84375C - Smith, Thyra & Mellissa Richter

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,o1*ZICOA r"e c❑ CAMA ❑ DREDGE & FILL S 84375 A B C D
y Preous permit
I GEN ERAL PERMIT D to 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 j % ❑ 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 Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no ”
{ o
Type of Project/ Activity
(Scale U
Shoreline Length
Access Length
Pier (dock) length
r- --
Fixed Platform(s)
-_ ... 1—
-- - — - -
Floating Platform(s)
l
Finger pier(s) - --j ;.. ' -.... ; - - - - -
1 l
Total Platform area r
Groin length/# __ -
Bulkhead/ Riprap length }- __ ..- --- - - -- - -
i
Avg distance offshore
3
Breakwater/Sill
Max distance/ length i41= I
q{
Basin, channel
Cubic yards
If
Boat ramp j
�i i
Boathouse/ Boatlift
Beach Bulldozing
- --- ) _.-..........
J
Other ' 1 ,
Moratorium: n a y
observed:
SAV ees
s no
/ y r�
Site Photos: yes no ) - - t �? - - - — - -
Riparian Waiver Attached: yes no i� _3
A building permit/zoning permit may be required by: •(� t"�) I' f 1 [:'
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions % -
❑ 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 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:
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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

1*°F`°"U", ❑CAMA ❑ DREDGE & FILL N9 84375 A B c D
=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
ZIP
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 Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:;`
Shoreline Length.
Access Length _
Pier (dock) length
Fixed Platform(s),
vioaring viatrorm(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no j
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: r" ,
❑ 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 j
Application Feels) 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 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

Styrun, Heather M.
From: [e-mail]
Sent: Sunday, January 2, 2022 6:44 PM
To: Styron, Heather M.
Subject: [External] Needed Permit - 124 Sound Drive Atlantic Beach
Attachments: Doc 01-02-2022 18-38-09.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<maiIto: report.spam@ nc.ov>
Hey Heather! Hope you had great holidays! This is an easy one. Going to replace the existing dock with floating dock and
put new boat lifts on the existing boat lift pilings. I have attached all the forms and a drawing. Please let me know if you
need anything else!
Thanks
Andre
252-665-4378
Sent from my Whone

AGENT AUTI IORlZAT10N FOR LAMA PERMIT APPI ICA"MI
Name of Properly Owner Requesting Permit %6I MA SM/TN Goo —
Mailing Address;
O
Phone Number.
EmaN Address: !}� I54�� —j �/r\ t f OM
1 certify that 1 have authorized
Agent I Contractor
to ad on my behalf, for the purpose of appyng for and obtabnwV aN CAMA perm*s
necessary for the following proposed development �fi�byiivb Fy i NI Dyy<
,mil✓ /6'0 Zs r�%�►� 1/�xk 3�/Z I •nP $ + uF�'S ad 19r"L� t�/vN6s
at my property located at �Z SIN' DrCi✓E �IZ,a�►TicF,ollJ _ /t/G .
in 6arFft,,-- r County.
I furthermore cw* drat I am authorized to grant, and do in fad grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agenfs to eater
on the aforementio» lands in connedion whit evaluating infarmation slated to this
permit appkcatiort_
Property OWM Information:
,�TLI-a'- (� �rriA
TA
Print or Type Marne
rrbfe
Date
This awt�n is valid through I I Zb 2 2

N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIF"710NtWAtVER FORM
CERTIFIED FAIL RETURN RECEIPT REQUESTED or t�D D ERY
(Top portion to be completed by owner or their agent)
Name of Property Owner TEA s•«�nr
Adds ofPam,,: Lzt 5�vAco -Pje vLe A'4"T,d- 'Zecocar Ne
Mailft Address of Owner 7C* 215t-yIW t 7pu eZccam A& 2r76o7
owner's entait Oft iC-A , ri cl exro!. stdoownersphonew. ZS 2 - 3Y1 �
Agent's Name. Alypa Wf f Agent Phone: ZSZ -GLS 'Y3?�
Agent's Emaik 0,&"0101G A* �i•+►ti���. Go.++
ADJACENT RIPARIAN pRopER'TY ONINER'S CERTIFICATION
(8..^"M:: portion to be corn&ted by the Adjacent Property Owner]
I hereby certify that I awn property adoment tp the above referenced property. The individual applying for this
permit has de9mbed to an, as shown on the attached drawing, the development they are proposing. A
destxwticm at dmww-x . with must be pmvKW wikh thislett�.
I DO NOT have objections to this proposal. I DO have d*KNons to this proposed.
It you ham objecbons to wfW is being W posers you must notify are N.C. DlvisloYr of Coastal
—.!,ger.,.W (DCiloin wwtft within lO days of receipt of this iwacd Co esliondenoe should be
mailed to ,1100 Coffwm a Ave., Morehead City, NC 2"57. DCM rely can also be contacted
at (23) l0F2M& No response is considered the same as no objection Myou ham bem notllied by
Certified AfaA
WAIVER SECTION
I gland that any proposed pier, dock, mooring pilings, boat ramp, breakwater, bye, fill, or
groin must be set back a minimum dMance of 1 V tram my area of riparian aooess Unless waived by nee
(this does not apply to hulkheads or ripiap nevebnergs)- (if you wish 10 wane the satb®k2k. You must Sian
the appraprillle blank below.)
I DO wish to Waive 50mei80 of the 1 s setback
SO)arrma of Aditx rt Riparian Roperty err w
EKza
I do not wish to waive the IS! setback requirement (ini ial the blank)
Signature of Adlaoent Riparian Pr+opert_y Owner:
TypedWrinwl narnre of ARPtk
Mailing Address of ARPO: Go 4
ARPO's mgft
ARPtYs Phoned: 71l - Z 7`1- /SSS-
Date: 'waiver is valid for up to ors Year from mmft Signature
tl*4-4 A&
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT RE VESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of property Owner. oy"
—�4&4- �Z� SOc�N� %iti t/F I GON11G l3/�OLb�� NL
Address of Property:
Mailing Address of Owner 70n vN>� �'16�7foD ?o(6L /�/G Z7L�7
Owner's email:��-sss - riGt� �`� ,r ✓i wner's Phone#
Agent's Name.- ANa iaFAgent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Propedy Owner
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing 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 no' the N.C. Division of Coastal
Management (DC" in writing within l o 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 Adj c nt 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) W( C ! k ()y S
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: l a-11 �'� 'waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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