Smith, Stuart 84194C

o�°``°"�'�&❑CAMA ,U DREDGE & FILL NO 84194 A B c D
GPrevious permit
GENERAL PERMIT
Date previous permit issued
0 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:
5A NCAC %'' 1 r " % .. `¢ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
1,_
Applicant Name } /C . "� Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (._)
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activit}
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length f
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel rt. y� '�•'
Cubic yards /7 1"'.\.
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
DES ❑ PTS
❑ SPIMA ❑ PWs
SAV observed: yes no
_ 1I _
Moratorium: n/a yes no
Site Photos: yes , no +'—
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
Adj. Wtr. Body
Closest Maj. Wtr. Body
r J t
TAR/PAM/NEUSE�/BUFFER (circle one)
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
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:
F] 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
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°F`°"S'"1 ❑CAMA ❑ DREDGE & FILL Na 84194 A B C D
,o
y 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
Phone # ( )
Email
State
Affected ❑ CW ❑ EW
❑ PTA
AEC(s): ❑ OEA ❑ IHA
❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
-
3
Pier(dock)length
11
Fixed Platform(s)
Floating Platform(s)
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
i
Finger pier(s)
i--
i
Total Platform area
Groin length/#
_
.
`
_
.
r F
Bulkhead/ Riprap length
r
Avg distance offshore
`
Breakwater/Sill
Max distance/ length
Basin, channel—
;.
`.._
._._
Cubic yards
Boat ramp
Boathouse/ Boatlift
?
Beach Bulldozing
Other
SAV observed: yes no
mm"
Moratorium: n/a yes no
)_
i
Site Photos: yes no
--
—
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
t ❑ TAR/PAM/NEUSE%BUFFER (circle one)
Permit Conditions
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
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date
F
r'

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

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their ,argent)
Name of Property Owner: .S
Address of Property: 6-�/��L�3 'Z
Mailing Address of Owner:
Owner's email: ✓TLtA s�iJ _.�Ga�a✓/G�owner's Phone#: Z.S-L_..0 3/ Zd�v
Agent's Name: -�Ll %Q�.Cf r�� �/'�'.3 Agent Phonet__
Agent's Email: l�� c _.J_N v� c I �_��►, 6�c�g_dha1� Csa.,
5j'xA'S'�tYA�i4�ilFiSd �rLG.i-iY:lai'i.. LTSS41![f.P/HC/RS(�.E&341b�'..:3LitlRLiFARGiR'� '.nkfwt&OiYa'Ya]6Y!#Sd8446dS. :.. �: .-..H:lt. /A6N>2:Xall�
ADJACENT RIPARIAN PROPERTY iliflrivEW S GERTIFICATION
(Bottomioro becam�ete� he Ad�ggnt tywrier)r
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
description or drawing, with dirnensio ns, must be, provided with this letter.
1 DO NOT have objections to this proposal. I DO have objections to this proposal. J—
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 90 days of receipt of this notice. Ccrrespondenc:e should be
availed to 400 C'on n".er co Avo,, Morehead City, NC 28557. DCM ieL)Ivsentativ-as can also bo contacted
at [phone]. No resr.)on;_:e is c emosider d the same as no objec€ic, ; ifyou 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 roust sire
the appropriate blank below.)
I DO wish to waive some/all of the .15' setback.
Signn!: ,,-,
-OR-
I do not wish to waive the 15' setback r (.,-jUh ement (iriitiai the blank)
:1, y
Signature of Adjacent Riparian Property Owner:
Typed/Printed narne of ARK -
Mailing ----._.__.___...._����✓.___�C-)•JS��J- �.�_...--------_.._._.---------_
Mailing Address of ARPO: L) I to Z
ARPO's email: 15�CC StN_s.q +R"'O'`y a'Irflrtie#:.--
Date: ��ld ' 2 Ju iid p to i "i#? yeai- ar•:, m A F' U s
Z wi3#;Iw;�' i lif3 ,� ror ri g� -�
v�scc/ July ":021

u
4 1

C-,-
C E L: ------
CiTY, STA-E Z� 2 8 Z-
DATE: :Q
5,TEMJ,� 1z:
QTY DESCR-', —ON
1,gZx��: V �yl Bulknead tc be 4 t-eh�nd? evisti
182 1182-X5, rl.g WCU-C
C 0 C
108 1087x3-x2' '-'08!xTx2' Podk Bed Dralk`O,r stor.-n vma
B a c I< fi,* c e 'c,. o a oll o b a k;`;i,;;. - _ prig i n C! L i d e s r c L., g g; E�
�:/'oad
nce: 5/--7is only if you ieed, awy
415 Seed -work Zone arcvv;;tlh co: t*-,':tOl' 5
6 sc Fr
780 D, e c.-< & -epiace deckmq oi-. a:' exic-
Dec,<m- -o:Y be -.na.7ine ace anl�
'[A;� -.-rammg ./vi!!. be checked for integrity and mak-e
!bolted. if f--m;inq has any ;.sslues, you-11 be r.oi -mod
224 14'x 16: eover concm-e�e s'-- L�6--
;nq SS Screv.is.
Ian d marine carade dc",
PermitC-,
CAMA
je: -e (for --ts c-i 3 K)
1L P-n NC e 0
'Perm'l�
L O'v of Nev�, Bern Perr-t (.Cost Of F,-riT;lt'
Permit :TloVmn of --en'Ll,00ds Zoninq Per mot (lcosi.-c:�
Eauiomeint 1 E-Li:za,3r, Pee 1: 7 "Cl 28 Exc-n
DEMMOUTION:
500 -12- � x 5 0,; Re r oval c d i S ,� se: o f 12
15 0 E X c a va, Q:- WIS.
usLo, -ur
6 101d %JVa lRe-mova: d'
96'
2 —,:,-ees
S
CaP :`E:,- aF ;--eedec-'-'N�

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 completed by owner or their agent)
r: �(f� B Name of Property OwneIZ�— YA171-t
Address of Property: Io I +� a%Q�
Mailing Address of Owner: ��r�E; J \S 716
'
Owner's email: i`f 'F 4ar�Ai 1OwG nee s Phone#: �Z) (�?JI ZOD9
Agent's Name _J4�,OPJ4 LV IJ'(7DGI(-SAgent Phone#:
G v hl rJL-
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
descrintion or drawina with dimensions. must be provided with this letter.
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 theN.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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
•M
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: /'� ` 0 . t-)' d QQ
Mailing Address of ARPO: s Zt,/ I sib ILI "
ARPO's email: �' t/L­5 A5kq*) hone#,j TX�5— 411— qOO6
Date: 4 i/ / / *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

uo-is
CL �_