed by us. (If. sou
back a minimum distance of 15' from my area of riparian access unless waived b me. ( y
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
`1/ I do not wish to waive the 15' setback requirement.
(Adjicent Property Owner Information)
(Property Owner Information)
S"o aft e
Print or Type Name 9
,Mailing Address SSA
City/Sta te`Zip
bS`L �215
Telephone Number
Date
es"(Ijr
Telephone Number
Date
(Revised RECEIVED 12)
SEP 10 2021
®GM-MHD CITY

A�JA(:tN" CIf�ARIAN PftOPRYY OWNP vTA� �I�i�N7
I hereby certify that l own property adjacent to 4 �e S I Ps_ Owner)
(Name of Property
property located at in IV Road etc.)~
(Address, Lots Block, Ii , N.C.
on (City]Town and/or County)
(Waterbody)
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. va.
DESCRIPTION AND/OR DRAWING OF PROPOSED VEI-OPIVIENT
(individual proposing deve/o�rmenr= rnust fill in d0scr�iption Below o� attach e drawing)-116
-WAIVER. SECTION
I understand that a pier, dock, mooring pilings reb akwater, bbathouse, lift, or groin must be set
back a minimum distance of 15' frorn 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.
o not wish to waive the 15' setback requirement.
(Property Owner Information)
SiZpature
Print rr9t Name
gIIPelfL
M in Ad ress
GT7`; lac
jY/State ip
lephone Number
Date
Owner Infol7natl0n)
si4�t��
print or ype Name
Mailing Address
Date
hon Number
RECEIVED (Revised 611812012)
SEP 10 20?.1
D(;I -,MHD CITY